Archive of Documents
on This Web Site


Note:  Many links on this page are to PDF files; please start Adobe Acrobat before following any links.

Commentary and opinions about the many issues facing Laguna Honda Hospital are located in other sections of this web site for review.  This page is a central resource for many of the documents and official records relating to the issues.

Laguna Honda Hospital Replacement Project to Rebuild 1,200 Beds
LHH Admissions Policy Dispute
SFGH-to-LHH Patient “Flow Project”
LHH Social Rehabilitation Grant/Behavioral Health
Fact Sheets, FAQ’s, and White Papers
Other Flyers

Issue

Document(s)
Laguna Honda Hospital Replacement Project to Rebuild 1,200 Beds

In chronolgical order:

  • December 1998 Options for Laguna Honda White Paper, authored by Mitchell Katz, MD, Director of Public Health.
  • Legal text of “Proposition A” contained in the 1999 General Election Voter Guide.
  • Paid arguments for and against “Proposition A” contained in the Voter Guide.
  • Board of Supervisors Ordinance 191-03 passed in July 2003 permitted a raid of the tobacco settlement funds in order to balance former mayor Willie Brown’s final City budget; the ordinance was unanimously passed by the full Board of Supervisors, including then supervisor Gavin Newsom.
  • The Board of Supervisors settled an unlitigated claim that the misappropriated $25 million was improper and illegal; the settlement with former City Attorney Louise Renned diverted the $25 million a second time into buying furniture, fixture, and equipment (FFE), an expenditure not permitted under Proposition A.
  • Letter from the law firm that represented plaintiffs in the above settlement reveals diverting the $25 million misappropriated funds into FFE was improper.  (Hit your browser’s “Back” button after review to return to this page.)
  • Healthcare activist lawsuit filed in Superior Court seeking to have the $25 million misappropriated from the LHH Rebuild Project budget returned to the tobacco settlement account.
     One-page summary of above lawsuit.
     Reply to the City’s Opposition; heard in Superior Court on March 15, 2005 at 9:30 a.m.
    —  March 22, 2005 Judicial Notice to Superior Court of the March 15, 2005 LHH presentation to the Health Commission in which the project manager recommends rebuilding only 360 of LHH’s 1,200 beds.
  • A joint-agency complaint seeks to have both the Civil Grand Jury and the Citizen’s General Obligation Bond Oversight Committee investigate the misappropriation of $25 million from the LHH Replacement Project budget.  (Hit your browser’s “Back” button after review to return to this page.)
  • March 15, 2005 3:00 p.m. recommendation presented to San Francisco Health Commission to begin building only 360 new beds at LHH.
    —  One-page flyer rebutting whether there is sufficient money to rebuild only 360 beds at LHH.
  • Dr. Katz’s June 7 memo to the Health Commission regarding the LHH replacement project.  This is initial information that was supposed to have been forthcoming in a new DPH “White Paper” on the LHH rebuild in response to the two financing options for the project presented by City Controller Ed Harrington.

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LHH Admissions Policy Dispute

In chronolgical order:

  • Transcript of June 24, 2004 Board of Supervisors’
    City Services Committee Hearing on LHH Admissions Policy.
    —  Partial rebuttal of testimony presented on June 24 by Mitchell Katz, Director of Public Health.
    —  Information Packet #1 from LHH physicians to then Supervisor Tony Hall.
    —  Information Packet #2 from LHH physicians to then Supervisor Tony Hall.
  • Citizen taxpayer lawsuit to stop the unsafe LHH admissions policy change.
  • An analysis of the five separate versions of the LHH admissions policy that were posted to the LHH intranet during 2004. The December 16, 2004 version of the admission policy giving patients at SFGH first priority for admission to LHH remains posted to the intranet as of April 1, 2005, despite the fact that on February 15, 2005, Mayor Newsom ordered Dr. Katz to return the policy to its pre-March 2004 status.  As of April 1, 2005 the LHH admission policy has not reverted to its pre-March 2004 status. as ordered by the Mayor.

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SFGH-to-LHH Patient “Flow Project”

In chronolgical order:

  • December 16, 2004 memo by Gregg Sass, Department of Public Health’s Chief Financial Officer on “Economic Impact of the SFGH–LHH Patient Flow Policy Change.”
    —  A January 24, 2005 analysis by LHH admitting physician, Dr. Maria Rivero, who rebutted the flawed rationale used by DPH Chief Financial Officer Gregg Sass in his December 16 economic impact memo.
    —  A flyer titled “Rebuttal to Economic Impact of the SFGH to LHH Patient Flow Project” that was presented as part of public testimony during the February 18 Mayor’s Disability Council’ meeting.
  • January 20, 2005 Frequently Asked Questions (FAQ) issued by LHH Executive Administrator claimed “the quantitative evidence thus far does not indicate a marked change in services to the elderly [at LHH].”
    —  One-page flyer “Rebutal: People Over Age 70 Aren’t Getting Admitted to LHH.”
    —  A detailed rebuttal to FAQ will follow.

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LHH Social Rehabilitation Grant/Behavioral Health

In chronolgical order:

  • The initial Social Rehabilitation grant application to the California HealthCare Foundation (CHCH)
  • CHCF’s Reviewers Concerns
  • LHH’ Response to the CHCF Reviewers’ Concerns
  • Public testimony to the Board of Supervisors’ City Services Committee, January 27, 2005

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Fact Sheets, FAQ’s, and White Papers
Other Flyers
  • Two-page flyer October 15, 2004: “Future of Laguna Honda Hospital’s Skilled Nursing Home Services At Risk.”  (Note:  Composition of Board of Supervisor’s has now changd.)
  • November 16, 2004 Health Commission Meeting on LHH [this meeting was suddenly cancelled and not held as scheduled].
  • December 16, 2004 Town Hall Meeting sponsored
    by a neighborhood association at St. Brendan’s Parish Hall.
  • February 23, 2005 Town Hall Meeting sponsored by Laguna Honda Hospital and the San Francisco Department of Public Health.


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Page Created 4/3/05

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