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department that i left out? why don't we now open it up to public comment is there anyone from the public that would like to comment on this item? >> good morning, supervisors. thomas picarello. there appears to be a disconnect with what is happening in the city and what is being presented to you today. let me be specific. at laguna honda hospital, there were two doctors that blew the whistle on the patient gift fund. now, dph is coming before you and telling you that they should only report on a yearly basis, instead of a quarterly basis. two medical doctors lost their positions at ...

who worked on these because there are a couple of recommendations. i have questions about why we came to that conclusion, what you wanted to move forward with that in a different way and why we thought it was not the best path to follow to fall on that recommendation. supervisor chiu: from my perspective, it is just surprising that you cannot figure at in your department who was working on this before. >> it is just a short time line. i focused on the documentation to be prepared to answer questions about the recommendations today, which was the more significant issue that i was look...

there was a lack of transparency in having those policy changes reviewed. i look at the changes themselves, i do not feel there was anything division about the change itself. reasonably good policy that made sense at the time, as we moved from the 1990's, when this at minto was first established, to a changing environment, when the needs of the patients at laguna honda were changing over time, the population was changing, needs to fund staff education and development were also significant. those are all issues that needed attention. at the end of the day, our failure to take these to...

attention. at the end of the day, our failure to take these to the health commissioner is the significant failing in administering this fund. so, if i could answer your questions. supervisor campos: i do not know that i have any. the only comment i have is -- i give the department of public health credit for the fact that you cooperated with this audit, provided the information. i think the points you made are well taken. i still think, though, what we have seen in this audit is certainly not ideal. i understand the issue of the health commission not being involved, but that is a ser...

greatest shortcoming over the past several years, what i think is the most significant issue, somewhere along the line, the administration and our finance division lost track of the requirements in that had been code that the help commission approved policy changes. where policy changes were made over eight period of years, there was a lack of transparency in having those policy changes reviewed. i look at the changes themselves, i do not feel there was anything division about the change itself. reasonably good policy that made sense at the time, as we moved from the 1990's, when thi...