Staff and be able to play on the new equipment and the work flows that are being designed right now and see they work for patients care second major milestone is the one the submittal red line it isnt targeted for around the end of november when the state advised the final occupancy we can do simulations and have staff to finish up the stocking and everything necessarily to make sure were operationally ready hopefully, there takes us to the next big milestone the londons survey and we hope to be able to achieve that around february weve completed a lot of the training and once we have completed that survey we wanted to make sure we have some time allocated to addressing the concerns that the survey oversees may have and remedy any questions they may have to be ready for a safe patient move were targeting for the spring of 2016 so that gives us an idea of convenes and how do not we are on achieving the timeline and weve really received in eastern it to finish the training for the operation readiness im going to turn it over to terry hell talk about keeping us on track. Thank you lillian. So accountabilities in the project weve been fortunate by having both director Barbara Garcia and the director Mohammed Nuru who is participating every two weeks meeting with the Construction Team and keeping the focus on the staff and stock and the activities it is supportive and allows us to drive home the need and the desire to meet those milestones dates so thank you director garcia for your participation well continue to have those biweekly meetings as well as the financial stewardship well meeting regularly with the cfo for the budget actually all through the f f and e transition budget and the ongoing operational budget with that ill quickly go over slides our familiar the construction budget were 96 percent into the total bond expenditures that is exactly where we need to be at this time there are no surprises there the bond sales as you can see the bond sales are tracking along the same lines you see back in 2009 2010 the earlier bond sales there were unextend bones those are perspire orders still illness thats why you see a man and woman value there moving on to the operational it budgets were going to have a guest appearance from greg wagner laughter commissioners greg wagner chief Financial Officer at the last jc c meeting we talked about the topic to get a sense of the potential financial impacts outside find bond program itself of the updated schedule so weve worked on that basically where we are is we believe that the impact of the adjust schedule can be managed within the budget that is adapted for the two coming fiscal years there are a couple of areas well watch and work on closely but we have some contingency budgets within the it program we think we should be able to use to manage that so the 3 big areas were looking at are personnel it and then other various operating expenses on the personnel suicides we should be fine and on bucket with those a couple of reasons the first is that as we staff up with permanent dollars if we are staffing up prior to moving into the new building it essentially allows us to flex down the registry and temporary and over times spending and allows us to use permanent hours to staff our shifts the second a lot of the training and transition costs are budgeted in the transition project so we have flexibility as to when were going to actually extend those dollars so mayday april date we spend those dollars for training on it this is probably our area that well have to spend the most focus on there will be likely cost impact from the it vendor contracts we kind of fixed payment going going out to those vendor and some of the work were asking them to had pushed back or extended for some period of time there is a figure on this slide it says about Million Dollars per month is the upper limit it is come down come down since weve put this slide together to work with the vendor to work through the contract and the timing of when well be able to throw the resources we think that number will come down we have a seven to 8 million of contingency in the it budget for the rebuild that gives us flexibility to adapt to changing circumstances and lastly we have some savings and kind of basic operating costs like materials and supplies purposes on the contracts weve budgeted to come into play at the openly of the hospital well avoid some of those costs and offset some of the it were watching it closely but the big picture some impacts but on the order of impact that is within our ability to manage through within our budget as we do day to day at the department. So im going to turn it over to terry. Before we lose you do we add those reimpacts per month. So you can lets see if you look at himself. The 671 of the 990. So the 671 has been met of the it savings on the operating costs and again that 671 has come down over the last thirty days. We ought to have them come down further. Im going to turn it over to brings us to our questions page. So confesses commissioners Public Comment. Weve not Public Comment on this item. If i could just make a couple of comments i want to acknowledge terry and ron ive watched them in the merging theyre our construction partner and have to say we should be proud of the work to insure that their identifying and working on the areas i wanted to acknowledge both of them and lillians time is to come shell be working very, very hard and getting prepared and doing a lot of preparation for the transition so as web korea finishes their work well get the authority to move into the building but probably the first thing that will happen the stock and then the staffing well have to time that with web korea were ready and were going to work hard with web korea we watch them every two weeks as they complete their work some of us walked through the building i see it equipment in there the next year well you been full of the hard work that all of them are doing and i want to acknowledge all the staff including San FranciscoGeneral Hospital staff theyre watching the building outside their windows but also doing a lot of work to prepare. Thank you i was thinking that i wanted to being sure that the commissioners directed their attention to the new transition milestones that is where was mentioned that the whole focus is now moving because aside from getting through the ash pods, of course, we have a talented team to get that done this is really the work that is going to be most important im sure youre aware of in terms of moving patients in were going to need to be sure that we have all the protocol in place there are considerable changes staff work in the process because those radio all new different wards and theres 3 things first definitely something that we can use and have been a pointed discussion weve been looking at the issues of diversion so those are some of the highlights physically well take care of our patients even better quality way but putting together all the policies and we now will also be able to train our staffing to get through an those final issues i want to draw your attention were looking at the occupancy certificate as a notes by the end of the year there will be a Ribbon Cutting event at this point to recognize we have a project that came in on time were going to be working on the licensing and lillian is the point on that and as soon as possible we have the patient day sometime in the spring or potential even earlier but this is going to be now the schedule were going to follow team has managed its finances very well and were very grateful for that we have a just a i think a very clear road map for the next several months well be following and getting quarterly reports here at the commission again dr. Sanchez. Through the chair of jc c i want to make one brief comment this is really been a unbelievable effort on behalf of the san franciscans and the unique staff in that is working for 8 years on this and whats a expressive as you get a chance to walk through the san franciscans b will get that chance this was built by the community when you look at the numbers for example for local businesses and the amount of money spent with local businesses and the designs and creativity and the quality of work it is outstanding to see the work and the contract you know weve heard again and again all over the nation we cant find people looking at numbers were above 26 percent weve been hiring from local residents to provide a unique opportunity in jobs and training is it so outstanding taking a look at this what hits you again and again you think about all the things that go on the veteran came back and he headed up the arts commissions selection of artists and work for the 5 or 6 million that was spent using local arts to design in this fantastic facility ta to make it welcome to the staff and the doctors it is a Community Effort i want to imagination its taken a lot of work and no sleep and commitment not talking about the state people and the freds we know what that is about and continues to go on but really should be proud of the outstanding staff weve had to being sure b be able to provide this type of facility to preserve the next generations and generations after that as san franciscans to the top Public Hospital in the nation i want to congratulate everybody. Thank you for those words i have a echo our sentiment we have brought this to life the lobby is something to behold but throughout the building it is peppered with pieces of art that adds dimensions to the building. Thank you. I think our city will be proud of what they have built for their residents so director garcia you have any final comments. Well, we want to be accountable and i think want to thank dr. Sanchez the first hospital was built by the community so thank you for acknowledging the fact that the workers that are building the building that is really important and those who are in the building will be in the community were really proud of that and working closely with the commission to make sure you understand where we are at every part of the process 5 thousand 4 hundred people have to be trained i want to make sure you understand the depth of the work in the coming year and months so this is a lot of people that lillian will be responsible for insuring knowing how the hospital works i want to say that our work is not done were getting to the end of the time period im proud of where we are thank you, commissioners for all your support. One question to the drill team. Absolutely. All youve accomplished it feels like youve landed a rocket on the moon as we get color the high mediums and low this timeline is going to stick. The suggested timeline we have a lot of confidence just the timeline and feel comfortable there is the milestones weve laid out as a commission the licensing that will follow on november occupancy is very key this is setting the tune for the next few months to bring this and i personally am comfortable with the schedule. Despite its hive and the confidence level. Yes. And the financial situation were within land on the moon two percent of anticipated budget and our confidence were going to be not only on time but on budget so. My confidence is high were tracking well on the bonds project and i think the biggest concern on the f f and e side of things going back in time would we be able to petting hit the fundraiser milestones weve hit the target we needed to get to our hundred and 70 Million Program plan and on the financial side were feeling very good and very comfortable about the budget. All right. Thank you very much and land the ship. Yes. Commissioner karshmer. It is lovely i look forward to coming and getting another tour it was wonderful we got to tour that before but on the tails of what director garcia which had about the 5 thousand people and the conversation weve had earlier about the hires that need to be many practices i wonder an update of where we are are we on target with hiring. We have our h. R. Director ron. Ron please. Thank you, commissioner were on track with our hire we have hired over 2 hundred nurses since january of 2014 just since january of 2015 weve hired hundred and 46 my Personnel Officer is in san diego and recruiting another one coming up here soon we have vacancies like the medical elevation and lists that is 44 position were on track and the jc c is a trepd aurpd and faster we have unique positions like radiology well have to meet those target but i dont see a problem. Thank you. Any further questions. If not thank you very much for your presentation. Thank you very much and ill note we didnt have again, no Public Comment for that item and moving on to item 10 the other business commissioners, i just wanted to brought to your attention weve distributed the examiner article of San Francisco values ive heard a lot of issues about our policies more in the negative this was one in which the reason i bring it turk dr. Was first president of the commission and i think with respect therefore a supreme San Francisco values it says for youre reading. Are there any further questions or comments under that item before we go on to the next item. Item 11 is the report backs from the join Conference Committee and commissioner chow you were first with the june 23rd San Francisco general jc c. On the june 23rd meeting we reviewed the Quality Management and regulatory administrative reporting with the Patient Care Services report which distancing shows the high diversion rate and went through the San Francisco general rebuild as you saw today and in closed sessions we did approve the credentials report and the other report so that ends my report. Commissioner karshmer. The joint commissions at laguna honda met and approved the open session minutes and heard Public Comments in closed session the committee reviewed the medical quality and medical incredibly and the staff report we identified issues related to the San Francisco network around laguna honda patient transfers to San Francisco general and when the general was on diversion and how to express that. And commissioner karshmer could you give us an update from the i h h s authority. As a member of the Health Commission i sits on the San Francisco i h ss Public Authority that is Home Support Services and the membership on this body is representative of the Health Department and the commission an aging that has consumer young and older consumers and worker representatives and the Public Authority the i h ss celebrate its 20th year of service on may 28th this organization is designed to allow folks who need in Home Support Services the ability to choose who they work with and its been a wonderful experience to represent it is a consumer driven boarded thank you for letting me participate in that. Thank you do no do we have a Public Health foundation report. I was unable to attend but the foundation is looking at a tragedy is determine how theyre prepared to increase their ability to manage contracts. Thank you all right. So we move on to item 11 committeeng and so the set of master calendars are before you and reminder again on september 15th we will have a planning session. Oh im sorry october 6th sorry. Which will focus on the Population Health division so be sure to keep in mind are there items that the commissioners would also like to see or have concern about in terms of the calendar . If not well proceeded to the next item sorry. So with regards to perhaps some of the issues with the Facility Development im wondering if it is whittier to hear from the i h ss. As part of that report. Perhaps i dont know how we plan to do the briefing on you know looking at the health care or look at the whole thing all at once. We can ask the depth to be sure that the i h ss services are part of the needs that are post hospital. You know i think that the executive director who has been there one year is delighted to come and give a briefly to the Health Commission. We could do that certainly have an informational session and definitely want to see that revolted into how we will be able to have a. And focus on the service how they facilitate the patient care. Sure well have a Department Work on this well work with commissioner karshmer seeing the presentation can be made here thank you. No other items we can go on to the next item. A motion for closed session. A motion well, no Public Comment on the closed session. No Public Comment. A motion for a closed session is in order. So moved. Any second . Okay. All in favor, say i. I. Opposed . The commission will move into closed session thank you very much those who are not in closed session are invited to leave what you like to stay or go. You need to stay for the items only closed session first. I meant you all would you like to stay in this room. Well stay in here. Could you please close the door when you leave thank you. Okay. So were back in open session and were here to entertain a motion disclose or not disclose the discussions in closed session. Motion to no disclosure. Okay. A second motion. All in favor, say i. I. Of not disclose or not disclose the decisions please say i and well not disclosure motion for adjournment is in order. A second. All in favor, say i. I. Opposed . This meeting is adjourned thank you