Minutes of the Health Commission Meeting
Tuesday, September 29, 1998, 3:00 p.m.
At 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 Commissioner Edward A. Chow, M.D , at 3:15 p.m.
Present:
- Commissioner Debra A. Barnes
- 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.
Absent:
- Commissioner Lee Ann Monfredini
Action Taken: The Commission unanimously adopted the minutes of September 15, 1998.
Commissioner Chow presented the September Department of Public Health Employee Recognition Award to Clifton Hicks, MSW, a child therapist with the Southeast Child Family therapy Center.
3) CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Ron Hill) Commissioner Hill chaired the Budget Committee meeting in the absence of Commissioner Sanchez.
CHN-Administration – Request for approval of retroactive renewal contract with Hanson, Bridgett, Marcus, Vlahos & Rudy, LLP., (HBMVR) in the amount of $90,000 per year, to provide specialized health care legal services for the period of July 1, 1998 through June 30, 2000. (DPH contracted with HBMVR for services totaling $70,000 during FY 1997-98).
Commissioner Barnes would like to see a more aggressive effort by the contractor to comply with Policy #24. She requested a progress report on compliance come back to the Commission in six months (April 1999).
(3.2) CHN-Primary Care Services – Request for approval of retroactive four year sole source and contract renewal with North of Market Senior Services (NOMSS), in the amount of $188,378, for the provision of comprehensive health care for seniors, for the period of July 1, 1998 through June 30, 2002. (DPH contracted with NOMSS for services totaling $419,145 during FY 1997-98).
Commissioners commended the contractor on its good work in the Tenderloin and also requested a written update on compliance to Policy #24 to the Commission in February 1999.
(3.3) CHN-Primary Care Services-Homeless Programs – Progress report on the Bayview Hunter's Point (BVHP) contract as requested by the Budget Committee of the Health Commission on June 16, 1998, and request for approval of retroactive renewal contract to provide mental health case management services for the homeless in the amount of $412,174 for the period of July 1, 1998 through June 30, 1999. (DPH contracted with BVHP for services totaling $6,833,093 during FY 1997-98).
Because of outstanding performance issues for this contract, Commissioner Barnes requested this contract be continued to the November 3, 1998 agenda after the contractor's reports are submitted to the Department.
CHN-Forensics – Request for approval of retroactive renewal contract with Haight Ashbury Free Clinics, Inc. (HAFC), in the amount of $73,810 per year, to provide administrative oversight for the Forensics AIDS Project for the period of January 1, 1998 through December 31, 2001. (DPH contracted with HAFC for services totaling $9,260,563 during FY 1997-98).
The Chairperson of the Board of Directors, Willard Harris, was present and requested support for the agency's contracts on today's agenda.
(3.5) PH&P-CHS-HIV Special Projects – Request for approval to accept and expend new funding in the amount of $155,334 from the Regents of the University of California, San Francisco, Center for AIDS Prevention Studies, to support personnel and operating costs for the HIV Postexposure Prevention (PEP) Project, for the period of December 1, 1998 through November 30, 1999.
(3.6) PH&P-CHP&P-HIV Prevention Services – Request for approval of sole source and new contract with Polaris Research and Development, Inc., for the development of a media campaign for the HIV Post Exposure Prophylactic program (PEP), in the amount of $33,100, and for technical and logistical support services for the HIV Prevention Planning Council (HPPC), in the amount of $8,000, for the period of October 1, 1998 through December 31, 1998. The sole source request is in the amount of $123,300 for the period of October 1, 1998 through December 31, 2000. (DPH contracted with Polaris for services totaling $782,955 during FY 1997-98).
(3.7) PH&P-CHS-HIV Research – Request for approval to accept and expend a new three year grant from Public Health Foundation Enterprises Inc., in the amount of $321,317, (for the first twelve-month budget period) to conduct a preventive HIV vaccine phase-three efficacy trial in adults at risk of HIV infection for the period of November 1, 1998 through October 31, 2002.
PH&P-CHP&P-HIV Prevention Services – Request for approval of retroactive renewal contract with San Francisco AIDS Foundation HIV Prevention Project (SFAF), in the amount of $574,956, for the provision of HIV prevention services, including syringe exchange services, to injection drug users for the period of July 1, 1998 through June 30, 1999. (DPH contracted with SFAF for services totaling $5,204,521 during FY 1997-98).
Commissioner Hill commented on the retroactivity of many of today's contracts and requested the Department to continue improvement of this issue.
(3.9) PH&P-CHP&P-HIV Prevention Services – Request for approval of retroactive sole source and new contract with Mobilization Against AIDS International (MAA), acting as fiscal agent for Proyecto Contra SIDA Por Vida, in the amount of $71,888, for the provision of one-on-one peer-education risk-reduction counseling and bimonthly single-session prevention workshop services, for the period of July 1, 1998 through June 30, 1999. The sole source request if for $71,888 per year, for the period of July 1, 1998 through June 30, 2002.
(3.10) PH&P-CHP&P-HIV Prevention Services – Request for approval of sole source and new contract with Instituto Familiar de la Raza, Inc. (IFR), in the amount of $90,000, for the provision of HIV prevention services for the period of October 1, 1998 through June 30, 1999. The sole source request is for $90,000 per year for the period of October 1, 1998 through June 30, 2002. Of the $90,000 amount, $40,000 will be subcontracted to El Ambiente Program of Aguilas, Inc. (DPH contracted with IFR for services totaling $2,857,218 during FY 1997-98).
(3.11) PH&P-CHP&P-HIV Prevention Services – Request for retroactive renewal contract with Stop AIDS Project (SAP), in the amount of $150,000, for the provision of condom distribution services for the period of July 1, 1998 through June 30, 1999. (DPH contracted with SAP for services totaling $961,341 during FY 1997-98).
(3.12) PH&P-CHS –HIV Health Services – Request for approval of retroactive renewal contract with Shanti Project in the amount of $137,880, for the provision of van transportation services targeting persons with disabling HIV/AIDS disease for the period of July 1, 1998 through June 30, 1999. (DPH contracted with Shanti for services totaling $678,144 during FY 1997-98).
(3.13) PH&P-CHS-MH&SAS – Request for approval of retroactive renewal contract with St. Luke's Hospital for adult Medi-Cal funded psychiatric inpatient hospital services for the period of July 1, 1998 through June 30, 1999. The total dollar amount for Medi-Cal psychiatric inpatient hospital services for all six (6) hospital providers is $5,000,000.
Commissioner Barnes commended the contractor of its progress on its Board diversity.
Commissioner Hill requested a copy of the survey used to collect sexual orientation demographics by the contractor.
Commissioners requested this contract be approved on an interim basis through November and that this item be recalendared for the November 3, 1998 Budget Committee meeting; and a progress report on the sexual orientation demographics of the contractor be presented to the Budget Committee.
Commissioner Barnes requested the Department to provide technical assistance to contractors on compliance to the collection of sexual orientation demographics.
(3.14) PH&P-CHS-MH&SAS – Request for approval of modification to the multiyear renewal contract with Instituto Familiar de la Raza, Inc. (IFR) increasing the contract in the amount of $973,542 for the period of July 1, 1998 through June 30, 1999 and $380,251 per year for the period July 1, 1999 through June 30, 2001 to augment fiscal intermediary and community outreach services . The total contract amount including this modification is $3,010,297 for the fiscal year 1998-99. (DPH contracted with IFR for services totaling $2,857,218 during FY 1997-98).
(3.15) PH&P-CHS-MH&SAS – Request for approval of proposed treatment project site in San Francisco at 111 Taylor Street, for use by Haight Ashbury Free Clinics, Inc. (HAFC), to provide New Oshun Program start-up, outpatient, day treatment and prevention services for women and their families in the Tenderloin in the amount of $618,218 for the period of October 1, 1998 through
June 30, 1999, and retroactive second modification to the contract with HAFC for the continuation of Community Health Outreach Worker services in the Tenderloin in the amount of $31,782, for the period of January 1, 1998 through June 30, 1998, for a total of $650,000. (DPH contracted with HAFC for services totaling $9,260,563 during FY 1997-98).
Commissioner Barnes encouraged the Department to provide the appropriate written materials in the Commission packets as opposed to the day of the meeting.
PH&P-CHS-MH&SAS – Request for approval of new site at 1638-40 Kirkwood and retroactive contract renewal with Jelani House, Inc., in the amount of $1,540,711 per year to provide residential outpatient substance abuse services to women and their children for the period of July 1, 1998 through June 30, 1999. (DPH contracted with Jelani for services totaling $1,187,959 during FY 1997-98).
(3.17) PH&P-CHS-MH&SAS – Request for approval of retroactive second modification to the contract with San Francisco State University (SFSU), in the amount of $79,716, to provide training for clinicians and mental health providers for the period of July 1, 1998 through June 30, 1999. The total contract amount including this modification is $257,110. (DPH contracted with SFSU for services totaling $177,394 during FY 1997-98).
(3.18) PH&P-CHS-MH&SAS-Family Mosaic Project – Request for retroactive annual renewal of contracts for the Family Mosaic Project, in the total amount of $1,166,179, which provides mental health and wrap-around services, including therapy, tutoring, mentoring, respite care and case management for the period of July 1, 1998 through June 30, 1999 through the following twelve (12) agencies and three (3) individuals:
Commissioner Hill reported that a CYO representative has indicated to him that the agency has no intention to comply with Policy #24. Commissioner Hill strongly urged the Department to look at alternatives to this contractor.
The Budget Committee recommended approval of the Family Mosaic Project contracts, except for CYO and Victor Treatment Center. These two contracts will be continued to the October 20, 1998 Budget Committee meeting.
Action Taken: The Commission approved the Consent Calendar of the Budget Committee, with the specific stipulations. Commissioner Guy abstained on #3.17.
Commissioner Chow requested the Department to calendar at the October 20 1998 Budget Committee meeting a status update and discussion of FY 1998-99 retroactive contracts.
4) DIRECTOR'S REPORT (Mitchell H. Katz, M.D., Director of Health)
(Provides information on activities and operations of the Department).
ADMINISTRATION
Appointment
I am pleased to announce the appointment of Jimmy Loyce as the Director of the Office of Integrated Care Services. In this new position, Jimmy will serve as the administrative bridge between the Community Health Network and Population Health and Prevention, with oversight and management responsibility for the integration of these two divisions. Jimmy returns to the Department after four and half years as Chief Executive Officer of AIDS Project, Los Angeles. Prior to his move to Los Angeles in 1994, Jimmy had a distinguished 12-year career in our Department of Health where he held a number of leadership positions including Associate Director of the AIDS Office. I am sure the Commission joins me in welcoming Jimmy as we look to him for ongoing assessment, planning and implementation of an integrated care system for the Department.
Appointment of CFO for Population Health and Prevention
I am also pleased to announce the appointment of Larry Doyle to the position of Chief Financial Officer of Population Health and Prevention. After an extensive recruitment, the best candidate was found within our own DPH financial team, a 22-year veteran with the Department. Larry served as Supervising Fiscal Officer for the Mental Health, Substance Abuse and Forensics programs for the last 11 years. Larry has hands-on knowledge and experience in all aspects of general accounting, budgeting and finance within the City, and has developed strong professional relationships with key officials on the local and State levels.
As CFO of Population Health and Prevention, Larry will work closely with Bob Prentice and his management team in meeting the Division's goals. These include maximizing funds for integrated services, managing risk within the Mental Health Plan, and continuing to fund the expansion of substance treatment and housing services. Larry will report directly to Monique Zmuda, the Department's CFO. I know you join me in welcoming Larry to his new role.
POPULATION HEALTH &PREVENTION
San Francisco Reggie Project Wins Federal Grant
September 28 Vice President Al Gore announced the award of a $600,000 grant by the United States Department of Commerce, National Telecommunications and Information Administration to the SF AIDS Office. This grant will fund full implementation of the City's Reggie Project by the year 2000. The Reggie Project is a computerized client registration and information/referral system designed to network Ryan White CARE-funded HIV service providers in the San Francisco Eligible Metropolitan Area (EMA). The system is named after Reggie Williams, a leader in the fight against AIDS in the Bay Area.
The need for a centralized registration process with decentralized access was an outgrowth of in-depth interviews with clients about their experiences of utilizing the HIV services in San Francisco. Although clients indicated they liked the diversity of the providers and services, they found the lack of coordination in the system of care to be extremely frustrating. Clients were especially critical of the burdensome intake process and the difficulty involved in obtaining clear and up-to-date information about services. When implemented, Reggie will enable clients to register once and be registered at each of the 68 non-profit and government organizations that provide health and social services to low income persons living with HIV/AIDS in San Francisco, Marin and San Mateo Counties. Because all CARE-funded agencies are included in Reggie, San Francisco will not only have enabled easier access of services to a client base of 15,000 people, but will serve as a model for equitable access to AIDS services providers throughout the country.
Resignation of R. Jan Gurley, M.D., Director Community Health, Research And Immunizations
I am very sad to report that R. Jan Gurley, M.D., has resigned her position as Director of Community Health, Research and Immunizations. Jan has resigned her position because her mother, who lives out of state, is quite ill and will require Jan to spend much time in Georgia, helping to care for her. Jan has agreed to work approximately 10 hours a week when she is in San Francisco in order to continue her work on the Reggie Project.
Jan has had a very distinguished career in the Department of Public Health. She began as Director of the Health Services Branch of the AIDS Office. She then became Director of Community Health Research and most recently incorporated immunizations into her division. The Department has greatly benefited from her talents in many ways. The Telecommunications Grant that I just reported on certainly would never have happened were it not for Jan's tremendous creativity and initiative. Similarly, as reported several weeks ago to the Commission, the Department received a large immunization grant because of the excellent work that her section was performing.
We will miss having Jan here full time but are very glad that she will be able to maintain a role in the continuing implementation of Reggie. We wish her Mom the very best.
Interfaith Conference on Domestic Violence
The Health Promotion Section was one of the principal sponsors of "Power to Change: An Interfaith Conference on Domestic Violence" September 3. The conference, attended by nearly 300 people, was designed to support the continuing efforts of clergy and faith communities to prevent and address domestic violence. It also helped to establish better working relationships between health and domestic violence advocates and the faith communities. Representatives of over 20 different religions and denominations, educators and other responders to domestic violence came from all over the Bay Area.
For additional information about the Power to Change, and follow-up events, please call Nora Goodfriend-Koven, MPH, at 554-2740.
CBS Broadcast on CHIPPS Program
"CBS This Morning" has a feature called "Eye on People" which aired a program about the San Francisco Health Department's Community and Home Injury Prevention Program for Seniors (CHIPPS) eight years ago. CHIPPS was recently selected for a follow-up "Where are they now?" feature. CBS re-broadcasts the original tape, adding new information using voice-over. The segment, titled "Elder Proofing," was aired once on September 4, and is expected to be broadcast again on November 17 at 6 p.m., and November 18 at 11 am EST. CBS will be providing the Department with a copy of the tape.
Urban Health Certified Addiction Treatment Specialist Certificate
A Certified Addiction Treatment Specialist Program has been developed as one of the system enhancements of the Treatment on Demand Initiative. This certification program is a collaborative effort between CSAS, and the Community Health Training and Development Center (a joint project of SF City College and SF State University). Thirty-seven students from 13 CSAS agencies have been awarded full scholarships to participate in this certification program. This addiction specialist program will increase the knowledge and skills of front line substance abuse counselors and will enhance the quality of services in our substance abuse system.
COMMUNITY HEALTH NETWORK
CHN Begins Strategic Planning
The CHN Strategic Planning Process begins in October. Staff has been collecting and analyzing data from other public and private providers to frame critical strategic questions. Building on DPH's 1996 strategic restructuring, the newly appointed Committee will make recommendations to the CHN Executive Administrator and Leadership Group on long-range strategic direction. This process will become the basis for the CHN's FY '99-2000 operational direction and budget priorities. Dr. Chow will be a member of this Committee, and the ongoing process will be reported regularly at the CHN Joint Conference Committee.
As part of the Strategic Planning process and as a first step in driving successful organizational change, the CHN will conduct a "Cultural Pulse Check." This exercise is designed to produce a candid dialogue between leaders and staff to learn what is really going on within the Division and what staff cares about in building a successful organization. The interviews will be conducted by CHN leaders in pairs, who will meet with over 50 groups of CHN staff and UCSF employees at every site and level of the CHN. By taking the organization's pulse, the Community Health Network hopes to uncover the values, beliefs and assumptions that influence every decision every day throughout the Network.
The Pulse Check is a crucial first step in driving successful organizational change toward superior performance and aligning the aspirations of each staff member with the needs and expectations of our customers and our community.
Reception for the San Francisco Community Clinic Consortium
On September 16, 1998, CHN Chief Executive Officer Anthony Wagner hosted a "Looking to the Future" reception for the San Francisco Community Clinic Consortium and its member clinics. Attendees included the Executive Director of the Consortium and Executive Directors from several member clinics. Others who attended the reception included SFCCC Medical Directors and Board Members, and the CHN's senior staff. The reception provided an opportunity for the leadership of both organizations to meet each other and begin to lay the groundwork for a closer working relationship in the future.
Laguna Honda Medical Staff Applications
I have signed, on behalf of the governing body, medical staff applications for the following Laguna Honda medical staff:
- Anthony Filly, M.D., who will provide as needed day and night and weekend coverage;
- Roger Fontes, M.D., who will provide consultant orthopedic services;
- John Imboden, M.D., and Nancy Lane, M.D., who will both provide rheumatology services.
SFGHMC Mammography Service
The mammography service at San Francisco General Hospital Medical Center (SFGHMC) has been temporarily suspended for the next few weeks, effective October 1.
It is expected that only a limited number of patients will be affected. Patient appointments set for October were rescheduled to take place during the past few weeks.
During the suspension period, arrangements have been made for patients who need immediate exams to be taken care of through the mammography program at UCSF/Mount Zion Hospital Medical Center.
The suspension is due to a delay in submitting a renewal application for reaccreditation. The SFGHMC service was first accredited in 1995, and certification covered a three-year period. This is the first renewal.
Accreditation is overseen by the Food and Drug Administration in cooperation with the State of California Radiologic Health Branch and the California Mammography Accreditation Program.
CONSIDERATION OF AMENDMENTS TO SFGH MEDICAL STAFF BYLAWS, THE CORRECTIVE ACTION AND HEARING MANUAL, AND THE CLINICAL SERVICE RULES AND REGULATIONS AND PRIVILEGE SHEETS
Dr. Sylvia Villareal, Chief of Staff, presented proposed revisions to the SFGH Medical Staff Bylaws and the Corrective Action and Hearing Manual. The revisions to both were recommended for approval by the Medical Executive Committee on August 17, 1998 and the Joint Conference Committee-SFGH on September 8, 1998. The Active Staff voted affirmatively with regard to the proposed revisions to the Bylaws.
The Clinical Service Rules and Regulations and Privilege Sheets were recommended for approval, as required in the Bylaws Article XI, by the Quality and Utilization Management Committee on July 22, 1998. The accompanying Privilege Sheets were also approved by the Credential Committee on July 13, 1998. The areas include Anesthesia and Perioperative Care, Medicine, and Surgery.
Action Taken: The Commission unanimously approved the amendment to the San Francisco General Hospital Medical Staff Bylaws, the Corrective Action and Hearing Manual, and the Clinical Service Rules and Regulations and Privilege Sheets.
CONSIDERATION OF A RESOLUTION ESTABLISHING A YEAR 2000 COMPLIANCE POLICY, AND DIRECTING THE DEPARTMENT OF PUBLIC HEALTH TO IMPLEMENT ITS YEAR 2000 READINESS PLAN
Monique Zmuda, CFO, reported the following:
The Department's intent is to bring all of its information, equipment, telecommunication, medical, security, and back-up and other systems into year 2000 compliance. To that end, the Department has developed a Steering Committee and has developed a plan to assure and monitor year 2000 compliance. In addition, the Department staff is working closely with the County Controller, Department of Telecommunication and Information Systems, and the Citywide Committee on Information Technology to assure year 2000 compliance. Starting December 1998, the Department will develop quarterly written reports on year 2000 compliance in order to document and systematically monitor implementation of the year 2000 compliance plan.
The major components of the plan and the Department's status in each of the components is summarized below:
Creating Awareness: The importance and relevance of year 200 compliance has been communicated and will continue to be addressed within all levels of the organization, including but not limited to the Health Commission, the executive team, facilities management, information technology, biomedical engineering, Emergency Medical Services, disaster preparedness, radiology, laboratory, and finance. This step will continue through the year 2000.
Inventory and Assessment: The Department has completed an inventory and assessment of all of its information systems, communication systems, and major medical systems, security systems, and central plan systems, among others. All major information systems, communication systems, fire alarms, security systems, energy management systems are currently in compliance. We estimate that inventory and assessment of all other systems will be completed by December 1998.
Remedy of the Problems Identified: We have identified some systems that require replacement or modification in order to bring them into complication. In some instances, the Department is responsible for compliance; in other instances, he vendors of software applications are contractually required to bring their systems into compliance. For example, we are in the process of replacing approximately 700 outdated personal computers that are not in compliance. Vendors are modifying their pharmacy and laboratory systems to bring them into compliance. The Department is upgrading hardware for the pathology system in the current year to bring this system into compliance. We will be replacing the radiology system with a new software product in 1999 that will be in compliance. This component of the plan will occur throughout the compliance period up to year 2000.
Validation of Compliant Systems: New and existing systems that are reported to be in compliance must be tested and validated in order to satisfy the components of our plan. Validation has already occurred in our major patient information systems (including all SMS products), and for infrastructure and hardware from DEC, CISCO, HP, and Compaq. As systems are upgraded and modified, we will continue to perform the validation testing before the year 2000 "go live" date. We estimate that this component of the plan will be completed by June 1999.
Implementation: This step includes training of staff, identifying needed resources to monitor and evaluate compliance and the conversion of year 1999 to year 2000. It also includes development of contingency plans, back-up plans, testing of back-up systems. We estimate that this component will be completed by September 1999.
Review of Documentation: The documentation phase includes review and clarification of all legal documents including contracts, maintenance agreements, purchase order specifications, and licenses to determine the financial and legal responsibilities for compliance to year 2000 and compliance failure. The Department has completed its review of all MIS contracts, maintenance agreements and licenses, and has identified the vendor as legally responsible for compliance and failure. The Department will complete its full documentation review by March 1999.
Financial Analysis: The Department will develop an estimate of the cost (both new and in kind) for the year 2000 compliance plan. At this time we estimate that the majority of these costs have already been budgeted. Our estimate will be revised quarterly to reflect actual and projected costs for the next two years.
The membership of DPH's Year 2000 Compliance Team consists of:
- Management Information Systems
- Office of the chief Financial Officer
- S.F. Department of Telecommunication and Information Systems
- Biomedical Engineering
- Facilities Management
- Materials Management
- Office of Contract Compliance
- Laguna Honda Hospital Chief Operating Officer
- CHN Specialty and Diagnostic Services
- Emergency Medical Services
- Emergency Preparedness
- City Attorney
Commissioners' Comments:
- Anticipated costs and anticipated obstacles related to capacity should be included in update reports
- Quarterly written reports should come to the full Commission
- U.C. should be integrated into the Compliance Plan
- Community-based organizations contracting with the Department should be included
- U. C. representatives should serve on the Compliance Team
Action Taken: The Commission unanimously adopted Resolution #33-98, "Establishing a Year 2000 Compliance Policy, and Directing the Department of Public Health to Implement its Year 2000 Readiness Plan."
PRESENTATION OF A NEW FORMAT FOR DATA FROM THE POPULATION HEALTH AND PREVENTION DIVISION; AND PRESENTATION OF THE DATA ON AIDS/HIV AND SEXUALLY TRANSMITTED DISEASES
Dr. Bob Prentice, Director of Population Health and Prevention, presented a proposed new format for data reports with time trends and demographic breakdowns. The reports will highlight current key issues in each health area. The Department is proposing these reports be provided as monthly appendices to the Director's Report. Each topic will be covered in one monthly report each year so that when taken together over the course of the year, they will provide a comprehensive, latest picture of most of the significant health issues in San Francisco.
Randy Reiter, Epidemiology/Disease Control and AIDS, and Dr. Jeffrey Klausner, STD Prevention and Control, presented key issues and data on AIDS/HIV and STD's.
Commissioners' Comments:
- Commissioner Guy would like feedback from Commissioners on the format and the substantive information in the report on HIV/AIDS and STD's. These reports would broaden the Commission's knowledge base to identify specific policy direction.
- Commissioner Barnes expressed her appreciation to the Department and Commissioner Guy for working on these important data issues.
- Commissioner Sanchez commented the data would be helpful for policy formation. He would give the Director of Health discretion on what to include in the Director's Report.
- Commissioner Parker stated these reports would be more beneficial as separate presentations to the full Commission.
- Commissioner Chow would also like to look at the longitudinal aspects of these reports. He encouraged the Department to interpret the graphs to the Commission.
- On the issue of data on STD's, Commissioner Guy pointed out that women need to be included in the data.
- Commissioner Hill commented that the data is alarming. He noted that the public and the gay youth need to be informed of this data.
- Commissioner Sanchez encouraged the Department to work with the San Francisco Unified School District on health issues for young people.
- Commissioner Parker stated he did not think the issues presented on STD's are being addressed.
- Commissioner Barnes commented that the summary statements, as well as the key indicators and notable trends, are helpful for future policy issues.
- Commissioner Chow requested the Department bring back any potential resolutions in the future.
- Dr. Katz commented the Department can do a combination of the two ways, in the Director's Report or through a presentation to the Commission.
Commissioner Barnes left at 5:30 p.m.
8) OTHER BUSINESS/PUBLIC COMMENTS
None.
9) CLOSED EXECUTIVE SESSION:
PUBLIC COMMENT ON ALL MATTERS PERTAINING TO THE CLOSED SESSION.
None.
B. VOTE ON WHETHER TO HOLD CLOSED SESSION TO CONFER WITH LEGAL COUNSEL. (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(a).)
Action Taken: The Commission voted to hold a closed session.
CLOSED SESSION PURSUANT TO GOVERNMENT CODE SESSION 54956.9 AND SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(b).
CONFERENCE WITH LEGAL COUNSEL - ANTICIPATED LITIGATION.
GENERAL ELECTRIC MEDICAL SYSTEMS/PDC FACILITIES, INC.'S CLAIM #98-0464-65, IN THE AMOUNT OF $362,186
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 67.14(b)(2).)
Action Taken: The Commission (Sanchez, Chow, Guy, Hill and Parker) voted to approve the claim settlement in the amount of $362,186.
2. VOTE TO ELECT WHETHER TO DISCLOSE ANY OR ALL DISCUSSIONS HELD IN CLOSED SESSION (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.14(a).)
Action Taken: The Commission voted to not disclose any discussions held in Closed Session.
The meeting was adjourned at 5:45 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission