San Francisco Department of Public Health

AGENDA: HEALTH COMMISSION MEETING

Tuesday, December 17, 2002, at 3:00 p.m.
Carr Auditorium*
22nd Street at Potrero Avenue 
San Francisco, CA 94110

*PLEASE NOTE CHANGE IN LOCATION FOR THE 3:00 O'CLOCK MEETING

THE BUDGET COMMITTEE OF THE COMMISSION WILL CONSIDER THE CONSENT CALENDAR ON THIS AGENDA AT 1:00 P.M. THE BUDGET COMMITTEE WILL MEET AT 101 GROVE STREET, ROOM #300.

THE HEALTH COMMISSION WILL ACT ON THOSE ITEMS OF THE CONSENT CALENDAR, WHICH HAVE BEEN RECOMMENDED FOR APPROVAL BY THE BUDGET COMMITTEE. 

PUBLIC COMMENTS WILL BE TAKEN FOR EACH AGENDA ITEM.

1) CALL TO ORDER

2) PROPOSED ACTION: APPROVAL OF THE MINUTES OF THE REGULAR MEETING OF DECEMBER 3, 2002
*Minutes of December 3, 2002

3) PROPOSED ACTION: APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Lee Ann Monfredini)

(3.1) CHN-SFGH - Request for approval of a Board of Supervisors resolution for a Proposition J contract for the provision of laundry processing services at San Francisco General Hospital, for the period of July 1, 2002 through June 30, 2004.
* Calendaring request memo, Board Resolution

(3.2) CHN-SFGH & LHH Facilities - Request for approval of fourteen (14) contract modifications with the following firms to increase the combined contract amount by $900,000, from $7,987,796 to $8,887,796, to provide intermittent, as-needed facility maintenance services above baseline civil services staffing, and extend the current period, July 1, 2000 through December 31, 2002, by six months through June 30, 2003.

Acker & Guerrero Roof Co., Inc.,

Floortrends Inc.,

Adolph Schmidt General Contractors,

McClure Electric, Inc.,

Agbayani Construction, Inc.,

Monticelli Painting & Decorating, Inc.,

Anderson Carpet & Linoleum Sale Co., Inc.,

Robert Poyas, Inc.,

Angotti & Reilly, Inc.,

Sabel Painting Co.,

Ayoob & Peery Plumbing,

Sierra Electric Co. and

Baca & Sons Painting,

The Shooter Co.

* Calendaring request memo, Rate and Ownership pages

(3.3) CHN-Primary Care - Request for approval of a retroactive contract renewal with Mission Neighborhood Health Center, in the amount of $191,615, to provide Primary Care Services for medically indigent adults residing in the Mission District, for the period of July 1, 2002 through June 30, 2003. The contract is retroactive due to administrative delays present at the provider. There was no interim agreement or payment for services provided during this time.
* Calendaring request memo, Monitoring report summary, Client demographic information form

(3.4) AIDS Office - Request for approval of a retroactive contract renewal with Mission Neighborhood Health Center, in the amount of $440,000 per year for two years, for a total contract value of $880,000, to provide early intervention medical care, case management and health education services targeting uninsured HIV-positive Latino immigrants at or below the poverty level, with a special focus on monolingual Spanish speakers, for the period of July 1, 2002 through June 30, 2004. This contract is retroactive due to the late passage of this year's State budget. An interim agreement from July through October was provided to allow payment to the contractor until the renewal contract was completed.
* Calendaring request memo, Monitoring report summary, Client demographic information form

(3.5) AIDS Office - Request for approval of a sole source contract renewal with Mission Neighborhood Health Center, in the amount of $70,440, to provide HIV treatment outreach, counseling, testing and referral services targeting HIV positive Latino/as living in and around the Mission District, for the period of January 1, 2003 through September 29, 2003.
* Calendaring request memo, Client demographic information form

(3.6) AIDS Office - Request for approval of a sole source contract renewal with Dolores Street Community Center, in the amount of $65,850, to provide HIV peer advocacy and group intervention services targeting Latino residents of San Francisco's housing programs and emergency shelters who are living with or at risk for HIV/AIDS, for the period of January 1, 2003 through September 29, 2003.
* Calendaring request memo, Monitoring report summary, Response letter, Client demographic information form

(3.7) AIDS Office - Request for approval of a retroactive sole source contract renewal with Institute for Community Health Outreach, in the amount of $150,000, to provide case management and peer advocacy services to HIV positive Native Americans and Alaska Natives, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the late award of General Funds from the Board of Supervisors following the budget process. There was no interim agreement or payment for services provided during this time.
* Calendaring request memo, Monitoring report summary, Client demographic information form

(3.8) AIDS Office - Request for approval of a sole source contract renewal with the Regents of the University of California San Francisco-Positive Health Practice, in the amount of $158,556, to provide outreach, case management, nutritional and peer advocacy services for the Men of Color Program, for the period of January 1, 2003 through September 29, 2003.
* Calendaring request memo, Monitoring report summary, Client demographic information form

(3.9) AIDS Office - Request for approval of a retroactive contract renewal with CompassPoint Nonprofit Services, in the amount of $94,350, to provide organizational development and technical assistance services for prevention providers and the AIDS Office HIV Prevention Section, for the period of July 1, 2002 through December 31, 2002. The contract is retroactive due to funding negotiations with the grantor. There was no interim agreement or payment for services provided during this time.
* Calendaring request memo, Monitoring report summary

(3.10) AIDS Office - Request for approval of a new contract with Harder + Company Community Research, in the amount of $90,000, to provide a systems capacity assessment in the Tenderloin and Bayview Hunters Point areas of San Francisco, for the period of December 1, 2002 through June 30, 2003.
* Calendaring request memo

(3.11) AIDS Office - Request for approval of a new contract with the Regents of the University of California San Francisco-Stonewall Project, in the amount of $70,000, to provide HIV prevention services to methamphetamine-using gay men throughout San Francisco, for the period of December 1, 2002 through June 30, 2003.
* Calendaring request memo

(3.12) AIDS Office - Request for approval of a resolution approving an extension of the terms of the calendar year 2002 Federal Centers for Disease Control and Prevention funded contracts on a month-to-month basis through March 31, 2003 or when the 2003 renewal contract is certified, for the following twenty organizations:

Ark of Refuge, Inc.

Instituto Familiar de la Raza

Asian Pacific Islander Wellness Center

Mission Neighborhood Health Center

Bay Area Young Positives

Mobilization Against AIDS International

Better World Advertising

New Directions 21st Century

CAL-PEP

Regents of the University of California

CompassPoint Nonprofit Services

Shanti Project

Glide Foundation

South of Market Health Center

Harder + Company Community Research

St. James Infirmary

Health Initiatives for Youth

Stop AIDS Project

Institute for Community Health Outreach

Walden House

* Calendaring request memo, Resolution

(3.13) PHP-Community Health Epidemiology - Request for approval of a retroactive multi-year sole source contract modification with the Regents of the University of California Berkeley, in the amount of $158,664, effective September 1, 2002, to provide mathematical analysis for the Community Health Epidemiology Section, for a total contract amount of $465,163, for the period of May 1, 2000 through February 28, 2005.
* Calendaring request memo

(3.14) PHP-Community Health Promotion - Request for approval of a retroactive sole source contract renewal with the Regents of the University of California (UCSF), in the amount of $180,000, to provide evaluation services to the SevenPrinciples Project, for the period of September 30, 2002 through September 29, 2003. This contract is retroactive due to an extended period of negotiation and document revisions for contract development. UCSF routinely declines the option of an Interim Agreement and is, therefore, currently not receiving payment for these services.
* Calendaring request memo, Monitoring report summary

(3.15) PHP-Housing and Urban Health - Request for approval of a sole source contract modification with Lutheran Social Services, in the amount of $114,165, to provide additional transitional housing and supportive services at De Paul House and MIA House targeting women and their children who are in substance abuse recovery and are survivors of domestic violence, for the period of July 1, 2002 through June 30, 2003, for a total contract amount of $247,131.
* Calendaring request memo

(3.16) PHP-Maternal Child Health - Request for approval of a sole source renewal contract with Support for Families of Children with Disabilities, in the amount of $101,087, to develop program materials and to provide a designated Family Liaison to assist in the development of services for California Children's Services, for the term of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents after finalization of the Department's FY 2002-03 budget. The contractor has continued to provide services and will receive payment upon Health Commission approval of this contract and certification by the Controller.
* Calendaring request memo, Monitoring report letter, Cultural Competence forms

(3.17) PHP-Mental Health - Request for approval of six new retroactive contracts for the period of December 1, 2002 through June 30, 2004, with six contractors (listed below) awarded pursuant to Request for Proposal (RFP) #16-2002, for shelters to provide preventive, early intervention and other mental health services to homeless young children (birth to five years old) and their families, who are residing in shelter programs in San Francisco. The total amount of the contracts for 
FY 2002-03, from December 1, 2002 through June 30, 2003 is $210,000, and the total amount of the contracts for FY 2003-04 is $360,000, for a total amount of $570,000. The contracts are retroactive to December 1, 2002 due to delays in negotiating rates for units of service and the need for contractors to revise budget documents.

 

Contractor

Service

Total Award

Asian Women’s Shelter

Mental Health Services in Shelters

$95,000

La Casa de las Madres

Mental Health Services in Shelters

$63,333

Catholic Charities

Mental Health Services in Shelters

$134,583

St. Vincent De Paul Society / The Riley Center

Mental Health Services in Shelters

$79,168

Compass Community Services

Mental Health Services in Shelters

$63,333

Hamilton Family Center

Mental Health Services in Shelters

$134,583

* Calendaring request memo

(3.18) PHP-Mental Health - Request for approval of a retroactive contract renewal with Richmond Area Multi-Services, Inc., in the amount of $1,496,704 per year, to provide mental health services targeting children and youth, for the period of July 1, 2002 through June 30, 2004, for a total contract value of $2,993,408. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate COLAs and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summary, Client demographic information forms

(3.19) PHP-Mental Health - Request for approval of a retroactive contract renewal with Richmond Area Multi-Services, Inc., in the amount of $2,487,741 per year, to provide mental health services targeting adults, for the period of July 1, 2002 through June 30, 2004, for a total contract value of $4,975,482. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate COLAs and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summary, Client demographic information forms

(3.20) PHP-Mental Health - Request for approval of a retroactive contract renewal with Instituto Familiar de la Raza, Inc., to provide mental health services to children, youth, families and adults residing in San Francisco, in the amount of $4,541,337, for the term July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate a COLA after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receives payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summary, Client demographic information forms

(3.21) PHP-Mental Health - Request for approval of a retroactive sole source contract renewal with San Francisco League of Urban Gardeners (SLUG), acting as fiscal agent for Southeast Neighborhood Jobs Initiative Roundtable (SNJIR), in the amount of $50,500, to provide outreach services targeting African-American residents of the Bayview Hunters Point, Potrero Hill and Visitacion Valley neighborhoods, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate a Cost of Living Adjustment (COLA) after finalization of the Department's FY 02-03 budgets. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission April 16, 2002.
* Calendaring request memo, Monitoring report letter, Client demographic information form

(3.22) PHP-Mental Health - Request for approval of a retroactive contract renewal with the San Francisco Study Center, in the amount of $1,187,774 per year, to provide mental health and fiscal intermediary services, for a total contract value of $2,375,548, for the period of July 1, 2002 through June 30, 2004. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate allocation changes after finalization of the Department's
FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summaries, Client demographic information forms 

(3.23) PHP-Mental Health - Request for approval of a retroactive contract renewal with Westside Community Mental Health Center, Inc., in the amount of $5,480,582, to provide mental health crisis, outpatient, residential care facilities coordination, school-based day treatment, special education partnership and fiscal intermediary services targeting adults and youth/adolescents, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summaries, Client demographic information forms

(3.24) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Asian American Recovery Services, in the amount of $6,520,807, to provide substance abuse services targeting men and women of predominantly Asian/Pacific Islander descent, as well as fiscal intermediary services, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate the COLA after finalization of the Department's FY 02-03 budgets. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission April 16, 2002.
* Calendaring request memo, Monitoring report letters, Monitoring report summaries, Client demographic information forms

(3.25) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Bayview Hunters Point Foundation for Community Improvement, Inc., in the amount of $7,948,186, to provide substance abuse and mental health services targeting adults and children, for the period of July 1, 2002 through June 30, 2003. This contract renewal is retroactive due to delayed completion of contract negotiations and the contractor's subsequent revision of the applicable program budgets. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission April 16, 2002.
* Calendaring request memo, Monitoring report letter, Monitoring report summaries, Client demographic information forms

(3.26) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Chemical Awareness and Treatment Services, Inc. (dba Community Awareness and Treatment Services, Inc.), in the amount of $3,268,384, to provide residential, transportation, drop-in and overnight intervention substance abuse services, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate the COLA after finalization of the Department's FY 02-03 budgets. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission April 16, 2002.
* Calendaring request memo, Monitoring report summaries, Client demographic information forms

(3.27) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Friendship House Association of American Indians, Inc. of San Francisco, in the amount of $272,472 per year for four years for a total contract value of $1,089,888, to provide residential substance abuse treatment and fiscal agent services targeting homeless American Indian adults in San Francisco, for the period of July 1, 2002 through June 30, 2005. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate Cost of Living Adjustments (COLAs) and other allocation changes after finalization of the Departments FY 02-03 budget. The contractor has continued to provide services and to receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report letters, Monitoring report summary, Client demographic information form

(3.28) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Haight Ashbury Free Clinics, Inc., in the amount of $5,358,980, to provide substance abuse services for residential, outpatient, day treatment, prevention and outreach programs, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate COLAs and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report/Corrective Action Plan letters, Monitoring report letters, Client demographic information forms

(3.29) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Horizons Unlimited of San Francisco, Inc., in the amount of $1,229,158, to provide day treatment, outpatient and prevention services targeting Latino youth, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate Cost of Living Adjustments and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report letters, Monitoring report summaries, Client demographic information forms

(3.30) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Positive Direction Equals Change, in the amount of $290,912, to provide outpatient, outreach and case management substance abuse treatment services with a family focus to African-Americans in the Bayview/Hunters Point neighborhood, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate Cost of Living Adjustments (COLAs) and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Client demographic information form

(3.31) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with YMCA Urban Services, in the amount of $1,406,568, to provide outpatient and prevention substance abuse services for youth, for a four-year period from July 1, 2002 through June 30, 2006. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate the COLA after finalization of the Department's FY 02-03 budgets. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission April 16, 2002.
* Calendaring request memo, Monitoring report summaries, Client demographic information forms

(3.32) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Youth Leadership Institute, in the amount of $242,667, to provide substance abuse services targeting teenagers and young adults, for the period of July 1, 2002 through June 30, 2003. This contract is retroactive due to the need for the contractor to revise contract documents to incorporate Cost of Living Adjustments (COLAs) and other allocation changes after finalization of the Department's FY 02-03 budget. The contractor has continued to provide services and receive payment under a six-month interim agreement approved by the Health Commission on April 16, 2002.
* Calendaring request memo, Monitoring report summary, Corrective Action Plan, Client demographic information form

4) FOR DISCUSSION: DIRECTOR'S REPORT
(Mitchell H. Katz, M.D., Director of Health)
(Report on activities and operations of the Department.)
*Report

5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARDS FOR THE MONTH OF DECEMBER
*List of Awardees

6) FOR DISCUSSION: PRESENTATION OF THE SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER ANNUAL REPORT
(Gene Marie O'Connell, Executive Administrator, SFGHMC)
*Report

7) FOR ACTION: SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER POLICIES AND PRODEDURES: INPATIENT UTILIZATION REVIEW PROGRAM; HOSPITAL PLAN FOR PROVISION OF PATIENT CARE; PERFORMANCE IMPROVEMENT AND PATIENT SAFETY PROGRAM (PIPS); ENVIRONMENT OF CARE SAFETY COMMITTEE; AND EMPLOYEE PERFORMANCE AND COMPETENCY REPORT
(Gene Marie O'Connell, Executive Administrator, SFGHMC)
*Report

8) PUBLIC COMMENTS**

9) ADJOURNMENT
* Explanatory documents are available at the Health Commission Office, 101 Grove Street, Room #311, telephone 554-2666.
** Opportunity for members of the public to address the Health Commission on items of interest to the public that are within the subject matter jurisdiction of the Health Commission. Additionally, public comments will be taken for each agenda item.

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