Minutes of the Health Commission Meeting
Tuesday, May 30, 2000
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The special 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
On behalf of the Commission, Commissioner Chow presented a special Certificate of
Appreciation to Doreen Dare, RN, MSN, for her 23 years with the Department at San
Francisco General Hospital. Gene OConnell, Executive Administrator of San Francisco
General Hospital, and Tony Wagner, Executive Administrator of the Community Health
Network, each expressed their appreciation for Ms. Dares fine work and commitment to
quality of care issues at San Francisco General Hospital and training at Laguna Honda
Hospital through the Community Health Network.
2) CONSIDERATION OF A RESOLUTION REGARDING APPROVAL OF THE DEPARTMENT OF PUBLIC
HEALTHS PROPOSAL FOR A GENERAL OBLIGATION BOND FOR $97,000000 TO BE CONSIDERED FOR
THE NOVEMBER 2000 BALLOT, TO IMPROVE FACILITIES AT SAN FRANCISCO GENERAL HOSPITAL AND
Dr. Mitch Katz, Director of Health, thanked the Commission for holding this special
Commission meeting to consider the proposed General Obligation Bond of $97 million to be
considered for the November 2000 ballot, to improve facilities at San Francisco General
Hospital and the Community Clinics.
Dr. Katz reviewed the process:
Pursuant to requests from the Health Commission and from members of the Board of
Supervisors, the Department of Public Health assessed its immediate capital projects and
seismic requirements. The results of this review were presented and considered in public
hearings held by the Health Commission and the Board of Supervisors Finance and
Labor Committee in March 2000. Since that time, Supervisor Mark Leno requested that the
Department of Health prepare a General Obligation Bond proposal that could be considered
for placement on the November 2000 ballot.
If approved, the proposal will be submitted and considered by the Citys Capital
Improvement Advisory Committee (CIAC) for its recommendation. If approved by
proposal will be presented to the Mayor and the Board of Supervisors for review and
approval for placement on the November 2000 ballot.
The four major projects to be funded through General Obligation Bonds are:
- Seismic retrofit to San Francisco General Hospital to bring the hospitals
life safety structures and systems into compliance with State earthquake standards to meet
the 2008 deadline, allowing the hospital to remain open as an acute care institution until
2030 - $19,350,000
- A new ambulatory care and research facility at San Francisco General Hospital to house
urgent care, HIV/AIDS, primary and specialty care, and clinical research - $48,000,000
- Capital improvements to San Francisco General Hospital to increase outpatient capacity,
improve public access, reconfigure nursing unit and Treatment areas, build public Health
Laboratory facilities, and improve facilities to meet AD and other code compliance -
- Capital improvements to the existing primary care centers to expand clinical exam rooms,
reconfigure eligibility and registration areas, improve public access, and improve
facilities to meet ADA and other code compliance, including lead abatement - $13,268,400
Finance costs of issuing bonds - $ 1,500,000
The cost of these projects, including financing costs, is estimated at $97,010,700. The
Department will continue to work with the Department of Public Works, the Planning
Department, the Mayors Office of Finance, and the City Attorneys Office, to
further define the construction timelines and other details needed to size a general
Obligation Bond proposal.
Dr. Katz pointed out these projects have previously been presented to the Commission.
Additionally, the proposal would provide the opportunity to co-locate mental health and
substance abuse programs in the primary care clinics. Not included in this bond are
school-based health clinics. There needs to be a longer planning process at the School
District to achieve a level of readiness.
- Bob Hartnagel, Aide to Supervisor Mark Leno, spoke on behalf of the Supervisor and urged
the Commission to move forward with the proposed bond.
- Brad Benson, Aide to Board of Supervisors President Tom Ammiano, expressed support for
the current proposal but also indicated his concern for inclusion, but will hold off, the
capital needs of mental health community-based organizations, housing, and the Tom Waddell
- Dr. Talmadge King, San Francisco General Hospital Chief of Medical Service, expressed
support for the ambulatory care and research facility. The programs housed in the proposed
building would focus on outpatient care and would accomplish the following:
- Enhance customer service and accessibility
- Reduce patients frustration in finding where to go
- Improve service by making the environment customer friendly
- Enhance teaching and research goals
- Dr. Phil Hopewell, Associate Dean at San Francisco General Hospital, emphasized the
importance of the proposed improvements to San Francisco General Hospital and the
Community Health Network. He also pointed out U.C.s commitment to its partnership
with the CHN and that the ambulatory care facility is crucial to fulfill the partnership.
Even though U.C. is building the Mission Bay Campus, there is an increased need to have
patient-based research at SFGH; this will complement the research at Mission Bay; research
is in line with the CHN mission.
- Dr. Mike McCune, AIDS researcher, promoted academic research near a patient-based
hospital and urged the Commission to support the resolution.
- Helynna Brooke, Executive Director of the Mental Health Board, endorsed the bond
proposal. She also supports the idea of adding school-based health clinics,
community-based mental health facilities, and housing.
- Endorses the bond proposal
- Timely, well-thought-out, comprehensive, affordable measure
- Will increase morale of personnel
- Need to balance between centralizing and decentralizing services
- Thanked Supervisors Leno and Ammiano
- Important bond in promoting infrastructure
- Inquired about operational and moving costs; timeline for ambulatory care facility;
capacity in the ER at San Francisco General Hospital
- Concern for school-based clinics; have to be worked out with School District
- Increased cost to taxpayers on property tax would be $40 per year
- Co-location of mental health and primary care services would be a public benefit
- Everyone has pulled together for the elderly (LHH Bond) and persons at risk
- Acknowledged the UCSF and the CHN partnership
- Bond will pass
- Modernization; increase in efficiency; acknowledged concern for mental health
President Guy thanked Department staff for the comprehensive documents.
Dr. Katz thanked Eric Miller and Carlos Villalva for their expertise in developing the
Action Taken: The Commission (Guy, Umekubo, Hill, Chow, Parker, Sanchez)
adopted Resolution #5-00, entitled
"Approving a Proposal to Fund the Seismic, Life Safety and Critical Facility
Improvement Project Through General Obligation Bonds in the Amount of $97 Million to be
Placed on the Ballot for November 2000."
3) OTHER BUSINESS/PUBLIC COMMENTS
The meeting was adjourned at 4:10 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission