August 24, 2017. Is there any discussion of the item by members of the board . Hearing none, im ready to entertain a motion. Moved approval second. Moving approval for both sets of minutes. Weve done properly second. At the regular Meeting Minutes of weve done properly second. At the regular Meeting Minutes of august 10, 2017 special close session of august 24, 2017 the approved. Is there any discussion . Any Public Comment . Seeing none, we are now ready to vote. All those in favor say, aye. [chorus of ayes. ] opposed, nay. It carries unanimously [gavel] we are now ready to go to discussion item 2. Thank you. Item 2 discussion item, general Public Comment on matters within the boards jurisdiction not appearing on todays agenda. Is there any Public Comment on any item on matters within the boards jurisdiction not on todays agenda . We have some Public Comments. My name is Diane Ehrlich and the reason im here i use the benefit the best doctors and an excellent expense. The problem came
Yes, in the very back there. Wait for the microphone. Safe foundation. Sir, i was impressed with your presentation. Now, i have a more fundamental question about the government of the United States and the people who control this country, the right and the left both together. Now, the kind of activities we are engaged in at this time, the spying on american citizens, the entire war crimes that we are committing all over the world, all these things, 20, 30 years from now we will be very, very ashamed as we are ashamed of the things that were being done in the 50s and 60s by those who controlled our government. How do we change this . We are continuously doing such tremendous amount of activities which are inhuman and barbaric. One of the themes and we could have a separate discussion of how bad the conduct of one or another American Government is at any given time, but i think one of the themes that we bring out from today is that if you cant speak freely about, it you cant document it,
Bed moved from the low 2 hundred in aggregate needs to be down in the 145 or one 90 i did not introduce we vp have an additional to the ucsf dignity house our colleagues from mp c that share a commitment im submit across the board we have achieved the goal of length i didnt stay down closer to the 4 rage and another reduction on the pharmacy side weve talked about jen ice cream were 13 to but we need to do that and as ann marie said the subsets of patient that are very, very expensive if you shave 57 and 10 percent off by not achieving having a better clinic outcome and save thousands of dollars in the episodes of treatment those are the activities well put in place as i said the last 3 years have been a year of success across the board it is down 10 percent from we were a few years ago that is not down from an increase but an actual how many patient per population adjustorer had to be not limited to to the hospital our rate the er visit rates have gone up dramatically it is a Financia
Percent of the costs you have another 70 percent that needs to be managed if that leads me to my last slide the pharmaceutical management will be critical in the future we need to foster competition that works not people to set prices based on with no reason we need optimal utilization by members most people fail to follow their drug regiment we need to make it a value based payment and coverage policy you are getting the best benefit for following your drugs and make sure that all the costs are transparent so people know what their bowing and increase the medication adherence and make sure we have the data so we can address the gaps in care and make sure that if a drug can be administered at a site we go to the lower site if you can take it at home or at the Physicians Office not going to the hospital it is 2 hundred percent higher and in closing you also have to remember the person that is taking the speciality drugs those individuals not only are they bearing a high cost of the drug
The program the people speak to those with me i think your commitment to this as youve heard me over the years were all in we building in foich fif and the uniqueness of the patients with us the main thing for us as we go to things well do next ill work my way up to the questions weve had good success are activities youve heard me described impacting the managing disease and applications more effectively weve shown a trend a significant reduction weve shown increase in excuse me. A daers if e. R. Patient are better managed and shown increase in genetic compliance on the pharmacy side and next move to other sites of care more inches for the board burner activity to continue and double down and continue to do those are things but increase those are working with our Hospital Partners i believe ive speaking for both but working with the Hospital Partners on the stay there is the admission rates and the stay at the hospital part of what weve seen in 2014 that drove the numbers was a higher