Minutes of the Health Commission Meeting
Tuesday, February 15, 2000
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The regular meeting of the Health Commission was called to order by President Roma Guy,
MSW, at 3:05 p.m.
- 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.
- Commissioner John I. Umekubo, M.D.
- Commissioner Lee Ann Monfredini
2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF FEBRUARY 1, 2000
Action Taken: The Commission unanimously adopted the minutes of February 1,
2000, with the following corrections:
- The meeting was called to order by President Roma Guy, MSW
- Under the U.C. Affiliation Agreement presentation, the information about the revenues
from professional fees being $16 million, which is outside of the U.C. Affiliation
Contract, will be added to the minutes.
3) CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Ron Hill)
(3.1) DPH-Administration Review of the 1998-99 annual audit and
management letters for San Francisco General Hospital and Laguna Honda Hospital.
(3.2) CHN-Balboa Teen Health Center Request for approval to accept and
expend a new three-year grant from the California Endowment, in the amount of $370,185, to
provide a three phase education program targeting Balboa High School youth, for the period
of February 1, 2000 to January 31, 2003; and a sole source contract funded by this grant
with Harder and Co., in the amount of $28,000, for the same time period.
Commissioner Parker inquired about an evaluation component.
Commissioner Hill requested an update in six months (August).
(3.3) PHP-HIV Health Services Request for approval to accept and expend
grant funds from the State of California in the amount of $1,099,869 annually to fund a
demonstration project to serve incarcerated individuals for the total project period of
December 1, 1999 through June 30, 2002; and sole source contracts funded by this grant
with Centerforce, Inc., in the amount of $1,799,643 and Haight Ashbury Free Clinics Inc.,
in the amount of $257,487, for the period of January 1, 2000 through June 30, 2002.
(3.4) PHP-CHSS-Disease Prevention Request for approval of a retroactive
modification to an existing three-year contract with Northeast Medical Services, to
provide immunization program services to children 0-4 years old. This modification will
add $13,302 to services provided in years two and three of the contract (July 1, 1999
June 30, 2001), and extend the contract for one additional year, in the amount of
$53,218, for the period of July 1, 2001 June 30, 2002. The total contract amount
for the four-year period of July 1, 1998 June 30, 2002 will be $199,570.
contracted with Northeast for services totaling $212,916 during FY 1998-99).
(3.5) PHP-Homeless Request for approval of new contract with the Ark of
Refuge, Inc., in the amount of $60,842, to provide emergency shelter services targeting
young adults 18-23 years old, for the period of February 15, 2000 through May 15, 2000.
(DPH contracted with Ark of Refuge for services totaling $282,480 during FY 1998-99).
- Rachel Callaghan opposed funding of this contract; the program is fiscally
irresponsible; has caused dissension in the neighborhood.
- Darlene Crisp, Noe Valley Community Workgroups, encouraged the Commission not to approve
contract until the CAC is formed; all of the neighborhood groups were not included;
requested specific concerns to be included in the contract; public not well informed of
- Mitch Thompson, LYRIC/EVRC/QYOC, requested funding for outreach services to queer youth;
theres an existing group working with this population.
Commissioner Hill reinforced the need for services of this youth population.
Commissioner Parker requested information on the contractor and the program. Executive
Director Yvette Flunder provided an overview and history of her agency.
(3.6) PHP-Homeless Request for approval of retroactive contract
modification with Baker Places, Inc., in the amount of $1,345,397, to provide residential
substance abuse services for triple-diagnosis (HIV/AIDS, substance abuse and mental
health) uninsured or underinsured, adult residents of the City and County of San
Francisco, for the period of March 1, 1999 through June 30, 2000. (DPH contracted with
Baker Places for services totaling $10,112,961 during FY 1998-99).
(3.7) PHP-Homeless Request for approval of retroactive contract
modification with Catholic Charities, in the amount of $905,286, to provide supportive
housing services for persons with disabling HIV/AIDS and very low income (as defined by
HUD), for the period of March 1, 1999 through June 30, 2000. (DPH contracted with Catholic
Charities for services totaling $2,540,469 during FY 1998-99).
(3.8) PHP-Homeless Request for approval of new contract with John Stewart
and Company, in the amount of $300,801, to provide fiscal agent and property management
services targeting the SSI Evaluation Program, for the period of March 1, 2000 through
June 30, 2001.
(3.9) PHP-CSAS 90-Day Status Report from Haight Ashbury Free Clinics,
- Executive Director Darryl Inaba introduced his Board Chairman, former Chairperson and
Chief Fiscal Officer.
- Monique Zmuda, Chief Finance Officer of the Department of Public Health, indicated there
has been much improvement and positive corrective actions on the fiscal matters of this
agency; and she will continue monitoring this contractor.
Action Taken: The Commission approved the Consent Calendar of the Budget
Committee, with the understanding that for #3.9 the Haight Ashbury Free Clinics, Inc.,
will continue to be monitored by the Departments Chief Finance Officer.
4) DIRECTORS REPORT
(Mitchell H. Katz, M.D., Director of Health)
On February 7, 2000, the Clinton Administration released its proposed FY 2001 budget.
The Administrations budget highlights the nations economic prosperity. The
proposal calls for an investment of nearly $110 billion over 10 years to expand health
insurance coverage, increase funding for safety net providers, long-term care, public
health, quality initiatives, and biomedical research, and strengthen Medicare ($432
billion over 10 years). Attached to my Directors Report are the summary pages of the
Presidents budget that relate to health care and health insurance coverage.
The Presidents budget estimates that the health insurance proposal would expand
coverage to five million uninsured Americans and expand health care access to millions
more over the next 10 years. The plan centers on expanding the scope of the
Childrens Health Insurance Program (CHIP) to extend coverage to parents of children
who now are eligible for CHIP ($76 billion). To prevent employers from dropping coverage,
the plan would allow employers to pool state funding with employer contributions toward
private insurance. An additional $5.5 billion would be used to enroll an additional
400,000 children in CHIP and Medicaid and $1.9 billion is budgeted to expand coverage to
children through age 20. The Presidents budget extends permanent access to Medicaid
for persons leaving welfare to work who take jobs that provide no insurance, and includes
tax credits for Medicare buy-in, to offset the cost of COBRA premiums, and for small firms
who purchase health insurance for their workers.
The Presidents safety net initiative allocates $125 million to coordinate systems
of care, increase the number of services delivered, and establish an accountability system
to assure adequate patient care for uninsured and low-income populations. The President
also proposed an increase of $50 million for community health centers and supports total
funding of this initiative at $1 billion over five years.
In the area of long-term care, the Administrations budget proposes a $28 billion,
10-year investment in long-term care. Under this initiative, the Administration would
provide tax credits for people with long-term care needs or their caregivers, provide
funding for services which support family caregivers, improve equity in Medicaid
eligibility for people in home- and community-based settings, encourage partnerships
between low-income housing for the elderly and Medicaid, and encourage the purchase of
long-term care insurance by federal employees.
With regard to public health, the Administrations budget proposes nearly an
additional $125 million (an 8% increase over FY 2000) for the Ryan White CARE Act, an
increase of $50 million for HIV prevention, and an additional $100 million to impact the
AIDS epidemic abroad. The President proposes an $82 million increase for substance abuse
prevention and treatment and an additional $100 million (a 16% increase from FY 2000) for
mental health services. The Administrations budget also includes funding increases
for infectious disease surveillance, family planning, childhood immunizations, food
safety, asthma and clinical trials for cancer under Medicare.
The Quality of Health Care initiatives in the Presidents budget include a
patients bill of rights, rules guaranteeing medical privacy, new funds to improve
the prevention of medical errors and new funds for the investigation and prosecution of
fraudulent drug sales via the Internet. The Presidents budget also provides an
increase of $1 billion for biomedical research at the National Institutes of Health. The
Presidents budget initiatives under Medicare include a voluntary prescription drug
benefit, improved access to preventive services and reforms related to fiscal solvency,
price competition and Medigap.
The Department has not yet had the opportunity to assess the impact (either financially
or programmatically) of the Presidents proposed budget on the City and County.
However, we will continue to closely monitor all health-related budget actions.
State Legislative Issues
On January 3, 2000, the Legislature convened for the second year of its two-year
session. Bills introduced in the first year of the session that did not make it to the
Governors desk in 1999 are called "two-year bills." The last day for
two-year bills to pass through their house of origin was January 31, 2000. Of the 290
two-year bills tracked by the Department, 143 bills remain active in this second year of
the legislative session and 147 bills failed to meet the January 31, 2000 deadline and,
therefore, died in their house of origin.
Of the legislation that remains active, there are two bills of particular interest to
the Department and strongly supported by the City. SB 269 (Ortiz) would increase the basic
funding allotment to local health jurisdictions for core public health functions in order
to control the spread of communicable diseases. AB 499 (Aroner) would create an assisted
living demonstration project for low-income Medi-Cal beneficiaries. Among the bills that
died were eight that would have earmarked all or a portion of the States share of
tobacco settlement funds for various, specified purposes.
The final day for legislators to introduce new bills in this session is February 25,
2000. Legislation of note that has been introduced thus far in 2000 include: AB 1800
(Thomson) which would make significant reforms to the involuntary treatment of mental
illness; SCR 59 (Burton) which creates the Joint Committee on Mental Health Reform to look
at mental health reform broadly; and SB 1368 (Brulte) which would, under certain
circumstances, allow a child 30 days old or younger to be surrendered without penalty by
the parent. The Department is currently assessing the impact of the remaining bills and
other new health-related legislation.
Exploratory Committee for Bond Measure Proposed
On Thursday, February 10th, Supervisors Leno and Ammiano announced the
formation of an exploratory committee to look into the possibility of a bond initiative
for the November ballot. The initiative would address both the infrastructural needs of
SFGH and the primary care clinics of the CHN, as well as the concept of placing city
health clinics in San Franciscos public schools. State law SB 1953 (the Hospital
Earthquake Safety Bill) mandates substantial earthquake retrofitting of SFGH and other
hospitals by the year 2030. We must turn in our plans to meet the stringent standards by
January 1, 2001 and must make smaller incremental improvements by the years 2002 and 2008.
Along with the need to address the infrastructual and seismic deficiencies of SFGH, the
San Francisco Unified School District has expressed great interest in having school-based
clinics on site. The siting of direct health care services to our young people could go a
long way in helping us leverage funds to offset the cutbacks we have seen in Federal and
State funding. Cost estimates for these bond measures are preliminarily set at $50 million
for SFGH and $50 million for school-based clinics. I will continue to keep the Health
Commission updated as this bond initiative evolves.
POPULATION HEALTH AND PREVENTION
CSAS - Appointment of New Director
I am very pleased to announce that Phyllis Harding has been appointed as the Director
of Community Substance Abuse Services. She will begin her new position tomorrow. Phyllis
has an extensive wealth of experience in the health field and recently has demonstrated
strong leadership in her current position as the Senior Associate Administrator of Mental
Health, Substance Abuse & Forensic Services for the Community Health Network,
Department of Public Health.
Some of her accomplishments include the paired leadership responsibility for Forensic
Services which is comprised of Jail Medical Services, Jail Psychiatric Services and the
Rape Treatment Center. Phyllis was largely responsible for the operation of the Mental
Health Rehabilitation Facility which included the hiring of staff, supervision of program
development, licensing application and certification review. During her work with the SFGH
administration, she worked with 4 acute psychiatric inpatient units, the forensic
psychiatry unit, the acute detoxification unit and a variety of outpatient services which
included case management programs, services for special populations, psychiatric emergency
services, and substance abuse services. Phyllis has also shown leadership with her
participation for the past 3 years on the Treatment on Demand Planning Council where she
has also served as the Chair of the Community Input Committee.
I would also like to recognize and thank Jim Stillwell for the outstanding job that he
has done these past several months serving as the Interim CSAS Director. I appreciate his
stepping in and providing the leadership for CSAS. Jim will now be able to resume his
position as the CSAS Budget and Finance Director.
Welfare-To-Work Dental and Optical Program Begins
PH&P, the CHN and the Department of Human Services are collaborating on a San
Francisco-only Welfare-to-Work Dental and Optical Program. The goal is to make dental and
optical services more accessible to single adults in the PAES Program who do not have
MediCal or DentiCal benefits.
Although believed to be very high, there is no existing data on the prevalence of
dental disease or the impact on employment for the welfare-to-work population. The
research data collected from this effort will be used to write proposals to continue these
Community Health Promotion and Prevention Branch Awarded a Grant
Community Health Promotion and Prevention Branch was awarded an annual grant of $80,640
from Mount Zion Health Fund. The grant, which was awarded to the collaboration of Refugee
Medical Clinic of San Francisco General Hospital and the International Institute of San
Francisco (IISF), will provide preventive health education and enhanced interpreter
services for Russian-speaking and Bosnian patients at Refugee Medical Clinic.
The grant will establish patient education programs on preventive health topics using
culturally and linguistically appropriate methods. Staff will also compile health
education materials in Russian and Bosnian that can be distributed to patients and support
the existing interpreter services at the Clinic. With these expanded resources we will be
able to integrate preventive health education programs with the quality interpreter
services already provided by the collaboration to improve the health and well being of
patients. For more information please contact Patricia Erwin through email or at 705-8552.
Trans Health Night at Dimensions Clinic
The first Trans Health Night at the Dimensions Clinic was held on January 27, 2000.
Approximately 20 youth attended the event, with lots of good food and many volunteers.
Medical services were enhanced for the evening to accommodate regular walk-in services as
well as for the TG youth in attendance. The evening ended with a community forum focused
on what transgender youth think about health, their health needs, and to provide input on
how to make Dimensions a more FTM- and MTF-friendly place. The Dimensions' direct services
staff, most of whom are Spanish speaking, come from Castro-Mission Health Center, Special
Programs for Youth, New Leaf, Larkin Street Youth Center, AIDS Office, and LYRIC. They
have been instrumental in establishing Dimensions Clinic as an excellent place for queer
youth to receive a variety of integrated health care services.
COMMUNITY HEALTH NETWORK
Administrative Responsibilities at SFGH Re-Assigned
Phyllis Hardings areas within San Francisco General Hospital Medical Center have
Christine Wachsmuth, who is the Associate Administrator over Emergency and related
services, will now assume administrative responsibility for Psychiatric Emergency
Leslie Holpit, who is currently the Director of Nursing for Psychiatry, will now also
handle administrative responsibilities for Inpatient Psychiatry and Outpatient Behavioral
Health Programs. Ms. Holpit has been with San Francisco General Hospital since 1989.
|SFGH Credentials Report
|Changes in Privileges
| Voluntary Relinquishment
Commissioner Umekubo requested clarification on what a bond measure would include. Dr.
Katz stated the bond would cover buildings but not equipment and operations of the
building. The policy issue of the primary care clinics as part of the Departments
Strategic Plan would come to the Commission for a decission (i.e., total number of primary
care clinics in the City). Because the deadline for a bond to be approved by the CIAC is
the first week in May, the Commission would need to consider the bond in April. The
Department would make a future presentation on the bond issue.
President Guy commented the Commission may want to hold public hearings in March.
Commissioner Umekubo would also like to hear from the private hospital sector regarding
Nathan Nayman, Hospital Council, stated that California Health Care Association is
working on SB 1953 and will provide information to the Commission. There will also be a
statewide bond initiative regarding SB 1953, which requires all hospitals to be
seismically safe within a specific timeline.
5) CONSIDERATION OF A RESOLUTION ON THE DEPARTMENT OF PUBLIC HEALTH BUDGET FOR FY
As a continuance from the Commissioner's Special Meeting on February 8, 2000 on the
proposed Department of Public
Health budget for FY 2000-01, President Guy announced that public testimony would be
Dr. Katz, after additional consideration, recommended the following revisions to the
budget proposal to reduce contract services in primary care:
- The Department's original budget proposal was to reduce contract agencies by $600,000.
Of this amount, approximately $250,000 was targeted toward reducing contracts with Clinic
Consortium agencies. Dr. Katz now suggests that no reductions to these primary care
contracts occur. Dr. Katz is not certain that there is sufficient capacity in the Primary
Care Network to absorb these patients.
- In addition, Dr. Katz recommends that the outreach/case management program operated by
the Bayview Hunters Point Foundation be reduced by $125,000, rather than the originally
proposed amount of $200,000. This reduction, as well as the $100,000 reduction to Central
City Hospitality House, was made so that a greater proportion of homeless funding would be
spent to preserve housing rather than maintaining outreach to homeless persons. The
proposed increase of General Funds to housing in this budget is $2 million. The Department
believes existing DPH homeless and mental health outreach services will be able to make up
any decreases from these two contracts. Finally, the Bayview Hunters Point Foundation,
Critical Incident Response Team (CIRT) contract, will be decreased by $25,000 because DPH
provides complimentary services. The Department believes this reduction is possible
without an overall loss of services to the community.
FY 2000-01 Budget
Reductions in Primary Care Contract Clinic Services
|BVHP Mental Health/Outreach/CM
|Mission Neighborhood Health Center
|North of Market Health Center
|Haight Ashbury Free Clinic
Dr. Katz also provided additional information about reductions in the need for acute
- Eve Milton, Potrero Hill Health Center CAB, opposes closure of the Center; described her
granddaughter's experience at SFGH and the Center.
- Nick Pasquariello, Potrero Hill Health Center CAB, supports dental services at the
Center; closure is an ill-conceived idea and has not been adequately discussed.
- Ann Togia, SASA Foundation, advocated for funding and substance abuse services for the
Samoan community; Treatment on Demand Council has identified Samoans as a priority.
- Jeff Wong, Pharmacist, opposes closure of SFGH outpatient pharmacy and Potrero Hill
Health Center; patients will not get adequate services at community pharmacies.
- Annette Pinto, SFGH Psychiatry, described the gay focus psych unit; opposes closure of
any inpatient psych wards; will result in more homelessness.
- Mily Trabing, SFGH psychiatry, described the patient population in the inpatient psych
wards; realistic alternatives have not been developed.
- Anthony Joseph Arroyo, SFGH volunteers, opposes closure of inpatient psych units; will
lead to homelessness.
- San Francisco Organizing Project had nine speakers:
- Opposed SFGH pharmacy closure and any cuts at SFGH
- Thanked Department for reinstating funds for Mission Neighborhood Health Center
- Thankful for services for low income people at SFGH
- SFGH pharmacy is an important service for the community
- Urged not to cut funds for low income people
- Need more funds for SFGH pharmacy
- SFGH is important for poor people
- Will not be able to get same access to medications at the neighborhood pharmacies.
- Dr. Katz clarified in Spanish that the same free medications would be available at the
- Lawrence Blon, private citizen, opposed elimination of beds and pharmacy; people will go
- Mitch Thompson, LYRIC/EVRC/QYOC, advocated for needs for gay youth; need to outreach
- Jen Plummer, QYOC, described her work with queer youth who are marginalized from their
families; gay youth collective is already established; described outreach services.
- Dr. Kevin Grumbach, CHN/UCSF, advocated for the preservation and enhancement of
essential services at SFGH; not fully reflecting the pain for consumers; encouraged
Commission to disagree with the cuts and see if the Commission is asking for enough funds
from the Mayor.
- Michelle Tactay, QYOC, advocated help for queer youth.
- Rene Muslin, CCHH/QYOC, need for outreach to queer youth in the Mission, Castro, and
Tenderloin; described services.
- Anne Cassia, QYOC, advocated funding for queer youth proposal, which is a priority for
the Treatment on Demand Council.
- Sandi Andrews, QYOC, advocated for queer youth.
- Enola D. Maxwell, Potrero Hill Neighborhood House, expressed disappointment with the
President of the United States; need for more health care; how can anyone discontinue
Potrero Hill Health Center? Described mental illness in the African American community.
- Shannon Coughlin, Committee for Health Rights in the Americas, expressed outrage at
cuts; urged hearings be held at SFGH and the clinics so that direct care providers can
attend; read a letter from three nurses at SFGH.
- Nora Roman, Emergency Coalition to Save Public Health, represents patients and staff;
hopes Commission has guts to vote no to proposed cuts; suggested other solutions to budget
problems; separate out the administration budget; need for long-term solutions.
- John Tighe, SFGH, opposed cuts in infrastructure at SFGH; will lead to staff reductions
and closure of units.
- Dr. David Ofman, CHN Medical Practice Group, expressed support and concerns on the
proposed budget; the merger of Potrero Hill Health Center is not worth disrupting
commitment to a community; concerned about reductions at SFGH; advised a step-wise
- Dr. Norma Jo Waxman, UCSF-Dept of Family and Community Medicine, disagrees with current
hiring freeze; decreased reimbursements are the problem; health care is a right, not a
- Chet Villalba, Mental Health Board, thanked Commissioners for listening; visited Potrero
Hill Health Center and interviewed patients; read statements from the CHN brochure.
- Eugene Menifee, ICHO, needs shelters and detox facilities.
- Naim Harrison, Positive Direction=Change, expressed more services are needed in the
Bayview Hunters Point areas; there's an attitude of "as long as it doesn't affect
- James Ellison, citizen, wants to give back to the community; drug treatment services
needed in the Bayview; other areas have facilities.
- M.P.R. Howard, Tom Waddell Clinic CAB and Citywide CAB, medical trends towards
privatization and dismantling of health systems; how many bodies will we find on our
- Paulette Spencer, Potrero Hill Health Center Advisory Board, opposes closure of Center;
improves quality of life in community.
- Helyanna Brooke, Mental Health Board, applauded Dr. Katz but encouraged the Commission
to say no to the proposed budget in this time of prosperity.
- Mary Montoya opposes closure of pharmacy and Potrero Hill Health Center, which is
important to the social fabric of the community.
- Larry Bevan, SFGH/MHRF, described the special cultural units at SFGH; expressed concern
on where people will go until alternatives are available; have to put prevention in place.
- Oletha Hunt, CNA at LHH, described LHH different than ever before; residents need more
care; invited Commissioners to spend a day at LHH; have to be fair to residents and staff.
- David Twedall, Local 250, described working under time constraints; inadequate budget
with no community input and consultation; no choice but to have senior staff leave.
- Magdelena Soul, disabled low income patient, cuts at SFGH pharmacy and dental clinic at
Potrero Hill Health Center are not right; disabled are too sick to attend meetings; think
about people, not bureaucracy.
- Teresita Gatan, Local 250, how can you give quality care when there's not enough staff.
- Martha Hawthorne, Local 790, opposed all budget cuts; complete disregard for people
working in the system; described a patient case.
- Mary Magee, SFGH Birth Center, described vacancies in unit; take moral imperative and
make investment of more monies for public health care.
- Dr. Talmadge E. King, Chief, Medical Services at SFGH, described SFGH as an outstanding
hospital; very efficient; being run close to the margin; stand up for this and do what's
right; cannot take more in the Family Health Center; Commission should resist making a
President Guy asked for a modernized Public Health Department, this budget along with a
strategic plan, and data to reflect a future direction.
Commissioner Sanchez thanked the community, providers, and staff for the insightful
testimony. He sees erosion of the safety net and does not see cutting quality assurance
any further. He recalled the history and evolution of the primary care clinics in the
community; and these clinics are at risk. He has strong reservations on the proposed
budget and would vote no on the proposed budget.
Commissioner Parker sees a vision becoming a nightmare. There's talk about a robust
economy and these cuts. There's no sense to fund the Department at last year's level. It
has gone from band-aid to no aide. Why try to protect the General Fund? It's there to
spend. He cannot support the proposed budget.
Commissioner Umekubo strongly supported addressing the number of decertified days in
the acute care hospital and feels the proposed budget addresses this problem.
Inefficiencies need to be addressed. There would be no cuts in services and no lay-offs.
The closing of the pharmacy and Potrero Hill Health Center make sense. Additionally,
there's a need to look at the total primary care system. He encouraged the Commission to
move ahead with the changes and closely monitor them.
Commissioner Chow expressed support for the new initiatives with the understanding that
the alternative settings are operational before transferring out patients from acute care
beds. It is not a matter of closing a whole unit of an inpatient psych ward. He promoted
the idea of requesting more funds as a hedge in the budget during this transition. He sees
the pharmacy proposal as a real patient benefit by subsidizing the neighborhood
pharmacies. He would defer the closure of the Potrero Hill Health Center and put the
entire issue of how many community primary care clinics we should have as part of the
Strategic Plan. Selecting this one clinic might be premature at this time.
Commissioner Hill expressed his gratitude to Dr. Katz and his staff for their hard
work. Commissioner Hill strongly supports the pharmacy closure and agrees with
Commissioner Chow's suggestion to defer the Potrero Hill Health Center closure. The
Department needs to move forward with the new initiatives and encourage his colleagues to
step up to the plate to talk to City Hall officials.
President Guy encouraged her colleagues to go to City Hall to support the Department
staff. She advocated for continuing dialogue and problem-solving with patients, providers,
and the community. She also supports deferring Potrero Hill closure and requested the
Department to re-look at the idea of selling Department property. There might be other
uses for that building. Otherwise, she supports all of the other new initiatives.
All of the Commissioners, except one, supported deferring Potrero Hill Health Center
closure for now.
Commissioner Hill recommended asking for $18 million plus the $12 million for COLA's.
However, there was no second to his motion.
Action Taken: The Commission amended the proposed resolution by adding the
following: "Whereas, an additional $6 million would be needed to fully realize the
savings from the reduction of the decertified beds at San Francisco General Hospital"
- Yes: Commissioners Chow, Guy, Hill and Umekubo
- No: Commissioners Parker and Sanchez
Action Taken: The Commission amended the proposed resolution by adding more
funds to the General Fund request:
"Whereas, the Department's budget still requires an additional General Fund
allocation of approximately $19.6 million in order to balance to its expenditures
"Further Resolved, that the Health Commission directs Department of Public
Health to request additional General Funds in the amount of $25.6 million to avoid service
- Yes: Commissioners Chow, Guy, Hill and Umekubo
- No: Commissioners Parker and Sanchez
Action Taken: The Commission adopted Resolution # 1-2000, "Approving
the Department of Public Healths Proposed Budget for FY 2000-01, Approving the
Reallocation of Funds to Develop New Programs to Reduce the Need for Acute and Emergency
Care, and Approving Cost Reductions Necessary to Absorb Cost Increases" with the
- Yes: Commissioners Chow, Guy, Hill and Umekubo
- No: Commissioners Parker and Sanchez
6) UPDATE OF THE DEPARTMENT OF PUBLIC HEALTH STRATEGIC PLANNING INITIATIVE
Tangerine Brigham, Director of Policy and Planning, provided an update on the
Department's Strategic Planning Initiative, including the following:
- Inclusion of the strategic planning financing approaches in the Department's proposed
fiscal year 2000-01 budget
- Recent strategic planning town hall meetings
- Analysis of health mandates, and
- Recruitment of consumers to the Strategic Planning Committees.
- She also provided an updated work plan providing the Health Commission with our progress
- A copy of the full report is available in the Commission Office (554-2666).
- Commissioner's comments:
- Important to talk to the difference community groups and to outreach to those
- Discussion of the primary care community clinics should be integrated into Strategic
- Need to develop benchmarks to evaluate performances and quality of services
- Happy to see community people on the strategic planning committee, and
- Issue of a potential bond measure for the clinics should be part of strategic planning;
Commission would hold public hearings on the bond issue, potentially in March; need to
include and collaborate with the School District representatives and need to inform the
- M.P.R. Howard observed that a few people from the neighborhoods attended the Town Hall
meetings; need to inform the neighborhoods about these meetings.
7) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 7:45 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission