Saving St. Luke's Blog

Health Commission Resolution on the Blue Ribbon Panel Recommendations

2008-10-11T14:37:00.001-07:00

HEALTH COMMISSION
City and County of San Francisco

Resolution No. 17-08
October 7, 2008

ENDORSING THE FINDINGS OF THE BLUE RIBBON COMMITTEE FOR THE REBUILDING OF ST.LUKE'S HOSPITAL

WHEREAS, S1. Luke's Hospital is a full-service licensed acute care hospital that has served the lower Mission and South of Market neighborhoods of San Francisco since 1872; and,

WHEREAS, the southeastern neighborhoods served by St. Luke's Hospital have been designated by the federal government as Medically Underserved Areas since 1982; and,

WHEREAS, there is a national health care crisis with a high and growing rate of uninsured citizens, diminishing capacity in primary care, and a broken system of health care financing; and,

WHEREAS, this crisis has threatened the viability of St. Luke's, a venerable institution with a history and mission of serving those in need; and,

WHEREAS, leaders in health, labor, business, government, community, physicians and staff at St. Luke's, through the Blue Ribbon Panel (BRP) process has asked that California Pacific

Medical Center (CPMC), the largest private health system in San Francisco, continue to support St. Luke's mission, rebuild St. Luke's, and integrate this campus into CPMC's City-wide plan; and,

WHEREAS, the Health Commission, through Commissioner Edward Chow's participation and leadership on the Blue Ribbon Panel, has actively supported the community participation and public dialog regarding St. Luke's future;

WHEREAS, the Health Commission also recognizes the power and necessity of public private partnerships so that every San Franciscan has access to quality, affordable healthcare; and,

WHEREAS, the Board of Directors of CPMC has, in its resolution of September 25, 2008, committed to revitalize St. Luke's as an essential part of health care delivered to South of Market communities, in partnership with the City and County of San Francisco and other

community providers, and as a component of CPMC's City-wide Long Range Development Plan (LRDP); now, therefore, be it

RESOLVED, that the Health Commission of the City and County of San Francisco expresses its sincere appreciation to members of the Blue Ribbon Panel, members of the Community

Outreach Taskforce, BRP Chair Stephen Shortell, PhD, MPH, BRP Vice-Chair Rt. Rev. Marc Andrus, the conveners Supervisor Michela Alioto-Pier and Mitchell Katz, MD, Director of the San Francisco Department of Public Health, and members of the St. Luke's and CPMC medical staffs for working collaboratively to reach a positive outcome for St. Luke's Hospital and all San Franciscans; and be it

FURTHER RESOLVED, that the Health Commission endorses the findings of the Blue Ribbon Committee for the rebuilding of St. Luke's Hospital to serve its community and the integration of St.. Luke's as part of the CPMC system and urges the City and County and the CPMC board to work together to implement its findings.

Michele M. Seaton
Executive Secretary to the Health Commission

Resolution of the CPMC Board of Directors

2008-09-29T10:04:00.000-07:00

Resolution of the California Pacific Medical Center (CPMC) Board of Directors
Regarding Its Response to the Recommendations of the Blue Ribbon Panel on the Future of St. Luke's Hospital

September 25, 2008

In accordance with California Nonprofit Corporation Law, the Board of Directors of California Pacific Medical Center (CPMC), a California nonprofit public benefit corporation ("Corporation"),

hereby consents to and adopts the following resolution.

WHEREAS, there is a national health care crisis with a high and growing rate of uninsured citizens, diminishing capacity in primary care, and a broken system of health care financing;

WHEREAS, this crisis has threatened the viability of St. Luke's, a venerable institution with a history and mission of serving those in need;

WHEREAS, leaders in healthcare, labor, business, governance, community, physicians and staff at St. Luke's, through the Blue Ribbon Panel (BRP) process have recommended that CPMC, the leading private health system in San Francisco, continue to support St. Luke's mission, rebuild St. Luke's, and integrate this campus into CPMC's City-wide plan;

WHEREAS, CPMC, a national center of excellence in tertiary and quaternary care, has committed to innovation and excellence in community health improvement as a priority;

WHEREAS, CPMC recently won the American Hospital Association's NOVA Award for its innovative partnership with San Francisco community clinics to serve those in need;

WHEREAS, CPMC recognizes the power and necessity of public-private partnerships so that every San Franciscan has access to quality, affordable healthcare;

WHEREAS, CPMC desires to support the City and County of San Francisco in the implementation of the Healthy San Francisco Initiative and has committed to providing charity care to patients needing inpatient hospitalization; and

WHEREAS, the BRP has submitted to the Board of Directors of CPMC recommendations to revitalize St. Luke's as an essential part of health care delivered to South of Market communities, in partnership with the City and County of San Francisco and other community providers, and as a component of CPMC's City-wide Institutional Master Plan;

Exhibit A

CPMC Board Approved Recommendation
1. As a critical component of CPMC’s City-wide Plan for health care delivery, the St. Luke's campus will be fully integrated into the broad mission, strategies and operations of the CPMC system.
· Near term, the CPMC and St. Luke's medical staffs will increase their alignment and coordination. The future objective is to have fully integrated physician staffs, at a pace to be determined by the Medical Executive Committees of the two organizations.
· Regarding nursing integration, there will be a single standard of nursing practice across all campuses. Staff nurses will have representation on organizational wide nursing councils with integrated nursing orientation, staff development, reward and recognition activities.
· The St. Luke's campus will be an integral provider of primary and secondary care within the CPMC system, complemented and supported by provision of tertiary/quaternary services at the other campuses.
· An employed/staff model will be implemented relative to the South of Market Area (SOMA) need for primary care physicians and health care providers.
2. A new acute care community hospital will be built on the site of the St. Luke's campus.
· The new hospital will be sized appropriately and flexibly to accommodate utilization projections, Blue Ribbon Panel recommendations, and growth opportunities.
In order to ensure continuity of access to acute services, the location of the new hospital will be such that existing hospital operations can be maintained until the opening of the new hospital.
· At the time of opening of the new hospital, the existing hospital tower will be demolished.
3. In order to address the needs of the community, opening services on the new St.
Luke's campus will include, but not be limited to:
· OB/GYN
· Medical/Surgical
· Emergency Department
· ICU
· Urgent Care
· Primary and Urgent Pediatrics
· A Center of Excellence on Senior Health
This service mix may evolve over time in response to changes in the market and the needs of the community.

Exhibit B

Blue Ribbon Panel, Community Outreach Task Force, and Presenting Participants:
Blue Ribbon Panel and Community Outreach Task Force Leadership:
· Blue Ribbon Panel Chair - Stephen Shortell, PhD, MPH, Dean, School of Public Health, University of California, Berkeley
· Blue Ribbon Panel Vice - Chair - Rt. Reverend Marc Handley Andrus, Bishop, Episcopal Diocese of California
· Facilitator - John Golenski, EdD, Executive Director, George Mark Children's House
· Co- Facilitator - Nancy Shemick , MPA, Shemick and Associates Health Care Consulting
· Community Liaison for the Community Outreach Task Force-
Stephen Lockhart, MD, PhD, Medical Director, Surgical Services, CPMC
Blue Ribbon Panel Members:
· The Honorable Michela Alioto-Pier, Supervisor, District 2, San Francisco Board of Supervisors
· Damian Augustyn, MD, Chief of Staff, Medical Executive Committee, CPMC
and Member, CPMC Board of Directors
· Kenneth Barnes, MD, for savestlukes.org
· Kevin Barnett, DrPH, MCP, Senior Investigator, Public Health Institute
· Dan Bernal, District Director for Congresswoman Nancy Pelosi, Speaker of the House
· Edward Chow, MD, Chinese Community Health Plan and San Francisco Health Commissioner
· Catherine Dodd, PhD, RN, Deputy Chief of Staff for Health and Human Services, Mayor's Office
· Steve Falk, President & CEO of the San Francisco Chamber of Commerce
· Cheryl Fama, Executive Director, Peninsula Health Care District, former CEO of
S1. Francis Hospital
· Anna Eng, Senior Organizer, Bay Area Organizing Committee
· Jean Fraser, Esq., Former CEO of San Francisco Health Plan
· Roma Guy, MSW, Former President of the Health Commission, designee to the Blue Ribbon Panel by Supervisor Tom Ammiano
· Louis J. Giraudo, Esq., Co-founder and Principal of GESD Capital Partners
· John Gressman, President and CEO of the San Francisco Community Clinic Consortium
· Sandra Hernandez, MD, CEO of the San Francisco Foundation
· Mitchell Katz, MD, Director of Public Health for the City and County of San Francisco
· Edward Kersh, MD, Vice Chief of Staff, S1. Luke's Medical Executive Committee
· Suzanne Fowler Palmer, Development Director, Episcopal Community Services
· Estela Garcia, DMH, Executive Director, Instituto Familiar de la Raza
· Karen Garrison, Director of Senior Services, Bernal Heights Neighborhood
Center
· Gillian Gillett, Co-Chair, The San Jose/Guerrero Coalition to Save Our Streets
· Fr. John Hardin, Executive Director, St Anthony's Foundation
· Mai-Mai Q. Ho, LCSW, Executive Director, AP A Family Support Services
· Judy Li, DrPH, MBA, Vice President, Chief Administrative Officer, S1. Luke's
· Stephen Lockhart, MD, PhD, Medical Director, Surgical Services, CPMC
· Marilyn Metz, MD, Founder, Arthur H. Coleman Community Foundation
· Ana Perez, Executive Director, CARECEN*
· Raye Richardson, MD, Founder, Marcus Books
· Rev. Shad Riddick, Metropolitan Baptist Church
· Jim Salinas, President, Carpenter's Union Local 22*
· Ahsha Safai, Mission Language and Vocational School
· Gladys Sandlin, Former CEO, Mission Neighborhood Health Center
· Maria Vicente-Puletti, LCSW, St. Luke's Women's Center, and CPMC Board of Trustees

CPMC Executive Leadership:
· Martin Brotman, MD, President and CEO, CPMC
· Jack Bailey, FACHE, Executive Vice President and Administrator, CPMC
CPMC Project Team:
· Cynthia Chiarappa, MBA., Senior Director Communications, Marketing and
External Affairs
· Julie Clayton, RN, MSN, Chief Administrative Officer, California Campus
· Linda Isaacs, Vice President, Human Resources, CPMC
· Diana Karner, RN MSN CNAA, Vice President Nursing and Chief Nursing
Officer, CPMC
· Jeani Kowalski, FACHE, Executive Staff Associate to the President and CEO
· Judy Li, DrPH, MBA, Vice President, Chief Administrative Officer, S1.Luke's
· Stephen Lockhart, MD, PhD, Medical Director, Surgical Services, CPMC
· Christopher Willrich, MBA, Vice President, Strategy and Business Development, CPMC

SF Chronicle: St. Luke's Hospital to Get New Life

2008-09-25T19:21:00.000-07:00

(09-25) 18:13 PDT SAN FRANCISCO -- St. Luke's Hospital, threatened with closure just a year ago, was reborn today when its governing board approved a plan to rebuild the facility.

After months of community meetings, a blue ribbon panel earlier this summer recommended that the venerable Mission District facility be rebuilt as an acute care community hospital.
There was a final hurdle: The board of directors of California Pacific Medical Center, which runs St. Luke's, needed to approve the recommendations and give the authorization to launch the planning process.

Today, the board unanimously voted to build a new hospital on the existing St. Luke's campus. The board also endorsed a recommendation to maintain critical services at St. Luke's, including an emergency department, obstetrics and gynecology, an intensive care unit and urgent care as well as creating a new "center of excellence on senior health."

"First-rate healthcare is a right not a privilege," said Dr. Martin Brotman, chief executive and president of California Pacific during a press briefing today. "This was a critically important vote."

San Francisco Supervisor Michela Alioto-Pier, who was deeply involved in the community-wide effort to save St. Luke's, including serving on the blue ribbon panel, voiced relief at the vote.
"In one year we have accomplished a lot of tremendous things," she said.

Also singled out for special praise was Supervisor Tom Ammiano and Dr. Mitch Katz, the director of public health in San Francisco.

"San Francisco used to have 16 hospitals 20 years ago - we are down now to only nine acute care hospitals," said Katz. "We can't afford to lose any."

St. Luke's has been an important part of medical care in San Francisco for more than 130 years.
Last October, California Pacific surprised and angered public officials and the community by announcing plans to downside the facility and turn it into an outpatient hub.

Today, Brotman said Katz convinced him that St. Luke's patients were unlikely to seek medical services at other California Pacific campuses "and would put demands on San Francisco General that could not be met. That caused us to go back and think."

San Francisco has only two hospitals South of Market: St. Luke's and San Francisco General.
The size and other details of the new hospital have not yet been determined, but the blue ribbon panel suggested the new facility house 6o to 80 beds. Hospital building costs generally tally about $3 million per bed.

But 60 beds is too few, said Jane Sandoval, a registered nurse at St. Luke's who is a leader in an ongoing contract battle between nurses and California Pacific.

Dr. Bonita Palmer, who has worked for 17 years in the family practice department at St. Luke's, said the hospital staff and patients now can have renewed faith in the hospital's future.

"The whole health-care system is in a crisis and this is a little piece of it," she said. "But we knew that if any city could do it, San Francisco could. This is the outcome we hoped for."

E-mail Elizabeth Fernandez at efernandez@sfchronicle.com.

CPMC Board Moves Ahead On Blue Ribbon Panel Recommendations

2008-09-25T17:12:00.000-07:00

Decision is a critical step in securing long-term future for CPMC's St. Luke's campus

MEDIA RELEASE Contact; Kevin McCormack, (415) 600-7484 or pager (415) 232-6463 McCormKD@sutterhealth.org

(San Francisco, September 25, 2008) California Pacific Medical Center's Board of Directors has voted to approve and authorize hospital management to proceed with planning for implementation of the main recommendations of the Blue Ribbon Panel.

The Blue Ribbon Panel was established as an independent body to create a viable plan for acute care hospital and outpatient services at St. Luke's campus, a plan which complements and is supported by CPMC's institutional plan for all its San Francisco campuses.

"We think the Community Outreach Task Force and the Blue Ribbon Panel did an incredible job in producing these recommendations, II says Scott Minick, Chair of California Pacific's Board of Directors.”The Board was unanimous in its approval that these will form the basis for a bright future for the St. Luke's campus, one that does not leave the hospital standing alone, but links it to CPMC's City-wide health care delivery system. This means that patients at St. Luke's campus will also have access to all the world-class specialists and services at CPMC's other campuses, everything from interventional endoscopy to liver transplants. II

Among the recommendations the CPMC Board voted to approve are:
· Building a new acute care community hospital on the site of the St. Luke's campus
· Integrating the medical staffs at St. Luke's and CPMC
· Maintaining critical services at St. Luke's including an Emergency Department, OB/GYN, medical/surgical, Intensive Care Unit, Urgent Care, and a new Center of Excellence on Senior Health

"We welcome the CPMC Board's approval of our recommendations, II says the Rt. Reverend Marc Andrus, Bishop of the Episcopal Diocese of California, and vice-chair of the Blue Ribbon Panel.”We know that the future of the St. Luke's campus is intimately connected to that of CPMC both clinically and economically, so this vote is a critical step in preserving the continuity of care in that community."

The Resolution from the CPMC Board recognizes the important link between the future of the St. Luke's campus and the building of a new hospital at Cathedral Hill, since the new hospital is the economic engine that will help provide funding to rebuild the St. Luke's campus and maintain services there. The other campuses, including the new one located at Cathedral Hilt are essential to move the highly complex, advanced specialized care that patients at the St. Luke's campus require.

The Board recognizes the work that CPMC must undertake to garner the necessary support, approvals and permits to make the hospital at Cathedral Hill a reality, and hopes that San Francisco, including the Board of Supervisors, the Mayor's Office, the Department of Public Health, the Health Commission and community representatives will continue to collaborate and support CPMC's City-wide Plan as was accomplished with the Blue Ribbon Panel.

"The strength of the Blue Ribbon Panel was its ability to bring together an incredibly diverse group of experts and get them to put aside personal agendas and work for the good of the community," says Stephen M. Shortell, Ph.D., MPH, Dean and Professor of Health Policy and Management at the DC Berkeley School of Public Health, and chair of the Blue Ribbon Panel. "But that work is not yet complete. We need that spirit of cooperation to continue, to make sure the recommendations of the Panel are realized."

"The Blue Ribbon Panel was the first step, the Board's approval is the second, but the next steps are equally important for the future of the St. Luke's campus and California Pacific," says Martin Brotman, M.D., CEO and President of CPMC. "We need to continually work closely with the city to get the permits we need for our new hospital. And we have to work just as closely with the neighbors at Cathedral Hill as we did with the community at St. Luke's, to hear their ideas and suggestions about our proposed new hospital, and to allay any fears or concerns they may have."
Dr. Brotman also acknowledged concerns that the changes at St. Luke's may involve some job losses but says CPMC supports the principle of workforce retention and will do all it can to ensure those affected are offered other positions within CPMC.

The Blue Ribbon Panel, brought together under the leadership of Supervisor Michela Alioto-Pier and Director of Public Health Mitch Katz, M.D., was comprised of leaders from the academic, health, business, labor and political communities.

"We have achieved something that many said could not be done, building consensus on a viable plan for an acute care hospital at St. Luke's", said Supervisor Michela Alioto-Pier. "I believe we have proven that civil dialogue trumps ideology and I thank all the participants for their time and dedication".

"This vote of approval is important not just for the future of St. Luke's but also for its recognition of the importance of a city-wide approach, one that brings together a publicprivate partnership in tackling some of the biggest health care issues we face," says Mitch
Katz, MD. "Many of the issues we face in San Francisco are greater than one hospital or one group can solve. The Blue Ribbon Panel showed that by working together we can find viable solutions for complex problems."

The Blue Ribbon Panel met from March 20 to July 1 and consisted of:

Chair: Steve Shortell, PhD, MPH, Dean of the School of Public Health, University of California at Berkeley

Vice-chair: Rt. Rev. Marc Handley Andrus, Bishop, Episcopal Diocese of California
Facilitator: Rev. John Golenski, EdD, Executive Director, George Mark Children's House
Co-facilitator: Nancy Shemick, MPA, Shemick and Associates Health Care Consultants

The Honorable Michela Alioto-Pier, Supervisor, District Two, San Francisco Board of
Supervisors
Damian Augustyn, MD, Chief of Staff, Medical Executive Committee, CPMC
Kenneth Barnes, MD, Savestlukes.org
Kevin Barnett, DrPH, MCP, Senior Investigator, Public Health Institute
Dan Bernal, District Director for the Honorable Nancy Pelosi, Speaker of the House of Representatives
Edward Chow, MD, Chinese Community Health Plan and San Francisco Health Commission
Catherine Dodd, PhD, RN, Deputy Chief of Staff for Health and Human Services, the Office of the Mayor, City of San Francisco
Anna Eng, Senior Organizer, Bay Area Organizing Committee
Steve Falk, President & CEO of the San Francisco Chamber of Commerce
Cheryl Fama, Executive Director, Peninsula Health Care District, former CEO of St.
Francis Hospital
Jean Fraser, Former CEO of San Francisco Health Plan
Louis J. Giraudo, Esq, Co-founder and Principal of GESD Capital Partners
John Gressman, President & CEO of the San Francisco Community Clinic Consortium
Roma Guy, MSW, Former President of the Health Commission, designee to the Blue
Ribbon Panel by Supervisor Tom Ammiano
Sandra Hernandez, MD, President of the San Francisco Foundation
Mitchell Katz, MD, Director of Public Health for the City and County of San Francisco
Edward Kersh, MD, Vice Chief of Staff, St. Luke's Medical Executive Committee
Paul Kumar, Administrative Vice President, United Health Workers (SEIU)

David Lawrence, MD, former CEO of Kaiser Permanente
Michael Lighty, Director of Public Policy, California Nurses Association
Gabriel Metcalf, Executive Director, San Francisco Planning and Urban Research Association
Anthony Miles, Member of CPMC Board of Directors
Jacob Moody, MDiv, MSW, Executive Director, Bayview Hunter's Point Foundation
Robert Morales, Sanitary Truck Drivers and Helpers, Local 350, Secretary Treasurer
Laura Norrell, MD, St. Luke's Women's Center, designee to the Blue Ribbon Panel by
Supervisor Michela Alioto-Pier
Tim Paulson, Executive Director, San Francisco Labor Council
Bob Prentice, PhD, Director, Bay Area Regional Health Inequities Initiative
Anthony Wagner, former Vice President of Labor Relations, Kaiser Permanente and former Executive Administrator, San Francisco Department of Health
Jim Wunderman, CEO, Bay Area Council

Besides hearing from its own members, the Blue Ribbon Panel also got input from a Community Outreach Task Force. The Task Force carried out interviews and held a series of town hall meetings to bring gather opinions from groups and individuals representing a diverse range of backgrounds and experiences. The ideas and suggestions from those meetings were then presented in a consensus report to the Panel.

Community Outreach Task Force The Task Force members included:

Facilitator: Rev. John Golenski, EdD Executive Director, George Mark Children's House

Liaison to the Blue Ribbon Panel: Steve Lockhart, MD, PhD CPMC Board Member and physician

Administrator: Jordana Stein Ground Floor Public Affairs

Task Force Members:
Rosario Anaya Executive Director, Mission Language Vocational School

Rev. Dr. Joseph Bryant, Jr. Reverend, Calvary Hill Community Church

Anni Chung, MSW President & CEO, Self Help for the Elderly

Charlene Clemens, MPA Director, Children, Youth, and Families Division, Family Service Agency of San Francisco
Pat Coleman Executive Director, Arthur H. Coleman Med Center

Olivia Fe Executive Director, Latina Breast Cancer Agency

Donald Frazier, JD Deputy Executive Director, Westside Community Services

Suzanne Fowler Palmer Development Director, Episcopal Community Services

Estela Garcia, DMH Executive Director, Instituto Familiar de la Raza

Karen Garrison Director of Senior Services, Bernal Heights Neighborhood Center
Gillian Gillett Co-Chair of the San Jose/Guerrero Coalition to Save Our Streets
Fr. John Hardin Executive Director, St Anthony's Foundation

Mai-Mai Q. Ho, LCSW Executive Director, APA Family Support Services

Judy Li, DrPh, MBA Vice President, Chief Administrative Officer, St.Luke's

Marilyn Metz, MD Founder, Arthur H. Coleman Community Foundation
Ana Perez Executive Director, CARECEN
Dr. Raye Richardson Founder, Marcus Books

Rev. Shad Riddick Reverend, Metropolitan Baptist Church

Ahsha Safai Mission Language and Vocational School
Jim Salinas President, Carpenter's Union Local 22
Gladys Sandlin Former CEO, Mission Neighborhood Health Center
Maria Vicente-Puletti, LCSW St. Luke's Women's Center and CPMC Board of Trustees

The Blue Ribbon Panel to San Francisco's California Pacific Medical Center (CPMC) is an independent body created under the guidance of San Francisco Supervisor Alioto-Pier and the San Francisco Director of Health, Mitch Katz, MD. The goal of the Blue Ribbon Panel is to articulate a viable plan for acute care hospital and outpatient services at CPMC s St. Luke's campus which complements and is supported by CPMC’s current institutional plan for its other campuses and to meet the health needs of the communities it serves. For more information please visit http://www.cpmcbeyondmedicine.com.

California Pacific Medical Center. Beyond Medicine.
At San Francisco's California Pacific Medical Center, we believe in the power of medicine. We research the most up-to-date treatments, hire the most qualified individuals, and practice the most modern, innovative medicine available. We deliver the highest quality expert care, with kindness and compassion, in acute, post-acute and outpatient services, as well as preventive and complementary medicine. But we also believe that medicine alone is only part of the solution. That's why we look intently at each individual case and treat the whole person, not just the illness. It's why we go beyond medical care and provide our patients with things like disease counseling, family support and wellness treatments. As one of California's largest private, community-based, not-for-profit, teaching medical centers, and a Sutter Health affiliate, we are able to reach deep into our community to provide education, screening and financial support in some of the city's most underserved neighborhoods. Because medicine can transform a body. But going beyond medicine can transform a life. www.cpmc.org
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Blue Ribbon Panel Report Presented to the CPMC Board of Directors

2008-08-29T18:49:00.000-07:00

REPORT OF THE BLUE RIBBON PANEL
ON
THE FUTURE OF ST. LUKE’S HOSPITAL

INTRODUCTION AND BACKGROUND

The charge to the Blue Ribbon Panel (BRP) was to: Create a viable plan for acute care hospital and out patient services at CPMC’s St. Luke’s Campus which compliments and is supported by CPMC’s current institutional plan for it’s San Francisco campus’ and meets the healthcare needs of the community served. The BRP was composed of thirtyone individuals from diverse backgrounds and interests but with a common goal of trying to achieve a viable solution to the many challenges posed by the assignment. A list of the Blue Ribbon panel members is provided in Appendix 1.

In addressing the charge, the panel held ten meetings, including two public forums. In coming to it’s recommendations the panel was superbly supported by the facilitation of John Golenski and Nancy Shemick. The panel’s recommendations drew heavily on the a comprehensive report provided by the Community Outreach Taskforce; analyses of population demographic projections and service utilization projections provided by The Camden Group; examination of the CPMC Institutional Master Plan; and review and discussion of architectural design options provided by _consultants Steve Short and Geoffrey Nelson. These documents are provided in Appendices 2-5.

The panel wishes to express its appreciation to the above groups for their assistance and,
in addition, to the administrative staffs of St. Luke’s Hospital and CPMC and to Double Forte who served as the communications advisory consultant to the panel.

RECOMMENDATIONS

Recommendation #1:

The St. Luke’s Campus should be fully integrated into the broad mission, strategies, and operations of the CPMC system.
- Development of integrated CPMC and SLH medical staffs and nursing staffs
- Development of a foundation model for primary medical/healthcare providers
- St. Luke’s Campus is an integral provider of primary and secondary care
within the CPMC’s system

Comment: The BRP felt that the concept of St. Luke’s integration within the larger CPMC system was so important that it should be stated as the first recommendation serving as the foundation for the remaining recommendations. As indicated, key aspects of this integration should include further integration of the CPMC and SLH medical and nursing staffs; creation of a foundation model to recruit and retain additional primary care physicians and other health care providers needed in the area; and underscoring that the St. Luke’s Campus will focus on the provision of basic primary and secondary care services within the larger CPMC system.

Recommendation #2:

• The BRP recommends building a new acute care, community hospital on the St. Luke’s campus
Comment: All the data and analyses provided to the BRP confirm the need for continued acute care services in the St. Luke service area. This is particularly the case given that the planned replacement hospital for San Francisco General will have no more beds than its present capacity and another hospital in the general service area, is owned by Kaiser-Permanente restricted in use to its’ own members.

Recommendation #3:

• The size of the new hospital should be appropriate to the planned service mix.

Comment: Rather than recommending a fixed number of beds or even a range,
panel members felt a better approach was to first decide on the services needed by
the community. See Recommendation #4 below.

Recommendation #4:

• The services that should be provided at the St. Luke’s Campus are those
that meet the greatest need of the surrounding community. We
recommend the services should include, but not be limited to:
- Center of Excellence in gynecology and low-intervention obstetrics
- Medical/surgical services (e.g. cardiology, respiratory care)
- Emergency Department
- Intensive Care Unit
- Urgent Care
- Pediatrics
- Center of Excellence in senior health care (e.g. orthopedics, diabetology, oncology, rehab)
- Skilled nursing beds to serve orthopedics, senior health, and med/surg

Comment: The panel recommends this list of services based not only on the data provided but also importantly by the recommendations of the Community Advisory Task Force, comments received at the public forums, and input from those panel members most closely involved with direct patient care services. Other services were discussed but are not included either because they are not best provided in an acute inpatient care facility and/or address needs that extend
beyond the service area.

Recommendation #5:

• The Blue Ribbon Panel emphasizes that St. Luke’s should also focus on developing primary care disease prevention and health promotion programs that reduce the need for hospitalization.
Comment: Panel members recognize that hospitalization is care “of the last resort”. St. Luke’s should emphasize disease prevention and health promotion initiatives through development of close partnerships with its’ own ambulatory health centers, community health centers and related groups. SeeRecommendation #6 below.

Recommendation #6:

• The St. Luke’s Campus should house a Center of Excellence in Community Health with a focus on building the capacity of communitybased organizations and providers that share responsibility to improve health

Comment: Development of a Center of Excellence in Community Health will set the new St. Luke’s Hospital apart as a “different kind of hospital” – potentially a model not only for the Bay Area and California but the nation. The intent is to encourage St. Luke’s to develop reciprocal support relationships with community-based organizations - not only in the health sector but also with local businesses, schools, housing and transportation – to maintain and enhance the
health of the population served.

Recommendation #7:

• In rebuilding a new St. Luke’s within an integrated system, we support the principle of workforce retention
- Physicians and other primary care providers
- Nurses and other health professionals
- Support workers

Comment: Given the need for continued services during the rebuild, the panel underscored the need to retain the current workforce

Recommendation #8:

• All sources of potential additional earned surplus should be pursued to enhance the financial viability of the new St. Luke’s. Some examples include:
- Improvement of the payer mix.
- Joint teaching programs that may afford additional revenue.
- Occupational medicine can provide additional sources of revenue.
- Significant improvements and operational efficiency through achievement of economies of scale, process improvement methods, and use of emerging cost effective care delivery models.
- Development of ancillary services.

Comment: The panel recognized the importance of a more financially viable St. Luke’s in the future. As a result, it provided examples of a portfolio of strategies noted above, while recognizing that given the service area some degree of continued financial support from other sources of the CPMC/Sutter system would likely be needed for the foreseeable future. It was widely understood that this support was dependent on implementation of the CPMC Master Plan (IMP) involving the building of the tertiary/quartenary hospital on the Cathedral Hill site.

Recommendation #9:

• Given the identification of issues and needs that may include but also extend beyond the St. Luke’s service area, the BRP recommends the CPMC board engage in problem solving with the community to resolve these needs. These include in particular:
- The provision of beds for in-patient psychiatric patients.
- The provision of beds/units for “sub-acute” regional patients.
- The distribution of primary care providers.

Comment: The panel recognized that some of the health issues identified extend beyond the St. Luke’s service area to include the larger Bay Area and indeed the northern California region. Psychiatric/mental health care, sub-acute care capacity, and the number and distribution of primary care providers are three important areas in which the panel requests the CPMC exert leadership by working with others to develop sustainable solutions to these area wide and region wide challenges.

Recommendation #10:

• In addition, all efforts should be made to recruit and retain the best culturally competent and diverse health care professionals possible capitalizing on the advantages of being an integrated health system.

Comment: The panel recognizes that integrated health systems are able to make investments in human capital – attracting the best trained and diverse health care professionals and support workers – that free standing independent hospitals find difficult. This is due to the additional educational and training opportunities that integrated health systems can make available, career ladders that can be developed, opportunities for job enrichment and job rotation, and related
mechanisms.

Recommendation #11:

• The BRP recommends that the CPMC board consider option #5 (building over San Jose Street) and option #3 (the 1912 building, preserving the chapel and tree) with a preference for option #5 due to its better meeting all of the value criteria listed below.
- Continuity of service to patients.
- Low neighborhood impact.
- Providing an accessible and welcoming presence.
- Taking into account the lowest life cycle costs of the new facility involving:
1) Time to entry
2) Future flexibility
3) Openness to new care models

Comment: The panel was heavily influenced by the presentation of the architects outlining five different options for the new St. Luke’s. Using the criteria outlined above, only options #5 and #3, in the judgment of the panel, prove viable. We encourage the CPMC board to pursue either option but given the data available at the time, option #5 appears to best meet the criteria. It is estimated that option #5 would initially add approximately $25 million to the total cost due relocation of sewer lines and related considerations. However, option #3 was felt to likely result in significant opposition from the San Francisco Historical Society and even if ultimately approved, would result in significant delay and added costs associated with the delay.

CONCLUDING COMMENTS

Discussion of the above recommendations that evolved over the course of the Blue Ribbon Panel’s deliberations are summarized in the minutes of each meeting which may be found in Appendix 6. The recommendations were unanimously endorsed by the Blue Ribbon Panel members and their signatures can be found in Appendix 7. Each panel member had their own views of how best to meet the health needs of the people living in the St. Luke’s service area. But each panel member was open to listening to each other’s perspectives and were able to build on each other’s suggestions to forge the unanimous agreement contained in this set of recommendations. These recommendations represent the common ground for implementation and for moving forward as expeditiously as possible to meet the health needs of the St. Luke’s service area.

Statement of Support for the Blue Ribbon Panel Proposal From the St. Luke's Medical Executive Committee

2008-07-09T10:32:00.001-07:00

Statement From the Medical Executive Committee July 3, 2008

The St. Luke's Medical Executive Committee, on behalf of the Medical Staff, wishes to commend the work of the Blue Ribbon Panel and the leadership of the Right Reverend Marc Andrus, Dr. Martin Brotman, Supervisor Michela Alioto-Pier and Dr. Mitch Katz in creating this panel. We believe it serves as a visionary example of how community health planning can achieve goals that benefit all.

The recommendation to build a new hospital on the St. Luke's campus while maintaining acute care services on site during construction is completely acceptable, and particularly laudable. The identified service lines have our support. We agree with the strategy to have the number of hospital beds follow the needs dictated by these service lines. We support the benefit of clinical integration of the two medical staffs with the eventual goal of possible merger. We call upon the Board of CPMC to adopt the recommendations of the BRP into the Institutional Master Plan.

We believe that developing centers of excellence in women’s and children’s services and geriatrics at St. Luke's is in keeping with the future trends of health care both in terms of population needs and in shifts towards an ambulatory focus. As with the St. Luke's site the best determinant of the number of beds needed at Cathedral Hill is dictated by the service lines, and we support CPMC in its goal of attaining the necessary entitlements to build on that site.

We also wish to thank the efforts of all the participants on the Blue Ribbon Panel and the Community Outreach Task Force and in particular Dean Steve Shortell, Dr. Steve Lockhart and Judy Li for the work they have done in supporting the process that has lead to such a fruitful outcome.

San Francisco Chronicle Coverage of the Blue Ribbon Panel Proposal

2008-07-03T20:28:00.000-07:00

St. Luke's Hospital should be rebuilt, key panel says

Elizabeth Fernandez, Chronicle Staff Writer
Thursday, July 3, 2008

(07-03) 16:08 PDT SAN FRANCISCO -- St. Luke's Hospital, a venerable San Francisco institution for more than a century, is facing new life after teetering on the brink of closure as a full-scale medical facility.This week, a special panel concluded four months of investigation by unanimously recommending that St. Luke's be rebuilt as an acute care community hospital.

According to Supervisor Michela Alioto-Pier, who has been a leader in San Francisco's fight to save the historic hospital, the panel is suggesting that the new facility, housing 60 to 80 beds, be constructed next to the existing site on Cesar Chavez Avenue. The old facility would remain open during the building process. It will come down only after the new hospital is built, Alioto-Pier said."This is really exciting," the supervisor said. "When this is done, we'll have to have a party on the top floor before any beds get moved in."Under a rough estimate, she said, the hospital would cost $120 million to be paid by California Pacific Medical Center which runs St. Luke's.

Last year, California Pacific announced it would close the facility as an acute care hospital within a few years. Under such a scenario, only one full-service hospital would remain south of Market Street - San Francisco General - while 11 hospitals, and possibly a forthcoming 12th hospital, would exist north of Market.

The panel's recommendation carries great weight because it involved a collaboration of municipal, business and labor representatives. Additionally, two members of California Pacific's board of directors served on the committee.

In a statement Thursday, Mayor Gavin Newsom touted the "hard work and energy" of the panel's various participants and said he hoped California Pacific's directors "will concur with the group's findings."

The recommendations will be presented later this summer to California Pacific's directors.
"If I were a betting person, I'd be very optimistic" about passage, said the panel's chairman, Stephen Shortell, dean of the UC-Berkeley School of Public Health. "All the data pointed to the need for an acute care community hospital. If St. Luke's were to close, it would leave a big gap south of Market." He said the new hospital would place a large emphasis on disease prevention.

Dr. Martin Brotman, president and chief executive of California Pacific, said Thursday that planning for a new facility has already begun."From the very beginning CPMC set out to create an open and transparent process and I think we succeeded," he said. "Despite having so many different voices and viewpoints in the meetings it was a very thoughtful, positive and productive experience. The spirit in the room at the end was buoyant."

St. Luke's medical staff was jubilant about the panel's recommendation. "We were in the process of being closed," said Dr. Bonita Palmer, a tireless champion of St. Luke's who has worked for 17 years in the family practice department. "We were bleeding services and staff, and also patients because everyone thought we were going to end as a hospital. We were dying slowly, but essentially a tourniquet was applied with the blue ribbon panel. And this week we were saved."

E-mail Elizabeth Fernandez at efernandez@sfchronicle.com.

MAYOR NEWSOM’S STATEMENT REGARDING ST. LUKE’S BLUE RIBBON PANEL The recommendations produced by the St. Luke’s Blue Ribbon Panel

2008-07-03T13:07:00.001-07:00

The recommendations produced by the St. Luke’s Blue Ribbon Panel (BRP) reflect not only the needs and considerations of the communities and neighborhoods served by St. Luke’s Hospital for over 137 years, they also reflect the expertise and experience of local and national health experts and community leaders. Four months ago, it seemed that the closure of St. Luke’s Hospital, a vital health resource serving the southern half of our city, was eminent.

Thanks to the leadership of Supervisor Michela Alioto-Pier and Dr. Martin Brotman of California Pacific Medical Center (CPMC), and the assistance of San Francisco Director of Public Health Director Dr. Mitch Katz, experts and community leaders were convened in a Blue Ribbon Panel to consider how to best preserve access to acute care hospital services on the St. Luke’s campus. The result is a series of thoughtful, comprehensive recommendations for keeping St. Luke’s Hospital open and serving our most vulnerable residents.

I congratulate the BRP, co-chaired by Bishop Marc Andrus of the Episcopal Diocese and Steven Shortell, Ph.D., Dean of the School of Public Health at U.C. Berkeley, as well as the committed representatives from business, labor, community organizations, St. Luke’s Hospital, Supervisor Tom Ammiano’s office and national health planning and policy experts.

Their efforts produced a set of recommendations that had unanimous support from all BRP participants. I want also to thank S.E.I.U., the California Nurses Association and the full California Pacific Medical Center family who remained at the same table with so much at stake for their memberships. I am hopeful that the CPMC Board of Directors will appreciate the hard work

BLUE RIBBON PANEL SAVES ST. LUKE’S WITH GROUND BREAKING TEAMWORK

2008-07-03T13:06:00.000-07:00

San Francisco – When Supervisor Michela Alioto-Pier heard CPMC would be closing St. Luke’s Hospital in 2009, she knew The City could not afford to lose this essential resource that had served San Francisco for over 137 years. She insisted a Blue Ribbon Panel be convened to evaluate strategies to preserve acute care services on the south side of The City. With Public Health Director Dr. Mitch Katz, Alioto-Pier appointed a panel of experts and community leaders in health care, business, neighborhood organizations, non-profits, community and labor. This public-private collaboration met many times since March with the goal of developing a plan to preserve a home for St. Luke’s as an acute care hospital for the next hundred years and to secure access to health care for all San Franciscans no matter where they live. #Last evening, the Blue Ribbon Panel completed its’ mission and came to consensus on a unanimous recommendation to rebuild a viable acute care hospital at St. Luke’s.

“It took 7 exhaustive meetings and several months, but we found a way to come together to protect a San Francisco treasure in St. Luke’s Hospital”, said Supervisor Alioto-Pier, “I am overwhelmingly proud of our efforts. This is the first time the SEIU, CNA and CPMC have been at the same table, working collaboratively and coming to consensus”.

The Blue Ribbon Panel’s recommendations include: rebuilding a new acute care, community hospital on the St. Luke’s campus that will be a Center of Excellence in Community Health and will promote care models and community organizations that reduce the need for hospitalization. Services included should be those of greatest need to the surrounding community based on today’s needs: Urgent Care/Emergency/ICU, Medical/Surgical, low intervention Obstetrics and GYN, Pediatrics, a Center of Excellence on Senior Health and skilled nursing. The panel recommended merging CPMC and St. Luke’s medical and nursing staffs, and making the St. Luke’s campus an integral provider of primary and secondary care within the CPMC system. Download full news release of Supervisor Michela Alioto-Pier as a PDF file

We Saved St. Luke's!

2008-07-02T18:53:00.000-07:00

July 2, 2008

Press Release From CNA

“Blue Ribbon Panel” Concludes with Recommendations to Rebuild St. Luke’s Hospital as a “center of excellence” in community health

The Blue Ribbon Panel, which included participants such as CNA, SEIU-UHW, St Luke’s doctors, Bernal Heights Neighborhood Center, Supervisor Alioto-Pier, Catherine Dodd for the Mayor’s Office, Roma Guy for Supervisor Ammiano, and SF Public Health Director Dr. Mitch Katz, unanimously recommended to the CPMC Board of Directors that CPMC rebuild St. Luke’s as an acute care hospital at the current site. The Panel also recommended that:

The services to be included in the new hospital will include: ER, Urgent Care, ICU, Pediatrics, SNF, a Center of Excellence in low-intervention OB, Med/Surg (such as cardiology, respiratory), and Center of Excellence in Senior Health (such as ortho, rehab).
Services and care will be maintained during construction.
Every effort will be made toward staff recruitment and retention, including treating nurses well within CPMC.
The preferred option is to build the new hospital on the space from the loading dock to the doctor’s parking lot.

Next, the CPMC Board of Directors will decide whether to accept the recommendations, and in the fall there will be a hearing at City Hall to review what CPMC decides. We may still need to struggle over exact number of beds.

Thanks to the nurses who spoke at the Blue Ribbon public comment last month, as well as the hundreds of nurses who attended hearings, rallied, struck, to save this treasured hospital. As Bishop Andrus said, “We can thank the tenacious advocacy of the unions and community that we are even having this conversation*.” Or as CPMC CEO Dr. Brotman said in the SF Business Times, it was a “tremendous storm of protest” that saved St Luke’s.

Nato Green, Labor Representative
California Nurses Association
National Nurses Organizing Committee
2000 Franklin St., Oakland, CA 94612

Tel: (510) 273-2269 l Fax: (510) 663-5712
www.calnurses.org
www.singlepayer.com

*Posters' comment........This quote is taken from the meeting just after the Community Hearings in the Mission. Bp. Andrus also gave credit to the St. Luke's physicians.

Blue Ribbon Panel to Discuss Values

2008-06-24T10:59:00.000-07:00

A values clarification exercise will be included in the next and last session of the Blue Ribbon Panel...June 25 and July 1

Here are the four top values that Save St. Luke's would like to see embodied in the recommendation for a plan for St. Lukes...

Integration of Mission: St. Luke's needs parity of resources, operational support, reputation, and commitment within the CPMC system. It needs to be valued as contributing to the overall mission of CPMC and deserving of investment and support.

Community-Based: working with and in the community, seeking input about needs, and utilizing the talents an skills of local people and organizations. Attentive to its responsibility and role in serving the collectively identified health care needs of the City as a whole.

Cultural Competency: a positive valuing of diversity and cultural differences, honoring and harnessing the perspective, values, and health sustaining and promoting customs of various sub-communities. It includes attention to addressing health disparities, and issues of inequitable access or treatment.

Workforce Retention and Equity: includes fair and equitable wages, benefits, and working conditions across the CPMC system; working with collaboratively, and honoring and seeking input and ideas from staff; maintaining continuity of care, and revitalization of services during rebuild; reassurances to staff that there is a good and stable future for St. Luke's

First Draft of Blue Ribbon Panel Recommendations to CPMC for St. Luke's Rebuild

2008-05-31T11:17:00.000-07:00

....This first draft will be responded to by the public in hearings held June 3rd and 5th, 6:30-8:30 PM, Cesar Chavez Elementary School, 825 Shotwell St. in the Mission.

These hearings (and subsequent BRP deliberation, ending June 18th)
will help shape and determine its final form.
Please come out and let your needs be known!!........

Blue Ribbon Panel Agreements
29 May 2008

• To build a new acute care community hospital on site of St. Luke’s Hospital*

• Size of hospital (number of beds) should be appropriate to planned service mix

• Patient Care Services:
 OB-GYN*
 Medical/Surgical (e.g., cardiology, respiratory)*
 Emergency Dept.—ICU*
 Urgent Care*
 Pediatrics*
 Geriatrics*
 Ortho
 Diabetology
 Oncology
 SNF/Sub-Acute beds to serve geriatrics, med/surg*

• St. Luke’s Hospital should be integral to the CPMC system*
 Integration of the Medical Staffs of SLH and CPMC
 SLH as primary/secondary care within system

• St. Luke’s Hospital should be a Center of Excellence in Community Medicine

• Support for the principle of Work Force Retention*
 Physicians
 Professional caregivers, e.g. nurses
 Support workers

• Explore possible sources of additional earned surplus*
 e.g., Teaching programs
 e.g., Occupational medicine

• St. Luke’s Hospital should operate within an extended community network of out-patient primary care clinics*

*consistent with findings and recommendations of the Community Outreach Task Force (COTF)

Community Outreach Task Force Presents Their Finding at the Third Blue Ribbon Panel Meeting

2008-05-13T16:35:00.000-07:00

Blue Ribbon Panel Considering the Future of St. Luke’s Hears Community Input on Health Care Services in the South of Market Area

(San Francisco, May 9, 2008) The Blue Ribbon Panel formed to help shape the future of California Pacific Medical Center’s (CPMC) health delivery approach for South of Market, including the future of St. Luke’s, held its third meeting today. The second of two data" input sessions for the Panel, the bulk of the meeting was devoted to a presentation from the Panel’s Community Outreach Task Force. Stephen H. Lockhart, M.D., Ph.D, Community Liaison to the Blue Ribbon Panel, and task force members Marilyn Metz, MD, Gillian Gillett, Karen Garrison and Olivia Fe presented the group’s recommendations to the Panel. The extensive report focused on recommendations for Emergency, Urgent Care and Inpatient services, with specific emphasize on obstetrical and geriatric services.

“Our goal is to leave ‘no rock unturned’ as we drive towards our ultimate report to the CPMC Board of Directors,” said panel vice"chair, the Rt. Rev. Marc Handley Andrus, Bishop of the Episcopal Diocese of California. “Beyond the financial numbers, census trends and projections, and realities of health care delivery throughout the whole of San Francisco, the input from the people living in the South of Market neighborhoods brings an important human dimension to the data we will weigh with equal gravity in our recommendation.”

The Community Outreach Task Force, with 20 members from a wide range of neighborhoods and organizations, was charged with objectively reporting the health care needs of the community in the South of Market region of San Francisco to the Blue Ribbon Panel. Beyond significant data review and analysis, the task force conducted extensive interviews with more than 20 stakeholder and neighborhood organizations and convened three public discussion sessions in the Bayview/Hunter’s Point, Excelsior and Mission neighborhoods, meeting with more than 500 people to solicit input for their report.

“On behalf of the Panel, I want to thank the Community Outreach Task Force for its tremendous work and the significant hours each member dedicated to articulating the community’s suggestions,” said the Panel Chair, Stephen Shortell, Ph.D, MPH and Dean of the School of Public Health at UC Berkeley. “The community input will be invaluable in the Panel’s discovery, discernment and recommendation process.”

The Blue Ribbon Panel now moves from the data input phase to developing different options for St. Luke’s, based on various future scenarios for San Francisco. “Now genuine creativity is required as we imagine viable possibilities for St. Luke’s,” added Bishop Andrus. “To paraphrase Einstein, ‘the significant problems we have cannot be solved at the same level of thinking with which we created them.’”

The fourth meeting for the Blue Ribbon Panel will be May 19, 2008 from 11 AM to 2 PM at the Mission Bay Conference Center; this meeting is open to the public.

The Community Outreach Task Force members are: Rosario Anaya, Mission Language & Vocational School , Anni Chung, Self Help for the Elderly*, Charlene Clemens, Family Service Agency of San Francisco*, Pat Coleman, Arthur H. Coleman Medical Center*, Olivia Fe, Latina Breast Cancer Agency*, Donald Frazier, Westside Community Services*, Estela Garcia, Instituto Familiar de la Raza*, Karen Garrison, Bernal Heights Neighborhood Center*, Gillian Gillett, The San Jose/Guerrero Coalition to Save Our Streets*, Fr. John Hardin, St. Anthony’s Foundation*, Mai"Mai Quon Ho, Asian Perinatal Services*, Judy Li, St. Luke’s Hospital*, Marilyn Metz, M.D., Arthur H. Coleman Community Foundation*, Suzanne Palmer, Episcopal Community Services*, Raye Richardson, Ph.D., Marcus Books*, Rev. Shad Riddick, Metropolitan Baptist Church*, Ahsha Safai, Excelsior resident, Gladys Sandlin, Mission Neighborhood Health Center*, Maria Vicente" Puletti, St. Luke’s Women’s Center*, and Stephen H. Lockhart, M.D., Ph.D, Community Liaison to the Blue Ribbon Panel.

(* These organizations are listed only to identify members and are not affiliated with the Blue Ribbon Panel or the Community Outreach Task Force.)

About the Blue Ribbon Panel
The Blue Ribbon Panel to San Francisco’s California Pacific Medical Center (CPMC) is an independent body created under the guidance of San Francisco Supervisor Alioto-Pier and the San Francisco Director of Health, Mitch Katz, M.D. The goal of the Blue Ribbon Panel is to articulate a viable plan for acute care hospital and outpatient services at CPMC’s St. Luke’s campus which complements and is supported by CPMC’s current institutional plan for its other campuses and to meet the health needs of the communities it serves.

For more information please visit http://www.blueribbonsf.com

These organizations are listed only to identify members. The organizations are not affiliated with the Blue Ribbon Panel or the Community Outreach Task Force.

Proposed Timeline for Blue Ribbon Panel March20-June 18, 2008

2008-04-24T17:55:00.000-07:00

March 20, 2008 Meeting #1 INTROS

• Description of the Process-
Role of the Community Outreach Task Force
-Role of the Blue Ribbon Panel
-Charge of the Panel
• Expected Outcomes of the process by June 18 (the Panel's Mandate)
• What will be done with the report; who presents it the CPMC Board of Directors?
• The power of the Co-chairs (they manage a budget, they report to no one, they make independent decisions about consultants, agendas and direction, etc.)
• Role of the COTF and the Town Hall meetings

Outcomes:
Agreement on:
• Panel Charter/Charge
• Timeline
• Responsibilities/duties of Panel membership
• Ground rules on decision-making
• Understanding of the parameters for the BRP decision-making
• Agreement on the deliverable

April 16, 2008 Meeting #2 DATA

Review of:
• ID of the catchment area (zip codes, neighborhoods, by age, ethnicity)
• Review the CPMC Master Plan
• Payer data: Forecasted
• General uninsured population data will be used to extract common specialty care needs per
1,000 (by age group)
• Assets in the health care community (number/type of providers-capacity, location, etc.)
• Review the Community Benefit that CPMC has contributed to the community

Outcomes:
• Understanding and agreement on the population that we are concerned about.
• Understanding of their health care needs
• Agreement on the health care services available to the service populations
• Agreement on the (present and forecasted) payer sources for the service population
• Understanding of the Master Plan

May 8, 2008 Meeting #3 • DATA QUESTIONS

• Needs Assessment data gathered via the Community Outreach Task Force: includes ER data (subsets for emergent/non-emergent care); population demographics ;
• Understand what "financially viable" means
• Review the community benefit report that all non-profits submit to the City or to OSHPD
• Review options that can attract more paying patients to S1. Luke's to achieve economic sustainability
• Review options on the rebuilding approach

Outcomes:
• Understanding the CPMC Master Plan vis-a-vis the needs of South of Market pops
• Understanding the rationale behind the Master Plan; the seismic requirements
• Answer the question:
What kind of services should be at St. Luke's?
-That meets demonstrable community needs
-That complements the services planned for the other CPMC campuses

May 19, 2008 Meeting # 4 • OPTIONS

BRP members generate/brainstorm alternatives
BRP rank their three top choices
BRP review the top choices, then discuss rationale behind each option
BRP comes to consensus on the entire group's top three options are so that they may be weighed against the values that will be developed in the next meeting

Outcomes:
Agreement on the groups' top three choices to be evaluated in the next meeting.

May 29, 2008 **NEW** Meeting #5 • PUBLIC INPUT ON OPTIONS

Three options are presented at a meeting for public feedback
The public will provide their perspectives about how each option will affect them. BRP members will then use information derived from this public session during their deliberations during meeting #6

Outcome:
• The panel will have heard about the implications of each option from the public's perspective.

June 3, 2008 Meeting #6· VALUES
• BRP members generate/brainstorm values that thy find important in order to come to decision about the alternatives
• BRP rank or weigh their criteria
• BRP then uses the values to evaluate each alternative (identified in the last meeting)
• Discuss rationale behind each option
• The group comes to agreement on the alternatives

Outcomes:
• A list of values to be used as rationale behind the BRP's decisions
• The recommended approach(es} are agreed upon.
• Approach{es} will be forwarded to the staff to be incorporated into full written report

June 18, 2008 Meeting #7 • RECOMMENDATIONS
• The draft report is reviewed by the BRP
• Amendments are made and agreed upon.
• CONSENSUS is reached by the BRP
• Next steps for presentation to the CPMC Board of Directors

Outcomes:
• A ratified plan to be submitted to the CPMC Board

Update on the Blue Ribbon Panel

2008-04-23T12:06:00.000-07:00

Next Meeting of the Blue Ribbon Panel

May 8th, 2008 12:00 - 2:00 p.m.
Mission Bay Conference Center
Fisher Banquet Room
on Owen, off of 16th Street.

I apologize for so little publication about the Blue Ribbon Panel on SaveStLukes.org. It was our expectation that all minutes would be published on the http://www.cpmcbeyondmedicine.com/ site, however, that has not yet happened, I believe, for administrative reasons. The Panel is restrained from speaking to the press, deferring to the Chair and Vice Chair as spokespeople. Only one press release has been published as yet which I have posted on our blog. Both Marc Snyder, and myself, however, have attended both meetings. Dr. Goel attended the first meeting also as an observer.

The process was designed to be transparent.
All these meetings are open to the public, and I am assured by Judy Li, Chief Operations Officer for St. Luke's and a key architect of the process, that although there has been a delay on keeping the website up to date, the plan has always been to post all of the minutes of all of the meetings. Judy says that as soon as possible these minutes will be posted, and they hope to move the panel updates off the CPMC website, and to have it managed by the Blue Ribbon Panel administrators directly.

The last meeting of the Blue Ribbon Panel covered a good deal of socioeconomic and epidemiological data, all of which strongly supported an acute care hospital and outpatient services on our site. Brainstorming began about how to make the hospital viable and to identify some possible Centers of Excellence that CPMC could establish and market to help attract more patients.

A working taskforce was created by volunteers from the Panel to begin to outline some possible plans for such a hospital. I am proud and grateful that all of the St. Luke's physicians on the Panel volunteered be a part of that smaller but very important subcommitee. These are Ed Kersh serving as representative of the Medical Executive Committee, Ken Barnes serving on behalf of SaveStLuke.org, and Laura Norrell who has been appointed by Supervisor Alioto-Pier. The hospital will be very well represented!

The Mayor made a personal appearance to thank the Blue Ribbon Panel and CPMC for their efforts, and to emphasize his total commitment and the absolute neccessity that St. Luke's be preserved as an acute care hospital.

The next meeting will include the very vital report from the Community Task Force which will give the panel a more personal and direct sense of what the community's hopes and needs are for the new St. Lukes. Discussions of options and strategies for the hospital will continue to unfold.

All of these meetings are open to the public!

If you have input you would like to give to the process, please contact Dr's Kersh, Barnes baywestkb@aol.com, or Norrell.

You may also send me your ideas for the new hospital and I will pass them on to them or you can post your wishes here on our blog St. Luke's Hopes.....

Mission Statement for the Community Outreach Task Force

2008-04-17T08:16:00.000-07:00

•CPMC has created a “Blue Ribbon” process to develop a viable plan for an acute
care hospital and outpatient services at CPMC’s St. Luke’s campus, which
complements and is supported by CPMC’s current institutional plan for its other
campuses.

•The purpose of the Community Outreach Task Force is to objectively report the
needs of the community to the Blue Ribbon Panel, and to enhance the dialogue
between the community and CPMC. To this effect, the Task Force will coordinate
and collate information obtained through community outreach and public
discussion meetings. The Community Outreach Taskforce will develop a final
consensus report on the needs of the community, as defined by the community. The
report will be signed by each Task Force participant and presented to the Blue
Ribbon Panel to inform their deliberations and recommendations.

posters note: this report should be presented at the next Blue Ribbon Panel meeting May 8, No0n-2 PM, location to be announced, visit www.cpmcbeyondmedicine.com for updates.

Community Task Force Meeting in the Excelsior April 10th on the Future of St. Luke's

2008-04-01T14:24:00.000-07:00

Public Discussion April 10th from 6:30–8:00 p.m.

Corpus Christi Church 62 Santa Rosa Ave, San Francisco, CA

Please call 415-291-9506 for more information or go to www.cpmcbeyondmedicine.com/blue_ribbon

JOIN THE DISCUSSION ABOUT HEALTH CARE NEEDS
IN SAN FRANCISCO, INCLUDING THE FUTURE OF ST. LUKE’S.

The availability of affordable, accessible high quality health care is an issue for everyone in San
Francisco. That is why, beginning this month, Supervisor Michela Alioto-Pier and Mitch Katz,
M.D., Director of San Francisco’s Department of Public Health, are convening a ‘blue ribbon’ panelof experts to look at the health care needs of San Francisco, and in particular the role that St.Luke’s plays in that.
A special Community Task Force has been created to help the panel in its work. The Task Force
will be responsible for gathering and presenting community input to the ‘blue ribbon’ panel. We
would like you to be a part of this discussion as well.

TELL US WHAT YOU THINK.

COMMUNITY TASK FORCE MEMBERS: Rosario Anaya, Mission Language & Vocational School*,Rev Dr. Joseph Bryant Jr, Calvary Hill Community Church*, Anni Chung, Self Help for the Elderly*,Charlene Clemens, Family Service Agency of San Francisco*, Pat Coleman, Arthur H. Coleman MedicalCenter*, Olivia Fe, Latina Breast Cancer Agency*, Donald Frazier, Westside Community Services*, Estela Garcia, Instituto Familiar de la Raza*, Karen Garrison, Bernal Heights Neighborhood Center*, Gillian Gillett, The San Jose /Guerrero Coalition to Save Our Streets*, Fr. John Hardin, St. Anthony’s Foundation*, Mai-Mai Q. Ho, Asian Prenatal Services*, Judy Li, St. Luke’s Hospital*, Marilyn Metz , Arthur H. Coleman Community Foundation*, Suzanne Palmer, Episcopal Community Services*, Ana Perez, CARECEN, Raye Richardson, Marcus Books*, Rev Shad Riddick, Metropolitan Baptist Church*, Ahsha Safai, Jim
Salinas, Carpenter’s Union Local 22*, Gladys Sandlin, Mission Neighborhood Health Center*,
Maria Vicente-Puletti, St. Luke’s Women Center*

*These organizations are listed only to identify members. The organizations are not affiliated with the Blue RibbonPanel or the Community Outreach Task Force.

April 1st Mission District Community Task Force Meeting

2008-03-26T16:32:00.000-07:00

Concerned about health care in San Francisco? Tell us what you think.

Join the discussion about health care needs in San Francisco, including the future of St. Luke’s......

Public Discussion on April 1st from 6:30–8:00 p.m.
St Anthony-Immaculate Conception School
299 Precita Street, San Francisco, CA
The availability of affordable, accessible high quality health care is an issue for everyone in San Francisco. That is why, beginning this month, Supervisor Michela Alioto-Pier and Mitch Katz, M.D., Director of San Francisco’s Department of Public Health, are convening a ‘blue ribbon’ panel of experts to look at the health care needs of San Francisco, and in particular the role that St. Luke’s plays in that.
A special Community Task Force has been created to help the panel in its work. The Task Force will be responsible for gathering and presenting community input to the ‘blue ribbon’ panel. We would like you to be a part of this discussion as well.

Public Discussion on April 1st from 6:30–8:00 p.m.
St Anthony-Immaculate Conception School
299 Precita Street, San Francisco, CA
Enter Auditorium through courtyard on Shotwell between Precita and Cesar Chavez.

Please call 415-291-9506 for more information or go to www.cpmcbeyondmedicine.com/blue_ribbon

Community Task force members: Rosario Anaya, Mission Language & Vocational School*, Rev Dr. Joseph Bryant Jr, Calvary Hill Community Church*, Anni Chung, Self Help for the Elderly*, Charlene Clemens, Family Service Agency of San Francisco*, Pat Coleman, Arthur H. Coleman Medical Center*, Olivia Fe, Latina Breast Cancer Agency*, Donald Frazier, Westside Community Services*, Estela Garcia, Instituto Familiar de la Raza*, Karen Garrison, Bernal Heights Neighborhood Center*, Gillian Gillett, The San Jose /Guerrero Coalition to Save Our Streets*, Fr. John Hardin, St. Anthony’s Foundation*, Mai-Mai Q. Ho, Asian Prenatal Services*, Judy Li, St. Luke’s Hospital*, Marilyn Metz , Arthur H. Coleman Community Foundation*, Suzanne Palmer, Episcopal Community Services*, Ana Perez, CARECEN*, Raye Richardson, Marcus Books*, Rev Shad Riddick, Metropolitan Baptist Church*, Ahsha Safai, Jim Salinas, Carpenter’s Union Local 22*, Gladys Sandlin, Mission Neighborhood Health Center*, Maria Vicente-Puletti, St. Luke’s Women Center*

*These organizations are listed only to identify members. The organizations are not affiliated with the Blue Ribbon Panel or the Community Outreach Task Force

A Blue Ribbon Panel Update

2008-03-25T16:49:00.000-07:00

Note from blog editor: more information and schedules of meetings available at http://www.cpmcbeyondmedicine.com/

This post was an e-mail sent to St. Lukes's doctors
from William Miller, M.D., Chief Medical Executive, St. Luke's Hospital

Blue Ribbon Update

The Blue Ribbon Committee had its first meeting last week which went very well. Dr. Steve Shortell, the Chair of the Committee and Dean of the School of Public Health at Berkeley, established that the plan is to keep St. Luke's open as an acute care hospital and that the charge to the committee is to make recommendations on how to achieve that goal. Mr. Scott Minick, the CPMC President of the Board, echoed Dr. Shortell's statement, reiterating that the Board is committed to St. Luke's and is asking the committee to help it find a viable way to keep the hospital open in the context of the plans for the medical center's other campuses.

Three St. Luke's physicians, Drs. Barnes, Kersh and Norrell, are serving on this committee. Dr. Kersh reported at the Quarterly Staff dinner that he felt optimistic about the process. The committee has asked for a long list of demographic and financial information related to St. Luke's and health care in San Francisco which will be provided by a neutral, independent consulting firm. The committee's next meeting will be Wednesday, April 16th, noon – 2:00 (location to be determined). These are open to the public.

Running in parallel to the Blue Ribbon Committee is a Community Outreach Task Force which is holding a series of community forums designed to gain input from stakeholders in the planning process. The Task Force will collate this input and present it to the Blue Ribbon Committee for consideration as part of their deliberations.

Two of these community forums will be held with the St. Luke's medical staff. The first was held last week on Wednesday at the monthly Doctor Talk. About 40 physicians attended and it was valuable in identifying issues of trust and communication that will be critical in the months to come, both around the Blue Ribbon process and preservation of the medical staff. The second medical staff forum will ask for input from you on what services and programs should be included in the plans for health care delivery on the St. Luke's site and will be Wednesday, April 2nd, noon-1:30 in the Griffin Room, lunch provided.

Please, come to the forum on April 2nd so that your voice can be heard.

Thank you,
William Miller, MD
Chief Medical Executive

Blue Ribbon Panel Kicks Off Planning Process

2008-03-21T16:34:00.000-07:00

Second Meeting Scheduled for April 16 (press release issued by BRP)

(San Francisco, March 20, 2008) The Blue Ribbon Panel, which was formed to help shape the future of healthcare delivery South of Market, including the future of St. Luke’s Hospital, kicked off its discernment and recommendation process today with the first meeting of its 31 members -- leaders from San Francisco community, labor, local government, health care and business.

The Blue Ribbon Panel has been established as an independent body to create a viable plan for acute care hospital and outpatient services at St. Luke’s, which complements and is supported by CPMC’s current institutional plan for all its San Francisco campuses and meets the healthcare needs of the communities served.

Stephen M. Shortell, Ph.D., MPH, Dean and professor at the UC Berkeley, Chair of the Panel and the Rt. Reverend Marc Andrus, Bishop of the Episcopal Diocese of California, Vice-Chair of the Panel presided over the open meeting with Convener San Francisco Supervisor Michela Alioto-Pier. More than 35 attendees from the public were present.

The two hour meeting was a lively discussion guided by facilitator John Golenski, EdD. During the meeting the chair and vice chair outlined the process the panel will undertake, established the ground-rules for participation, and articulated how the panel will receive the broadest range of public input possible. Every member present contributed to the discussion.

“We are thrilled that we have been able to assemble such a stellar and diverse panel of leaders genuinely interested in working together to ensure the heath of the South of Market community and the viable and sustainable role of St. Luke’s in San Francisco,” said Shortell.

“I was heartened by the common concern of the panelists in their caring for the city’s most vulnerable populations,” Bishop Andrus added. “We all come to the table with different points of view, but we are united with our shared goal of reaching a viable plan for acute care hospital and outpatient services at St. Luke’s.”

The Blue Ribbon Panel meets next on April 16th at a place still to be determined; this meeting is open to the public. For more information, visit www.cpmcbeyondmedicine.com.

The Blue Ribbon Panel to San Francisco’s California Pacific Medical Center (CPMC) is an independent body created under the guidance of San Francisco Supervisor Alioto-Pier and the San Francisco Director of Health, Mitch Katz, M.D. Chaired by Stephen Shortell, PhD, MPH, Dean and professor at the UC Berkeley School of Public Health, and the Rt. Reverend Marc Andrus, Bishop of the Episcopal Diocese of California, the goal of the Blue Ribbon Panel is to articulate a viable plan for acute care hospital and outpatient services at CPMC’s St. Luke’s campus which complements and is supported by CPMC’s current institutional plan for its other campuses and to meet the health needs of the communities it serves.

For more information please visit http://www.cpmcbeyondmedicine.com.

CNA Will Participate in Blue Ribbon Panel

2008-03-19T20:32:00.000-07:00

California Nurses Association to Participate in Blue Ribbon Panel with Goal of Saving St. Luke’s Hospital as an Acute-care Facility

Nurses Agree to Panel After Key Ground Rules Established

The California Nurses Association today announces that they will participate in the Blue Ribbon Panel on the future of St. Luke’s Hospital, with the exclusive goal of maintaining acute care services at the facility. Participation in this panel is part of CNA's ongoing campaign to save St. Luke’s, including rallies and vigils outside the hospital and legislative efforts. Stopping the closure of the hospital, and other facilities targeted for closure or reduced services by Sutter Health, has also been a central issue in two RN strikes last fall -- with a third strike due to begin Friday, March 21.

CNA agreed to participate in the panel after its co-chairs, in consultation with officials from the City and CPMC, agreed to a set of ground rules to ensure transparency in the process.

These ground rules include:
o Access to relevant financial and other information from Sutter entities to verify the facts about St. Luke’s and Sutter Health;
o An agreement that the Panel’s plan be submitted to the San Francisco Board of Supervisors;
o An end to cuts in service over the life of the panel, and the restoration of medical-surgical units on the 10th floor of St. Luke’s; and
o A more diverse panel reflecting community representatives from affected neighborhoods
o A requirement for public meetings that are appropriately noticed and include opportunities for public comment.

“We are participating in the Blue Ribbon Panel solely in the hope that it will further our goal of keeping St. Luke’s Hospital open as an acute-care facility, ensuring that neighborhood residents can access the care they need,” commented Bonnie Castillo, RN, CNA’s Sutter division director.

“However, we have absolutely no intention of assisting Sutter in any sham process to subvert the broad community outrage at their intended closure of St. Luke's. There is an overwhelming consensus in San Francisco that Sutter has an obligation to this community to keep this hospital open as a fully functioning acute care facility for the under-served South of Market neighborhoods. Sutter officials should not think for one minute that they can use the panel to provide political cover for their plan to cut services and close the hospital,” she said.

Nato Green, Labor Representative
California Nurses Association
National Nurses Organizing Committee
2000 Franklin St., Oakland, CA 94612
Tel: (510) 273-2269 l Fax: (510) 663-5712
www.calnurses.org
www.singlepayer.com

St. Luke's Doctors to Give Input to Blue Ribbon Panel Plans for the Future of the Hospital

2008-03-18T15:46:00.000-07:00

DOCTOR'S TALK

Wednesday, March 19th Noon-1:30
Griffin Room

AGENDA
1. Blue Ribbon Committee - Physician Forum
2. 2007 Physician Survey Results

The Blue Ribbon Committee examining the future of St Luke's will receive input from the community through a series of forum meetings involving various stake holder groups. March 19th will be the opportunity for St. Luke's Medical Staff to give its input und opinions on the health care needs in the south of Market areas. Steve Lockhart, John Golenski, and Nancy Shemick will lead the forum and record comments made for presentation to the Blue Ribbon Committee which has its first meeting on March 20th at Grace Cathedral, California and Taylor Woolsey Conference Center.

This is our first chance to affect the outcome or this process determining the future of our hospital. We are asking for a second date as well for doctors who can’t get to this mee6ng, however, due to the large number of interested parties that need input, a second meeting cannot he guaranteed at this time.

Jerry Franz, MD
Chief or Staff

San Francisco Paramedics: Keep St. Luke's Emergency Room Open

2008-03-12T10:54:00.000-07:00

Dr. Martin Brotman
CEO, California Pacific Medical Center
2333 Buchanan Street
San Francisco, CA 94115

Dr. Brotman:

The San Francisco Paramedic Association is a nonprofit membership organization that advocates for the San Francisco prehospital care system.

The emergency medical services system in the city has seen an increase of wait times by ambulance patients over the past few years. Correspondingly the number of emergency departments available in the system has also decreased. The situation may be especially exacerbated by a possible closure of the Saint Luke’s Hospital emergency department. If Saint Luke’s was to lose its emergency services availability, the remaining emergency department immediately available to the southern half of county will be at San Francisco General Hospital. A “diversion” of an ambulance carrying an emergent patient from SFGH to another facility may mean a delay of another 20 to 30 minutes for that patient.

We understand that the healthcare system is in crisis and that its financial health is failing. Unfortunately, the emergency care system is the “safety net” for the community as a whole; it is compelled to be the source of urgent or emergent care for all citizens, regardless of ability to pay. We urge all steps are taken to ensure that the system remains equally available to all San Franciscans for disasters great and small. We encourage continuing dialogue among stakeholders and decision makers to find every opportunity to keep Saint Luke’s emergency department available to the EMS system.

Regards,

Art Hsieh, Chief Operating Officer
San Francisco Paramedic Association

cc: Catherine Stephani, Catherine Dodd, Dr. Bonita Ann Palmer, Dr. Ken Barnes

Art Hsieh, MA, NREMT-P
Chief Operating Officer & Education Director
San Francisco Paramedic Association
657 Mission Street Suite 302
San Francisco, CA 94105
415.543.1161 (p) 415.543.0415 (f)
www.sfparamedics.org

St. Luke's/California Campus CNA Leaders Ask CPMC Board to Support Them in Their Contract Fight

2008-03-06T15:26:00.000-08:00

Dear CPMC Board Member
February 20th, 2008

After months of negotiations we continue to remain far apart on contract settlement because of the refusal of the management team to compromise on their final offer that nurses have to reject. Nurses have helped CPMC rank in the top percentiles for patient care and satisfaction because of the outstanding care we provide to our patients, while often sacrificing our own health and safety. Below is a summary of our proposals, many of which are standard for CNA union contracts.

1) Staffing (Model of Care):

Adequate meal and rest coverage according to state law. Nurses should not constantly have to choose between providing adequate care to our patients or taking our legally-mandated breaks.

Charge nurses without patient assignments. Each patient deserves the undivided attention of the nurse assigned to her and not a charge nurse who has many other responsibilities, such as assisting with sicker patients, assisting families in the stressful times, staffing, and ongoing paper work.

Admit nurse. With our current staffing mix it is often difficult to absorb another patient safely.

Lift teams. Lift teams should be available at all times, not just weekdays from 9-5pm. We need to reduce the rate of nurse back injuries which outranks all workers compensation cases at CPMC. Nurses are not always able to follow MDs orders to get a patient out of bed.

2) St Luke’s RNs:

An equitable merger for St Luke’s. The management team has chosen to implement the merger with steep takeaways to St Luke’s nurses while not providing many of the benefits given to the other CPMC nurses. This has delivered the message, unmistakably, that St Luke’s nurses are not as valuable because they care for poorer patients than CPMC typically treats. Nurses from St Luke’s are worried about loss of jobs through erosion of acute care services.

3) Retirement and Retiree Health:

If we accept the final offer it means there would be no enhancement to our pension or retiree health care for at least seven years. We spend our entire careers taking care of patients from the community so we deserve to have retirement with dignity. CPMC, as the most profitable Sutter hospital, has no excuse for providing the most inferior retiree health benefits of all the Sutters currently negotiating with CNA.

4) Healthcare:

We want our health benefits protected from unilateral changes during the life of the contract.

5) Union Protection:

We want to maintain our union representation which we have had for over sixty years. This means protection from reclassification to supervisor under the NLRB ruling known as Kentucky River, and protection of union rights in the event of a move to a new location such as Cathedral Hill.

The management team proposed we waive the San Francisco Paid Medical Leave Act which would adversely affect benefited and non benefited nurses alike, making us the only hospital in San Francisco to waive this city ordinance.

We call upon you, as a CPMC Board member, to make a public statement supporting the nurses’ fight for a fair contract.

Sincerely,

Susan Blaschak RN, Recovery Room; Jonica Brooks RN, Post Acute; Suzie Curtiss RN, PACU; Mary Michelucci RN, PICC Nurse; Eileen Prendiville RN, NICU; Jane Sandoval RN, ER; Barbara Savitz RN, L&D

---------
Emphasis is added by blogger for visual readibility. This letter is signed by the St. Luke's/California campus joint CNA negotiating team. CPMC's other campuses are non-union]

Latest Update on Blue Ribbon Panel and Community Taskforce Members

2008-02-26T11:19:00.000-08:00

MEDIA RELEASE Contact: Kevin McCormack, (415) 600-2984 or pager (415) 232-6463

Blue Ribbon Panel Latest Update
..................More names added to list of experts planning for future of St. Luke’s

(San Francisco, February 26, 2008) The list of community, government, health, business and labor leaders who have committed themselves to helping plan out the future for St. Luke’s is continuing to grow.

To date more than 20 leaders in their fields have accepted an invitation to be part of a “blue ribbon”panel being convened under the guidance of Supervisor Michela Alioto-Pier and Mitch Katz, M.D., Director of San Francisco’s Department of Public Health. The panel’s goal is to develop a viable plan for acute care hospital and outpatient services at California Pacific Medical Center’s St. Luke’s campus, which complements and is supported by CPMC’s current institutional plan for all its campuses. The ‘blue ribbon’ panel is part of an innovative public-private planning process that is looking at the health care needs of San Francisco as a whole, and determining what role is most appropriate for CPMC.

We are delighted that Stephen M. Shortell, Ph.D., MPH, Dean and professor at the UC Berkeley School of Public Health, has agreed to chair the panel. He will be joined by the Rt. Reverend Marc Andrus,Bishop of the Episcopal Diocese of California as vice-chair.

To date, the following individuals have agreed to join the panel:

• Mitch Katz, M.D., Director of San Francisco Department of Public Health
• Catherine Dodd, Ph.D., Health Advisor, the Mayor’s Office
• Anthony Wagner, former Vice President of Labor Relations, Kaiser Permanente and former
Executive Administrator, San Francisco Department of Health
• Jean Fraser, CEO San Francisco Health Plan
• Jacob Moody, Bayview Hunters Point Foundation
• Steve Falk, President and CEO of the San Francisco Chamber of Commerce
• Ed Kersh, M.D., Vice Chief of Staff, St. Luke’s, for St. Luke’s medical staff
• Damian Augustyn, M.D., Chief of Staff, CPMC for CPMC medical staff
• Ken Barnes, M.D. for Savestlukes.org
• Bob Morales, Labor Leader, 350 Secretary General
• David Lawrence, former CEO of Kaiser Permanente
• Louis J. Giraudo, co-founder and Principal of GESD Capital Partners
• Cheryl Fama, former CEO of St. Francis Hospital
• Anthony Miles, CPMC Board member
• Sandra Hernandez, President of SF Foundation
• Jane Martin, Bernal Heights Community Center
• Tim Paulson, Ex. Director San Francisco Labor Council

Invitations were sent out to several other individuals and organizations, including the California Nurses Association and the Service Employees International Union. Some have already agreed to participate but we are waiting for official confirmation before releasing their names.

The panel will hold meetings on the following dates:
• Meeting #1 – March 20
• Meeting #2 – April 16
• Meeting #3 – May 8
• Meeting #4 – May 19
• Meeting #5 - June 3
• Meeting #6 – June 18

The meetings will take place from noon till 2pm. The location for the meetings has yet to be determined.

Besides hearing from its own members, the ‘blue ribbon’ panel will also get input from the wider
community. California Pacific’s Steve Lockhart, M.D., Ph.D., will serve as the community liaison to the panel and will gather community input with the help of Fr. John Golenski, a neutral third party, for presentation to the panel.

This community component will include targeted interviews with individuals and groups representing a diverse range of backgrounds and opinions, as well as public comments at ‘town hall’ meetings. A special task force will then gather the ideas and suggestions from the community into a consensus report which will be presented to the panel.

To date, the following individuals have agreed to be part of this task force:

• Fr. John Hardin, St. Anthony’s Foundation
• Charlene Clemens, Director Division of Children, Youth, and Family, Family Service Agency of
San Francisco
• Olivia Fe, Ex. Director Latina Breast Cancer Agency
• Karen Garrison, Director of Senior Services at Bernal Heights Neighborhood Center
• Gillian Gillett, Co-Chair of the San Jose/Guerrero Coalition to Save Our Streets
• Rosario Anaya, Ex. Director of the Mission Language Vocational School
• Maria Vicente-Pulletti, Social worker and member of St. Luke’s Hospital Board of Trustees
• Mai-Mai Quon Ho, Ex. Director of Asian Perinatal Services
• Pat Coleman, Arthur H. Coleman Medical Center
• Marilyn Metz, M.D., Arthur H. Coleman Medical Center
• Ana Perez, Ex. Director of CARECEN
• Anni Chung, Self Help for the Elderly
• Rev. Dr. Joseph Bryant Jr., Calvary Hill Community Church
• Rev. Shad Riddick, Metropolitan Baptist Church
• Don Frazier, Deputy Ex. Director Westside Community Services
• Jim Salinas, Senior Marketing Director, Local Carpenter Union
• Raye Richardson, M.D., Marcus Books
• Suzanne Palmer, Development Director, Episcopal Community Services.

We are still waiting confirmation on several other individuals who have been invited to be part of this task force.

After deliberating among themselves, and weighing the community report from the task force, the panel is expected to publish its report by the end of June.