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

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

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

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

•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

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

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

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