Minutes of the Health Commission Meeting
Tuesday, April 3, 2001
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 Roma P. Guy, MSW, at 3:05 p.m.
Present During the Meeting:
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Arthur M. Jackson
- 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 MARCH 20, 2001
Action Taken: The Commission adopted the minutes of March 20, 2001.
3) PROPOSED ACTION: APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET
(Commissioner David J. Sanchez, Jr., Ph.D.)
(3.1) DPH-Central Office - Request for approval to transfer the title
of the property located at 50 Raymond Street from the Department of
Public Health to Visitacion Valley Community Center.
(3.2) CHN-SFGH Radiology - Request for approval of a contract
modification with The Registry Network, Inc., to provide intermittent,
as-needed, seven day a week on-call, professional radiology
technologists, in the amount of $270,000, increasing the contract from
$173,600 to $443,600, for the existing contract period of July 1, 2000
through June 30, 2001. (DPH contracted with Registry Network for
services totaling $526,067 during FY 1999-2000).
(3.3) CHN-Office of Managed Care - Request for retroactive approval
of a contract modification with the Regents of the University of
California, San Francisco (UCSF), to increase the contract from
$1,700,000 to $2,200,000 and modify the start date to begin three (3)
months earlier, for the period of April 1, 2000 through June 30, 2001,
to reflect the effective date of the dissolution of UCSF Stanford Health
Care. (DPH contracted with UCSF for services totaling $11,454,369 during
(3.4) PHP-Housing & Urban Health/Mental Health - Request for
approval of a new contract with Page Street Guest House, in the amount
of $1,470,025 to provide residential care facility services targeting
difficult to place clients referred primarily by SFGH and Mental Health
Rehabilitation Program, for the period of February 1, 2001 through June
(3.5) PHP-Bureau of Environmental Health Management - Request for
approval of a retroactive new contract with the San Francisco League of
Urban Gardeners (SLUG), in the amount of $87,047, to identify strategies
for improving access to nutritious food in the Bayview Hunters Point
community and to provide job training and youth interns in the
community, for the period of January 1, 2001 through June 30, 2002.
(3.6) PHP-Bureau of Environmental Health Management - Request for
approval of a modification to the contract with Romic Environmental
Technologies to increase the dollar amount by $400,000 for a total
revised contract amount of $600,000, to provide hazardous waste removal,
transportation and disposal services, for the period of July 1, 2000
through June 30, 2002.
(3.7) AIDS Office - Request for approval of a new sole source
contract with Harm Reduction Coalition in the amount of $118,000 to
provide harm reduction training services to community-based
organizations that provide HIV prevention services, for the period of
April 1, 2001 through December 31, 2001.
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
POPULATION HEALTH AND PREVENTION
Problem Gambling Media Campaign
The Chinese Community Problem Gambling Project, a project of NICOS
Chinese Health Coalition, is launching a media campaign to tackle the
issue of Chinese American problem gambling. The Board of Supervisors
initially funded the project with strong advocacy from Supervisor Mabel
Teng. Through June, television, radio and newspaper ads will appear in
Chinese language media asserting that "when one person is addicted to
gambling, the whole family suffers”. The project, the first of its kind
in the United States, includes counseling, advocacy and outreach services,
in response to a study that found that nearly 70% of the City's Chinese
American adults consider gambling to be a problem in their community.
STOP Red Light Running Campaign
The STOP Red Light Running Campaign takes a new approach this month,
encouraging drivers to put red light wait time to good use. The full
campaign will be rolled out on billboards, street signs, promotional
items, and a new web site, all announcing the same message: "Stop at
the red. You'll only kill a few seconds." The STOP Red Light Running
Campaign represents a collaboration of the Department of Parking and
Traffic, the Police Department and the Department of Public Health
(Community Health Promotion and Prevention) to increase safety on the
streets of San Francisco. Take the Safe Driving Pledge at
Stop for Kids Safety Week
Stop for Kids Safety, an organization started by Marie and Ozzie
Williams in memory of the death of their son Robert Davenport from an
unsafe driver, continues its 9th annual Stop Light Walk/Run/Ride for
Safety April 7th. Mayor Brown proclaimed the second week of April as
"STOP FOR KIDS SAFETY WEEK." The event begins this Saturdy at
Bayview Park, 9a.m. (3rd and Keith St) and ends at Candlestick Park where
trees are planted and again will be planted for the victims of traffic
accidents. Representatives of the Department of Public Health, along with
elected officials and other city agencies, will join the community in this
fight for safety on our streets. For additional information contact Marie
Williams (207-2409), Ismael Birch (553-1962) or Leah Shahum (431-2453 #2)
COMMUNITY HEALTH NETWORK
Videoconferencing Interpretation Pilot
The Community Health Network (CHN) is participating in a
Videoconferencing Medical Interpretation (VMI) project with Health Access
and Highland Hospital Medical Center.
The goal of the project is to develop medical interpretation services
for limited English speaking patients provided through videoconferencing.
The pilot began at SFGH’s General Medicine Clinic offering services
in the two most frequently requested languages requiring translation
services, i.e., Spanish and Cantonese. A dedicated quiet room was located
for interpreters to deliver language services over the VMI application to
assure patient confidentiality. The patients are happy with the quick
access to an interpreter and the providers have stated that the VMI
application gives a clear image with quality audio that is very easy to
use. Several additional languages will soon be added to the pilot project.
In late April, the pilot will be expanded to Laguna Honda Hospital.
Forensic AIDS Home-base Project
The Forensic AIDS Project of Jail Health Services is pleased to welcome
Home-base, part of a three-year demonstration project which targets HIV
positive prisoners. Jail clients who consent to participate in the
Home-base study will be randomized into two groups. Group One will receive
“Standard of Care” which means they will receive in-jail case
management services from the Forensic AIDS Project. Home-base staff will
offer Group Two, enhanced case management; individual substance abuse
counseling and group health education. The Home-base staff will continue
to provide services when the prisoner is released from custody, plus three
months of housing and money management. The Forensic AIDS Project clinical
staff is responsible for making referrals to the program. This program
will be very helpful in assessing the wrap around service needs of this
Conference on Chinese-American Elders
A one-day conference, Enhancing Clinical Understanding and
Communication with Chinese-American Elders will be held on April 7th at
Laguna Honda Hospital. The Stanford Geriatric Education Center, Laguna
Honda Hospital, and the American College of Traditional Chinese Medicine
will present the program. The intended audience includes physicians,
nurses, social workers, licensed acupuncturists and other healthcare
professionals who work with Chinese-American elders. For more information
please call the Stanford Geriatric Education Center at 650-723-7063.
5) IN COMMEMORATION OF PUBLIC HEALTH WEEK:
RECOGNITION OF INNOVATIVE PUBLIC HEALTH PROGRAM: DIRECT ACCESS TO
HOUSING, AND UPDATE FROM HOUSING AND URBAN HEALTH DIVISION
Representatives from the Department’s Housing and Urban Health (HUH)
Section delivered a presentation to the Commission. The mission of the
Housing and Urban Health Section is to promote stability and wellness
among people living with poverty, homelessness, and multiple health
problems, through respectful healthy services, advocacy and housing. The
presentation accompanied the written “Report to the Health Commission,
April 3, 2001.”
Mark Trotz, Director of the Housing and Urban health Section, provided
an overview of the section’s organization. He then spoke about housing
activities within HUH, which he categorized into three types of housing:
short-term stabilization; transitional housing; and permanent housing. Mr.
Trotz stated that the Department has approximately 40 contracts for a
total of 1120 housing slots. HUH is active in several other housing policy
areas, including improving the health and safety in private SRO
facilities, and expanding the Department’s master-leasing of entire SRO
hotels. Mr. Trotz identified recent accomplishments of HUH, which include:
opening the Ark House transitional housing facility for homeless lesbian,
gay, bisexual, transgender, queer and questioning young adults;
master-leasing the 91 unit SRO LeNain Hotel for homeless seniors; and
developing Autumn Glow, a 15 bed residential care facility for elderly
people with Alzheimer’s and other forms of dementia. He also identified
other housing projects in development, including: master-leasing the
34-bed Broderick Street residential care facility, which will provide long
term care for clients who have been difficult to place due to medical
complications and/or behavior issues; and finalizing negotiations for two
new master-lease hotels that will provide a total of 105 new SRO units.
Joshua Bamburger, M.D., Medical Director of HUH, discussed urban health
activities. In particular, he spoke about housing as an important health
component, and integrating medication adherence therapy into housing
facilities. Dr. Bamburger raised these topics: Action Point, a
street-based store front project that provides social support and nursing
services to assist HIV infected urban poor to adhere to highly active
antiretrovial therapy; Action Point Bayview, the second Action Point
Project; the Soft Tissue Infection initiative, and the Heroin Overdose
- Asked about clean up and other preparations for master-leases. [On
this point, Dr. Katz noted the value of renovations and
master-leasing. He stated that from the neighbor’s point of view,
the Department has eliminated a place of heavy drug usage, and has
maintained property values, while the City receives a cost-effective
source of housing, without bond measures or capital acquisitions.]
- Agreed that the Department and Housing and Urban Health have been
successful in providing healthcare and comprehensive services.
- Agreed that integration of housing and health was encouraging and
exciting, and asked how HUH handles people who may be unable to
transition [Dr. Katz noted that with today’s HIV drugs, people
living longer, and wait lists for housing do not move as quickly as it
did in previous years.
- President Guy recognized great work of team, and stated that
leadership of Mr. Trotz is part of attracting a good team. Community
appreciates your ability
- Josh - Evaluating cost-effectiveness of housing; is it money well
PRESENTATION OF THE ANNUAL DATA REPORT: OVERVIEW OF POPULATION BASED
HEALTH STATUS OF SAN FRANCISCO
Randy Reiter, from the Department’s Community Health and Epidemiology
Control Section, presented before the Commission. He discussed the
Department’s report, “Overview of Health, Public Health Week, April 2
- 6, 2001.”
The Report is divided into three sections. “Who We Are” provides a
demographic view of the age an ethnic distribution of San Francisco’s
population. “How We Live” presents information on conditions that are
known to be major determinants of health in populations, including
poverty, socioeconomic conditions, air pollution, crime, substance abuse,
and risky behaviors. “Our Health” major physical and mental health
This year’s overview includes the latest data available about
important aspects of health and well being of our population. In addition,
it contains information about the major conditions that contribute to the
patterns of health, illness, and injury in San Francisco. The Report
illustrates disparities across groups, determinants of ill health, trends
over time, comparisons to state or national levels or national standards,
and includes measures of premature deaths or disability.
Mr. Reiter called the Commission’s attention to two particular areas.
He discussed Disability Adjusted Life Years (DALY), a measure of the
overall burden of disease and injury in a population. According to the
Report (page 28), the measure allows health evidence to be used to
estimate the largest contributors to reduced years of healthy life due to
disease, injury, disability, and death. Mr. Reiter also highlighted the
prevalence of serious mental illness (page 45). He stated that San
Francisco’s rate of almost 8% is believed to be underestimated, but is
one of the highest among California counties.
According to Mr. Reiter, the Report is widely distributed and freely
available on web and hard copy. It is approximately 50 pages, and may be
downloaded from www.dph.sf.ca.us, or may be
obtained through the Planning Office, Population Health and Prevention,
San Francisco Department of Public Health, 415-255-3470.
The Commission thanked Mr. Reiter for his presentation.
PRESENTATION OF THE ANNUAL DATA REPORT: OVERVIEW OF POPULATION BASED
HEALTH STATUS OF SAN FRANCISCO
6) CONSIDERATION OF A RESOLUTION DETERMINING WHETHER THE CLOSURES AT
ST. MARY’S MEDICAL CENTER WILL OR WILL NOT BE DETRIMENTAL TO THE HEALTH
SERVICE OF THE COMMUNITY
7) OTHER BUSINESS/PUBLIC COMMENTS
Action Taken: The Commission voted to hold a closed session.
Action Taken: The Commission came out of closed session at 7:10 p.m.
Action Taken: The Commission voted not to disclose any discussions held
in closed session.
The meeting was adjourned at p.m.
Arthur R. Greenberg, Interim Executive Secretary to the Health