So maybe thats the worry. Not so much what were doing here, but that there arent enough providers to respond to the weve got a bottle neck, and that has really been a concern from the beginning. Thank you. Yes, commissioners. I have a question. Well, actually, it pertains to actually the education in preparation within the various disciplines. cause you mentioned that we have a very highly trained, talented group of surgeons, and the fact that we have an increase in surgeries, and the increase is decided by our colleague here, i guess the thought that sort of flashed to me is that the different specialties that are certified by San Francisco general, we have, iklike urology, which haa number of specialties in it that participate in numerous, i assume, surgeries here, and they have the Residency Program where they have a major cohort, and their subspecialties, where they have outstanding Training Programs, and the list to rotate through the general has grown substantially. But my not co
Sufficient funding we wont have to come back for an ask. It will be a process well have to work through and already started with u. C. So that process is going to be some added layers of oversight and collaborative financial management. So well be looking at enhanced process to evaluate whether those need to be refilled. Well be looking at opportunities both now and through the e. H. R. Revenue process and the fees woul offset the need for an affiliation agreement. We are going to be looking at whether theres opportunities to streamline consolidate, identify efficiency in the affiliation costs and the below the line items in the agreement. Theres layers in this but theyll be putting in plis a process well put through the next 18 months and beyond to make sure were including the same level of i guess certainly or oversight in the projections for the affiliation agreement that we are in other items were bringing before the commission and the Mayors Office and fiveyear Financial Planning
Continuing to create the modules. Theres also other areas in terms of payments where we have manual reconciliation in part due to the conversion issues and were reviewing the entries and making sure theyre all appropriate. And want to make sure we have all the staff for a yearend close which happens in august, september and october of 2018. The budget proposes to create a pool of staffing and allows us to give support for our operations and also proposes for consulting for us as well as a work order through the Controllers Office who can help implement better interfaces and modules for the financial system. Then the last emerging need is related to the transfer Emergency Services for our department. As you know, weve been planning the transition for years and it became effective july 1. Prior to the transition we did a study on the staffing and program and there were significant issues and there was an additional need for increased analysis and metrics, policies and procedures and prop
Of something that we may face is that once we are certified in these new disciplines where their discipline, theyre Board Certified in urology, but all these sub areas that are involved in all this, a number of them are going to other places, especially southern california, chicago, etcetera. Theres a big recruitment going on quietly. Ive heard this from a number of those who have completed programs, and patients who were upset because maybe theres no longer a Spanish Speaking urologist who was a key person there or someone else, and i wondered if, in fact if, in fact, you are projecting that there will be even more demand for us to maintain the highest quality of physicians which we have at the general, as we see its going to be a question of how do we retain them afterwards, even though who are in the bay area and could rotate through there when the competition in other parts of the nation is on the radar . I wonder if you had any thoughts about that, and the challenges . So somethin
Answered a few questions from the governors. This is about 45 minutes. It was a classic situation where the host turns to the first speaker and says shall we let our guests enjoy themselves a little longer or would you like to begin your remarks now . Im sorry to interrupt all the conversations going on, but thats why were here. And the secretary has graciously agreed to be with us for this time, so lets take advantage of it. I want to thank governor fallon to agree to being the cochair. I want to thank the secretary for his remarks and for agreeing to remain afterwards to engage in dialogue with all of us. Im a little bit torn because i learned just as we walked in that hes a big Philadelphia Eagles fan who, yeah, governor, yeah, see . Well, im getting over it. But the Veterans Administration needs no introduction, so mine will be brief. The va impacts the lives of our veterans in so many ways, and in addition to its vital services, the va means something deeply special to our veteran