st. luke's hospital. the thing i want to emphasize is that health care is approaching 20% of our economy. we need to be concerned about the availability of the best of care to our residents and say, state of the art environments. san francisco can't afford to let this large part of the city's economy risk liability. in fact, this rebuild will likely be a key economic generator, a tide that will lift all boats. in fact, the recent affordable care act means much of the nation's 50 million uninsured will have access to affordable care, and means we will have facilities to care for them. we believe the plan before you will help meet the needs of our clients and san francisco residents. it will create jobs, provide benefits that will be felt in the nearby neighborhood and throughout the city. thank you. >> [names are read] >> my name is stephen cavanaugh. i am a certified rehabilitation registered nurse at the cpmc rehabilitation center at babies hospital. i have been there almost 10 years. when i first worked

st. luke's. and keep the hospital open so this hospital can continue to provide services for most vulnerable communities living in the southern part of the city. thank you. >> thank you. my name is alysa. i'm a diabetes educator. i've been doing it for about 20 years and have been at st. luke's for about three years now. i work as a diabetes educator for health first, which is a center for prevention and education and through them as an exercise group leader for people with diabetes and a consult and mentor. you have heard a lot about how cpmc has supports a lot of different kinds of organizations and this is one -- i wanted to talk a little bit about how i work a little bit differently. the reason that i'm here is just to talk about one way they share the resources. hunters point area. i say one way because there are so many different ways they support different community programs. and in this case, the case of i want to talk about the resource that is shared is my expertise and experience as a

st. luke's. she prefers staying at st. luke's. i also care from an immigrant from mexico who arrived to us with uncontrolled diabetes. much of his vision gone and after multiple interventions, he has almost total return of his vision and control of his diabetes. he deserves a state of the art faspiment our hospital is old and lacks many futures. >> thank you. >> thank you. >> hi. good evening. i know i'm going to make this as short and sweet as i can. i'm carol williams. i'm a respiratory therapist. the bulk of that time was at stanford university where i actually helped build that hospital as well. i was part of opening the doors so currently i'm a respiratory supervisor at st. luke's. my children were born at the cal campus and lived three blocks awhy from the cal campus but now time at st. luke's. that was actually my very first clinic cal experience was at st. luke's. we took care of a juvenile diabetic mother who was 17 and was 27 weeks pregnant and she was coding off and on. so anyway my daughter now is a nurse at the cal ca

st. luke's to be there. i cannot tell you how often patients expressed their concern about the importance of rebuilding the hospital at st. luke's campus. they want us to continue to be there for them. they trust us to care for them, to deliver high-quality health care in a safe environment. if we do not rebuild, we will be letting those people down. we need to build a new, modern facility, with state-of-the-art equipment necessary to provide the quality care that family's south of market deserve. i urge you to move forward to deliver st. luke's cpmc. >> good evening, members of the health and planning commissions. thank you for allowing a cpmc to share how the hospital has greatly benefited my family and me for almost 40 years. i am a 44-year resident of san francisco. i support cpmc's plans to rebuild its hospitals into an earthquake-safe citywide system of care. my family and i know cpmc from personal experience. all of my children and my grandchildren were born in the california campus. my ex-wife worked

st. luke's hospital. we are not here to tell cpmc how to work with community, but rather to say that we appreciate that cpmc knocked on our door when we first moved in to bayview hunters point and asked how they could assist in providing services directly to the bayview child health center, the only child facility in the bayview hunters point operated by cpmc. we are here again to say thank- you to cpmc. they are reaching out to low- income working people. we are here to support their rebuild plants. thank you very much and good evening. [applause] president olague: thank you. michael smithwick, followed by jon daniel. >> i am dr. richard gibbs. with my wife dr. krishna gibbs, we founded and still administrate the san francisco free clinic. when we opened 16 years ago, we put out the call to the medical community for a project that would only serve people with no health insurance of any kind. we got an overwhelming response. over 155 positions, doctors, and their staff offered to help providing care to th

st. luke's campus. as an emissary envoys of the physicians of saint luke, i wish to acknowledge and thank cpmc and the city of san francisco for saving some lives. the blue-ribbon panel achieve by and from all interested parties, medical, political, community, and a remarkable result. over the last two years, the department chairs have been working with architects and planners on our new facility. the medical staff from a supports the proposed plans. as this plan has crystallized, we see it does what it was supposed to do. it preserves critical service lines to a state of the art facility through tertiary distribution of services. st. luke's can access and a bill itself of incredible support from the other campuses, which is already happening. lastly, while maintaining critical inpatient service lines, it also includes a robust plan for the direction medicine is taking, which is an outpatient and preventative care. in all my time, i have never seen the quality of care better than it is today. i am glad t

st. luke's service area, that generates 85% of st. luke's discharges. you see a plan of these hospitals that is explicit segregation of patients based on ability to pay. i would think we would be beyond an argument about whether we believe in segregation. the plan is come a 10% private insurance. the justifies the hospital based on current utilization. 65% private insurance to other campuses, 10% medi-cal. these are people from around the central city in the southeast going to st. luke's. if people from the southeast go to cathedral hill. that does not make sense. 40% of the emergency room cities -- visits come from around the st. luke's area. what happens there puts a burden on sf general hospital. the approach we're taking to davies we believe should be the approach to st. luke's. it works when there is a clinical anchor to generate investment. they are not designed as a permanent charity write-off. davies has a community-serving function and an anchor of clinical services. we believe that should be the approach to st. luke's, where they cluster servi

st. luke's provides a great deal of charity care. we need to keep it in the city for our people. st. luke's has improved and cpmc is improving charity care. thank you very much. president olague: maybe you heard your name. >> thank you, presidents, and members of the health and planning commission. my name is kenneth. i'm the medical director of nebraska medical services. it is a non-profit organization. a lot of them do only have medi- cal. we have four clinics in san francisco. it is my pleasure to offer support for the rebuild. contrary to the testimony, which portray a very different picture of what i know of cpmc, cpmc has been a good neighbor to our community and our patients. we have received numerous donations and grants from cpmc to help us take care of patients who have never had access. we are the home to a quarter of healthy san francisco patients in the city of san francisco. cpmc provide the emergency and in-patient care for our health feet san francisco patients -- healthy san francisco patient. a number of people who are only on medi-cal are delivered on an annual basi

st. luke's. >> [speaking spanish] >> i also work and am committed to my job. >> [speaking spanish] >> my job as a housekeeper is to guarantee that the patients have a comfortable and clean place to get well and that their families can focus on them and not on the distractions that sometimes happen in old hospitals. >> [speaking spanish] >> my job as a pharmaceutical technician is to ensure that the medicines that patients need are delivered correctly and timely. >> [speaking spanish] >> i think that the best way to serve the patients in the recovery is to keep a clean and comfortable environment. >> [speaking spanish] >> i also believe that the best way to serve the patients in their recovery is to have the equipment and builds that are more modern to give the care to the patients that need it. >> [speaking spanish] >> it will give the patients of san francisco a place to recover in comfort. >> [speaking spanish] >> cathedral hill will give the patients of san francisco a modern hospital that wil

the mission of st. lukes and cpmc is close to my heart and so i'm committed to the viability of the organization. who do we serve? you have heard from many tonight whom we serve. we serve the patients, the child that presents with a fever in our emergency room to the a couple who would like to have an alternative birthing method to a person who has had a stroke. these are the people we serve. who serves them? who provides the care? our physicians and staff are astounding. historically there was not a lot of investing in the infrastructure, the facilities and the equipment of st. luke's. the partnership ensures that type of investment. commissioner, you'll be pleased to hear we had two very generous donations. as well, we are at a critical part over the integral fabric of a system-wide system of care. as you heard from the doctor, we had growth in our orthopedic area with a unique partnership between ucsf and san francisco general hospital. there were nine hired to maintain and sustain health care as well as a

and the st. luke motto was started with the a.c.m. and became part of our family practice residency program and then it was disengaged. what i'm saying is given the fact that we have a multitude of challenges how we're going to provide professional services in the city, it may be an opportunity to revisit some models which at least work a number of years ago but could be modified now given the fact that our academic health science centers are facing a number of mandates where we really have to work even more closely together and partner a do a lot of things in a sharing mode rather than a separate mode. you know, the days of building five recent cancers is no longer a reality. it's a matter of how we're going to integrate and provide the highest health care. and that's been the experience pertaining to the rebuild of cpmc. a lot of positive things have been undertaken. we look forward to positive outcomes again. but as i said, there is unique opportunities which i think we could really grasp because the rubber's going to hit the road

st. luke's will look like. we recognize the need to control rising health care costs, consolidation of two of our campuses will help us do that by reducing duplication of expensive equipment, having a more energy-efficient building, reducing administrative function. we would like to optimize the distribution of care throughout san francisco and the integrated delivery system. we would like to quote of the former -- and this will not exist in the city because there are not enough specialists and to be very good at something, you have to do a lot of it. here is our construction schedule. you will note that it has us starting in 2011 with completion of the campus which is a slightly easier campus to build. that will enable us to be in compliance with the current law. i know the whole commissioners will remember this. i would like to review these because i think we have made substantial progress. we promise to increase our charity care and the amount of care we provide for medi-cal patients. there was a 43% increas

st. luke's was one of the pioneers in the use of radiation therapy to treat cancer. for many years, are pediatricians struggled against discourage of polio including the development of some of the most advanced treatments at the time. we remember the days when the davies' campus was a place where some many young men and people of color came for treatment. we have a system of care as represented here. this does not mean more important, it means more acute. that includes outpatient care and the blue services. we provide a comprehensive set of services to the residence of san francisco. this is no longer just delivered in hospitals, this is delivered in thousands of offices and clinics. if we looking more details about what we provide for outpatient care, you can see not only physician offices but a community clinics like our family health center. this is in our diabetes centers. of course, urgent care.

st. luke's hospital, the second child of mexican immigrant parents. and her sister yolanda grow in the neighborhood of 14th and mission street, and later, the move to the excelsior district. she attended st. charles go in the mission, noted a high school, san francisco state university, and the university of san francisco law school. she co-founded and served as board president of people organizing for environmental groups, a grass-roots organization based in the mission district, in powering residents around a variety of environmental and economic justice issues. their first campaign led to the successful implementation of the childhood lead poisoning information act in 1991. she represented low-income communities of color disproportionately affected by toxic waste and advocated on behalf of low-income communities in the areas of health and environmental justice. she has got a tremendous record in the nonprofit social justice field as well. she was a senior program officer. she developed and managed various funding initiatives that led to millions of

st. luke's hospital, the second child of mexican immigrant parents. r sister yolanda grow in the neighborhood of 14th and mission street, and later, the move to the excelsior district. she attended st. charles go in the mission, noted a high the mission, noted a high school, san francisco state

st. luke's hospital is fever central for first-time moms such as kathleen, bringing in 8-month-old kaisonst congestion. she's always on the lookout for fever when he doesn't seem himself. >> i take his temperature and then if i -- i check it again in an hour. if it hasn't gone down, i give him some medicine. and then after that if it still hasn't gone down, i take him straight to the emergency room. >> reporter: call it fever phobia, if you like, worry being temperature above 98.6 but fever is only a symptom of an illness, such as cold or bronchitis. actually fever helps the body fight off infection. >> this doctor is a board certified peds specialist. >> fever is not dangerous if the child is appearing well and if the child is not toxic looking and if the child is playful, eating well, sleeping well. >> reporter: but if the fever child is lethargic, irritable, not eating or the temperature is above 105, that's the time to treat the fever and call the doctor. you don't always need medications to bring down a fever. use a room temperature bath or wipe the baby down with room temperature wa

and luke, hey, he always has somebody to celebrate with on st. patrick's day. happy birthday. >> are you irish, luke? >> yes! >> you are? look at that! appropriate. >> that's perfect. >> perfect. look at that. well, happy birthday! and happy st. patrick's day. >>> all right. we got a couple things going on. we just got word of a new accident in livermore westbound 580 around the first street exit. that's all the details we know. in our next traffic report we'll try to give you more information but in the meantime we are starting to see a few brake lights already coming out of the altamont pass. your drive time there about 15 minutes between 205 heading out towards the dublin interchange. also, we got a call from nicole with the kcbs phone force telling us about a stall on the flat section of the san mateo bridge. it is in the commute direction westbound 92. we cannot see it in our camera but she tells us that there is no delay whatsoever to traffic because of it. so still out there blocking one lane but as you can see, from our live traffic camera, just past the toll plaza, yo