HIV HEALTH SERVICES PLANNING COUNCIL MEETING

Meeting Date: June 24, 2002

Meeting Place: City Hall, Mayor's Conference Room 201

Meeting Time: 4:30pm - 7:30pm

I. Call to Order
4:40pm

II. Roll Call
See Attachment A, a quorum was achieved.

III. Review and Approval of Agenda
Agenda was approved without changes.

IV. Review and Approval of Minutes 5/20/02 & 6/10/02
May and June Minutes were approved without changes.

V. General Announcements
A member of the public filed a complaint with the Sunshine Ordinance committee against the Planning Council regarding issues related to the timeliness of posting minutes and agendas of Council meetings to the SFDPH Website. Michelle Long Dixon and Eric Whitney will attend the hearing on June 25 to address the issue and, in addition, have created an action plan to address the issues raised in the complaint.

Eric Whitney introduced Tricia Turner, the new Administrative Assistant for the Council. Her direct line is 972-0870 and her email is triciat@positiveresource.org.

VI. Public Comment
Thomas Simpson from AfroSolo Theatre Company invited the Council to Slammin' AIDS, a festival featuring Hip Hop, poetry and spoken word to increase prevention and awareness; 8/22/02. More information may be located at their website at www.afrosolo.org.

VII. Presentation - SFDPH - The REGGIE System
Rani Marx from Department of Public Health introduced her staff and distributed a fact sheet on the REGGIE system (See Attachment B). Jim Khan explained the basic fundamentals of the REGGIE database project. The program is registration based, and records demographic information, eligibility, and health status. The system is centralized and is accessible to agencies through training, donated computers and software from the DPH. The data can be used to handle HRSA recording, support for the CARE Grant, and to provide general understandings of populations with HIV. Currently 56 of 60 agencies are on board. The system is secure and confidential.

A second, more detailed presentation about the future of REGGIE will occur at the July 22, 2002 Council meeting.

Rani Marx distributed the Epidemiology & Evaluation Section and Project Reggie informational packet and supplemental materials, and reviewed their contents (See Attachment C). The data reflects demographic information that can give Council members a better idea of understanding CARE clients, and what CARE dollars are being used for. Charlotte Bobek of SFGH, offered her appreciation for the hard work that the REGGIE staff have put into making the system work better.

VIII. Presentation - SFDPH - HIV Health Services Quarterly Report

Michelle Long Dixon distributed the 1st Quarterly Report from the DPH HIV Health Services (See Attachment D). She reviewed the contents of the handout and explained that the certification process is a slow one, especially during the end of the city's fiscal year.

Multi-year contracts can offer relief for contractors and HIV Health Services staff, and would be ideal for an agency that does not undergo significant changes year to year.

IX. Committee Reports
Membership Committee

The Membership Committee forwarded a bylaws change to the Council (See Attachment E). The adopted language now reads:

"In addition to the above categories of representation, the Planning Council shall maintain as a goal for nomination to the Council the most number of HIV-positive persons as possible, always ensuring that the minimum number required by the Federal Legislation is met, where applicable. With this in mind, the Planning Council will maintain a majority of HIV-positive members (equal or greater than 51%) regardless of minimums outlined elsewhere".

"The Planning Council will meet the minimum unaffiliated consumer representation as called for in the Federal Legislation (33%), and will hold this only as a minimum, and will make efforts to exceed it. Unaffiliated consumers shall be consumers of Title I-funded services at the time of their appointment who are free of conflict of interest, defined as not being officers, employees, or consultants to any entity that receives Title I funds and not representing any such entity. They shall reflect the demographics of the population of individuals with HIV disease in the eligible area. For purposes of this section, an individual shall be considered to be receiving services if the individual is a parent of, or a caregiver for, a minor child who is receiving such services".

Outcome: The motion passed with 20 in favor, and 2 abstentions.

The council unanimously endorsed Lindy Hill, Christopher Scott Gamora, Benjamin Franklin Reid III, and Lara Sallee as new Council nominees to be forwarded to the Mayor for appointment. With one abstention, the Council voted to endorse George Simmons as a new Council nominee.

There was some confusion among Council members regarding the decision to replace the nomination process of block voting with individual nominee voting. The Membership Committee will explore at their next meeting on June 27, 2002.

Steering Committee
Discussion - Update, Planning Council Support Staff

Catherine Geanuracos would like to assess the work of the Administrative staff every six months. Eric Whitney's role as Administrative Director has become a voice for continuity, agenda setting, and he has a vast amount of knowledge regarding the Council. Catherine Geanuracos would like to see more people utilize the administrative staff and their skills in their committee work.

Discussion -- 3-Year Plan Working Group Vote
Eric Whitney distributed the Motion for Council Approval Guiding Principals for 2003-2005, including the following language:

* The Planning Council envisions a service delivery system in the year 2005 that provides a high quality set of core services for the largest number of people living with HIV in the San Francisco EMA, which may result in the reduction or elimination of some services, but will require minimal changes to client eligibility criteria.

* The Planning Council envisions a service delivery system in the year 2005 that provides a full spectrum of HIV services which may retain the vast majority of the current array of services in the San Francisco EMA, but will require a stricter set of client eligibility criteria, and will likely serve fewer clients.

In order for the Council to move forward with prioritization, the 3-Year Work Group needs to be aware of where the Council would like to be in 2005. In an effort to create a plan, the group offered a proposal for the Council to prioritize core services vs. a full spectrum of services; in essence prioritizing people vs. prioritizing services.

Members of the Council would like to see an option of including both proposed motions into one, as those who receive CARE services are already in high need and CARE is the payer of last result. The units of service will become more costly if you serve fewer clients (by lowering eligibility). Susan Shea, speaking for core services, explained that Integrated Service Providers (ISPs) are needed to save the CARE funded system. The consumer choice system currently in place is not cost efficient, and will not survive in the future years. Jim Mitulski asked the Council to make health care a first priority, by using their political voice to offer advocacy for San Francisco's own version of universal healthcare for people with HIV.

Those speaking for a full spectrum of services voiced that the most impoverished clients are receiving services that are essential, and such services are not expendable. Michelle Long Dixon explained that tightening eligibility is inevitable, regardless of Council decisions. As such, the language regarding changing eligibility requirements was removed from the proposal.

Outcome: On condition that eligibility is not included in the sentence, 16 voted to maintain core services (item 1), and 2 voted for a full spectrum of services (item 2).

The following committee reports were moved to the next meeting agenda:
PWA Caucus
Housing Committee
Implementation & Evaluation Committee

X. New Business
There was no time to discuss new business

XII. Adjournment
Meeting was adjourned at 7:30pm.

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