Via Electronic Mail June 16, 2020 RE: Courtesy Notice of UCSF Novel Coronavirus Response Efforts Dear Union Leaders: The purpose of this letter is to provide an update related to the outbreak of the respiratory illness caused by a novel coronavirus (COVID-19). Attached are the June 15 and June 16, 2020 “daily digests” providing up-to-date COVID-19 information to Zuckerberg San Francisco General Hospital employees. Included within both “digests” is information on the update to the location for staff and provider screening to Building 25 lobby. A summary of ZSFG Health and Safety Plan Summary Required Best Practices for Elective Surgeries per City and County of San Francisco Directive of the Health Officer No. 2020-08 was highlighted in the June 15th “digest”. Attached is a June 15th communication to Zuckerberg San Francisco General Hospital employees from CEO Dr. Susan Ehrlich providing a brief update on safely reopening San Francisco and ZSFGH. There is a UCSF Health Recovery Town Hall scheduled for Tuesday, June 16th at 4pm. Participants may join the Town Hall using the following information:

Link Webinar ID: 973 7041 6860 Password: 338456 Or join by phone: +1 213 338 8477 or +1 669 219 2599 or +1 669 900 6833 Webinar ID: 973 7041 6860 Password: 338456

There is a UCSF Health and Campus COVID-19 Response Town Hall scheduled for Friday, June 19, at 4 p.m. Participants may join the Town Hall via the following link. UCSF will continue to provide ongoing updates on its COVID-19 resource page found at this link: https://coronavirus.ucsf.edu/. In addition, to receive text alerts when updated UCSF guidance and information are available, text 333 111 and enter “UCSF”.

June 16, 2020 Page 2 We look forward to working with you in supporting our staff. Please contact our office if you have questions or concerns at this time. Sincerely

Mandeep K. Dhaliwal, Labor and Employment Relations Consultant cc: Shelley Patton, Director, Labor and Employee Relations Attachments:

Proof of Service ZSFGH Daily Digests dated June 15 and June 16, 2020 ZSFGH Health and Safety Plan Summary Required Best Practices for Elective Surgeries per City and

County of San Francisco Directive of Health Officer No. 2020-08 ZSFGH CEO Communication dated June 15, 2020

I, , declare that I am over the age of eighteen years, not a party to this action, and I am employed in the county of San Francisco, State of California. My business address is 3360 Geary Blvd. Suite 301, San Francisco, CA 94118-3324.

On , I served the attached letter regarding

to the parties listed below by the checked applicable method or methods:

placing a true copy thereof enclosed and delivery byordinary business practice with postage or other costs prepaid

electronic mail delivery (e-mail)

Name and Address of the parties served:

Ben Elliott, Lead Organizer, belliott@calnurses.org

155 Grand Avenue, 2nd Floor Oakland CA 94612

, President @fupoa.org5753 E. Santa Ana Canyon Road, Suite G448 Anaheim CA 92807

1188 Franklin Street, Suite 203 San Francisco CA 94109

Mary Higgins, Chief Steward, mhiggins@teamsters2010.org 400 Roland Way, Suite 2010 Oakland CA 946

nke Schennink, President, 2030 Addison Street, Suite 640B Berkeley CA 94704

, Rep 180 Grand Avenue, Suite 1380 Oakland CA 94612

Tarone Bittner, Field Representative, tbittner@ucaft.org

Berkeley CA 9470

Nino Maida, Chief Steward, ninoupte7@gmail.com Ninth Avenue

San Francisco CA 94122

I declare under penalty of perjury that the foregoing is true and correct and that this declaration was executed on

, at San Francisco, California.

Name (Printed or Typed) (Signature)

Seva Cuevas

June 16, 2020

Courtesy Notice of UCSF Novel Coronavirus Response Efforts

June 16, 2020

the United States Postal Service

Seva Cuevas Seva CuevasDigitally signed by Seva CuevasDate: 2020.06.16 16:59:03 -07'00'

Stay up to date with Covid-19 Information

From: SFGH Admin (DPH) <sfgh.admin@sfdph.org> Sent: Monday, June 15, 2020 8:42 AMSubject: Covid-19 Daily Digest - June 15, 2020

DAILY DIGEST June 15, 2020

QUICKLINKS

Weekly Wellness Zoom WOW Classes as of June 15, 2020June 12, 2020 Message from Dr. Grant ColfaxWeekly Shortage Report - 6/11/20June 10, 2020 Weekly News BulletinSummary of the Health and Safety Plan as of June 10, 2020Information for Personnel (Employees, Contractors, Volunteers) of EssentialBusiness and Other Businesses, as of June 10, 2020Learn more about COVID-19 by following our ZSFG COVID-19Communications page.

Covid 19 Situation Reportas of June 14, 2020

Worldwide: 7,899,547 Cases/ 433,019 Deaths(Johns Hopkins CSSE)  

US: 2,094,058 Cases / 115,732 Deaths (JohnsHopkins CSSE)  

CA: 148,855 Cases / 5,063 Deaths (CalDPH) 

SF: 2,952 Cases / 46 Deaths (SFDPHEpidemiology Report 4PM 06/14/2020) 

For the latest information, click on this link to

# of Positive ZSFG Patients: 8 (3 in ICU, 3 on 6th floor, 1 on H52, 1in ED)

# of ZSFG PUI: 5

Click here for Staff & Provider Screening

access the SF COVID-19 Data Tracker

STAFF SHOUTOUT

"We would like to give a specialthanks to Central Supply for allthere help with maintaining our

medical supplies. They are alwayswilling to help us and alwayspresent a positive attitude.

Thanks for all your hard work.3M"

-3M Surgical Clinic

"Thank you for all you do tosupport pregnant and parentingfamilies in 5M and Family BirthCenter. We are so lucky to have

you!"-Joe Nauer, Sam Hoffman and

Jason Zook

"Thank you to Kate McClude andthe nurses and doctors in 36ICUwho worked tirelessly overnighton 6/11/20 to compassionately

and diligently provide comfort togrieving parents after a tragic

accident. Your kindness and hearthelped them more than words can

express. Thank you!"

"I want to give a shout-out to myfellow colleagues and the

management team at SFGHUrgent care. They have worked

tirelessly to keep the pace movingduring this unprecedented

COVID-19 pandemic Words alonecannot express how grateful andproud I am for their great efforts. I

appreciate you all for yourselfless service. Continue to be

safe all."-Anna Awambu

Check out our Staff Shout-Outs page to see the rest of your fellowstaff's submissions.

To submit a staff shout-out click the button below!#LoveforZSFG

SFMTA Street Sweeping Enforcement Update- Starting Today!

Mayor London Breed and the San FranciscoMunicipal Transportation Agency (SFMTA) haveannounced that the City will resume enforcementfor parking violations related to street sweepingbeginning today, June 15, 2020.

This applies everywhere in San Francisco,including staff campus permitted areas on

22nd street, San Bruno Street, and VermontStreet, along with the surrounding neighborhood.Please be aware of posted signage indicatingstreet cleaning schedules when parking on thestreet near the hospital or you may risk receivinga citation or being towed.

To learn more, please read the Mayor's PressRelease.

All Staff Screening Moving to Building 25Starting Tomorrow, 6/16, at 5:00AM!

With clinics increasing their volumes, Building 5Outpatient Lobby is congested and not the rightlocation for staff and provider screening. ThePDSA conducted this week of opening Building25 to online screening only has been successfuland we determined that the space is moresuitable. Thus, we have decided to permanently

Give a Shout-Out Here!

relocate staff and provider screening to Building25 lobby starting Tuesday, 6/16, at 5:00AM. Weunderstand this move will bring oninconveniences for some and we appreciateeveryone's cooperation in making ZSFG a safeplace to work and receive care. Important Notes - PLEASE READ

Building 25 Lobby is open for onlinescreening only on Monday, 6/16 from6:00AM-8:00PMBuilding 5 Outpatient Lobby will continue tobe open today, 6/15, for in-personscreening as the single designatedentrance. On Tuesday, 6/16, at 5:00AM, Building 5Outpatient Lobby will permanently closeas a designated staff and providerentrance.

Thank you for your patience through thistransition.

For a more expedited process, online screening is highly encouraged

June 10, 2020 Weekly News Bulletin

This weekly news bulletin will provide the latestfacts about COVID-19 and ZSFG’s response.

Please post on huddle boards and in staff rooms.

Staff Appreciation Photo WallAbout a month ago, some staffparticipated in our staff appreciation

 

 

 

 

 

photo event at an all staff giveaway.As previously mentioned, thesephotos were taken for an upcomingstaff appreciation photo wall. CareExperience is happy to announcethat this photo wall has now beencreated and can be seen at the

Building 25, 2nd floor mezzanine!Don’t forget to check it out to supportyour fellow staff!

If you would like to be featured in thisphoto wall, please come to our nextall staff giveaway on Wednesday,6/11 (more details to follow), to takephotos with our care experiencesigns. Thank you, all, for theincredible work you do!

#LoveforZSFG

ZSFG Health and Safety Plan for ElectiveSurgeries

The Health Officer of the City and County of SanFrancisco issued a directive for the organizationto create, adopt, and implement a Health andSafety Plan regarding Required Best Practicesfor Elective Surgeries and Related Care.

Here you can read a summary of the Health andSafety Plan and a handout providing Informationfor Personnel (Employees, Contractors,Volunteers) of Essential Business and OtherBusinesses permitted to operate during thehealth emergency.

The complete Health and Safety Plan is availableto all staff under the ZSFG FAQs CoronavirusDisease (COVID-19) link and can be accessedby clicking the COVID-19 icon (pictured left) onthe intranet - UCSF staff may have difficultiesaccessing the site.

A Moment to PauseFor the rest of this week's issue, click here.

We would love to hear from you. Please suggest a futuretopic for A Moment to Pause or to share a word or phraseto describe how you took a moment to pause (played with

my kids, walked my dog, phone call with family, etc.)

To share please go here.

Forward

Copyright © 2020 City and County, All rights reserved. You are receiving this email because you opted in via our website.

Submit your Covid Questions!

Our mailing address is:City and County

1001 Potrero AveSan Francisco, CA 94110-3518

Add us to your address book

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1001 Potrero AvenueBuilding 5, Suite H7008San Francisco, CA 94110

Phone (628) 206-3670Fax (628) 206-6922

ZuckerberSanFranciscoGeneral.org

`Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG)

Health and Safety Plan SummaryRequired Best Practices for Elective Surgeries per

City and County of San FranciscoDirective of the Health Officer No. 2020-08

Date of Directive: 5/15/2020

The Health Officer of the City and County of San Francisco issued a directive for theorganization to create, adopt, and implement a Health and Safety Plan regarding Required BestPractices for Elective Surgeries and Related Care, as outlined in the Directive of the HealthOfficer No. 2020-08.

ZSFG’s Health and Safety Plan is in alignment with Best Practices Contents, as outlined inDirective of the Health Officer No. 2020-08. Required Best Practices Contents are:

1. Signage and Education

2. Compliance

3. General Screening of Personnel and Patients and Clients

4. Face Covering and Related PPE (Personal Protective Equipment)

5. Physical Distancing

6. Hand Hygiene

7. Patient or Client Testing for SARS-CoV-2:

8. Reporting and Cooperation Requirements Regarding SARS-CoV-2

9. Phased Implementation

10. Scheduling Prioritization

11. Hospital Capacity

12. Cancellation

13. Infection Control and Quality Practices

The complete Health and Safety Plan is available to all staff under the ZSFG FAQs CoronavirusDisease (COVID-19) link and can be accessed by clicking this icon on the ZSFG Intranet:

A note from Dr. Susan Ehrlich, CEO

During COVID times, change is the only constant

This morning I was greeted with a new sign at the entrance to Glen Canyon Park. Instead of

what I’d seen for weeks now: “Stay Six Feet Apart, Exercise Alone not Together,” the sign said,

“Open Safely Together.” A new sign for a new phase that starts today, June 15th, when we enter

a new reopening gate that will change our lives yet again, hopefully for the better.

San Francisco’s COVID data should make us feel confident about moving through this gate. As a

result of our strong public health leadership, SF’s numbers put us in a great place relative to

other cities, with 3.2 cases/1000 and 5.1 deaths/100,000. Notably, we’ve had 5-fold fewer

deaths/100,000 than the next closest municipality, Seattle, at 25.7, and 50-fold fewer than New

York City, at 261/100,000.

Today, opening safely together means we can eat at outdoor restaurants, shop in retail stores,

kids can go to small summer camps, and more. Keeping safe means all these businesses will

have to develop and implement plans to minimize infection risk. Each of us has an important

role to play, by wearing face coverings, staying at least six feet apart, sanitizing/washing our

hands frequently.

How will we know it’s no longer safe to keep opening up? SF has a road map for that, as well.

After much study and consideration, the City has chosen seven metrics in three categories --

disease situation, health care system, and disease control -- that we’ll be watching closely to

understand what’s happening with COVID in the community, three of which will guide us to

change course if things get worse:

• Rate of increase in total COVID+ hospitalizations;

• Acute care bed available capacity; and

• ICU bed available capacity

Fortunately, these indicators are all “green” right now, because across all hospitals in SF

hospitalizations are decreasing and capacity is available.

Hospitals, including ZSFG, clearly have an important role to play. The next reopening gate hits on

July 15th, four weeks from now. Between now and then, we at ZSFG will be reopening our

services slowly and cautiously, and with the knowledge that at any time we may need to change

course and limit services more substantially for non-COVID patients, to create capacity for

patients with COVID disease.

When change is the only constant, it is unsettling. Following the 1989 earthquake in SF, I was

working in City Hall. There were aftershocks nearly every day, and we would watch the plaster

fall off the walls around us with each one. We never knew if the aftershock we felt was going to

be another “big one.” This is like that in some ways. Totally unnerving.

How do we get through it? By taking care of ourselves. By being kind to one another. By

tapping into our own resilience, patience, creativity and compassion. By keeping our eyes on

what’s most important at work, and our own ZSFG True North: equity, safety, quality, care

experience, developing our people, financial stewardship.

Have a great week, everyone. Together, we will get through this as we always do, better than

before –

Susan

From: Andrew, Brent (DPH) <brent.andrew@sfdph.org> Sent: Tuesday, June 16, 2020 8:17 AM Subject: TO ALL STAFF: Covid-19 Daily Digest - June 16, 2020

Stay up to date with Covid-19 Information

DAILY DIGEST

June 16, 2020

Click here for Staff & Provider Screening

QUICKLINKS

June 15, 2020 CEO Note

June 15, 2020 DOC Newsletter

Weekly Wellness Zoom WOW Classes as of June 15, 2020

June 12, 2020 Message from Dr. Grant Colfax

Weekly Shortage Report - 6/11/20

June 10, 2020 Weekly News Bulletin

Learn more about COVID-19 by following our ZSFG COVID-19 Communications

page.

Covid 19 Situation Report

as of June 15, 2020

Worldwide: 8,003,021 Cases/ 435,619 De

aths (Johns Hopkins CSSE)  

US: 2,110,791 Cases / 116,090 Deaths

(Johns Hopkins CSSE)  

CA: 153,407 Cases / 5,063 Deaths (Johns

Hopkins CSSE and CDPH/CalOES SitRep-

 6/14/2020 at 1700) 

# of Positive ZSFG Patients: 8

(2 in ICU, 6 on 6th floor)

# of ZSFG PUI: 1

SF: 2,972 Cases / 46 Deaths (SFDPH

Epidemiology Report 4:00 PM on

6/15/2020)   

For the latest information, click on this link

to access the SF COVID-19 Data Tracker

STAFF SHOUTOUT

"We would like to give a special

thanks to Central Supply for all

there help with maintaining our

medical supplies. They are always

willing to help us and always

present a positive attitude.

Thanks for all your hard work.

3M"

-3M Surgical Clinic

"Thank you for all you do to

support pregnant and parenting

families in 5M and Family Birth

Center. We are so lucky to have

you!"

-Joe Nauer, Sam Hoffman and

Jason Zook

"Thank you to Kate McClude and

the nurses and doctors in 36ICU

who worked tirelessly overnight

on 6/11/20 to compassionately

and diligently provide comfort to

grieving parents after a tragic

accident. Your kindness and heart

helped them more than words can

express. Thank you!"

"I want to give a shout-out to my

fellow colleagues and the

management team at SFGH

Urgent care. They have worked

tirelessly to keep the pace moving

during this unprecedented

COVID-19 pandemic Words alone

cannot express how grateful and

proud I am for their great efforts. I

appreciate you all for your

selfless service. Continue to be

safe all."

-Anna Awambu

Check out our Staff Shout-Outs page to see the rest of your fellow

staff's submissions.

To submit a staff shout-out click the button below!

#LoveforZSFG

Give a Shout-Out Here!

All Staff Screening Moving to Building 25

Starting Today, 6/16, at 5:00AM!

Starting today, staff and provider screening has

permanently relocated to Building 25 lobby! We

understand this move will bring on

inconveniences for some and we appreciate

everyone's cooperation in making ZSFG a safe

place to work and receive care.

The Building 5 Outpatient Lobby is

permanently closed as a designated staff and

provider entrance.

Thank you for your patience through this

transition.

For a more expedited process, online screening is highly encouraged

All Staff Giveaway Tomorrow!

We welcome you to stop by the Wells Fargo

Plaza, between Bldgs. 5 & 25, tomorrow, 6/17,

starting at 7:00am to pick up Califia Farms Nitro

Coffee and Larabars! This giveaway will be first

come, first serve, with one of each treat per

person.

***Night shift staff, please be sure to stop by

right after your shift ends at 7:00am***

Many thanks to Sports Basement for the

generous donation!

#LoveforZSFG

Blood Drive - July 1st & 2nd

The national blood supply is hurting right now

and we’re asking for your help! We’re

experiencing a critical blood shortage, so we’re

calling on all blood donors. Donating blood is

safe and easy, and in the wake of the COVID-19

pandemic, it can help save a life.

When: July 1: 8:00am - 1:00pm

July 2: 12:00pm - 5:00pm

Where: Learning Center Room 3200 (B30, 2nd

floor)

To make an appointment, visit vitalant.org and

click donate. Use your unique sponsor code:

ZSFGH Or email McConnell@ucsf.edu with

questions. For more information, please click

here.

Staff Appreciation Photo Wall

About a month ago, staff participated

in our staff appreciation photo event at

an all staff giveaway. As previously

mentioned, these photos were taken

for an upcoming staff appreciation

photo wall. Care Experience is happy

to announce that this photo wall has

now been created and can be seen at

the Building 25, 2nd floor mezzanine!

Please visit the wall to support your

fellow staff!

If you would like to be featured in this

photo wall, please come to our next all

staff giveaway on Wednesday, 6/11

(more details to follow), to take photos

with our care experience signs. Thank

you, all, for the incredible work you do!

#LoveforZSFG

A Moment to Pause

For the rest of this week's issue, click here.

We would love to hear from you. Please suggest a future

topic for A Moment to Pause or to share a word or phrase to

describe how you took a moment to pause (played with my

kids, walked my dog, phone call with family, etc.)

To share please go here.

Submit your Covid Questions!

Forward

Copyright © 2020 City and County, All rights reserved.

You are receiving this email because you opted in via our website.

Our mailing address is:

City and County

1001 Potrero Ave

San Francisco, CA 94110-3518

Add us to your address book

Want to change how you receive these emails?

You can update your preferences or unsubscribe from this list.