Minutes of the Health Commission Meeting
Tuesday, October 16, 2001
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The meeting was called to order by President Roma P. Guy, M.S.W., at
- President Roma P. Guy, M.S.W.
- Vice President Edward A. Chow, M.D.
- Commissioner Arthur M. Jackson
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner John I. Umekubo, M.D.
- David Sanchez, Jr., Ph.D.
2) APPROVAL OF THE MINUTES OF THE REGULAR MEETING OF OCTOBER 2, 2001
Action Taken: The Commission (Guy, Chow, Jackson, Monfredini, Parker,
Umekubo) approved the minutes of the October 2, 2001 meeting, with one
correction to reflect the correct spelling of Richard Heasley’s name.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
Commissioner Monfredini chaired, and Commissioner Jackson attended,
the Budget Committee meeting.
(3.1) CHN-Revenue Management - Request for approval of a new contract
with Health Advocates, LLP, to enhance Medi-Cal and other third-party
reimbursements at San Francisco General Hospital, with reimbursement
based on a sliding scale contingency fee, for the period of
certification through December 31, 2005.
(3.2) PHP-STD Prevention and Control - Request for approval to accept
and expend retroactively a new three-year grant from the Centers for
Disease Control in the amount of $901,544 to study the efficacy of
condom-use skills-building workshops, for the period of September 30,
2001 through September 29, 2004 and a sole source contract with the
Regents of the University of California San Francisco, Center for AIDS
Prevention Studies, in the amount of $701,226, for the period of
November 1, 2001 through October 31, 2004.
(3.3) PHP-Mental Health - Request for approval to accept and expend a
grant from the California Department of Mental Health in the amount of
$2,913,000 for the Older Adult System of Care Demonstration Project, to
create an innovative collaborative model among the physical health
primary care system, the mental health system, providers of dementia
care and adult protective services; and utilizing a residential care
facility and peer counseling, for the period of Fiscal Years 2001-02,
2002-03 and 2003-04.
(3.4) PHP- Mental Health - Request for approval to accept and expend
a grant from the State Department of Mental Health in the amount of
$226,566, and a grant from the San Francisco Private Industry Council,
in the amount of $832,500, for a three-year youth development and crime
prevention initiative, for the period of July 1, 2001 to June 30, 2004.
(3.5) PHP-Mental Health - Request for approval of a retroactive
contract renewal with Conard House in the total amount of $8,388,980, to
provide mental health services, for the period of July 1, 2001 through
June 30, 2003.
(3.6) PHP-Mental Health - Request for approval of a retroactive
contract renewal with Regents of the University of California San
Francisco, Center on Deafness, in the amount of $435,397 per year, for a
total contract amount of $1,741,588, to provide mental health safety net
services, for the period of July 1, 2001 through June 30, 2005.
(3.7) PHP-Mental Health - Request for approval of a retroactive
contract renewal with Baker Places, Inc., in the amount $6,725,769, for
the provision of residential, rehabilitative and intensive day treatment
services, for the period of July 1, 2001 through June 30, 2002.
(3.8) PHP- Substance Abuse - Request for approval of a retroactive
contract renewal with Baker Places, Inc., in the amount of $3,389,541,
to provide substance abuse services, for the period of July 1, 2001
through June 30, 2002.
Items 3.7 and 3.8 were called together.
At the request of Commissioner Monfredini, Monique Zmuda summarized
the findings of the audit that was done of the Baker Places, Inc.
contracts. Ms. Zmuda stated that she requested that the Office of
Internal Audit perform a limited review of the agency’s credit card
transactions. The audit found that the agency did not adequately control
credit card transactions, that it misclassified expenditures, it did not
follow certain federal limits, that there were weaknesses in some
purchasing practices, and that there was a lack of an allocation plan
for indirect costs. In essence there was insufficient documentation to
show why the expenditures were made. It appeared that approximately
$30,000 of the expenses could have been personal in nature or not
appropriate to be charged to the City and County. Ms. Zmuda stated that
as soon as the discrepancies were noted, both the Executive Director and
the Chief Financial Officer immediately cooperated with Department
staff. Ms. Zmuda feels confident that enough corrective actions have
been taken by the agency. In addition, they have agreed to repay the
City and County for inappropriate expenditures. Ms. Zmuda ended by
saying that she was going to reinforce to all contract agencies, via a
directive, that credit card usage must be very tightly controlled.
Jonathan Vernick, Executive Director for Baker Places, stated that
the agency made serious errors, and they worked very closely with the
auditors to address the deficiencies. Mr. Vernick stated that he is the
origin of many of the problems they are dealing with, but now they are
appropriately dealing with the wrongs of the past. He assured the
Commission that this would never happen again.
Pablo Bravo, Chief Financial Officer for Baker Places, stated that he
has looked at the agency’s internal infrastructure and made all of the
Cory Bush, Vice President of the Board of Baker Places, stated that
after the audit findings were presented, the Board immediately got
involved to correct the situation. The Board is determined to make sure
this does not happen again. In addition, Mr. Bush said that the Board
intends to establish a Finance Committee, to provide better oversight
and direction to all financial issues.
- Commissioner Monfredini said that the programs received excellent
reviews. However, the financial problems that were identified by the
audit are of great concern. Commissioner Monfredini emphasized that
funds were not stolen from the agency, and that problems that the
agency is facing are not of that nature. Nonetheless, they still are
serious. It is critical that organizations keep good financial
records. Commissioner Monfredini urged Baker Places to expand its
Board of Directors, and establish a Finance Committee within the Board
- Commissioner Jackson stated that in these difficult economic times,
non-profit organizations unfortunately are very vulnerable in terms of
funding, and they cannot afford even the appearance of impropriety.
Commissioner Jackson continued that money is tough and the Department
needs non-profits and community providers desperately, and cannot
afford to lose the trust of the public.
(3.9) PHP- Substance Abuse/Mental Health - Request for approval of a
retroactive contract renewal with Iris Center, in the amount of $967,783
per year, for a total contract amount of $3,871,132, to provide
outpatient and day treatment substance abuse program services, for the
period of July 1, 2001 through June 30, 2005. The Department
recommended modifying the contract so the term would be one year,
instead of four years.
- Commissioner Monfredini, noting low performance ratings given to the
Iris Center, asked the Executive Director of the agency to explain the
steps that were being taken to improve performance and documentation.
Trena Patton, Interim Executive Director, responded that while the
services were being delivered, the documentation to support the work
was not compiled and reported to the Department. She is working with
the program manager to develop a system so that all data can be
adequately reported to the Health Department. Commissioner Monfredini
reiterated the importance of documentation, because otherwise the
Department has no way of knowing if these critical services were
delivered to clients. She also emphasized that the Department staff is
available to the agency to offer assistance and help them be
successful. Commissioner Monfredini concurred with the Department’s
recommendation to modify the contract to a one-year term.
- Commissioner Jackson stated that he was perplexed that the agency
itself was not aware that they had a problem. He said that agencies
need to be proactive in ensuring that everything is in order. This
program is critical to the community, and the Health Department needs
to be sure the services are being delivered.
(3.10) PHP- Substance Abuse/Mental Health - Request for approval of a
retroactive contract renewal with Walden House, Inc., in the amount of
$7,310,206, to provide residential mental health and substance abuse
treatment services, for the period of July 1, 2001 through June 30,
- Commissioner Jackson commended Walden House for its high-quality
services. She asked why the agency had a high level of voluntary
discharge in its Adolescent Substance Abuse Treatment program. Jim
Stillwell, Interim Director for Community Substance Abuse Services,
responded that the Department and the Agency are going to research
this question. Don Frasier, Contracts Manager for Walden House, added
that clinical staff is examining this issue on an on-going basis.
- Commissioner Monfredini asked the Department to explain its
recommendations that relate to the BASN Program. Mr. Stillwell
responded that they will be working with the agency to gather data on
both status of discharge and on length of stay for program
(3.11) PHP-Mental Health/Substance Abuse - Request for approval of a
retroactive contract renewal with Swords to Plowshares in the amount of
$422,741 per year, for a total contract amount of $1,690,964, to provide
mental health services, for the period of July 1, 2001 through June 30,
(3.12) PHP-TB Control - Request for approval of a retroactive
contract renewal with the Regents of the University of California San
Francisco, in the amount of $238,764, for the provision of physician and
radiologist services in the SFGH TB Clinic, for the period of July 1,
2001 through June 30, 2002.
(3.13) PHP-Health Promotion - Request for approval of a contract
renewal with International Institute of San Francisco, in the amount of
$273,412, to provide refugee preventive health services, for the period
of October 1, 2001 through September 30, 2002.
(3.14) PHP- Health Promotion - Request for approval of a new contract
with Polaris Research and Development, Inc., in the amount of $271,577
to provide services to the Black Infant Health Program, for the period
of October 1, 2001 through June 30, 2002.
(3.15) AIDS Office-Surveillance - Request for approval of a new
retroactive sole source contract with WESTAT Inc., in the amount
$324,702, to provide telephone interview services for an HIV
Seroincidence Study, for the period of July 1, 2001 through December 31,
(3.16) Central Administration-Finance - Request for approval to
increase the revolving fund for Population Health and Prevention by
$18,000 to $43,000.
Action Taken: The Commission (Guy, Chow, Jackson, Monfredini, Parker,
Umekubo) approved the Consent Calendar of the Budget Committee, with the
modification to Item 3.9 to reflect a one year term, rather than a four
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
(Report on activities and operations of the Department.)
Numerous Anthrax Scares; Department is Prepared for Potential
Over the past four days, San Francisco has been deluged with calls of
suspected Anthrax exposures. To date, all calls have proven to be false
alarms, including the substance found at City Hall yesterday. Most of the
calls were sparked by receipt of an envelope or package that had a white
powdery substance. We had a similar episode today at 101 Grove, Room 100
when an envelope was found containing white powder. This incident is
currently being investigated and the room is cordoned off.
We have a finely calibrated system for dealing with each incident.
After 9-1-1 is called, the police and fire department respond and remove
the substance from the premises. The Toxics unit of the Environmental
Health Division responds in a consultative role. Our Public Health
Laboratory has developed a protocol to test for Anthrax in clinical
Understandably there has been great concern from the public about the
possibility of the bacterium Anthrax or other bioterrorism. In response to
these concerns, the SFDPH web site is being updated daily to provide
accurate and timely information about the prevention and control of
biological threats (BT) to populations from natural disasters, accidents,
or intentional acts (bioterrorism). http://www.medepi.org/sfdph/bt/index.html
We have joined with the San Francisco Medical Society in urging Doctors
and lay persons to avoid use of unnecessary antibiotics. Dr. Tomas Aragon
has done a large number of trainings with our staff as well as with
Although, there have been no Anthrax reports in San Francisco or in
California as a whole, we are recommending that people handling large
volumes of mail wear gloves. The benefit of this is that it should prevent
exposure if there was an actual Anthrax exposure and it also decreases
concern of persons who are exposed to substances that have not yet been
More broadly we have done extensive emergency preparedness planning. We
have ample supplies of antibiotics and other medical supplies. We have
been part of a federal MMST project, which has given us the capability to
respond to a number of potential incidents. Dr. John Brown, the Medical
Director of the EMS agency gave testimony today at the Economic Vitality,
Small Business and Social Policy Committee at the request of Supervisor
One unexpected benefit of these false alarms is that it has greatly
facilitated our emergency response preparedness, and I feel confident that
we have the capability to respond appropriately to any emergencies.
Evaluation of Case Management for HIV-Infected Persons Published in
the Annals of Internal Medicine
The Annals of Internal Medicine published a study evaluating the
effectiveness of case management for HIV-infected persons. Consistent with
prior studies of case management, we found that case management was
effective in increasing the proportion of HIV-infected persons who
received key supportive services, including income assistance and health
insurance. The most startling finding was that case management also
increased the proportion of HIV-infected persons who received triple
combination therapy-a life saving intervention. The study was part of the
national HIV Cost and Services Utilization Study, which the Department of
Health was one of the many collaborators. I was the lead author on the
article. The article was accompanied by an editorial urging the federal
government to fully fund the Ryan White Care Act so that services such as
Case Management would continue to be available.
Single Room Occupancy Hotel Fire
A fire broke out at the Casa Loma Hotel on the corner of Fell and
Fillmore Sunday morning at 7am. Thirty-nine tenants in 22 units were
displaced. Department of Public Health was among the first City
responders. We set up a Red Cross triage facility at Walden House located
one block away at Hayes and Fillmore. All tenants were vouchered into the
Travel Lodge for a few nights until more permanent housing could be
Primary Care Administrator Appointed
Dr. Patricia Perez-Arce, currently serving as the Castro Mission Health
Center Director, has been appointed to the position of Primary Care
Administrator. Dr. Perez-Arce will begin her new appointment on November
5, 2001. Primary Care will be well served by an administrator with Dr.
Perez Arce's skills and experience.
The Department is very grateful to Gay Kaplan, who has ably filled in
as the Interim Primary Care Administrator for the past 7 months.
Health Center Featured in the San Francisco Chronicle
The Potrero Hill Health Center was featured in the Sunday October 7,
2001 San Francisco Chronicle Magazine. The article, written by staff
reporter Mike Weiss, chronicles the history of the health center and
describes the support it engenders from the community it serves. The
article also documents the concern and dedication of the health center
ADAPT Protect of LHH Replacement Project
ADAPT (American Disabled for Attendant Programs Today) is holding
it’s annual conference in San Francisco from October 20 - 25th.
The ADAPT group is a special interest group which advocates for community
based care programs and support services for the disabled population.
ADAPT is planning a protest at Laguna Honda Hospital, October 21st
opposing the rebuild efforts. The Department has been working with other
City agencies to ensure the protest is peaceful and does not disrupt
normal hospital operations. Laguna Honda resident care programs and
progress on the replacement project will continue without interruption.
Chinese Women’s Cancer Support
The Chinese Women's Cancer Support group held a celebratory luncheon
October 11th at the Chinatown Health Center. The book" Our
Stories" was presented as well as a Quilt made by the members.
"Our Stories" involves 24 women from the support group, telling
their personal journeys with cancer. It is a unique and moving account of
their experiences. Three of the group members courageously shared their
experiences with the audience. The book is in English and Chinese and
includes guidelines for cancer screening. To obtain copies call the Health
Center at 705-8500.
COMMUNITY HEALTH NETWORK
SAN FRANCISCO GENERAL HOSPITAL
Health Commission - Director of Health Report
(from 10/01/01 MEC and 10/16 SFGH)
Changes in Privileges
Current Statistics - as of 10/1/01
Affiliate Professionals (non-physicians)
Applications In Process
Applications Withdrawn Month of September 2001
SFGH Reappointments in Process Through February 2002
- Commissioner Monfredini asked how many anthrax cases were reported
in the United States prior to September 11, 2001. She also asked Dr.
Katz to comment on the repercussions of taking antibiotics
unnecessarily. Dr. Katz responded that there have been approximately
130 cases of anthrax per year, most of which were in people who worked
closely with livestock. With regard to antibiotics, Dr. Katz said that
there are significant dangers associated with taking antibiotic when
they are not needed, and he recommends that people not do so.
Commissioner Monfredini asked when smallpox vaccinations were
discontinued, to which Dr. Katz replied that they stopped in the early
1970s. Commissioner Monfredini thanked Dr. Katz for his calmness and
sense of assurance in the face of the anthrax scares. It is very
reassuring to the public.
- Commissioner Parker asked if there are prevention efforts targeting
SRO hotels, as it seems as if SRO fires have been occurring
frequently. Anne Kronenberg responded that the Mission and Chinatown
SRO Collaboratives help tenants of SRO hotels prevent fires. The
collaboratives work closely with the Fire Department and the Bureau of
- Commissioner Chow stated that, with regard to potential bioterrorist
attacks, the ties between the Department of Public Health and the
medical community are critical, and the Department has done a great
job working with the San Francisco Medical Society, the Hospital
Council and other entities. Commissioner Chow said that he had the
pleasure of attending the October 11th celebration for the
Chinese Women’s Cancer Support Group at the Chinatown Health Center.
He said that the fact that women in the Chinese community put their
feelings in writing is truly monumental, and it is due to the
outstanding and pioneering work of Health Center staff. Commissioner
Chow then congratulated Dr. Katz for being the lead author of the
Annals of Internal Medicine article.
- Commissioner Guy commended the staff for their dedicated and
consistent response to SRO fires. She stated that staff’s response
to the anthrax scares has been laudable, both in regard to calming
people’s fears and being ready and able to respond to actual
incidents. Commissioner Guy said that, in light of the events of the
past month and the critical role the Department of Public Health has
in bioterrorism and disaster response, the Commission and the
Department might need to examine its mission over the next several
5) HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
(Diane Keefer, Chief Compliance Officer)
Diane Keefer, Chief Compliance Officer for the Department of Public
Health, updated the Commission on the status of complying with the health
Insurance Portability and Accountability Act (HIPAA). HIPAA, which was
signed into law in 1996, has numerous provisions. The Administrative
Simplification Subpart is what currently impacts the Department of Public
Health. Under this Subpart, all covered entities such as health care
providers and health plans must implement standards that are intended to
improve efficiency, reduce paperwork, and protect security and privacy of
individually identifiable health information.
To ensure compliance with the many provisions of HIPAA, a steering
committee was appointed by Dr. Katz.
Ms. Keefer stated that four task forces have been established to focus
on the specific provisions of the HIPAA final rules:
- Transaction Standards and Code Sets (TCS) Task Force
- Privacy Regulations Task Force
- Security Regulations Task Force
- Business Associates Task Force.
Donna Jacobs, Information Sytems Manager for SFGHMC, the co-chair of
the Transaction Standards and Code Sets Task Force, gave an overview of
the work of the task force. This task force is charged with implementing
the standards for the electronic exchange of administrative and financial
transactions. Compliance is required by October 16, 2002.
Transaction Standards and Code Sets Task Force Next Steps
- Analyze which systems and transactions will require remediation,
either by a contract vendor or through in-house IS staff, to meet the
- Complete Business Associate surveys to determine vendor readiness
and their timelines for HIPAA compliance.
Cheryl Austin, Director HIS, SFGHMC and co-chair of the Privacy Task
Force, described the work of the task force. The HIPAA privacy regulations
create standards for the protection, use and disclosure of individually
identifiable health information. Compliance with the Final Rule for
Privacy is required by April 14, 2003.
Privacy Task Force Next Steps
- Assessment surveys of DPH Policies and Procedures (GAP analysis) to
determine how Protected Health Information is created, modified,
transferred, reviewed, disclosed and maintained by DPH employees.
- Review each provision of the Privacy Regulations to determine the
scope of implementation.
Dave Counter, Director of DPH Information Systems and chairperson of
the Security Regulations Task Force, overviewed the work of the task
force, which is charged with implementing the Security Regulations that
are expected to be finalized in the next few months. Compliance with these
regulations is required by January-February 2004.
Security Task Force Next Steps
- Continue to participate in all DPH HIPAA management efforts and
provide complance monitoring reviews.
- Convene a formal HIPAA IT Security Task Force to address HIPAA
- Formalize the Security Officer function along with the Privacy
Officer, and develop a Security Awareness Program.
- Complete an internal HIPAA Security Gap Analysis.
- Identify and budget technical components required by HIPAA including
data integrity, message authentication and encryption technology.
- Implement all current and future HIPAA security requirement
solutions as a top priority for DPH information technology work teams.
Ms. Keefer described the work of the Business Associate Task Force,
which she co-chairs. This task force is charged with identifying all DPH
contractors that have access to protected health information, and ensuring
that they are HIPAA compliant.
Business Associate Task Force Next Steps
- Identifying and defining vendor relationships to determine which
fall under HIPAA regulations.
- Developing contract addendum language for inclusion in identified
Ms. Keefer then described the training needs and cost implications for
the implementation of HIPAA.
- Commissioner Jackson asked for a cost estimate for HIPAA compliance.
Ms. Keefer responded that it is difficult to predict the cost to the
Department of Public Health, but the industry predicts a $22 billion
cost over ten years. However the industry will reap some savings as
- Commissioner Guy asked how the department would ensure that DPH
contractors and UCSF comply. Ms. Keefer responded that they are
currently working with UCSF, and have two UC employees on the steering
committee. They are developing an MOU that states that UCSF will
observe all privacy requirements. Mr. Counter said that, with regard
to the security issue, they have a collaborative relationship with
UCSF, but some challenges exist. UCSF is building firewalls around its
patient data. However, there is a philosophical perspective that
research data should be open and accessible. In the future there will
need to be a policy decision about the level of protection for
- Commissioner Chow asked about the current practice for sharing
patient information with contractors. Ms. Keefer responded that the
Department performs access audits so they can see who is accessing
what information. She added that the Department can terminate
contracts if they do not comply with security and privacy
- Commissioner Parker asked if, since HIPAA is a federal mandate,
there were any federal funds to support implementation. Ms. Keefer
responded that there were not.
6) ENVIRONMENTAL HEALTH ANNUAL REPORT
(Dr. Rajiv Bhatia, Director, Environmental Health Section)
Dr. Rajiv Bhatia presented the Environmental Health Annual Report. Dr.
Bhatia described the activities of the past year using a power point
presentation . Dr. Bhatia began the presentation by stating that the
mission of the Environmental Health Section is to ensure safe and healthy
living and working conditions for all San Franciscans. Dr. Bhatia then
described the strategies of the program. First and foremost, Environmental
Health enforces the mandatory environmental health laws and regulations.
To do that requires working with other agencies in interagency
collaborations. Then Dr. Bhatia described desired outcomes, which include
program consistency, legal compliance, an informed public, active
collaborations, evidence-based interventions and healthy policies.
Dr. Bhatia then highlighted some of the programs that Environmental
Health has focussed on over the past year. First, the section developed
specific quantitative program standards and quantitative measures. They
focussed on revenue enhancement to ensure that private businesses pay for
the services they receive. The Section also has been spending a lot of
time on disaster and emergency response. A special enforcement project was
developed at Fisherman’s Wharf to address a burgeoning rat infestation
in the area. Environmental Health has been working with the Department of
Building Inspection to see that the sources of indoor mold are addressed.
They assisted the Housing Authority in the clean up and development of the
contaminated property at Bernal Dwellings. In addition, the Hotel
Inspection Program Unit has broadened its role to participate in the SRO
Hotel Work Group. With regard to assessment and information, Environmental
Health has done research on the Potrero Power Plant and Diesel Bus
Dr. Bhatia then discussed two community programs that Environmental
Health has been involved in: Day Laborers Partnership and Youth Envision.
The goal of the Day Laborers Partnership is to reduce occupation injuries
and public exposures due to construction. The Section has held bimonthly
trainings, distributed Spanish language fact sheets, and sought grant
support. The goal of Youth Envision is to improve access to healthy and
affordable food in Bayview Hunters Pont. The Section has trained 20 youth
interns, conducted more than 200 food access surveys, identified four
primary food strategies, conducted five community presentations, started a
farmers market and collaboratively sought funding.
Dr. Bhatia then described the intervention research that had been
performed by the Section, including an analysis of living wage on health.
Dr. Bhatia then spoke about Health Impact Assessments, a policy tool to
assess public policy, public programs and public decisions for health
impacts. These assessments specifically reflect shareholder values, local
knowledge, data and evidence, and a broad variety of impacts. They are
pilot testing this with the Redevelopment Agency. They hope to do
approximately 10 Health Impact Assessments this year.
- Commissioner Monfredini asked how the Environmental Health Section
was dealing with the pressures of the past few weeks. Dr. Bhatia
responded that staff is under a lot of stress, but working together
and supporting each other.
- Commissioner Chow asked how many staff work in the Environmental
Health Division. Dr. Bhatia responded that there is approximately 110
staff. Dr. Bhatia said that while the scope of work has grown, the
staff really has not. They have been able to achieve the same
standards through efficiencies.
- Commissioner Umekubo asked what role the Department plays in
cleaning toxic sites that are beyond the jurisdiction of the City and
County of San Francisco. Dr. Bhatia responded that, with regard to the
Hunters Point Shipyard, the U.S. Navy is the ultimate decision-maker.
However, the Department has a staff member assigned to the project to
monitor all proposals and progress. Dr. Bhatia stated that the
Department has a very limited role in situations such as these. The
best way the Department can be effective is to stand behind the
- Commissioner Parker asked if the Department could project healthcare
cost savings that have resulted from the implementation of the Living
Wage Ordinance, given the mortality data that resulted from the
analysis. Dr. Bhatia responded that mortality data does not allow for
these projections, but he could conduct more of those studies and look
at what the research shows.
- Commissioner Jackson asked whether the restaurants were informed in
advance that they would be inspected. Dr. Bhatia said they were not.
Dr. Bhatia added that, in the next few months, a website would be
established so the public can see when a particular restaurant was
inspected, what the findings were, and the date any violations were
- Commissioner Guy asked about the progress of the mold program. Dr.
Bhatia responded that, in the specific targeted areas, there is a lot
of activity. The Department recorded all the instances of mold in
those areas. Most people were able to comply with the requirement to
clean in up. The challenge will come when the mold recurs, and getting
at the root cause. The Department is working with the Department of
Building Inspection and Supervisor Maxwell’s office.
7) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE
RECOGNITION AWARDS FOR THE MONTH OF OCTOBER
Commissioner Harrison Parker presented the employee recognition awards.
Cynthia Selmar, Director, African American Health Initiative
Community Health Promotion and Prevention
Larry Meredith and Jimmy Loyce, CHPP
Maureen O’Neill, Social Work Supervisor
CHN-Silver Avenue Family Health Center
Lisa Golden, M.D., A. Kane, M.D., and other SAFHC staff
8) CLOSED SESSION
A) Public comments on all matters pertaining to the closed session
B) Vote on whether to hold a closed session (San Francisco
Administrative Code Section 67.11)
Action Taken: The Commission (Guy, Chow, Jackson, Monfredini, Parker,
Umekubo) voted to hold a Closed Session.
The Commission (Guy, Chow, Jackson, Monfredini, Parker, Umekubo) went
into Closed Session at 5:25 p.m.
Individuals present were all commissioners except Commissioner
Sanchez, Mitch Katz, Gene O’Connell, Alison Moed, Mathew Rothschild,
and Michele Olson.
C) Closed session pursuant to Government Code Section 54956.9 and San
Francisco Administrative Code Section 67.10(d)
Conference with Legal Counsel - Existing Litigation
Proposed settlement of unlitigated claim for $30,000 in the Luis Lazaro
(a minor) vs. CCSF et al, Superior Court, Case #00-04054
The Commission (Guy, Chow, Jackson, Monfredini, Parker, Umekubo) came
out of Closed Session at 5:48 p.m.
D) Reconvene in Open Session
1) Possible report on action taken in closed session (Government Code
Section 54957.1(a)2 and San Francisco Administrative Code Section
Action Taken: The Commission (Guy, Chow, Jackson, Monfredini,
Parker, Umekubo) approved the $30,000 settlement in Luis Lazaro (a
minor) v. CCSF et al, Superior Court, Case No. 00-04054.
2) Vote to elect whether to disclose any or all discussions held in
closed session (San Francisco Administrative Code Section 67.12(a).)
Action Taken: The Commission (Guy, Chow, Jackson, Monfredini,
Parker, Umekubo) voted not to disclose any discussions held in Closed
9) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 5:49 p.m.
Michele M. Olson, Executive Secretary to the Health Commission