st. lukes there is about two or three beds in each room and our understanding, let me know if it's a correct understanding is that there will be separate rooms which is nice for privacy but families are worried about isolation of their family members. >> again, i will ask mary to be more specific but most of the rooms on the new unit are semiprivate, two patients per room, sometimes you have to have one patient per room and you can't have male and female in the same room by legislation. >> supervisor ronen: those were the questions i had. thank you >> supervisor sheehy: the next person i would like to bring up is rachel rivera from the st. luke's council. >> ga good morning. thank you r your time on this continuing matter. the family council would like to provide the following update. since our february 6 letter that was sent to cpmc by the family council, cpmc left many unanswered questions and contradicted their responses to others which caused frustration with the june deadline approaching.

st. lukes was sent out of the city and i know that's probably not the first time people are being sent out of san francisanfrancisco, so for the e five years if you could give us an understanding of the discharge data, not trying to overburden you. >> barbara garcia, yes, ten years would be a longer request >> clerk carroll: maybe you should give us an appropriate and i will say the rest of my other comments. >> director garcia: remember that some of our clients are part of regional health systems and regional health systems will continue to have facilities outside of the county. i have am a kaiser patient and i would probably most likely go out of county for some services, so i want people to understand that some of the regional, larger entities have regional facilities and we want to service as many people of the city, the department would like to do that and that is why we are stepping up to add the additional beds and negotiate those with our other partners, but i do believe that regional s

before laura was taken to st. lukes, they fractured her shoulder, they let her go early and we didn't want to bring her back so took her to ucsf. they don't have a stepdown so we tried to get her into st. lukes but they weren't expecting anyone and they sent us to kent field across the bay, and they said they were concerned with laura and me not ever dealing with anybody with a trach and so she was only supposed to be there for two weeks, it turned out for me to be a three-month nightmare. her -- was dislodged and her abdomen filled with fluid and for three months i was going back and forth to the city from kentfield. kentfield whichs the golden gate bridge. people were telling me at work you don't look good you look tired and thing. i would ask that the city do something for the future so no one experiences what i went through because i'm sure my case is just one of many. >> thank you. next speaker police. >> anne ludwig. my husband is 79 and has advanced alzheimer's and has lived at skilled nursing.age sutter healther

registered nurse at st. lukes been working there 42 years and am also the chairperson of the st. luke's -- we deal with safety and concerns and we meet once a month. indiscernible. becausagbecausewhile case managr placement they are kept in icu waiting for placement. the wait can be long. because of this in some instances we were able to accept more -- indiscernible. this led trecently in our ten be care for patient awaiting lung transplant and the most appropriate unit to care for this patient is sub-acute but this request from nurse case managers refused to allow this patient to move to the empty sub-acute bed. downstairs to e patient was held in icu for close to a year even with sub sub-acute beds empty on the floor. as one of the nurse case managers - -- we are committed o do everything in our powers to provide shar -- indiscernible. as nurses we need to be able to care for patients at the appropriate time. thank you. >> thank you. are we ready for public comment? >> so for members of the public that wish to testify, speakers will have two minutes please state your first name

st. luke's had nearly 40 beds, and now it has 17. in 2012, sutter cpmc decided that only admissions from their hospitals could go into the sub acute unit. and then, in 2016, they decided that there would be no further admissions, so what's happened is that the number of patients have just been gradually falling. now, as i think was mentioned, the plan that cpmc has now is to transfer the 17 patients remaining to the davies campus, and these beds that are being given to the sub acute are going to be placed in the skilled nursing facility, which has 38 beds now, and it'll go down to 21. and this is adding to another crisis that we have, and that is hospital-based snf beds, because the only snf beds that are hospital based in san francisco will be those 17 at davies. so what cpmc plans to do at davies is let the patients fade away by atrition, and this would mean at some point, there are no sub acute beds in san francisco. this is a vitally needed service, and not having it would interfere with patient and family choice, about whether t

. >> some of the questions that we have gotten are concerns about the existing care right now in st. lukes because people that have been working with the patients have familiarity and have relationships with the patients are either done severance or moved on and it's a big concern for the family members. what do you have to say to that? >> i am pleased that we just had ha licensing survey and no significant issues were identified. >> is there a barrier to have these nurses moved to the davies campus or the caregivers in general. >> all of the staff including the nurses have made decisions about what they want to do. some are moving to our -- and are going to be acute care nurses and others have elected severance. thos >> supervisor peskin: it's 17 now, the number was higher before? >> some of the patients were s.n.f. patients and some have moved to day vies and some have passed away. >> supervisor peskin: so down by seven. how many have moved out of county. >> two. >> supervisor peskin: how many have moved to davies? >> three. >> supervisor ronen: thank you for being here dr. bre brenner.i

st. luke's, and they are planning to transfer them to the davies campus this summer. so optimally, we know that post acute care is provided in home and community based setting whenever possible. there are several policies that recognize the importance of ageing in place to maximize an individual's independance and to provide care in the least restrictive setting. we also know that the vast majority of patients are discharged home after a hospital stay. however, some patients who cannot be safely discharged home do rely on stillkilled nug facilities for post acute care. you can see on that slide about 9% of all hospital discharges are to skilled nursing facilities, and less than half a prs of all hospital discharges are for patients who needsub acute care. so i wanted to take just a minute to describe some of the types of facilities that provide care for seniors and adults with disabilities. so starting from the lowest level of care to the highest level of care. so residential care facilities for the elderly, which are also known as assisted living or boarding care pri

st. luke's. i mean, i just kind of want to reinforce commissioner ronen's head shaking. it's just -- these hospitals, especially cpmc, are just as voracious and evil as any corporation. their executives make millions of dollars in salaries. they are not going to help us, and that means that we need to take drastic action like literally having the board pass an ordinance that doesn't allow a hospital system like sutter or cpmc to build anything new anywhere in our community anymore until they start doing what we want. we also need to explore the idea of taxing these nonprofit hospitals if we can, and taxing and even if possible, taxing the executives that make millions of dollars running these quote unquote nonprofit hospitals, so that we can create our own health districts in each neighborhood where there's not enough services and do something about the problems. and that just brings me to i think that one thing that this commission can do very specifically is to focus on the mission, where there's a crisis right now because of the st. luke's situation because cpmc is li

st. luke's campus within the cpmc system, we need to convert 17 of the existing 38 snf beds to sub acute, which would leave us with 17 sub acute beds at the davies campus and 21 snf beds. you'll recall we came back to the commission and made that commitment to our existing patients, and also shared that as the sub acute beds are no longer needed, we would move those back into skilled nursing beds. so over time, the mix of sub acute and snf would shift based on patient needs. >> okay. so thank you. and i think the question there might be as you've described it, about whether or not that actually might create a prop q hearing. and i don't know legally, but it sounds like if you're reducing one of the services, that that is in existence, i'd only ask staff to assist you in understanding if approximate a prop q hearing is needed or not. i don't need more hearings. >> yeah. i'd be happy to talk to staff about that. i'd say sub acute is a designation under the snf license. there's not a license change, there's a designate through the department of health care services, so i would think that's a

where i mean is that for instance feminism in a west isn't tied to religion salmon is don't go to st luke course and paul they don't turn to bible and ask them women have rights to so secular feminism even possible in muslim culture of course it's possible it's happening all the time i mean in in many muslim countries you have a population there a secure list and they're not even occupied with religion but i'm occupied with. we form within religion occupied about how we can re read the koran with a focus on gender equality but this secular feminism is i mean it's present all over the world also in the muslim world so when you say down with polygamy down with oppression of women you can be a good muslim and not wear a veil but i'd imagine your religious opponents would say wait well this isn't really slum at all is islam really and all you can eat cafeteria where you get to pick and choose what you like and discard what you don't like and actually i believe that as a muslim leader as a muslim spiritual leader i mean we shouldn't judge other people it's not our i mean we should listen to pe

. >> reporter: the 51-year-old male resident was later pronounced dead at st. lukes.00 firefighters and ems battled this four-alarm fire with lots of smoke damaging other apartments above. president trump and his family were not in the building and the president tweeted just an hour after the fire broke out, fire at trump tower is out. very confined. well built building. fire men and women did a great job. thank you. the fire commissioner talked about how difficult it was to fight this fire. >> the units have to get there and have to hook up to a stand pipe system with their hose, takes a little longer. the fire, of course, the building is -- it contains the heat, it contains the smoke. it was extremely hot in the apartment. >> reporter: several groups of tourists were inside trump tower walking near the trump store and shared their videos of the fire and their stories of being evacuated. >> it was a little scary. i'm not going to lie. >> we see the fire and the flames coming out. i was scared for a while. glad i got out. >> we were downstairs in the cafe. we saw one

st. luke's is at in the mission. we're getting a raw deal from cpmc, and so we need to do something about that, and it would be great to have a hearing next month about cpmc about all of it, and how to figure out how we're not going to let these nonprofits, and people who make millions of dollars a year in their own salaries, not giving san francisco the support it needs, especially when it comes to mental health beds, which continue to decline, except a couple of weeks ago there was one spot of bright news that we don't have enough. also on publishes, ownership of public resources, the public broad band internet issue is now very imminent. the mayor's office is going to move on it before mayor farrell leaves. that means we've really got to get on this. there has been a request for qualifications put out to various contractors, and their -- or that -- those request responses are in. so this won't take a lot of work on the part of your staff, but i would urge that definitely by next month, have your interim executive

. >> a former colleague here at nbc luke russiaert posted a little instagram about barbara bush that included a pass an about st sons off for school there. and she will go in bare foot. and the door man said that most of the mothers didn't pay him any attention, most of the mothers came in done up from head to toe. she would walk in bare foot to get her sons and she would always go up to him and ask him how he was done. >> anyone who ever worked around the bushes. i don't care whether you were the gardener or the president of the united states, the bushes would treat you with respect. and some of the people who loved the bushes the most were the ones that served them on the staff at the white house that had nothing to do with serving in public policy or communications. they just made sure the ground were good, or that the sheets were cleaned or the floors were swept, or the meal was prepared. and those are the people that first came to recognize how kind and generous the bushes are. and barbara bush was the conscience for all of that. >> it is a mark of how kind and generous a person really is, is how you treat