i'm a nurse at san francisco general. i'm proud to be a nurse at san francisco general the last 33 years. you're going to hear emotional testimony. i'm not trying to give you stat-based testimony. i'm going to speak against your budget issue 1b year to date the average daily census is 34 upped the budgeted census. they proposed to cut med psychiatry and skilled nursing units for reduction of 34 beds equals 12,410 less patient days. that's the budget proposal. i don't see those empty beds. i work in the emergency department. you can ask any of these nurse he what the 10:00 a.m. bed meeting or as we refer to it no bed meeting means. that means my patients are waiting in the emergency department 4, 5, 6 hours. they don't have a bed, they're not going to get a bed and they may be waiting in the emergency department overnight. 87 man waiting 27 hours in the emergency department for a bed. okay. where are those 34 empty beds? i don't see them. med surge, budgeted for two 10 bed. this is the report for march. presented to the hea

when i tell people i work at san francisco general, people are really -- they express real surprise, that's a great facility, i've heard so much about it. and it's true. i really feel strongly that the city of san francisco has supported san francisco general and laguna honda and people who have been on the friend of the society now get very good health care. but it's becoming harder and harder every day. med surge is a fast unit. we admit and discharge patients. many times these are patients that are discharged that have minimum family support. they need to go home. they have dressings to do. they need medications. they can't do it on their own. this has become a trend where people are being discharged early and they're not ready. we don't have support. we do have nurses that come to the homes to help but that area is now being cut. so, the support for some of these people who need additional help is not there. it's dwindling and it's quiling very fast. i think the san francisco residents have shown over the years by supporting the bill and the money to staff these places is there. s

reduction to meet our consensus but offsets our growth as we move into the new environment at the san francisco general hospital. another chart showing where the investments are again san francisco general hospital is a sixth piece of it and our ambulance try and central network administration is about another third of the pie. so and then lastly just another reminder of a couple of things that are not explicitly within our budget initiative but are important in the budget context we have as adopted last year a reduction to community programs that will be phased in over the two fiscal years and starting at a half year for 2014-2015 at $8.8 million and annual liz to $17.7 million that remains in the budgeted as adapted by the mayor and board of supervisors in last year's budget process. in addition, we are projecting about between a $3 million reduction between ryan white fruksz the federal government and the ongoing to hiv prevention services that is out there we're expecting final awards in may but that's our estimate it will be a hearing from the board of supervisors on this topic we're still renegot

i'm [speaker not understood] from san francisco general. i'm a registered nurse and i've worked at san francisco general on and off for over 30-year. so, i'm very familiar with the issues and i'm glad that you were able to come out and take a look at the extraordinary work that is done there every day by a dedicated staff who is really committed to the mission of san francisco general and providing compassionate care with respect to all of our patients. and as was reported by greg, we do have a staffing issue there. it's not that we don't have enough budget. we do have enough budget. we do have enough budgeted ftes and we've just gotten behind in our hiring process. currently right now we have a 13.4% vacancy rate that's a little less than 90 ftes which is a large number of rn vacancies, broken them down here in the different areas. we're in the process of doing quite a bit of hiring now and it's my number one goal to provide the resources that the staff need to be able to take care of the patients. as you said, because you don't have suppor

i worked at san francisco general approximately 15 years and now i work in the community. and i really wanted to address some issues pertaining to the changes structurally and otherwise at san francisco general and how it's impacting those of us in the community, meaning that the department of psychiatry has been cutting back on beds and shortening the length of stay. and, so, releasing people who are not doing very well into the community. and i think it's nothing short of a miracle that nothing more significant has happened thus far. i can give an example of a young man i've been working with over 10 years now, both on the acute side as well as the outpatient side who had tried to get hospitalized and treated for the last 2-1/2 years. well, he he finally managed to get successfully hospitalized. he's now in the jail system being treated by jail psychiatry. and that's the way it's been going more so and now he's looking to go to wi health court who is going to mandate him into treatment. that's after he assaulted somebody in the mission right in the parking lot of the miss

our efforts and energy are focused on how to speed up up the pipeline particularly at the san francisco general hospital and get ourselves up to where we need to be today to not fill as many shifts with needed positions and get this going. it's a challenge but we're very focuses on this as a priority for being able to be in a position where we are xhofb comfortable with our level of operations >> the other part about the call center that was the presentation about t 5 or 3 year plan this is a transitional position where pits rolled into the it infrastructure that's correct. >> i'm having trouble remembering what the conversation was it looks like barbara does. >> it would be part thought i t system but f this is a call interest to help with the access into our care and we've looked at different model eased the staff has looked at this this is one of the recommendation the consultants say we need to centralize those to control the productivity of our providers but a component of our future. just to note i really appreciate diminishes singerers comments on it one the changes i think goals we need

i'll actually speak quickly on -- i actually work in oral maxillofacial surgery clinic in san francisco general and in children in san francisco, which is where most of our data on dental carries, the process that causes he cavities, we actually care about that ~ and we measure that. it turns out in adults from a policy standpoint for some reason, people don't care. and i had a visiting oral surgeon from england come observe with me in our clinic and all these people are coming in with big holes in their teeth and he he asked me, why don't they go to the dentist? apparently in america we don't care about that. we don't think that's important. we just let it get bad enough to where the tooth can't be fixed any more and that risk for bad infections. i've had people in the intensive care unit i've taken into the operating room and had to drain their necks and sugar is a big part of what is causing their disease. what do we do, how do we change behavior? education is great. i believe my student loan debt shows that i care about education. [laughter] >> so, it's an important component of what we do,

san francisco health network. that's a new reorganization of our clinical services which includes san francisco general and laguna honda hospital, our ambulatory care functions which are now organized together, primary care, behavioral health services, and jail health services. we have put a team -- team in place to lead this network and we're excited about this and thk that we're moving in the right direction to be able to be prepared for the changes that we're going to sees as we move into health reform and into particularly into a managed health care intensive environment. as i said, we have been [speaker not understood] for the affordable care act several years and the budget we are proposing for the coming two fiscal years is really built directly off of those efforts. we've had several studies and assessments and internal processeses that we've engaged in at the department of public health and we've really tried to take the outcomes of those efforts and focus on those for implementation as we go into the affordable care act. so a lot of what you'll see in our budget is that analysis. we also have significan

rochelle dicker of the san francisco general who's going to share things about the cost of injuries >> thank you directors my appreciate thank you for the opportunity to speak i'm wear my surgeon hat first pedestrians injury in our beloved city a a public health crisis and staring at thirty percent of our populations and admitted going straight city of attorney's office to the icu people get struck in the legs and flipped down and have head injuries so only 55 percent of our population pa a that's admitted get to go straight home usually go to nursing facilities a lot of people never get their lives back and because of the great team we have with the department of public health and megan we landmark splo into this more. we did we looked at not only the burden of disease in san francisco and as megan appointed where we need to focus but the crust 76 percent of the cost that's born for pedestrian injury that's dick cost to hospitals comes from public funding we also know that district 6 and district 3 and 4 are heavy burdened by not only again, the injury essentialist we see on a daily

san francisco, kron 4 news. >> update to the store rewe hold you about a short time ago. three people shot in san francisco's bayview district. we just learned one of the victims has died at san francisco generalbe in charge of this investigation. police say it appears this may have been a drive-by shooting here at keith street. the saying at about 5:00 p.m. tonight they found two gunshot victims, a third person was driven to the hospital by a witness. that person has died. more updates as we get them. kron 4 news. >>> our big weather story tonight, cooler weather as we head into the next several days. temperatures will drop significantly tomorrow. we'll wake up with fog at the coastline. that's going to clear pretty quickly as winds pick up in the afternoon. it's going to be cooler tomorrow through the rest of the week. here's a look at the futurecast. you can see the fog filling in tomorrow morning. also fog along the valley in the east bayshore line. this is the extent of it that's going to clear into the later morning hours. and then from the san mateo coastline. wins coming out of the north. it's going to be a lot cooler and breezy. we're going to see wind gusts stronger than today. 70s i

i practice at san francisco general hospital. i'm a professor of medicine and epidemiology at ucsf. i've been in san francisco for a long time. i've done all of my postgraduate training here, raised my family here. this is an issue that i want to give you the context of what motivates me about this issue, and that is really my experience in clinic taking care of patients with type 2 diabetes and thinking about the challenges ahead. so, type 2 diabetes, when i was in school, we were taught what's called adult onset diabetes and that distinguishes from juvenile onset diabetes. and the reality is that type 2 diabetes, adult onset diabetes as well as diseases of children and disease of adolescents and we've really shifted that hep dick i can ~ epidemic to one that happens when you age to becoming more common among teenagers and children. so, this is the statistic that's quite compelling to me. so, one in four adolescents have pre-diabetes or going to be predisposed to becoming diabetic when they become adults. 10 years ago that number was one in 11. so, i'm not somebody who is usually p

coming up at 6:00, there was an incident here at san francisco general this week. employees are using it to describe why they still feel unsafe at the workplace. live in san francisco, nbc bay area news. >>> a new record on wall street today. the dow closed at an all-time high, up 32 points for the day but that was enough to put the dow into record territory. it was the dow's second record close of the year. >>> a notable announcement from the nba today in that ongoing saga with the los angeles clippers. the league office has appointed dick parsons, video of him here, temporary ceo to take over the day-to-day business operations of the basketball team. the former executive at citigroup and time warner will oversee the franchise following donald sterling's lifetime ban for making racist remarks. sterling's fighting his removal as owner. league owners are expected to vote in the next few weeks to force sterling to sell the fran xhits. >>> mother's day weekend, let's check the forecast. from jeff, live picture, you can see it's gusty out there. >> it is. part of this

san francisco and the east bay for about 30 minutes around noon. trains, we're told, are now back on schedule. >>> nurses say they are fed up with the staffing shortage at san francisco general hospital so today they delivered 235 empty scrubs to mayor lee's office today. they demand the mayor fill nursing vacancies at hospitals across the city. san francisco general admits there are a number of open nursing positions, not clear home. >>> new information on a story we brought you yesterday. neighbors along the famous stretch of lombard street in san francisco will get a break this summer. today the municipal transportation agency voted to shut down lombard to cars for four consecutive weekends beginning june 21. gridlock and safety problems peak during the tourist season. >>> a freeway in san francisco is going to be closed for the long holiday weekend. starting thursday night 280 will be shut down southbound from downtown to the pennsylvania avenue on-ramp. it won't re-open until tuesday morning. chopper 5 over one of the ramps that will be closed, king street at 280. caltrains is replacing a hinge on the highway that allows the road to absorb movement in an earthquake. thi

today i'm introducing a hearing request to shed some light on how we can continue to make san francisco general hospital the best hospital around or continue -- that it will continue to be the best hobble around. also, i have a resolution urging resolution from this board, asking the state to go further by requesting that commercial property be reassessed regularly between one and five years just like in every other state in the country. this is a resolution in support of assembly member tom ammiano's bill that he introduced dealing with the reassessing of commercial property taxes at the change of ownership for commercial property. this is addressing prop 13. i have circulated a copy for your review and, madam clerk, the rest i submit. >> thank you, supervisor cohen. supervisor farrell. >> thank you, madam clerk. colleagues, today i am introducing two pieces of legislation to implement laura's law here in san francisco. each year millions of individuals slip through the cracks of our mental health system, across our country, and many right here in our great city of san francisco. they makeup a

first i'm introducing a hearing request on the safety conditions and practices practices at san francisco general hospital. we all know of the great and amazing work that surgeons, nurses and doctors, technicians and all other staff at the hospital are doing every day to save lives and the quality of life. but because these individuals work so hard every day to save our lives it is our duty to ensure that we are providing a safe and clean work environment. i want to make sure workers are protected and the safe working conditions possible paying particular attention to the staffing ratio. i have recently fielded many phone calls and heard from staff in general about some of the working conditions and how they can be improved. and after the tragic incident with lynn spalding we know that there is room for improvement. so, colleagues, today i'm introducing a hearing request to shed some light on how we can continue to make san francisco general hospital the best hospital around or continue -- that it will continue to be the best hobble around. also, i have a resolution urging resolution from this bo

firefighters say, one pedestrian was taken to san francisco general hospital for treatment. a four-year old girl. attacked with a crowbar inside a san jose walmart. police say, a young woman walked into the store on story road tuesday. and hit the child on the head. kron 4's jeff bush is live in san jose tonight. jeff - do police know what was behind this attack? san jose police say that 18 year old maria garate went into the wal mart on story road around 11 on tuesday morning. for some reason, garate pulled a crowbar out of a bag and approached a man who was pushing his four year old daughter in a cart. police say the garate hit the girl in the head twice with the crowbarcausing serious injuries. lt. jason dwyer san jose police the dad did what any father would do, he sees a person attacking his daughter, this is a parents worst nightmare, he sees it happening right in fron of him, he does what any father would do, he jumps in, he's struck, but is able to stop the attack. police say garate is a transient and does not know either the man or his daughter and say the attack co

other cases of note, one of them, involves as a missing female patient found dead in the san francisco general hospital stairwell, allegations of failure to investigate. and we recognize that there is more than one jurisdiction involved that the sheriff's office is involved and we do not investigate the sheriff's office but we have an obligation and a duty when we receive a complaint to investigate and another case of note is an officer's response to a by stander who was video taping an officer and the gardens incident and unnecessary force and unlawful conduct. and looking at the dem graphics of our complainants, caucusings 35 percent, african americans, 28 percent, and latinos, and hispanics, 12 percent and asian americans, 6 percent of our complainants. and moving to case intake by language. and by far, the largest percentage of case intakes that we had were in english, 95 percent, spanish comprising another 3 percent and we do have two, maybe spanish speaking investigators in on the occ staff. and cantones, and man da drin and korean and less than one percent of our case intakes. the types

firefighters say, one pedestrian was taken to san francisco general hospital for treatment. police say they are still trying to figure out what led up to the crash. pedestrian was taken to san francisco general hospital and has serious injuries. the warriors have won the bidding war with the new york knicks for steve kerr, hiring him away from the tnt broadcast table to be their coach. kerr agreed to a five-year, $25 million deal. kerr had been in talks with the knicks about becoming their next coach after phil jackson took over as team president in march. most n-b-a watchers had kerr to the knicks as a foregone conclusion as gary radnich found out when he talked to marc spears of yahoo sports. icekerr won three titles playing for jackson in chicago and another two under gregg popovich in san antonio, but has never been a head coach. offdon't forget about sports night live here on kron 4 every sunday night. we'll have the latest on your favorite teams. of head coach, steve kerr. still ahead. his is raise his [bl ris] ur iuran,becse wt yo dot kn canurt u. [pro bur] atarme,e at

. >>> staffing at facilities including san francisco general hospital.tead, they dropped off 235 trucks to represent positions they say need to be filled. additional staffing is one of their demands as they negotiate a new contract. hospital leaders say they agree more staffing is needing and they are trying to fill the vacancies. >>> san francisco supervisors to enact a state law by a mental healthcare work bore is filled by a -- and allows judges to outpatient services for people with a history of violence and failed mental health treatments. the parents of laura wilcox came to san francisco today to boost efforts to enact the law in the city. supporters are placing the ordnance before san francisco voters in the fall just in case supervisors decline to approve it in the coming weeks. >>> a parent's worst nightmare came true for one east bay mother who is serging -- searching frantically for her 24-year-old son who has special needs. >>> in there was a time to panic,, -- panic, it was on may seventh. >> he's developmentally disabled, and we were afraid

san francisco. investigators now at the scene at turners ter race. they found a victim a gunshot pound to the head. the victim dieded at san francisco general hospital. no word on a suspect or motive in the case. >>> more developing news now on a settlement in the oscar grant shooting. bart has agreed to pay $175,000 to five men who were detained by bart police the night oscar grant was killed. bart's decision to settle ends their suit. the money will be divided up among the five men. former bart police officer measurely shot grant as he and the five men were being detained in oakland back in 2009. measurely was convicted of involuntary manslaughter. >>> san mateo police are opening an investigation into a deadly accident today. this is video from abc 7. a worker fell 15 feet to his death. officials say the investigation is ongoing. the workers death looks to be accidental. >> there's nothing about this that would indicate horseplay or foul play at the scene. that detail will be osha's final decision to make. >> the construction employer will be sited if investigators find any workplace safety violations. >>> happening now, san jose police

police say, one of the victims was taken to san francisco general hospital. in serious condition. the search is on for a masked gunman. who shot two people in a car in walnut creek. it happened on ygnacio valley road and oak grove. around eight p-m sunday. after a concert in concord. the gunman pulled up to their car. and starting shooting into the passenger side window. police say, the suspect was in a light colored honda sedan. one of the two people shot is still in the hospital in critical condition. firefighters were able to stop a grass fire this evening. just a few feet short of hitting the home depot in san rafael. as kron 4's alecia reid reports, this is the latest in a series of fires to come from problematic homeless encampments in the area. firefighters spent hours battling hotspots, after outing a blaze that started about 400 feet off the road in this grassland area. the battalion chief tells us heavy winds helped ignite and spread the fire fast. spanning across 1 acre, it was heading towards home depot and target, but crews were able to stop it before it caused major

will recognize and celebrate the dpw furriers staff within an award ceremony on may 8th at san francisco general hospital please join us for them and we've also have the honor to have the nation's first library social worker that gives hope to the homeless and we have an allen f p with the psychic public library was interviewed twice about the social services she provide at the library and interviewed empty be k go library and it was a wonderful social worker she tries to engage with people in the local libraries to get the resources and they need and the fact she helps with the insuring the safety of the folks if the library on april 24th we opened with opening day at the treasure island nurse clinic and the community response has been positive and we have ages from 8 to 60 and dedicated worker will help to staff it on wednesday and fridays. we work closely with treasure island agencies to insure that there was some medical presence at treasure island's this is a furrier referral incline and many of the people that are on the i'm doing have preliminary care of providers so having our presence t

san francisco in the sunset direct after 2:00 p.m. this afternoon. the incident caused traffic and muni delays during the police investigation. the scene is now clear. authorities say the pedestrian was rushed to san francisco general with life threatening injuries. >>> for the second time in two days south bay developers are reporting the accidental death of a construction worker. the incident happened in san jose at sierra road and north capital avenue. police are guarding the area by cal-osha investigates. the man fell 3 stories. they are building 94 town homes on the site. this follows another deadly accident. today they identified the worker as a 54-year-old afffairfield. -- of fairfield. he fell on to his head at the baymeadows race track. >>> he used a pillow case tomuffle the screams. christopher evans hubbart -- to muffle the scenes, christopher evans hubbart terrorized women in the bay area and in southern california and that is where he has been ordered to move when he is revealed. when and how was the subject of a court hearing in san jose. ktvu's noelle walker is live outside the courthouse where the judge will decide his fate. >> reporter: today the neighbors told the judge they don't just want a chan

currently our office didn't staff the 5350 and san francisco generally, i want to bring that out we should be doing under the state law the district attorney's office should be in the hearing and we're not there there's no legal council for the city presently because we don't have the ability to do it. individuals have a lawyer so san francisco gentle and the 7 other hospitals across the city that do the hearing there's private council but we're not in the room right now. there's an average of 50 across the city in the hospitals. in addition to the current work there's a few important changes on the horizon that will be on our plate. the first thing is the beginning in july the san francisco superior court is actually seeing a role it's placed for many years the preparation and filing of the papers related to the hearing. so currently when a con conservative brings a can say forward to the superior court but in july will be our office so we will be doing the paperwork the civil court cases today it would have been 6 hundred and 50 just in january that's ate entirely new function for the di

the victim is at san francisco general, in critical condition, but is expected to survive. in san francisco, tara moriarty, ktvu channel 2news. >>> opening statements are under way in los angeles in the bryan stow civil trial against the l.a. dodgers and the team's former owner. stow has been in the courtroom the past two days, as the jury of eight men and eight women were selected. the lawsuit was filed on behalf of stow and his two children. it accuses the dodgers and former owner frank mccourt, of failing to provide adequate security at the stadium on the night stow was attacked in 2011. stow's mother is expected to be the first witness to testify. his attorney estimates the cost of stow's medical care at about $38 million. the case is expected to wrap up within four weeks. >>> a man is under arrest, accused of forcing a young bay area girl into prosecution. investigators fear there may be more victims. 20-year-old chester brown was arrested at a stockton motel on sunday. police say it happened after a 17-year-old runaway from antioch escaped and called 911. she said brow

the victim was taken to san francisco general hospital where he was pronounced dead. extra officers had to be called in after a large crowd gathered at the hospital. no word of an arrest in the case. >>> happening today classes are set to resume at san jose's bye man college. the school shut down on monday to the surprise of many students. >>> the power is expected to be back on to pg&e customers in west oakland who have not had electricity since yesterday morning. the outage began when a big rig crashed at seventh and merry time streets. it knocked out power. electricity at the port was back up and running by noon and pg&e crews worked through the night to get power back to the remaining customers. we do have a call into pg&e to see if that has happened. >>> there will soon be more wrapped muni buses on the street of san franciscos. those ads cover the entire bus including the windows. now supporters say the ads provide millions of dollars for muni and help replace the revenue lost when the city decided to end sunday metered parking. opponents say the wrap around ads

the first one or two require a recommendation of personalized structure whether at san francisco general or dph that will acquire additional software. a previous update to this system took 24 months. now this contractor is sitting in a review process with the city attorney and oca. we are looking at i would say 12-18 months to have a full electronic system to have comparable data. >> can i mention something in your report? you mentioned there was no clear , can you provide this process. >> oca has provided a waiver for the process, what is an admin-code -- i apologize, it's in the admin-code that aprovides for allowance for dph to have a different kind of bidding process. they belong to a medical group where that group is bidding for services. >> we talked about that for medication as well. >> right, in order to be effective for dph they need this centralized method to assess what they need. so we are buying at a better rate. >> but they have not done any comparison to determine how it actually is a better rate? there is no comparison, for example, one rate against another outside of the

the victim was shot in the head and taken to san francisco general hospital where he was pronounced dead. police say extra officers had to be called in after a large crowd gathered at the hospital. so far, there's been no arrests. >>> san jose-based ebay is asking its customers to reset their passwords after hackers gained access to their system. and now millions of customers could be affected. brian flores joins us with more. >> good afternoon. ebay has more than 148 million active accounts worldwide. they are not saying how many were affected. but as a precaution, they are telling all of their customers to change their passwords just in case. the company says hackers breached the system between late february and early march. but ebay didn't find out about the hack until a couple of weeks ago. they gained access to the corporate network by compromising a small number of employee log-in credentials. according to the official blog site. blog site, there's no information to compromised financial information. but the company is concerned they may have information to your name, pass woerd, p

item11: t. frye; 4155 575-68222 preservation element - draft preservation element of the san francisco general plan - request for review and comment. the planning department seeks comments on the most recent draft in order to produce a final draft preservation element to bring before the historic preservation commission and the planning commission for endorsement at a sf 111234 >> commissioner highland? >> i don't have to recuse myself. since there is no action that we are approving today i can still participate. if that were to change, i would have to recuse myself. i wasn't aware of the project anyway. >> are they still on? their work was complete? >> their work was completed and it was done by catherine and -- they are not there anymore. >> thank you. mr. fry? >> good afternoon commissioners, tim fry, department staff. as you recall the previous discussions over the budget and your review over the recreation and open space element, the commission asked to dust off the preservation element and bring it back for your review. so i have a short presentation to share with you. also want to point