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
Throughout the day. But the heaviest rainfall right now the north bay the peninsula heading into the east bay, vallejo, you are getting hammered. As we take a closer look at the north bay santa rosa, and rohnert park, you did see that front just pass through. Now showers starting to die down. This is the residual showers behind it but napa, american canyon, vallejo heavy rain over you right now. Farther south to the peninsula, san mateo, millbrae, south San Francisco, daly city, all seeing heavy rain. Danville, walnut creek, get ready because really the eye of its not an eye of the storm. If there was an eye of the storm of the front this where it would be. Along the corridor berkeley, oakland, heavy rain moving your way, san ramon, livermore, pleasanton, tassajara. So right now expect the rain to increase over the next 20 minutes. Travel delays 80 and 50s already seeing very slow no levels just above Pollock Pines and grass valley. I anticipate the snow levels to lower throughout the