|Directly from the street||18|
|Healthcare and treatment programs||74|
DPH will also be providing the rent subsidy that enables the project owner to rent to extremely low-income people while being able to maintain a financially feasible project.
This project is further proof that people with long histories of homelessness and chronic medical and behavioral health conditions can live in the community with appropriate supports. Commissioner Monfredini has agreed to speak on behalf of the Health Commission during next week’s ceremonies. She will be joined by Mayor Newsom and a number of other leaders from the City and community-based agencies who worked to bring this old hotel on line as one of the premier pieces to the South of Market Redevelopment Project area revitalization efforts.
Dr. Katz extended a special thanks to Marc Trotz, Margot Antonetty, Josh Bamberger, MD, Pam Swedlow, Sonia Bailey and John Tambis for the hard work each of them contributed to this project.
DSH Advance on Its Way to SFGH
Dr. Katz is happy to report that the State Department of Health Services is processing a $31 million payment to SFGH, representing an advance on disproportionate share services (DSH) provided during the six months ended 12/31/06. The Medi-Cal waiver has replaced payments previously made under SB855, SB1255 and GME with a payment system based on Certified Public Expenditures. The plan has not finalized a mechanism for making interim payments to public hospitals. SFGH was one of nine hospitals that submitted a request for an advance for costs incurred through 12/31. Those nine public hospitals will each receive an advance.
Healthcare for the Homeless Week
March 19-25 is the second annual Healthcare for the Homeless Week, a national event designed to draw attention to the need for appropriate healthcare for individuals who are homeless and an opportunity to recognize those who deliver an array of healthcare services to them.
The Department will be observing this occasion with two special
presentations. On March 22nd
noon-1:30 pm, in Room 220, Barry Zevin, MD, Medical Director of Tom Waddell Health Center, will be presenting a talk entitled, “Bio-Psycho-Social-Spiritual Approaches to Healthcare for the Homeless.”
The following day, March 23rd from noon – 1 p.m., the Tom Waddell Community Advisory Board (TWHC CAB) will be presenting a play entitled “The Witness,” in Room 220 produced by the Faithful Fools Street Ministry.
The Witness is a one-woman play written and directed by Martha Boesing, an internationally known playwright and acted by Recca Noon, a well-known local actor. Both Ms. Boesing and Ms. Noon will be available for questions after the presentation. Dr. Katz encouraged the Commissioners to attend this unique opportunity.
Health and Safety of the Day Laborer and Domestic Worker Community
On March 29th the Department of Public Health and the Unidos Community Council will be hosting a community forum: “Respect and Dignity: Working for the Health and Safety of the Day Laborer and Domestic Worker Community,” at the Women’s Building, 3543 18th St. from 6 p.m. – 8 p.m. The event is part of a partnership called Jornaleros Unidos con el Pueblo (Day Laborers United with the Community), or “Unidos.” This research partnership is funded by the National Institute of Environmental Health Sciences and brings together staff from the Department of Public Health, immigrant day laborers and community service organizations. The project’s goal is to improve the health and working conditions for the immigrant day laborer community.
Each of the Health Commissioners will be receiving invitations to attend this event. Dr. Katz hopes commissioners can join Rajiv Bhatia, MD and his staff, along with special appearances by day laborers and domestic workers who have recorded their stories on videotape and will be featured during the first half of the program. After the screening, staff will provide an overview of the Unidos project work and its accomplishments and a panel will be looking for proposed solutions to improve the health and safety of the workers. This is truly an exciting blend of public health and community outreach and participation. Dr. Katz looks forward to reporting back to this Commission on the outcome and lively discussion that will follow this important community forum.
LHH Residents Celebrate Construction Progress
The Laguna Honda Replacement Program is moving ahead and the residents and staff have planned the first of what will be a number of events to celebrate the construction progress of the new facility. The Commissioners, along with staff, residents and LHH volunteers, will have two chances to attend the first celebration this Friday at 1:30 p.m. in the Main Building and at 2:30 in Clarendon Hall. Come and see the newly erected and very impressive steel girders of the Link Building, have some refreshments, be a loud voice among the cheering section and sway to the melodies of a steel drum band.
Also, those who would enjoy a bird’s eye view of construction sites can watch the live action at the rebuild site by going to the internet and logging onto Camera #1 & #2 at http://turnerconstruction.oxblue.com/cam1/ or http://turnerconstruction.oxblue.com/cam2/.
5) UPDATE ON THE CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION WORKPLAN
Christina Goette Carpenter, Community Health Promotion and Prevention (CHPP), Libby Albert, Department of Children, Youth and their Families and Patricia Erwin, CHPP, presented an update on the chronic disease prevention workplan.
Chronic Disease Prevention Guiding Principles
The workplan includes research, data collection, best practices and grant development; policy development; collarboration, partnership and coordination; training and advocacy; and pilot programs. Examples include the Citywide Chronic Disease Prevention Consortium, the Let’s Be Healthy Fun n Fit Fair and the Childhood Nutrition & Physical Activity Task Force.
Ms. Albert talked about Mayor’s Shape Up San Francisco Challenge. The mission is to increase the awareness of and opportunities for increased physical activity and improved nutrition through message and action. Challenge projects: basketball tournament, April 2006; Mayor’s Summit, April 26, 2006; Mayor’s Field Day and Kids Fitness Challenge, May 20, 2006; San Francisco Employees WALK & ROLL, August-September 2006; San Francisco Students and Families WALK & ROLL, October – November 2006.
Ms. Erwin described the Let’s Be Healthy! Project, which is a collaborative project of DHP’s Newcomer Health Program, Ocean Park Health Center, Family Health Center and Bay Area Community Resources. The goal is to promote overall well being, change community norms about healthy living and improve self-management of chronic health conditions among San Francisco’s 25,000 Russian-speaking newcomers. The project includes a community education campaign, walking groups, yoga classes, healthy eating and cooking groups and group medical visits, among other activities. The project utilizes Pomoshniks who are recruited and trained to provide community leadership around healthy living.
6) UPDATE ON IMPLEMENTATION OF HEALTH MANAGEMENT ASSOCIATES’ REPORT RECOMMENDATIONS
Mitchell H. Katz, M.D., Director of Health, presented an update on Health Management Associate’s (HMA) recommendations. The report highlights the progress that has been made since October in implementing the recommendations of the HMA report. The number one recommendation was to assemble an Integration Steering Committee (ISC). This committee was created in August and has met bi-weekly since that time. The ISC formed subcommittees to address specific issue areas: the Clinical/Operations Subcommittee and the Capital Integration Committee. Rather than creating a Finance Integration Committee, the ISC took on the additional role as the Budget committee for the coming year.
Another recommendation was to recruit and hire a Chief Operating Officer. The steering committee wrote a job description and proposed the position to the Mayor’s Office as a new initiative in the FY 06-07 budget proposal.
Dr. Katz updated the Commission on the status of HMA’s recommendations in Section 2 of the report. An HMA consultant is functioning in the role of a long-term care health director. With her help, ISC created a job description. The Department was notified by the Mayor’s Budget Office that funding for this position has been identified. The Department has been working with a consultant to identify uniform assessment tools used in other states to determine and prioritize need for nursing facility services. A tool that San Francisco could use without modification has not been identified.
The HMA report recommended that all persons with long term care needs should have access to a community-based case manager. Dr. Katz described the work of the targeted case management unit, as well has other intensive case management services, including the African-American IMD Alternatives Program, the creation of three intensive case management positions to facilitate connection of psychiatric clients from the hospital to the community and the conversion of the Bay View Hunter’s Point day treatment program into an intensive case management program. Recognizing the need to coordinate and communicate across the system, DPH has integrated some of its key case management teams across the treatment system and with other city departments. In response to other recommendations, the ISC is looking into the potential of establishing a 20-hour per week clinic at LHH that is a satellite of one of the existing FQHC clinics. It has had discussions with St. Mary’s about the possibility of creating a DPH SNF within their hospital, and is now exploring other placement options. A Medical Services Advisory Committee has been established to provide a voice for physicians and other medical care providers throughout the Department. And Dr. Katz raised the issue of regional planning for SNF services at the July meeting of the Association of Bay Area Health Officials.
In conclusion, Dr. Katz said the Department has made significant progress on HMA recommendations, and he believes that progress on these issues has improved DPH.
7) PUBLIC COMMENT/OTHER BUSINESS
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, Illig, Sanchez, Tarver, Umekubo) voted to hold a closed session.
The Commission went into closed session at 5:10 p.m. Present in closed session were Commissioner Guy, Commissioner Illig, Commissioner Sanchez, Commissioner Tarver, Commissioner Umekubo, Mitchell H. Katz, M.D., Health Director, John Kanaley, LHH Executive Administrator, Adrianne Tong, Deputy City Attorney and Michele Seaton, Health Commission Executive Secretary.
C) Closed Session Pursuant to Government Code Section 54956.9 and San Francisco Administrative Code Section 67.10(d)
Action Taken: The Commission (Guy, Illig, Sanchez, Tarver, Umekubo) approved a settlement in the amount of $200,000, M. Harb V. City and County of San Francisco, et al, San Francisco Superior Court No. 437254.
D) Reconvene in Open Session
The Commission reconvened in open session at 5:35 p.m.
- Possible Report on Action Taken in Closed Session (Government Code Section 54957.1(a)2 and San Francisco Administrative Code Section 67.12(b)(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, Illig, Sanchez, Tarver, Umekubo) voted not to disclose any discussions held in closed session.
The meeting was adjourned at 5:35 p.m.
Michele M. Seaton, Executive Secretary to the Health Commission
Health Commission meeting minutes are approved by the Commission at the
next regularly scheduled Health Commission meeting. Any changes or
corrections to these minutes will be noted in the minutes of the next
Any written summaries of 150 words or less that are provided by persons who spoke at public comment are attached. The written summaries are prepared by members of the public, the opinions and representations are those of the author, and the City does not represent or warrant the correctness of any factual representations and is not responsible for the content.