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City staff recommend CPMC be found in compliance; commissions and community demand stronger follow‑up
Summary
Directors of planning and public health recommended CPMC be found in compliance with most 2013 development‑agreement obligations, but commissioners and community groups pressed for firm remediation on entry‑level hiring, a Tenderloin Medi‑Cal partnership, transit subsidy timing and St. Luke’s diabetes clinic staffing.
City staff told a joint meeting of the Planning and Health Commissions that California Pacific Medical Center largely met its 2013 obligations under the development agreement but that several high‑priority issues require continued monitoring and remediation.
Elizabeth Waddy, Assistant Director of Current Planning, opened the hearing on case 2012.0403W and explained the review process that culminates with directors of planning and public health issuing findings and a third‑party monitor advising the Board of Supervisors. Ken Rich, wrapping up the staff presentation, said staff’s recommendation to the directors is “to find CPMC in compliance for this reporting year,” while urging “vigorous” continued oversight on a handful of items.
The Health Department presentation recorded that CPMC met the prorated 2013 baseline charity‑care obligation (the department said CPMC served 5,687 unduplicated Medi‑Cal or charity‑care patients against an August‑to‑year prorated obligation of 4,421) and that CPMC disbursed its required Innovation Fund installments. But Colleen Chavla, the Health Department presenter, flagged other concerns: the department noted a projected shortfall of about 1,000–1,500 patients relative to the DDA baseline of 30,445 unduplicated charity‑care or Medi‑Cal patients and reiterated that 1,500 of the DDA’s 5,400 new‑beneficiary obligation must be served via a Tenderloin‑based Medi‑Cal partner.
Community groups and health‑care workers used the public‑comment period to press for stronger enforcement. Jenny Lam of the San Franciscans for Healthcare, Housing, Jobs and Justice told commissioners that CPMC did not notify the city of job openings on schedule and that “the only fair objective determination that can be made is that it was out of compliance with its obligations.” Robert Blomberg, a nurse at the Pacific Campus, said the employer has “not yet implemented the [transit] subsidy” required by the DDA and called for an immediate start.
Commissioners and staff agreed to return to these topics in the coming year. Directors of planning and public health will send a report to the Board of Supervisors highlighting four priority issues—entry‑level hiring, cultural and linguistic competency (notably at the St. Luke’s diabetes clinic), the charity‑care baseline, and Tenderloin access—and outlining how the city and CPMC will address them before the next annual review.
