Minutes of the Health Commission Meeting
Tuesday, June 15, 1999
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The regular meeting of the Health Commission was called to order by President Lee Ann
Monfredini, at 3:12 p.m.
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Ron Hill
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner David J. Sanchez, Jr., Ph.D.
- Commissioner John I. Umekubo, M.D.
2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF JUNE 1, 1999.
Action Taken: The Commission unanimously adopted the minutes of June 1, 1999.
3) CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Ron Hill)
(3.1) CHN - Jail Health Services Request for approval of retroactive
modification to the contract with Symphony MobileX Correctional Diagnostic Services, to
maintain the provision of portable X-ray services to inmates in the San Francisco jails
and extend services for an additional year, in the amount of $230,353 for the 18-month
period of January 1, 1999 through June 30, 2000, for a total contract amount of $439,672 ,
covering the period of July 1, 1997 through June 30, 2000. (DPH contracted with Symphony
MobileX for services totaling $139,546 during FY 1997-98).
(3.2) PHP-CHPP-Tobacco Free Project Request for approval of new contract
with S.F. Study Center, in the amount of $167,702, to provide fiscal sponsor services for
the Community Capacity Building Training Center for the Tobacco Free Project for the
period of July 1, 1999 through June 30, 2000; and $171,193 for the period of July 1,
2000, through June 30, 2001. (DPH contracted with S.F. Study Center for services totaling
$420,379 during FY 1997-98).
(3.3) PHP-CHPP-HIV Prevention Services Request for approval of
retroactive sole source and contract with the Regents of the University of California San
Francisco (UCSF), Center for AIDS Prevention Studies, for the provision of professional
consultation services for the completion of the Asian Counseling and Testing Study, in the
amount of $56,365 per year, for the period of January 1, 1999 through December 31, 1999.
The sole source request is for an annual amount of up to $65,000 per year, for the period
of January 1, 1999 through December 31, 2001. (DPH contracted with UCSF for services
totaling $14,314,598 during FY 1997-98).
Commissioner Sanchez abstained due to conflict of interest.
(3.4) PHP-CHPP-HIV Prevention Services Request for approval of renewal
contract with Larkin Street Youth Center (LSYC), in the amount of $108,477, for the
provision of HIV prevention services targeting behavioral risk populations, for the period
of July 1, 1999 through June 30, 2000. (DPH contracted with LSYC for services totaling
$1,158,091 during FY 1997-98).
(3.5) PHP-CHS Request for approval of a modification to the contract with
Managed Care Solutions (MCS), to act as fiscal intermediary for the provision of dental
and optical services by non-Department of Public Health providers, to clients of the
Countys Welfare to Work Programs, in the amount of $410,899, for the period of June
1, 1999 through June 30, 2000. (DPH contracted through MCS for services totaling
$1,396,539 during FY 1997-98).
(3.6) PHP-CHS - Mental Health Services Request for approval of renewal
contract with Pathmakers of California, a mental health provider group, for the provision
of outpatient mental health services as part of the network of San Francisco Mental Health
Plan providers that are limited overall to $3,300,000 per year, for the period of July 1,
1999 through June 30, 2001. (DPH contracted with Pathmakers for services totaling $160,000
during FY 1997-98).
(3.7) PHP-CHS - Mental Health Services Request for approval of renewal
contract with Jewish Family and Childrens Services (JFCS), for the provision of
mental health services, in the amount of $81,250 per year, for the period of July 1, 1999
through June 30, 2001. (DPH contracted with JFCS for services totaling $81,000 during FY
(3.8) PHP-CHS - Substance Abuse Services Request for retroactive approval
to accept and expend a grant of $87,864 through a subcontract from the University of
California San Francisco, Institute of Health Policy Studies, for research activities to
evaluate the impact of treatment on demand policies, for the period of January 1, 1999
through December 31, 1999.
Commissioner Sanchez abstained due to conflict of interest.
Action Taken: The Commission approved the Consent Calendar of the
Budget Committee, with Commissioner Sanchez abstaining on #3.3 and #3.8.
4) DIRECTORS REPORT (Mitchell H. Katz, M.D., Director of Health)
(Provides information on activities and operations of the Department).
Laguna Honda Bond Initiative
The Board of Supervisors voted overwhelmingly last evening to submit the $299,000,000
Laguna Honda Hospital Bond measures to the voters for the November ballot.
In addition, the Board voted unanimously to request that $1 million per year of the
tobacco settlement funds be dedicated to tobacco education, prevention and control.
White House Conference on Mental Health
Last week the White House Conference on Mental Health was held chaired by the
Presidents Mental Health Advisor Tipper Gore. The Administration unveiled measures
designed to improve mental health. The proposals provide parity, improve treatment,
bolster research, and expand community responses to help those with mental illnesses. The
Administrations highlights of these initiatives include:
- Ensuring that the Federal Employees Health Benefits Plan implements full mental
health and substance abuse parity. All participating health plans must offer
full mental health and substance abuse parity to participate in the program.
- Accelerating progress in research. The National Institute of Mental Health
(NIMH) will launch a $7.3 million study to explore the nature of mental illness and
- Encouraging states to offer more coordinated Medicaid services for people with mental
illness. The Health Care Financing Administration will advise all state
Medicaid agencies that: (1) Medicaid reimburses for services provided in Assertive
Community Treatment; (2) Medicaid recipients are entitled to medications approved by FDA;
and (3) Medicaid providers and beneficiaries should be educated about their ability to
enter into "advance planning directives."
- Launching a pilot program to help people with mental illness get the quality
treatment they need to return to work. A new five-year, $10 million demonstration to
provide treatment for SSDI beneficiaries with affective disorders -- approximately
- Educating older Americans and their health professionals about the risks of
depression. The NIMH and the Administration on Aging will launch an outreach
initiative to educate the elderly and their healthcare professionals about mental illness.
- Reaching out to vulnerable homeless Americans with mental illnesses. The
Department of Housing and Urban Development will launch a new initiative to encourage
communities to create safe havens where homeless mentally ill Americans can get treatment
- Implementing new strategies to meet the mental health needs of crime victims. The
Department of Justice (DOJ) and the SAMHSA will partner to ensure that strategies are in
place to address the mental health needs of victims of violent crime, such as terrorism or
- Developing and implementing new strategies to address mental illness in the criminal
justice system. SAMHSA and DOJ will hold a conference focusing on how the
criminal justice system can prevent crime by mentally ill people, and address the needs of
offenders with mental illness.
- Implementing a new comprehensive approach to address combat stress in the military.
In six months the Department of Defense will issue a report on an implementation plan for
a more comprehensive combat stress program throughout the military -- at least 30 percent
of those who have spent time in war zones experience combat stress reaction.
- Launching the expansion of the "Caring For Every Child" mental health
campaign. A five-year, $5 million campaign to highlight the special mental
health needs of children -- at least 10% of American children and adolescents may have
behavioral or mental health problems.
- Improving the mental health of Native American youth. Allocates at least $5
million for a collaboration between the Departments of Interior, Justice, Education, and
HHS for ten Native American communities to develop effective strategies to address mental
health needs of youth in settings, such as the home, school, treatment centers, and the
juvenile justice system. The suicide rate for Native Americans between the ages of 5 and
24 years old is three times higher than the rest of the U.S. population in this age group.
Summary of Selected State Health-Related
The following is a summary of selected State health-related legislation for the current
legislative session. The Health Commission requested this summary as a precursor to the
Departments annual report on State legislative activity.
The Department has been closely monitoring approximately 500 health-related bills
introduced in this legislative session, which began in December 1998. June 4, 1999 was the
deadline for bills to be passed out of their house of origin in order to be considered
this year. All bills that did not pass are now "two-year bills," and will remain
inactive until January 2000. The following lists some of the bills that remain active in
1999 that would most impact the Department, and a few 2-year bills that are of major
significance to the Department. For bills to pass in the 1999 session, they must be
approved by the Legislature by September 10, 1999. The bills must then be signed by the
Governor by October 10, 1999 to be enacted.
I have listed the current status and position taken by the City and County of San
Francisco in parentheses after each bill. If the position was adopted by a resolution of
the Board of Supervisors, I have indicated so. For all other bill positions, the San
Francisco State Legislative Committee, comprised of City Department, Mayors Office,
and Board of Supervisors representatives, adopted the position at the request of the
Acute Care Hospitals: Staffing
AB 394/Kuehl (Senate Health and Human Services) (Watch) would require hospitals to
maintain certain nurse-to-patient ratios, and would limit the nursing-related duties that
may be performed by unlicensed personnel. The estimated financial impact of AB 394 for
SFGH is $1 million annually.
AB 675/Thomson (Senate Health and Human Services) (Support) has been forwarded by the
California Healthcare Association as an alternative to AB 394. The bill strengthens
current federal language (including penalties) in the utilization of a Patient
Classification System to drive staffing. SFGH is in full compliance with AB 675s
AB 40/Wayne (Senate) (Support) would establish the Breast Cancer Treatment Program to
provide breast cancer treatment to uninsured and underinsured women with income levels at
or below 200% of the Federal Poverty Level (FPL).
SB 1154/Speier (Assembly) (Support) would establish the California Breast Cancer and
Gynecological Cancer Treatment Program within MRMIB, for women with income levels below
300 % FPL who do not qualify for Medicare, Medi-Cal, or private insurance.
County/State Health Billing
AB 319/Thomson (Senate Health and Human Services) (Support) would advance 25% to
counties at the beginning of each fiscal year for Child Health Disability Prevention
Program (CHDP) administration, medical therapy and administration of the California
Children's Services Program (CCS), and HIV education and prevention services.
Health Insurance Expansion/Uninsured - General
AB 26/Migden (Senate) (Support-Board) would provide for the definition, registration
and termination of domestic partners and would require health plans and disability
insurance group policies to include an offer of domestic partner health care benefits as
an elective coverage option.
SB 480/Solis (Assembly) (Support-Board) would create a process for thoroughly examining
the options for achieving universal health insurance coverage. Specifically, the bill
would require the State Health and Human Services Agency to annually report on this issue
to the Legislature beginning December 1, 2000, and to develop proposed legislation to
implement universal health coverage, to the extent feasible, for introduction during the
2001-02 legislative session.
Healthy Families/Medi-Cal For Children
AB 43/Villaraigosa, AB 93/Cedillo, and AB 1015/Gallegos (Senate) (Support) are the
Assemblys package of bills to reform and expand the Healthy Families Program
and Medi-Cal for children. The package would simplify and make more uniform eligibility
requirements for the Medi-Cal and Healthy Families programs, including providing health
insurance coverage for the entire family and for all documented immigrant children,
streamlining the application process, and enhancing outreach to potentially eligible
populations. Several other bills remain active and address these and other reform issues,
such as: Medi-Cal presumptive eligibility (SB 87/Escutia); increasing the HFP income
eligibility threshold to 250% FPL (SB 102/Solis) and Medi-Cal eligibility to 133% FPL (SB
111/Figueroa); requiring HFP to pay for CHDP follow-up treatment (SB 112/Figueroa); and
establishing a HFP purchasing credit mechanism (SB 168/Speier). In addition, AB
100/Thomson and SB 92/Hayden are other active bills that address some of the above issues.
The Budget Conference Committee has approved funding for several of these expansions.
AB 1061/McClintock (2-Year; not yet heard in committee) (Oppose) would repeal the
Healthy Families, Medi-Cal, Maternal and Child Health, Access for Infants and Mothers
(AIM), AIDS prevention, and other health care programs for low-income individuals. The
bill would instead enact the "Access to Affordable Choice Act," to provide
personal income tax credits for qualified medical costs.
AB 1363/Davis (Senate Health and Human Services) (Watch) would require the MRMIB board
to include school-based health centers as traditional and safety net providers under the
Healthy Families Program (HFP). Current law requires MRMIB to designate a community
provider plan in each geographic area that is the participating plan with the highest
percentage of traditional and safety net providers. Subscribers selecting the designated
community provider plan are given a family contribution discount.
AB 103/Migden (Senate Health and Human Services (Support-Board) would require the State
Department of Health Services to develop, implement and evaluate a statewide coded HIV
reporting system that does not use names. Implementation would be required by no later
than January 2001.
SB 1029/Haynes (2-Year; Failed in Senate Health and Human Services, Reconsideration
Granted) (Oppose) would require the State to establish a mandatory, statewide HIV names
reporting system. Data collected would be used to conduct partner notification and contact
tracing, in addition to other purposes.
AB 518/Mazzoni, Shelley (Senate Health and Human Services) (Support-Board) would
authorize cities and counties to implement clean needle exchange projects and would
authorize pharmacists, physicians, and certain persons authorized under those projects to
furnish hypodermic needles and syringes without a prescription or permit.
Immigrant Health Care
AB 52/Cedillo (Senate Health and Human Services) (Support) would re-enact critical
health care programs for all Californians who need them, without respect to immigration
status. The programs which would be authorized include: California Children's Services
Program; Genetically Handicapped Person's Program; Alzheimers disease diagnostic and
treatment centers; State and local mental health programs; developmental disabilities
services; special education programs; and other services for children with disabilities.
SB 82/Vasconcellos (Assembly) (Support) would re-enact State-only Medi-Cal coverage for
pregnancy-related services for undocumented women. Funding for this program is included in
both the Governors and the Legislatures proposed FY 1999-00 budgets.
SB 82 and AB 52 are necessary because Former Governor Wilsons executive order
requiring verification of immigration status and denial of services to undocumented
residents under 200 programs has not been rescinded by the Governor Davis.
Long-Term Care Nursing Facilities: Staffing
AB 1160/Shelley (Senate) (Watch) would make a number of changes to existing law, such
as: establishing goals for direct care SNF staffing; increasing citation fines and payment
requirements; revising the calculation for determining nursing hours in SNFs and ICFs;
requiring specified disclosure of licensee information; directing DHS to develop and
implement Medi-Cal nursing facility reimbursement system reforms (but exempting nursing
facilities which operate as a distinct part of an acute hospital) and a variety of other
accountability, record keeping, reporting, staffing, training, and enforcement
AB 155/Migden (Senate Health and Human Services) (Support) would require the State
Department of Health Services to submit an amendment to the State Medicaid plan in order
to take advantage of a federal option that allows disabled Medi-Cal recipients who return
to work to be eligible for Medi-Cal. As long as individuals countable income does
not exceed 250% FPL, eligibility would continue with premiums ranging from $10 to $200 per
AB 359/Cedillo (Senate Health and Human Services) (Support) would reduce the
States administrative rake-off of Disproportionate Share Hospital (DSH) funds by $40
million. The Budget Conference Committee has approved a $30 million reduction of the
AB 715/Firebaugh (Senate Health and Human Services) (Support) would require the State
Department of Health Services to continue providing 100% reasonable cost reimbursement for
rural health clinic (RHC) and federally-qualified health clinic (FQHC) services through
2007. The federal Balanced Budget Act (BBA) of 1997 included a provision to phase out
cost-based reimbursement to federally qualified health centers beginning in federal fiscal
year 1999-2000, however, the BBA also provided states the option to continue 100%
reimbursement to FQHCs and RHCs until 2003.
SB 673/Escutia (Assembly Health) (Support) would extend Medi-Cal transitional benefits
for families leaving CalWORKs by requiring only annual statements of earnings or assets to
reaffirm eligibility, rather than quarterly re-certification.
SB 780/Burton (Assembly Health) (Support) would enact a number of measures designed to
simplify and streamline eligibility for the Medi-Cal program, such as: permitting
applicants to submit a copy of the prior years tax return to document gross income;
elimination of resource requirements and the limitation on employment hours for
beneficiaries; permitting parents of children who are Medi-Cal beneficiaries to apply for
Medi-Cal with a mail-in application; and providing twelve months of continuous
eligibility for Medi-Cal.
SB 847/Vasconcellos (Assembly) (Support) would establish a 3-year program to be called
the California Marijuana Research program, under which $1 million per year would be
allocated for studies intended to ascertain the general medical safety and efficacy of
marijuana, and, if found valuable, to develop medical guidelines for the appropriate
administration and use of marijuana.
SB 848/Vasconcellos (Assembly) (Support) would require the State to develop and
implement a plan for the safe and affordable distribution of medicinal marijuana.
AB 34/Steinberg (Senate Health and Human Services) (Support-Board) would provide
four-year training and planning grants to counties with significant numbers of homeless
mentally ill adults and older adults. Grants would be extended beyond four years if a
county reduces incarceration rates by twenty percent.
AB 88/Thomson (Senate) (Support) would require health insurance coverage parity between
limitations on mental health care and other health care. It is designed to require health
plans to cover specific severe biologically based mental illnesses, such as schizophrenia
and persistent clinical depression.
SB 468/Polanco (Assembly) (Support) would require health insurance coverage parity
between mental health care and other health care with respect to co-payments and
limitations. This measure would require health plans to provide coverage for the diagnosis
and medically necessary treatment of mental illness as defined in the Diagnostic and
Statistical Manual IV.
SB 405/Ortiz (Assembly Health) (Support) would require the Department of Mental Health
to establish several programs to prevent suicide, including: Gatekeeper training pilot
programs through 3-year contracts with counties or nonprofit organizations; evidence-based
suicide treatment pilots; a public awareness and education campaign targeted at junior
high and high school students; a 24-hour central statewide suicide crisis line that links
callers to local services; and a central Internet-based data base on suicide and community
AB 1557/Migden (Senate) (Support) would require any person performing venipuncture and
skin puncture for the purpose of withdrawing blood in clinical laboratories to be
certified as a "certified phlebotomy technician," and to meet training
guidelines to be developed by the State by January, 2001.
SB 269/Ortiz (2-Year) (Support) would increase the local public health subvention for
basic population-based disease control functions to 60 cents per capita or a base of
$100,000 whichever is greater. The Budget Conference Committee approved a portion
of the funds needed for this increase, $7.7 million statewide.
SB 1256/Polanco (Assembly) (Support) states the intent of the Legislature to
appropriate an unspecified amount to the Department of Health Services for screening of
uninsured individuals at high risk for hepatitis C.
AB 210/Wildman (Senate Education) (Watch) would establish the Healthy Student
Partnership Fund to make funding available to schools for capital outlay projects to
improve physical space for student health services.
Dozens of bills were introduced to specify how the States share of the national
tobacco settlement funds may be spent. However, none of these bills moved out of the
Appropriations Committees of the Senate and Assembly by the deadline, and are thus
two-year bills. However, in late May a coalition of state health organizations and
Democratic legislators came together in an effort entitled "Dont Let Tobacco
Funds Go Up in Smoke: Use Tobacco funds for Health and Health Care." The Coalition is
urging the Governor and Legislature to dedicate a separate fund for the tobacco settlement
monies which will ensure funding of health-related programs such as smoking prevention,
patient treatment for smoking-related illnesses, and research.
POPULATION HEALTH AND PREVENTION
HIV Prevention Planning Council Community Forum
On Thursday, June 3rd, the HIV Prevention Planning Council convened a community forum
to gather information on the HIV prevention issues surrounding private spaces in public
sex venues. The event was held at Mission High School and drew approximately 60 members of
The panel of speakers included: Michael Petrelis (Queer Nation), David Pasquereli
(ACT-UP San Francisco), David Attyah and Steve Filandrinos (Health Watch), Bill Woods,
Ph.D. (CAPS), and myself.
Advocates for privacy testified during the public comment portion of the meeting. The
HPPC approved a motion to be sent to the Health Commission recommending the removal of
bathhouse prohibitions. After the meeting, a procedural error was identified which
nullified the vote. At the subsequent meeting of June 10, the council voted on the
"The HPPC recommends to DPH that unless clear and compelling evidence exists to
demonstrate that private spaces in commercial/public sex environments increases the rate
of HIV transmission, that DPH rescind the current policy that prohibits private spaces in
commercial sex establishments."
The motion passed 9 "yes" votes, 6 "no" votes, and 1 abstention.
This recommendation does not endorse reopening the bathhouses, or a ballot initiative
about commercial sex establishments.
TL/SOMA Action Point Adherence Project
The TL/SOMA Action Point Adherence Project (APAP) will be moving into a new site July
6. APAP is a collaborative project of the SF AIDS Foundation and the Health Department
that provides medication adherence support for HIV infected homeless or marginally housed
individuals. APAP will be moving into a site on the ground floor of the Rose Hotel, 125
6th Street between Mission and Howard. The site has been built-out specifically for this
purpose. Services provided at Action Point include medication storage and dispensing,
nursing and individualized medication adherence assistance, case management, mental
health, substance use treatment referrals, acupuncture and pharmacist consultation. In
addition, HIV Prevention Point will provide needle exchange services on site 3 days a
week. Tom Waddell Health Clinic and the UCSF Student Homeless Project will provide urgent
care medical services 4 days a week. APAP has the capacity to provide services for 150
individuals and will be open 7 days a week noon to 6pm. These services have been provided
since March 1 at the San Francisco AIDS Foundation, 1 6th Street.
Childrens Lead Poisoning Poster
A new illustrated poster, "Has Your Child Been Exposed to Lead?" has been
produced by the Children's Environmental Health Promotion Section for clinic waiting
rooms, so that parents will become aware of risk factors for lead poisoning. The poster is
based on the risk questionnaire portion of San Francisco's Targeted Lead Screening Policy.
To order in English, Spanish or Chinese, contact the program at 554-8930.
STD Prevention and Control
The St. James Infirmary established to exclusively serve sex workers, opened June 2nd
from 6-9 p.m. Eleven sex workers were seen during the first clinic. All STD tests
Treatment On Demand Planning Council
The Substance Abuse Treatment on Demand Planning Council held it's June 3rd
meeting in the San Francisco City Jail to gather first hand reports on the treatment needs
of the jail population. After a presentation by the Sheriff's staff and a discussion with
Sheriff Hennessey, the Council went into the dormitory area. Half of the Council visited
with approximately 100 men in the 'Roads to Recovery' and the other half with
approximately 40 women in the 'Sisters Program'. The incarcerated men and women were
strikingly frank and articulate in their descriptions of their substance problems and long
list of recovery related needs.
Recurring themes were the scarcity of: culturally and linguistically appropriate
material, treatment in jail, assistance with the transition out of jail into community
programs, community programs easily accessible to ex-offenders, dual/triple diagnosis
treatment, life skills preparation, and support for vocational development. The
information gathered will be used to help the Council prepare next year's list of
Treatment on Demand priorities.
COMMUNITY HEALTH NETWORK
LHH Annual Survey Completed
A team of 18 State Licensing and Certification and HCFA representatives conducted
Laguna Honda's annual recertification survey from May 25th through June 10th.
The survey team presented preliminary findings at an exit conference on June 10th.
The survey team reported no substandard care findings. The team did identify a number of
minor deficiencies, and referenced ongoing concerns about the quality of life conditions
in the open wards, and the non-compliant size of semi-private rooms. We expect to receive
the final survey report in approximately three weeks. At that time we will have a clearer
picture of the State and HCFA's concerns about the physical plant environment and its
impact on census. I extend my congratulations to the management and staff of Laguna Honda
for a successful survey.
LHH Gero Psych Unit Opens
I am pleased to report that the first of three specialty social behavioral SNF units
opened on June 7th at LHH. The Geropsych Unit, which will provide enhanced
clinical and programmatic services for residents on the second floor of Clarendon Hall,
was the first unit to open. The staff for this unit have participated in an intensive,
customized training program for the past 2 weeks and are very excited to begin providing
care for the residents on the new unit.
The Med-psych and Neuro-psych units, which will round out the complement of the 3 new
social behavior units, will open in 3-month increments.
Bridge to Wellness Program
The Bridge to Wellness Program, a program of the Department of Psychiatry at San
Francisco General Hospital and operated by contract with Richmond Area Multi-Services,
Inc., will be moving to another location. Staff has located a site at 1460 Pine Street
(between Polk and Larkin) in San Francisco, which will adequately meet the needs of the
clients of the Partial Hospitalization Program. The site is zoned for such use and will
not require a "change of use" or Proposition I. The Health Commissions
"Good Neighbor" policy is being followed and staff is doing outreach to the
community. A meeting is scheduled June 16th from 4:30 - 6:00 p.m. to describe
the program, answer questions and respond to neighborhood concerns. The contract for this
program is currently in year two of a three-year contract (July 1998 through June 2000).
Sylvia Villarreal Resignation
It is with regret that I announce the recent resignation of Dr. Sylvia Villarreal,
SFGH's Chief of Staff for the past year. Dr. Villarreal set a high standard of leadership
for SFGH's medical staff. She was a prominent player in ensuring that we passed the recent
Dr. Villarreal will spend the next year working as a private pediatrician at the Taos
Clinic for Children and Youth in New Mexico. I am sure you all join me in wishing Dr.
Villarreal well in her new endeavors.
Juneteenth, the observance of freedom from slavery, is the oldest African American
holiday. On Friday, June 18th, the UCSF/SFGH Circle of Sisters in conjunction with CHEARS,
will host a Juneteenth celebration in the SFGH cafeteria. There will be music,
entertainment, soul food and the announcement of the Juneteenth Essay contest winners.
Saturday and Sunday June 19-20 Maxine Hall Health Center will participate in the
Western Addition's Juneteenth Festival at Kimball Park. Staff will share a booth with
Healthy Families, Lead Prevention, Environmental Health, and Breast and Cervical Cancer
Prevention staff to provide interactive information to the public. If you like to
volunteer for this event, contact Arla Escontrias , 206-2332.
| Reappointment Denials
|Changes in Privileges
| Voluntary Relinquishment
|Current Statistics as of 6/4/99
|Applications in Process
|Reappointment In Process
|Reappointment Requested not Received
(Due through 8/99)
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARDS FOR
On behalf of the Commission, Vice President Roma Guy presented the awards for the month
|CHN SSI Project/Tom Wadell Clinic
PH&P Mental Health Geriatric Services
|Patricia Birmingham, RN, MS
Thomas Mesa, Director,
Geriatric System of Care
|Team Nominees Division
|Childrens Environmental Health Promotion
|PH & P Community Health Promotion and
Prevention/Childrens Environmental Health Promotion Staff
|Karen Cohn, Program Manager
Public Speaker: Neil Gendel, Healthy Children Organizing Projects, thanked the
Commission for recognizing the Childrens Environmental Health Promotion Staff.
6) CONSIDERATION OF A RESOLUTION ADOPTING THE SAN FRANCISCO COMMUNITY ASSESSMENT
REPORT DEVELOPED BY THE BUILDING A HEALTHIER SAN FRANCISCO COLLLABORATIVE
At the Commissions request, Tangerine Brigham, Director of Policy and Planning,
presented a resolution regarding the assessment report presented by the Building a
Healthier San Francisco Collaborative.
Commissioner Guy encouraged the Department to disseminate the report throughout the
Department. Ms. Brigham stated that the report is available on the Department of Public
Health web site and the Directors Fast Facts through e-mail. Additionally, an
Executive Summary is available.
Commissioner Chow proposed an amendment to the resolution indicating the
Departments usage of this report in its Strategic Planning.
Action Taken: The Commission adopted Resolution #21-99, "Supporting the
Building a Healthier San Francisco Collaborative: A Citywide Collaborative Community
Assessment Report," as amended by Commissioner Chow.
7) PRESENTATION OF A RESOLUTION AUTHORIZING THE DEPARTMENT OF PUBLIC HEALTH, VITAL
STATISTICS, TO ACCEPT PASSPORT APPLICATIONS PURSUANT TO DESIGNATION OF AUTHORITY FROM THE
U.S. STATE DEPARTMENT
Dr. Katz presented the following:
Population Health Records and Statistics is the section of the Health Department
charged with registering into the Citys care, all records of births and deaths
occurring within its legal limits. Our staff maintains, amends and corrects these records.
When an official government record of a birth or death is required, and upon payment of
all statutory fees, our office issues legal originals of such records to all who may
apply. Customers making such a purchase at our office, or any of the thousands like it
across the country, present the legal original to other agencies of government, such as
the Department of Motor Vehicles (DMV); Social Security Administration (SSA); Veterans
Administration (VA), Immigration and Naturalization Services (INS); the U.S. Passport
Service, and State or local welfare agencies.
With encouragement from this office, certain such agencies routinely confer with us to
verify documents purportedly issued by us. Within moments, typically, we are able to
accurately confirm the authenticity or the fraudulence of the record.
It is this capability, predicated upon our skilled recognition of the indications of
fraud which has motivated, in large measure, agents of the local Passport Agency to seek
our cooperation in receiving and screening applications for passports.
After studying the Departments operational capacity, the Department feels
confident that it can respond effectively to the projected volume and the attendant
demands of providing passport acceptance services at 101 Grove Street. Furthermore, with
an initial investment of about $1,000 in equipment, the Department will be able to provide
photos to applicants who complete passport applications at our service window.
Taken together, the $15.00 passport acceptance fee at a proposed $10.00 photo fee, is
conservatively projected to add no less then $35,000 to General Fund revenues received
Dr. Katz acknowledged Ed Hernandez, Director of Vital Statistics. Mr. Hernandez also
was selected as winner of the best budget idea for decreasing expenses or generating
revenues in the Department. Mr. Hernandez reported that the present first floor space for
Vital Statistics will be expanded to include this passport service.
Action Taken: The Commission adopted Resolution #22-99, "Authorizing the
Department of Public Health, Population Health Records and Statistics Section, to Begin
Accepting and Processing Passport Applications Pursuant to a Designation of Authority from
the United States Department of State."
Note: Commissioner Sanchez left at 5:05. Commissioner Umekubo left at 5:15 p.m.
8) PRESENTATION AND CONSIDERATION OF A RESOLUTION REGARDING PRIMARY PREVENTION
Dr. Larry Meredith, Director of Community Health Promotion and Prevention; Brian
Katcher, Health Educator; and Ginger Smyly, Deputy Director, presented an update and
covered the following areas:
Overview of Population-Based Primary Prevention
Evidence Basis for Primary Prevention
- Prevention Strategies
- Key Primary Prevention Projects four Budget Cycles
- DPY Funding Levels. Four Budget Cycles
- Inventory of Prevention Programs Two Budget Cycles
- Childrens Environmental Health Promotion
- Injury Prevention: The CHIPPS Program
- Countering Pro-Tobacco: The Tobacco Free Project
- Violence Prevention: Violence as a Public Health Issue
Highlighted Areas of Need
- African American Health Initiatives
- Alcohol Use and Population-Based Prevention
Dr. Meredith acknowledged Commissioner Parkers ongoing advocacy for prevention.
President Monfredini stated the proposed resolution would not be considered today but
will be continued to a future meeting.
Public Speakers: Expressed support for the proposed resolution, participation in
strategic planning, continued partnership with the community, violence prevention
education, crime prevention, and prevention as a long-term process.
- Neil Gendel, Healthy Children Organizing Project
- Linda Mack Burch, BVHP Healthy Start
- Marie Hoemke, SFUSD Asthma Task Force
- Dr. Mary Beth Love, S.F. State University
- Gloria B. Soliz, Safety Network Program
- Broderick Lee, Coordinator for Violence Prevention
- Gene Coleman, Citywide Alcoholism Advisory Board
- Dee Epps-Miller, BVHP Healthy Start
- Gill Criswell, CUSP, objected to this agenda item because data and information on
education on prevention of HIV were not available to the public.
- Letters of support for prevention were submitted from Beverly Rashidd and Lynda
Boyer-Chu, RN, MPH.
- The proposed resolution would be part of preparation for the FY 2000-2001 DPH budget
- An apology was expressed for any miscommunication with Department staff
- There is a need for short-term and long-term goals for prevention
- The resolution needs to include how information on prevention programs get out to the
public (i.e., public awareness program), a commitment to prevention, and a commitment to
- It is a challenge for the Departments Strategic Plan, in the context of limited
funds, not to pit one program against another. What is really needed for Population Health
and Prevention with the broad Strategic Plan for the Department?
- Population Health and Prevention should bring forward a comprehensive prevention plan
with costs and expected outcomes
- This is the first step towards a long-term plan for prevention
- What is the public awareness and general public education aspect of prevention?
- A revised resolution was requested for the July 6, 1999 agenda
9) OTHER BUSINESS/PUBLIC COMMENTS
Public Speaker: Lincoln Madison expressed his non-support for the Departments
regulations for sex clubs and thinks the Commission should exert its authority over the
President Monfredini referred to the City Attorney letter dated June 15, 1999
explaining the authority of the Director of Public Health to issue standards relating to
The meeting was adjourned at 6:05 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission