and provide culturally, linguistically appropriate services for patients with nongestational diabetes. be it fully resolved that the health commission encourages spmf to develop l.o.a.s when needed and update the commission to patients needing care at the clinics and departments. >> thank you. and you retained the first resolve to strongly encourage the changes in staffing models or a mix, is that right? >> yes. >> to those are the three resolves. thank you very much. commissioners, questions to ms. patil or a motion in regards to the resolutions? hopefully we can start with the revised resolution. is there a motion for placing it on the -- >> place it on the agenda the revised. >> is there a second? >> second. >> and there's a second. so further discussion of the resolution? >> i was going to ask if dr. barnes could have a comment seeing that he put in all the years out there. if that's available through the chair. >> in regards to the resolution or -- >> the issues of -- >> can you step up to the microphone? >> sure. dr. barnes would like to add his interpretation of the numbers of

luke's were unable to see a nongestational diabetes center at st. luke's. patients were able to access this educator at the california campus. so it did involve some commuting for patients. those are the main updates that we have at this time. we believe that change in management will have a detrimental impact if the foundation is unable to secure a contract or ensure that letters of agreement are stated. however, if it's not the case there, would not be a detrimental impact. commissioners, i know how of a draft resolution before you. warren browner, c.e.o. of cpmc is here and can answer any additional questions. >> dr. browner, would you like to make some comments? or your staff will? >> i will make some comments. >> dr. browner has been referred to an appropriate person. >> it's been transferred to me. i'm happy to see you again to let you know that we've secured the letters of agreement with hill physicians and as the pay for performance measures, we reach out to those who have not had their mammograms, pap spears, we've sent out letters to all who are d