st. luke's. -- and consider the future of st. luke's. the panel recommended that st. luke's be rebuilt as a full- service hospital and the board approved this. >> i have spent a good deal of my non work time attempting to ensure that the hospital i which i worked for 26 years, st. luke's, remains a viable acute- care facility in this city. i am an emergency room nurse and i continue to fight for st. luke's that will be vibrant and viable over the years. once we were a thriving acute- care hospital, we now function at a fraction of the size to use to be. what has happened is the starting of a hospital and there is no logical conclusion that the starvation will lead to its demise. the record at st. luke's shows there must be an agreement to halt the service cutbacks and elimination. if, as stated in the original proposal, there needs to exist and acute-care hospital in the southeast sector of the city. what services are concentrated at what locations have ramifications for a host of other treatments. the domino effect of the shedding of one type of service will negativel

st. luke's. st. luke's is a valuable community asset with a long history in san francisco of serving the underserved. san francisco 6 hit -- san franciscans in the mission and beyond rely heavily on st. luke's for hospital and outpatient care. the emergency room helps to meet the emergency medical needs of patients, sharing that responsibility with san francisco general hospital. the second priority was to ensure increased access to cpmc, specifically with the new cathedral hill campus, for charity care and medi-cal patients. we wanted to ensure that the new cathedral bell campus would be similarly accessible to san francisco most vulnerable population. with the passage of federal health care reform, it was important that these discussions have forward-thinking and are made in the context of this changing help the environment, regardless of the supreme court 's action that will be made on the next few days. last, the desire to focus cpmc's community benefits on the most vulnerable population. we belie

st. luke's. the next several slides provide information about the specific provisions designed to do just this. the development agreement requires that cpmc construct a new hospital on the st. louis campus and operated for 20 years. construction of st. luke's would be simultaneous with the construction of the new cathedral hill and cpmc would be required to open st. luke's prior to opening cathedral hill. the development agreement includes several provisions to ensure the programming at st. luke's meets the needs of the surrounding communities. for the duration of the 20-year operating commitment, st. vix will provide specific services on site -- st. luke's will provide specific services on the campus. it would require that st. luke's be operated as a full-service general acute-care hospital with an emergency room. st. louis will have a number of inpatients and outpatients specialty services and emergency room, which will be 50% bigger than the existing emergency room. they shall house two centers

st. luke's campus. we have innovative programs for prevention and education might be held first program h --ealth first programs that are free to charity patients. in the future, there are two major changes in the outpatient setting. the first -- actually both of them are a function of response to the federal health care reform. we're going to partner much closer with our physician partners in the community to increase coordination across different care settings. a major change we're going to make, we're going to partner with dphh and consortium partners to care for 1/3 of the new medical enrollees. we will provide comprehensive medical homes from primary care to hospitalization to post-acute care for 1/3 of the 30,000 new medical enrollees. from a recovery and rehabilitation perspective, many of you know we have an inpatient psychiatric program at the pacific campus. we have 18 beds where we provide acute intervention and stabilization for mental health patients. going forward, we're going to focus on

st. luke's new hospital. i appreciate what st. luke's has done to work with us in minimizing the impact. we have several people who keep home businesses and they work very hard to keep us from having to relocate our businesses and minimize the amount of construction noise and all that so i very much appreciate it. thank you. >> thank you. next speaker. >> good afternoon. my name is benjamin uny. i'm c.e.o. of safety net health organization headquartered in san francisco called operation access and we work with the community clinics who each low income unininsured people. we have a network of 30-something hospitals and over 1,100 medical volunteers that provide the free care. a know a number of opponents have suggested that cpmc is not doing enough when it comes to community benefit or charity care, but i'm here to support the rebuild for that very reason and i'm going to summarize my comments with four numbers. 11, 27, 500 and 5 million. for the last 11 years, cpmc has partnered with operation access to provide donated care. there

st. luke's. i practice family medicine at st. luke's hospital for over 30 years. i am also the chair of family medicine for the pacific and davies campuses. we provide care to hundreds of thousands of san franciscans. we need to continue to recruit new primary care physicians who are in short supply across the country as well as the up-and- coming specialists. across all of our campuses, we have an aging physician group, and while all of the hospitals in california are mandated to retrofits or rebuilt, it is very difficult to recruit physicians to a hospital that is not state of the art, as we have heard. at st. luke's, we do have a medical staff that is state of the art. we are dedicated to continuing of st. luke's mission. over the past six years, we have fought to keep st. luke's hospital open, and it was acknowledged that seen as a valued an important community aspect. but it has been deemed unsafe and likely unable to be retrofitted. our only hope of maintaining a vibrant and thriving medica

st. luke's. g-- to rob the city. i will focus a little beyond on st. luke's. and we are already strainedoing business, and i am having faculty go to st. luke's to treat some of the patients, so i see this as a beginning step in the traditional direction in the care of the mentally ill. >> good evening, supervisors. but i would like to thank you for this opportunity. i am the founder and president of the national coalition of the black women of san francisco chapter of the re of san franci. give we represent over 53 chapters in the district of columbia. we are an advocacy organization, and we advocate for women and girls and empowerment of women. i would like to support cpmu, because they saw the south as a partner. -- they saw us us a partner. good it was revealed african- american women were dying of breast cancer. they could have swept it under the rug, but they did not. they decided to seek us out of a women's organization so they could locate where men and girls buying of -- dying at a young age to conduct mammograms, which stated. thank you for this oppor

st. luke's. i made one phone call to the breast cancer support very dark, and the only thing they ask is to give us a date, because i wanted to know why they were providing the breast cancer support to the community and they were not providing the breast cancer support to the omi, so that was one phone call but was provided, and they have been supporting us for the last three years, and we plan to expand in our community, so when you make the decision, i would like you to remember you are making decisions on when it comes to the health of the elderly. >> good afternoon, members of the board of supervisors. i am here to support cpmc. there is a lot of things they have done the public is not aware of. in the past years they allocated funds to specialty care. i am a member of the consortium. gcpmc awarded funds to provide specialty care's common and we serve about 7000 patients. 81% of those patients has insurance, so i am really supported a large number in need. i am here to express appreciation to

st. luke's? >> it is not st. luke's. it is all through the campuses. i have no idea. we're getting mixed messages. if i had my say in any of this, i would say to keep it open in the california campus. do not close the california campus. move the skilled nursing beds to the california campus. supervisor mar: thank you. next speaker. >> good afternoon, supervisors. i am speaking for the president and ceo of the san francisco community clinic consortium. i am eleanor jacobs. we feel having a new hospital from the ground up will be good for the san francisco health care system. the building of the hospital will bring new jobs in to san francisco. a new hospital has the potential to recruit new providers and replace retiring providers. we are excited to work with all hospitals to improve the health and welfare of san franciscans. thank you. supervisor mar: thank you. next speaker. >> i want to take time to support what alex stated earlier. this is not a fight between labor and community. it is not either or. we support builders. we support the community and labor work toge

st. luke's move. i don't know if that would get us close enough. >> what he identified in the rotation were three, relatively-speaking approximately 800 populations. that is the puzzle move. >> no. chairman mcdonnell: thank you. mrs. mondejar. -- m's melara. i am not interested in changing our decision we made last time, primarily we made it very deliberately. when the community comes tonight and says you took away this piece, they were not taking into consideration what it would cost elsewhere in their district. we moved something in their district, and next week the people will come back saying you shouldn't have done that. so let's leave it where it is. so no, no, no. chairman mcdonnell: thank you. that's clear. mr. leigh? >> can i ask a question? does the second move require moving st. luke's? chairman mcdonnell: no. the intent is to keep st. luke's in district nine. it has no -- nothing to do with st. luke's present site at all, period. >> i would actually be open to looking at it. chairman mcdon

st. luke's centers of excellence that focuses on senior and community health. st. luke's will have the same private patient room size and amenities. i strongly support the mayor's agreement with cpmc to build two more state of the art seismically safe hospitals. supervisor mar: thank you, next speaker. >> good afternoon, members of the board of supervisors. i am the executive director of compassionate care. i support the rebuilding of cpmc. for 25 years, we have been providing hospice and medical respite care to very low end, san franciscans with advanced aids. what you may not know is that cpmc has been a generous partner and supporter for over 15 years. in the mid-1990's, they sold us our current building at less than half its appraised value. we also have 48 employees. our 24-hour facility. these jobs would not exist today if it were not for cpmc's past and continuing support. thank you very much for your consideration. supervisor mar: thank you for the great work. next speaker. >> good afternoon. i am the executive director of bayview hunters point senior servic

st. luke's house on s.f. general. when s.f. general max's out, we triage to st. luke's. st. luke's max's out. people are waiting hours to receive emergency care. we want to see a larger facility. we want to see expanded loops. this is not an issue we're coming to because of our jobs. it is because of the care. it is an expanding area in our city. to give cpmc the green light without insuring anything for the south side is irresponsible. you will see us coming back and talking about what we need to do to expand services for people on the south side. as supervisors, that will fall in your hands as you are responsible for providing health care when the private sector is not doing the right thing. in terms of public policy issues and future planning for the city, we have to be thinking about what is our obligation. [tone!] cpmc will be taking on more healthy san francisco money. we need to look at the charity care rate. that would otherwise go into the public sector. it needs to be done in full understanding of what's cpmc's obligation is. we're standing with our brothers and sis

st. luke's. it must guarantee that the jobs, wages and benefits of its current employees and guarantee a reasonable number of permanent jobs for san francisco residents. cpmc must limit its prices to city health plans and pay the full cost of its development proje project, affordable housing, traffic and neighborhood impact. we are very concerned about the proposed plans around cpmc's new hospital downtown and cuts to st. luke's. the city and needs to be fixed to address many concerns. we are also suggesting funding a training and placement program to trade new people to enter in the healthcare field and find real career jobs. above and beyond the hospital issue, we need to set aside funding for youth services via auditing to close corporate tax loopholes in the city. no cuts to education or healthcare, period. m.t.a. needs to put its money where if is needed for youth passes, better housing programs and we need to be a sanctuary city that doesn't have homelessness. a city that has easy food acce

st. luke's at a larger size.lth care academy, even rhonda simmons is basically saying that this is outdated information. that when they started negotiating this agreement, they were basing it on what the city could do at that time. so it seems to justify that this agreement needs to be updated in terms of what the city can do, what work force development programs can do, and what jobs are actually available. these 40 jobs a year, 5% of the jobs that are going to be created is terrible. and it's not a construction project. this is a hospital. it's going to be here for decades. >> can i ask you about the comment about seismic safety delays and nurses supporting legislation that would speed up seismic improvements? but could you go into a little bit detail about that. >> we at the statewide level, we as an organization have consistently been advocating and lobbying in the capital to push for earthquake safety requirements. cpmc, sutter, through the health care -- their lobby arm of the -- health care or hospital ass

st. luke's centers of excellence that focuses on senior and community health. st. luke's will have the same private patient room size and amenities. i strongly support the mayor's agreement with cpmc to build two more state of the art seismically safe hospitals. supervisor mar: thank you, next speaker. >> good afternoon, members of the board of supervisors. i am the executive director of compassionate care. i support the rebuilding of cpmc. for 25 years, we have been providing hospice and medical respite care to very low end, san franciscans with advanced aids. what you may not know is

st. luke's campus and california campus. we will not be up there. as far as where st. luke's is that now, we are in a precarious position. i say it would be easy to close us. we're missing vital services. the two we have are in danger of being closed. there is talk about that. we do not have much of a census or physician base. we have been downsized. i think cpmc will take almost acutely ill patients. when that will changes when the new hospital is built and they are able to be filled up with important, presgious, paying patients. the amount of patience left at st. luke's will be much greater than just 80 beds. one thing that has crossed my mind is if there is a specialty at st. luke's, we might have a chance of long-term survival. a 20-year commitment -- [tone!] we're closing in on seven years of that. supervisor mar: thank you. please come forward if your name has been called. >> good afternoon. thank you for the opportunity to that these important issues. my name is james tracy. i want to clear up two misunderstandings and quote chuck dee. don't believe the hype. we

st. luke's is very important. we should hire more people to work at st. luke's. it covers districts 8, 9, 11. i want to focus on jobs enforcement. cpmc needs to make a stronger commitment to san francisco workers and residents. it can do so by hiring 50% the jobs they create from our community to hire san francisco residents. on the enforcement side, the agreement -- i do not want to use the word hold cpmc accountable because it is confrontational. i support cpmc. i like what they are doing. we want them to build -- to downsized cent lives, i do not think it is a good idea. -- to downsize st. luke's, i do not think that is a good idea. i appreciate the fact that they are trying to create jobs. but come on, help us. supervisor mar: thank you. i am going to call a few more names. [reading names] next speaker. >> good afternoon, supervisors. i am a resident of tenderloin. i am a member of the tenderloin filipino community association. make sure that cpmc it pays its fair share in helping our low income residents. cpmc plans to construct the biggest -- corporate prof

st. luke's down. and part of what i have that a concern is we have had many successful companies in san francisco, in california, in the united states has had exactly this track record. this is below this 1%, and yet they proceed. i think we are all concerned about is within a short period of time, this allows st. luke's and what they represent to the city to not be operational, so this is an important question. frankly, this is our obligation. this is what we are supposed to do. for one, i am going to need to see this information. i hope we have the time to make sure that this happens. we need to do this together. >> -- supervisor mar: thank you. supervisor cohen. supervisor cohen: thank you. have you begun the renegotiation process? >> yes, absolutely. as soon as within a day or so of seeing the new numbers. supervisor cohen: yes, sir, and what day was that? >> i believe it was 12 days ago. supervisor cohen: 12 days ago. i think what is important to the members here is backed cpmc has an interesting

st. luke's. not to demonize anyone, but this is an era where a billionaire can buy an island and then sue his neighbors to cut their trees down so that he can have a better view of the race. this says so far proven unwilling to make sure they can have this commensurate with their $90 million in tax breaks. in 2001, cpmc made agreements to maintain the hospital at the levels it required that -- acquired it at. that is where we had a neonatal intensive care unit, a casting room, many more surgery lofts, etc., and now after a decade of dismantling, we are facing a reduction down to 80 beds, and they are looking to close the hospital after only two years. that has no business being there. they cut mental-health services and laid off front-line employees who are underserved. we need community benefits in order to -- thank you. supervisor mar: thank you. next speaker. >> my name is tatiana. regretfully, one doctor is not able to be here, but i am here to speak on his behalf. supervisor mar: so any obje

st. luke's hospital. >> good morning. the reason i am here is to speak about a very important resources for san francisco in general. i am a member of st. mclaren park. we've done a lot of work with help mclaren park. all of us are very interested in making sure that this park finally get some of the investment that it deserves and needs, and that our neighborhoods want. this is supposedly officially a citywide park, but it does that get that kind of investment at all. last week i went to a meeting about a park bond issue that is coming up in 2012. 2008 there was nothing from the park bond issue. the one coming up, we are slated right now to get $6.5 million, but glen park at a huge influx of money from the 2008 bonds and now dipping again in 2012, while mclaren park sits with something like $57 million identified capital needs in 2007, and we're just getting a consensus to address those. people talk about part safety, and certainly that includes crime prevention, but also includes looking at the pathways. i use the park a

st. luke's operating margin did not apply cpmc to shutter st. luke's. it just gives them that opportunity, but they would not have to do that. also, if i remember right, there's no reason they could not sell that to another party. is that correct? >> the first one is correct. that was in my notes. the second one -- that is also correct. thank you. commissioner moore: could i ask, when you talk about new and modern buildings, what kind of building type are you referring to? i have a hard time believing every residential building would be subject to this requirement? it raises all kinds of issues of public health and accessibility, security, etc. >> at this point, i just have a short summary, which up provided. it does not give me more detail about the types of buildings. i could give the details to the commission. commissioner moore: ok. the other question is, regarding the housing trust fund. you mentioned the basic principles of. i would be curious what you would encompass in the discussion of balanced growth? is that a more equitable distribution of h

st. luke's. cpmc should be rebuilt, but rebuilt the white -- the right way, not leaving us out in the cold. they should make sure they know that they need to take care of st. luke's, and 80 beds is not sufficient and not enough. [applause] >> hello, my dear, supervisors. my name is carl kramer with the san francisco living wage coalition. i would like to open my comments from a quote from someone. our ability to make progress is directly connected to giving every family the dignity of a paycheck. these other words of our mid- year. it is inaugural address on january 8. thank you, mayor, for both of your thoughts on this subject, for having the budget town hall meetings. to involve, innovates come and invest. involving people in the political process, but also having a budget that involves the neediest people in san francisco fettered unemployed parents in the economy. when we have people that are working at a living wage, we create a healthier economy. that is what robert -- robert wright refers