Minutes of the Health Commission Meeting
Tuesday, October 3, 2000
Jean Parker Elementary School Cafeteria
San Francisco, CA 94133
1) CALL TO ORDER
The regular meeting of the Health Commission was called to order by President Roma P. Guy,
MSW, at 4:10 p.m.
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Ron Hill
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner David J. Sanchez, Jr., Ph.D.
- Commissioner Lee Ann Monfredini
- Commissioner John I. Umekubo, M.D.
2) APPROVAL OF THE REGULAR MEETING OF SEPTEMBER 19, 2000
Action Taken: The Commission adopted the minutes of the meeting of September 19,
2000, with the correction on page 10, present in the Closed Session was Commissioner Parker.
Commissioner Sanchez was absent..
3) APPROVAL OF THE CONSENT CALENDAR OF HE BUDGET COMMITTEE
(Commissioner Ron Hill)
PHP-AB75 Project – Request for approval of a renewal contact with Lifemark
Corporation in the amount of $176,000, to provide fiscal intermediary services for the FY
2000-01 California Healthcare for Indigents Program (CHIP), for the period of November 15,
2000 through March 31, 2002. (DPH contracted with Lifemark for services totaling $2,129,089
during FY 1999-2000).
(3.2) PHP-CMHS – Request for approval to accept and expend a new grant in the amount
of $1,995,576 from the California Department of Mental Health, to implement a program of
integrated services for seriously mentally ill and dual/multiply diagnosed adults, for the
period of October 1, 2000 to June 30, 2001.
(3.3) PHP-HIV Health Services – Request for approval of a contract renewal with
California AIDS Intervention Training Center (CAITC), in the amount of $167,664, to provide
early intervention services for the period of July 1, 2000 through June 30, 2001.
contracted with CAITC for services totaling $140,453 during FY1999-2000).
(3.4) PHP-HIV Prevention – Request for approval of a contract renewal with Glide
Foundation, in the amount of $68,794, to provide HIV prevention and education services
targeting high-risk behavior populations, for the period of July 1, 2000 through June 30,
2001. (DPH contracted with Glide for services totaling $384,015 during FY 1999-2000).
(3.5) PHP-HIV Prevention – Request for approval of a new contract with the Regents of
the University of California at San Francisco-AIDS Health Project (UCSF), in the amount of
$157,963, to provide STD screening and treatment to anonymous HIV testing populations, for the
period of October 1, 2000 through December 31, 2001. (DPH contracted with UCSF for services
totaling $11,454,369 during FY 1999-2000).
(3.6) PHP-HIV Prevention – Request for approval of a contract renewal with Stop AIDS
Project (SAP), in the amount of $151,246 per year for two years, for a total contract amount
of $302,492, to provide HIV prevention condom distribution services targeting gay and bisexual
men and transgenders, for the period of July 1, 2000 through June 30, 2002.
with SAP for services totaling $851,627 during FY 1999-2000).
(3.7) PHP-HIV Prevention – Request for approval of a new contract with Stop AIDS
Project (SAP) in the amount of $162,500, to provide innovative web-based HIV prevention
interventions, for the period of October 1, 2000 through December 31, 2001.
with SAP for services totaling $851,627 during FY 99-2000).
(3.8) PHP-HIV Prevention – Request for approval of a contract renewal with Stop
AIDS Project (SAP), in the amount of $507,795 per year for two years, for a total contract
amount of $1,015,590, to provide HIV prevention services to gay and bisexual men, transgenders
and intravenous drug users, for the period of July 1, 2000 through June 30, 2002.
contracted with SAP for services totaling $851,627 during FY 1999-2000).
(3.9) PHP-HIV Prevention – Request for approval of a new contract with Tenderloin
AIDS Resource Center (TARC), in the amount of $162,500, to create a community center that will
provide innovative HIV prevention services for high risk individuals living in the Tenderloin,
for the period of October 1, 2000 through December 31, 2001. (DPH contracted with TARC for
services totaling $458,660).
(3.10) PHP-HIV Special Projects – Request for approval of a contract renewal with the
San Francisco AIDS Foundation (SFAF), in the amount of $244,199, to provide treatment
adherence case management services targeting HIV-infected individuals, for the period of July
1, 2000 through June 30, 2001. (DPH contracted with SFAF for services totaling $2,662,268
during FY 1999-2000).
(3.11) CHSS-TB Control – Request for approval of a contract modification with the
Regents of the University of California at San Francisco (UCSF), providing Model Tuberculosis
(TB) Prevention and Control Center services to local and national TB health care providers.
This modification will decrease the contract amount by $551,067, for a modified total of
$2,160,260, and reduce the contract term by three months for the period of December 31, 1999
through December 31, 2000. (DPH contracted with UCSF for services totaling $11,454,369 during
(3.12) CHS-Housing Services – Request for approval of a new retroactive sole source
contract with Chinatown Community Development Corporation (CCDC), the lead agency and fiscal
agent for the Chinatown SRO Collaborative, in the amount of $250,000 for the period of July 1,
2000 through June 30, 2001.
Commissioner Chow acknowledged the experience and credibility of Chinatown Community
Development Center and Chinese Progressive Association, two local community organizations for
the Chinatown SRO collaborative.
Action Taken: The Commission approved the Consent Calendar of the Budget Committee.
Note: Translators Edward Koo and Grace Lam provided Cantonese translation throughout
the remainder of the Commission meeting.
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
2000 State Legislative Session
The State Legislature adjourned for the end of its two-year session on August 31, 2000.
Over this two-year session, the Office of Policy and Planning tracked 862 health-related
bills, 385 of which were active at the end of the Legislative session. The Legislature will
begin its 2001-2002 session on January 4, 2001.
The Legislature passed 1,454 bills. The Governor signed 1,088 and vetoed 362 bills. The
Governor had until September 30, 2000 to take action on the bills presented for his
consideration. The Governor’s options were to: (1) sign the bill, (2) veto a bill, or (3)
neither sign nor veto a bill before the deadline then it would become law without his
The Governor has summarized the 1999-00 legislative session as one in which the State:
- passed two state budgets that were on time and in balance,
- brought accountability and higher expectations back to the classroom,
- instituted a high-school graduation exam and expanded advanced placement courses,
- adopted the most comprehensive and rigorous teacher training and recruitment program
anywhere in the country,
- opened the doors of higher education to more Californians than ever before with merit
scholarships and Cal Grants,
- through tax relief, we put more prosperity than ever before back in the hands of those
who created it - the people of this State,
- passed the toughest gun safety laws in the nation, beefed up public safety spending, and
strengthened our effort to eradicate hate crimes,
- reformed our HMO's,
- restored the eight-hour day, workers' protections and the prevailing wage,
- expanded health care coverage for uninsured children,
- created a historic new program to ensure that older Californians are "Aging with
- made the largest general fund investment in transportation in California history,
- established new affordable housing programs,
- took steps to restore our parks and protect our water supply and
- tackled most formidable challenge - energy - by acting to reduce prices and increase
At this time, the Department is aware that the Governor has signed the following
health-related legislation expanding coverage to uninsured children:
- AB 1015 (Gallegos), which authorizes California to extend Healthy Families coverage to
the uninsured parents of children eligible for the program
- AB 2415 (Migden), provides that California will continue to fund health coverage for
uninsured legal immigrant children, subject to annual state budget appropriations.
Previous legislation authorizing this coverage specified that it would sunset at the end
of the budget year.
- AB 2900 (Gallegos), which provides a technical adjustment to California’s
program to facilitate Healthy Families coverage of these adults.
In the area of non-profit hospitals, the Governor signed AB 2276 (Cedillo) which requires
the Office of the Attorney General to prepare a plan to evaluate current charitable care and
community benefit standards for not-for-profit hospitals, and submit the plan to the
Legislature by March 1, 2001. The Governor also appropriated an addition $1 million to local
health departments for communicable disease control and public health surveillance activities
in signing SB 269 (Ortiz). This bill would have appropriated $4.9 million for this purpose,
but was reduced by the Governor.
On November 7, 2000, the Department will provide the Health Commission with its 2000 State
Legislative Report. This report will highlight and summarize health-related bills that were
enacted and those that were vetoed. We will also give a disposition of the Department’s 2000
legislative priorities, as well as, presenting the Department’s proposed 2001 legislative
POPULATION HEALTH AND PREVENTION
STD Prevention and Control
On 9/18 and 9/25, the STD Program held its Annual STD Update. In addition to an update on
morbidity trends, topics included new urine based lab testing methodology for chlamydia and
gonorrhea, partner delivered therapy and syphilis elimination and rapid response.
I would like to extend congratulations to Barbara Cicerelli of the Office of Women's Health
Breast and Cervical Cancer Services (BCCS) staff for her nomination to the Hall of Honor of
the Exploratorium "Changing Faces of Women" exhibit. The Hall of Honor is a special
part of the exhibit honoring Bay Area individuals who have made significant contributions to
improving the health and lives of women in their community.
COMMUNITY HEALTH NETWORK
Laguna Honda Hospital Licensure and Accreditation
The Laguna Honda Hospital annual Licensure and Certification survey concluded with a
15-minute exit conference on September 25, 2000. The ten surveyors from the L&C division
of the State Department of Health Services took thirteen days to complete the survey. Although
we have not received a final report, by all indications, the survey went extraordinary well
I would like to personally thank Melody Davenport and Chun Lau, two employees working at
San Francisco General Hospital, who intervened to stop the attempted theft of a purse from
another SFGH employee. I also want to recognize the prompt care and attention extended to all
three employees by Violence in the Workplace Management Response Team members Penny Mitchell
and Sgt. John Majka.
Commissioner Chow pointed out that the Commission would continue to monitor the progress at
the State level on the evaluation of current charitable care and community benefits standards
for not-for-profit hospitals. Dr. Katz commented that the City and County of San Francisco is
further along on this issue, given the recent charity care analysis prepared by DPH.
5) CONSIDERATION OF REVISIONS TO THE SAN FRANCISCO GENERAL HOSPITAL MEDICAL STAFF BYLAWS
Dr. Alan Gelb, SFGH Chief of Staff, presented the following revisions to the SFGH Medical
- SFGH Bylaws, Article II, Section 2.2.A1
- Licensure to include Sections 2113 and 2168, Certificate of Registration
- SFGH Bylaws, Article II, Section 2.2 C
- Board Certification requirement recommendation change
- SFGH Bylaws, Article II, Section 2.4
- Board Certification requirement, waiver of qualification recommendation change
- SFGH Bylaws, Article IV, Section 4.5 A
- Proctoring requirement recommendation change
- SFGH Bylaws, Article IV, Section 4.5 D
- Proctoring duration recommendation change
- SFGH Bylaws, Article VI, Section 6.2 A
- Board Certification requirements for service chiefs recommendation change
- SFGH Bylaws, Article XII, Section 12.1
- Changes to Bylaws language concerning unilaterally amending the Bylaws
These revisions, which were approved at the July 11, 2000 meeting of the San Francisco
General Hospital Medical Executive Committee, do not require Medical Staff approval, but do
require Governing Board ratification.
Dr. Gelb pointed out in Article II, Section 2.4, August 1, 2000 is a clerical error. The
date should be October 3, 2000. Additionally, Dr. Gelb brought attention to a new Section 4.2
Integrative Therapies Subcommittee, which will look at various forms of alternative therapies
(i.e. acupuncture), and which is of interest in the Asian community.
Commissioner Chow pointed out Article XII, Section 12.1, promotes a process of cooperation
between the Medical Staff and Governing Body.
Action Taken: The Commission approved the revisions to the SFGH Medical Staff Bylaws
(SFGH Medical Staff Credentialing Procedure Manual, SFGH Medical Staff Rules and Regulations,
and the SFGH Medical Staff Committee Manual).
6) CONSIDERATION OF A RESOLUTION SUPPORTING DOMESTIC VIOLENCE AWARENESS MONTH, AND
ENCOURAGING ALL CITY CAR OWNERS TO PLACE DOMESTIC VIOLENCE BUMPER STICKERS ON BUMPERS
Kate Monico-Klein acknowledged October not only as a Domestic Violence Awareness month, but
also as Breast Cancer Awareness month. The Department has planned activities throughout
October to address the mythologies which surround both domestic violence and breast cancer.
Commissioner Chow expressed concern about the use of "mandate" and would prefer
Commissioner Parker likes the idea and intent of the resolution but questions the use of
Because of the broadness of the issue, Commissioner Guy as a public official would support
Commissioner Hill expressed his support for the use of "mandate" and would
support the resolution as proposed.
Commissioner Chow proposed a friendly amendment to replace "mandate" with
Action Taken: The Commissioners (Guy, Chow, Parker) voted to amend the resolution by
replacing the word "mandate" with "strongly urge." Commissioner Hill voted
Action Taken: The Commissioners (Guy, Chow, Hill, Parker) voted to adopt the amended
Resolution #13-00, "Recognizing that October is Domestic Violence Awareness Month, and
Supporting Placement of "There’s no Excuse for Domestic Violence" Bumper Stickers
on all Department of Public Health Vehicles."
City Supervisor Alicia Becerril was present at this meeting in Chinatown. She introduced
her City Hall staff and commented that she would be happy to carry the Commission’s
Resolution on Domestic Violence to the full Board of Supervisors.
7. PRESENTATION ON CHINATOWN COMMUNITY HEALTH AND WELLNESS
On behalf of the Commission, Commissioner Chow acknowledged the following persons for their
assistance and cooperation in organizing today’s meeting in the Chinatown community:
- Sandy Mori, Executive Secretary to the Health Commission
- Kent Woo, NICOS Executive Director
- Madeline Ritchie, Health Center Director, Chinatown Public Health
- Wilma Louie, DPH Mental Health Division
- Edward Koo, translator, Clinical Social Worker, Chinatown/North Beach Mental Health
- Grace Lam, translator, Nutritionist, Chinatown Public Health Center
Commissioner Chow presented a special Certificate of Appreciation from the Commission to
the NICOS Chinese Health Coalition. Accepting on behalf of NICOS was Dr. Evelyn Lee,
NICOS Chinese Health Coalition is a public-private-community partnership of more than 35
health and human service organizations and concerned individuals. NICOS’ mission is to
enhance the health and wellness of San Francisco’s Chinese community. Since 1985, NICOS has
been engaged in research, training, advocacy, resource development, and program implementation
for the benefit of this population and the agencies that serve it.
The Founding members are: North East Medical Services, Chinese Community Health Care
Association (IPA), Chinese Hospital, On Lok Senior Health Services and Self-Help for the
- Dr. Evelyn Lee, President of NICOS Chinese Health Coalition, presented the summary of
findings from the Chinese Community Health Study in the Fall of 1995.
- Dr. Alex Moy, Medical Director, Chinatown Public Health Center, described the Center’s
services: mental health, nutrition, public health nursing, dental, and WIC; the Center has
no social worker on its staff; described collaboration with Chinese Hospital and North
East Medical Services.
- Linda Yau, cancer survivor, described her experiences with her cancer and the cancer
support group; due to common interest and backgrounds, offers her help to other cancer
patients in the Bay Area; cancer support group should be an independent group.
- Helen Yuen, Director of Nutrition Services, Self-Help for the Elderly, emphasized
culturally appropriate services to Cantonese, Mandarin, and Vietnamese-speaking people of
all ages; advocated for the maintenance and expansion of nutrition services in Chinatown.
- Irene Chan, community member, CPHC Advisory Committee, advocated for bilingual,
biliterate staff; need for asthma workshops for Chinese-speaking parents; advocated for a
social worker and public health nurse positions; has made repeated pleas for the past five
years for signage for Chinatown Public Health Center.
- Note: Dr. Katz announced a sign for the Chinatown Public Health Center will be
funded and put up by the end of October.
- Brenda Yee, interim CEO of Chinese Hospital, submitted a booklet on Chinese Hospital;
provided overview of the hospital’s services, including services to the indigent and
- Angela Sun, Chinatown Community Health Resources Center, gave an overview of services to
monolingual Chinese; need for culturally competent services.
- Helen Kwan, CCDC, promoted pedestrian safety education to children and seniors.
- Sister Paulette Yeung, Social Worker, St. Mary’s Teahouse Ministries, described the
gambling problems in the Chinese community and emphasized treatment, prevention, and
public education; works with Cameron House, Asian Perinatal Advocates, and RAMS.
- Tina Shum, Social Worker, Cameron House, described services for domestic violence,
gambling; has trilingual staff.
- Daniel Ip, Chair of Asian American Mental Health Task Force, stated the monolingual
geriatric population is neglected in the area of mental health; advocated for a bilingual
position in mental health.
- Anni Chung, CEO for Self-Help for the Elderly, stated Asians have high tolerance for
pain and have historically not asked for help; encouraged the Department to include in its
Strategic Plan the high percentage of Asians in each Supervisorial district; promoted the
need for parity and equity; requested the Department to set up a Task Force to work with
the community; to look at creative ways to address the housing crisis; look at Chinatown
Public Health Center and give it adequate and sufficient funding (i.e., replace social
worker position); create a special Asian/Pacific Islander initiative to look for
resources; and invited Commissioners to take a tour of Chinatown.
- Kent Woo, Executive Director, NICOS Chinese Health Coalition, reinforced Ms. Chung’s
President Guy thanked the speakers, translators, and Commissioner Chow for organizing today’s
Commissioner Chow encouraged the Department to look at Chinatown Public Health Center as a
model for community resources and services to the whole community. As the Department moves
into its overall Strategic Plan, it should look at the local data in comparison to national
data and focus in on the needs of Asians.
Commissioner Parker pointed out there are similar problems in various communities. The City
has more and more unmet needs. He believes prevention should be the priority and yet there is
a continued push for treatment and little for prevention. There needs to be a change in the
mindset in the community and in the health field. There is an overall need for universal
President Guy thanked the audience and Commissioners for their participation.
8) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 6:35 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission