the next one year a serious -- near us is 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

information to allow us to make informed decisions on this one issue, we need unlimited obligation from cpmc to operate st. louis for 20 years, not one that is dependent upon -- st. luke's for 20 years, not one that is dependent on financial assumptions that we are not able to review. i believe that all of us on the board and myself want this development agreement to ensure not only that st. luke's is open and operating for 20 years, but that it is meeting the needs of the patients in the southeast portion of the city. while we have recently focused on the operating commitment, it is my goal today that we focus on some of the other aspects of st. luke's that i find concerning. there are two. the removal of the skilled nursing facility beds and the resources, staffing and focus of the centers of excellence. additionally, as i have previously mentioned, this project will significantly change the health care system and markets for years to come. i have heard very little around impact of that. i look forward to a robust discussion about pricing today. without further ado, mr. terra, take it away. -- mr. chair, take it away. president chiu: i am not going to repeat the comme

uncertainty around that development, i think it is important for us to make sure all options are explored. having a commitment to maintaining st. luke's opened involves considering other options that go beyond the proposal before us. it is important to make sure that we are considering all options with respect to st. luke's and it is important to make sure all stakeholders including members of the city family are part of the discussion but we're involving community members in that discussion. to be able to ensure there is a long-term viable hospital that we need to make sure we do that work now. thank you. i want to thank my colleagues for their co sponsorship. president chiu: do we need a roll-call vote on this item? without objection, same house, same call. item 50. >> calling on the department of public health to provide medically necessary transition related care for transgendered people and remove exclusions under the health care security ordinance. supervisor wiener: thank you. i will not repeat the comments i made before and during combinations. this resolution -- i will not say it is the first step because the first step was t

st. luke's will close. where will we go for medical care? please, looks -- please keep st. luke's open. it is more convenient for all of us for us senio. please fight for st. luke's. we beg you. thank you for your time. chairperson mar: i am going to call a few more names. james wilder, angela farresino, diane allegre, clark reyes, gina lynn luna,r iborra, and reverend don fawkes. next speaker. >> good afternoon, supervisors. my name is amy kelly. i40 member of the first unitarian universalist church at the corner of franklin and theory. -- and geary. i have been laid to church because of traffic jams at 10:30 a.m. on sunday morning. it gets worse from there. it is always crowded. there is very little give for emergency vehicles. we heard earlier that the emergency entrance to the hospital will be on franklin, as will be the delivery. we know that big delivery trucks do not just turn in. they turn wide. they back up. sometimes, they back out. that will cause a great deal more congestion. we run a program at our church which brings 100 children from the tenderloin every day for an after-school program, which has benefited

is a pretty critical piece of information. i think for those of us for whom it is extremely important that st. luke's remain open and a viable hospital, this is pretty critical. we have been led to believe that the 1% was very theoretical because it was so far from what the reality was of any projection for what the margins remain in the coming years, so that may not be adequate. i think it is very, very important that this issue be resolved. and if the measures stays the same, we will obviously have to know what those are, and if there is a renegotiation and a different metric that is going to be used, i guess my question will be when is that negotiation going to happen, and i know everyone is sort of an awkward place here, given whatever confidentiality restrictions exist, but i hope everyone from cpmc and the mayor's office and dph can understand that st. luke's remains open and a viable hospital, not to even know that can happen, so when do you anticipate that there will ever be adequate or complete information or if there is a renegotiation, when that will be presented. >> supervisor, i regret t

is action to be taken for st. luke's to be demolished. i would hope that you would consider it before taking any action because it is really important for us seniors, so hopefully each and every one of the supervisors will consider this matter. thank you very much. supervisor: thank you very much. next speaker, please. >> [speaking foreign language] >> good evening, supervisors. my name is -- i am going to translate for her. >> [speaking foreign language] >> we are worried about cpmc and the issue of discrimination, especially for the filipino workers that have not been addressed yet, therefore we are concerned about that. >> [speaking foreign language] >> and also the issue of st. luke's possibly closing down is a big issue for us, especially for the workers who want to make sure that cpmc stays open for more than 20 years. >> clean support this and send it back to the planning commission. thank you, supervisors. supervisor: thank you. next speaker, please. >> hello, supervisors. i am rosemary. i am in the filipino community, too. i am concerned about jobs. in two years or three years' time, it will be closed, and i am concerned about the

st. luke's as a reliable community resources. a full-service hospital for the city's south eastern sector. now is the perfect time to negotiate a project. we can use this opportunity to win commitments for a sustainable st. luke's with the scope and volume of services that will best serve the needs of the community. i urge you to use this time wisely. supervisor mar: rachel is going to wrap up very quickly. >> we would like to be able to do what you would like to do, too, to trust an agreement that serves the best interest of the city and the information is verifiable and true. cpmc's questionable track record and business practices, their week provisions to remain -- they're all disconcerting to us. there are more responsible provider standing in line. let's look out for the future of what is best for san francisco. let's really look at the big picture. trust and verify, thank you so much. supervisor mar: that concludes the presentations we have had on this item. i know we have a question from supervisor cohen. supervisor casupervisor mar: i n alerted by the clerk that we have to do one housekeeping item. tom we were said the vote on item number

i also want to -- there is a lot of discussion from supervisor campos over 3a and 3a+. a lot of us are committed to st. luke's, the one thing that occurs to me, and it is basically in supervisor campos's district, and i know that cesar chavez and various streets in that area are traffic disasters right now, especially along caesar chavis. so, in terms of -- i do not think any of the alternatives went up to 555 beds, but in comparing the number of beds and the activity in the current st. luke's and the alternative 3a+ st. luke's, was analysis done know what the different traffic impact would be a long season champ says in those various scenarios? >> let me invite my colleagues to speak to that. >> without the project, there are six intersections that currently operate. i will run through them and what that means for the alternatives. we have cesar chavez, 27, and south manas. all of those operate with or without the project. with the analysis, we looked at those intersections and the others that were operating in found that the contributions to those intersections would not be significant and it is generally b

is a good. the mission and excelsior also have significant numbers. the used to deliver 1300 babies per year, and yet, this eliminates inpatient pediatric at 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 obj

st. luke's is significant to all of us that lives in district 11 and 10, who must critical that we have the hospital or we have to go across the line and we don't know what is going to happen with stephen. they just can't handle the capacity even with the new hospital rebuild. let's look realistically at the families we have out there. we need a guarantee that st. luke's will remain for ever in our neighborhood serving districts 10 and 11. >> i have called all the cards. if there is any one of that would like to speak, please come forward because we will be closing public comment. >> during a time of the transition when california pacific health bought st. luke's, i was asked because i was pastor of the church over close proximity to st. luke's to be a liaison person between that sutter and the community. i attended many town hall meetings to see what hockey denizens of bayview hunters point feelings were. all of the in-house wanted to the st. luke's hospital to remain the same. i certainly could understand the sentiments and because as you know, south of market -- [unintelligible] i went b

gooone is the track record but compels us to be assured of any agreements for this corp. stereo -- for this corporation. we can ensure there is a future for st. luke's hospital. there are already concerned about whether doctors possible with a current agreement. i am going to introduce a couple of young leaders, because some have to go home. i am going to introduce a couple of members of the progressive association. i have damien and eric -- jamie and eric. >> we are trying to move this along. >> i am from the chinese progressive association. i just want to make a comment about the practice thos zes. my mom has been a patient for a while, and she has had a good experience, but a few years back she'd mysteriously disappeared for what she called a business trip. i found out she needed surgery to remove of benign tumor in her breast, and cpc denied her on the basis she had medical and not private insurance, and recently she needed surgery on her ankle but was denied again because she had medical. i find this they are going to be true to their word they should not turn away medical patients, especially in serious condition like this and should also comm

of that issue, of what happens or it does not happen, i think it is important for us to reaffirm our commitment to make sure that st. luke'sospital remains open regardless of what happens with any one project. [applause] i know there are many strong views on different sides of what has been presented, but if there is one thing that everyone agrees on, st. luke's means so much for san francisco and we need to make a commitment to make sure that it is rebuilt and

of that issue, of what happens or it does not happen, i think it is important for us to reaffirm our commitment to make sure that st. luke's hospital remains open regardless of what happens with any one project. [applause] i know there are many strong views on different sides of what has been presented, but if there is one thing that everyone agrees on, st. luke's means so much for san francisco and we need to make a commitment to make sure that it is rebuilt and that remains open. my resolution recognizes the importance of st. luke's hospital and emergency room for the southeastern neighborhoods of the city and county of san francisco and affirms the board of supervisor's commitment to working with the mayor, the department of public health, and private hospital corporations that operate in san francisco to ensure the long-term viability and operation of this critical institution. as was noted in the final purport of the health-care services master plan, the physical location and hours of operation do impact patient access to services, especially for san francisco's o vulnerable populations. the final report noted that th

is just and fair for san francisco. we can use this opportunity for commitments for sustainable st. luke's that will best serve the needs of the community. thank you. president chiu: thank you. next speaker. >> hello, i have spent over a decade with these issues, and this is what i do. they are requesting that this not been ill to environmental standards, and their argument is that it will improve healthcare access, but the crux of their argument really is that they stay consolidating services will increase access in a way that should outweigh the negative impacts, and that is not true. it is not part of the literature at all. it is not. what is supported is that the geographic distribution of services does save lives. especially in a city like ours where traffic is outrageous, this matters. this is the difference between life and death. the impact of this proposal in my view, reading through it, will be the reduction of affordable services for two of our city's poorest neighborhoods. first, it will bankrupt st. francis. as it stands, they get a new loss, taking care of the tenderloin with

use their analogy. st. luke's has served this community for 131 years as the only other hospital beside san francisco general. we are not talking about rebuilding another mcdonald's. this is vital to the health care infrastructure for san francisco for perhaps the next 100 plus years, to have an emergency room capable of handling the unexpected. the reason for the rebuilding is seismic safety. we know from other expert testimony that loss of a hospital eir substantially increases morbidity and mortality, for all nearby communities where the wait times increase. think about the stroke victims, your child of an attack or your heart attack. unviable st. luke's is needed at san francisco. it is better that they admit a need for new management rather than close saint wheat. please forget the profit driven point of a 1% margin. should not the true purpose of the nonprofit before the benefit of the community? thank you. president chiu: thank you. next speaker. >> i was a doctor until recently there. the core of the appeal of the environmental impact report is that the project objectives as put forth by our narrow -- by cpmc are narrow as opposed to looking what is best for san f

is based on how successful and how committed they are to running the st. luke's hospital. give them a chance to prove they are a good medical center for all of us. many of us are patients. my whole family uses the cpmc. we have good memories of the hospital. the staff are always courteous incompetent. i think we know this is a good project. if cpmc should walk away or the board of supervisors are not willing to compromise, and it is going to be a big loss for all of us. please support the eir. >> good evening, president chiu. i am a patient-relations coordinator at cpmc and a resident of san francisco. i support cpmc's plan to build a earthquake-sake hospitals. i have been unemployed for 15 years and look forward to many more to come. i urge you not just as an employee so i will have a job but as a citizen of san francisco who wants this new hospital for my family and friends when we need care. the approval has been delayed for too long. it should be upheld. i urge you to support the plans to rebuild by certifying the eir. >> supervisors, i have spoken in front of many of you about the importance of the jobs this project will bring but tonight i

st. luke's account for less than 5% of inpatient beds, they saw over 10% of the traffic in the city, a 26,000 patients. in terms of prodding, one proxy we use is ambulance diversion. if you are in an ambulance, you go to the nearest hospital to seek care. that hospital is crowded, there is no in patient capacity, but hospital is on diverge. ambulance needs to be rerouted to the next nearest hospital. when you look at the data, in all of california, san francisco is in the top four counties with the highest diversion rate. in all the hospitals combined, the number of hours on diversions was more than 4300. on average, everyday in san francisco, we had 11.5 hours of diversion each day. during these times, each patient that had to go to the hospital in an ambulance had to be rerouted because one of the hospitals was so crowded. of course, crowding is not evenly distributed across all hospitals. if you look at were crowding happens, it happened most in hospitals located in the southeast part of the city. san francisco general, because -- we are on divert 25% of the time. santa lips was third highest in their version -- st. luke's was third highest