Minutes of the Health Commission Meeting
Tuesday, March 20, 2001
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 P. Guy, MSW, at 3:05 p.m.
Present During the Meeting:
- Commissioner Edward A. Chow, M.D.
- Commissioner Roma P. Guy, M.S.W.
- Commissioner Arthur M. Jackson
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner David J. Sanchez, Jr., Ph.D.
- Commissioner John I. Umekubo, M.D.
2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF MARCH 6, 2001
Action Taken: The Commission adopted the minutes of March 6, 2001.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner Arthur M. Jackson)
(3.1) CHN - Request for approval to accept and expend a new
three-year grant from The California Endowment, in the amount of
$399,386 for “Integrated Behavioral and Physical Health Care in
Community-Based Public Health Clinics”, for the period of February 15,
2001 to February 14, 2004.
CHN-LHH/HAH - Request for approval of a new contract with Healthcare
Financial Solutions, in the amount of $57,202 to provide reimbursement
and revenue optimization services for Laguna Honda Hospital and Health
at Home Agency, for the period of April 1, 2001 through March 31, 2002.
(3.3) PHP-Children’s Environmental Health Promotion - Request for
approval to accept and expend a grant from the State Department of
Health Services in the amount of $435,000, for “Removing Barriers to
Effective Asthma Management for Infants, Toddlers and Children up to
Five Years of Age”, for the period of March 1, 2001 to June 30, 2002,
and approval of two sole source contracts, one with the American Lung
Association for $123,877, and one with the San Francisco State
University/Yes We Can Urban Asthma Partnership for $225,548, both for
the period of April 1, 2001 to June 30, 2002.
(3.4) PHP-CMHS - Request for approval to accept and expend a new
two-year grant from Eli Lilly and Company to fund the sole source
contract with Westside Community Mental Health Crisis and Outpatient
Clinic in the amount of $250,000 to enhance medication adherence for
clients of Community Mental Health Services, for the period of May 1,
2001 to April 30, 2003.
(3.5) PHP-CMHS - Request for approval of a retroactive new sole
source contract with Mt. Diablo Medical Pavilion for the provision of
acute psychiatric inpatient hospital services targeting uninsured
children and adolescents, in the amount of $200,000 in City funds, for
the period of January 1, 2001 through June 30, 2002, and in the amount
of $4,300,000 in Medi-Cal funds for four hospital providers targeting
Medi-Cal beneficiaries, for the period of July 1, 2000 through June 30,
(3.6) PHP-CMHS - Request for approval of a retroactive contract
modification with Edgewood Center for Children and Families in the
amount of $99,990 to establish a placement alternative consortium for
youth needing residential care, for the period of March 1, 2001 through
December 31, 2001. (DPH contracted with Edgewood for services totaling
$1,761,526 during FY 1999-2000).
(3.7) AIDS Office - Request for approval of a retroactive renewal
agreement with the State of California Department of Rehabilitation, San
Francisco District (DR), in the amount of $116,859 to enable San
Francisco to leverage Federal/State vocational rehabilitation funds of
$420,060, to provide vocational rehabilitation services targeting
persons with HIV/AIDS seeking to enter/re-enter employment, for the
period of July 1, 2000 through June 30, 2001. (DPH contracted with DR
for services totaling $114,000 during FY 1999-2000).
(3.8) AIDS Office - Request for approval of the FY 2001-2001 Ryan
White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 Title I,
Title II and General Fund contracts for a combined total of $35,853,088,
for the period of March 2001 through February 28, 2002 for Title I
funds, April 1, 2001 through March 31, 2002 for Title II funds and July
1, 2001 through June 30, 2002 for General Fund programs with the
AIDS Emergency Fund
AIDS Legal Referral Panel
American College of Traditional Chinese Medicine
Asian Pacific Islander Wellness Center
Bar Association of San Francisco
California AIDS Intervention Training Center
Chemical Awareness & Treatment Services, Inc.
CompassPoint Nonprofit Services
Continuum HIV Day Services
Dolores Street Community Services
Family Service Agency of San Francisco
Family Support Services of the Bay Area
Haight Ashbury Free Medical Clinics, Inc.
Immune Enhancement Project
Instituto Familiar de la Raza
Legal Services for Children
Lutheran Social Services
Lyon-Martin Women’s Health Services
Maitri AIDS Hospice
Mission Neighborhood Health Center
Positive Resource Center
Project Open Hand
Quan Yin Healing Arts Center
San Francisco Community Clinic Consortium
SFDPH Community Health Network -Forensics Services
SFDPH Community Health Network -Health at Home
SFDPH Community Health Network - Primary Care
SFDPH Community Health Network -SFGH
SFDPH Community Health Network-SFGH-Positive Health Pract.
SFDPH Community Health Network-Tom Waddell
SFDPH PHP Mental Health Services
SFDPH PHP Public Health Laboratory
SFDPH PHP STD Services
SFDPH PHP Substance Abuse Services
SFDPH PHP Housing Services
Ark of Refuge, Inc
Black Coalition on AIDS
Larkin Street Youth Center
Lutheran Social Services
San Francisco AIDS Foundation
San Francisco Food Bank
San Francisco Suicide Prevention
San Mateo County
Tenderloin AIDS Resource Center
UCSF/AIDS Health Project
UCSF/Center on Deafness
UCSF/Pediatric AIDS Program
UCSF/Substance Abuse Services
UCSF/ Women’s Specialty Clinic
University of the Pacific-School of Dentistry
Westside Community Mental Health Services
The Commission agreed that St. Mary’s Medical Center funding in the
amount of $1,234,862 shall not be approved, pending an update from the
Department of Public Health concerning the relocation of St. Mary’s
AIDS-Dementia Unit patients to St. Mary’s Skilled Nursing Facility (SNF).
Commissioners Monfredini and Jackson posed questions concerning, among
other things, the number of clients served and the methods for identifying
Commissioners Guy, Chow, Monfredini, and Jackson expressed concerns
regarding St. Mary’s Medical Center, especially in light of the
Proposition Q question. The Department assured the Commission that the
Department is in communication with St. Mary’s, and would report back to
Action Taken: The Commission approved the Consent Calendar of the
Budget Committee. Commissioner Guy abstained on the San Francisco State
University contract on #3.3; Commissioner Jackson abstained on the
Westside Community Mental Health Crisis and Outpatient Clinic, #3.4 and
#3.8; Commissioner Sanchez abstained on the UCSF contract on #3.8; and
Commissioner Umekubo abstained on the St. Mary’s contract on #3.8.
4) DIRECTOR’S REPORT (Mitchell H. Katz, M.D., Director of Health)
State Charity Care Report
Last year the California Legislature enacted AB 2276 (Cedillo) which
requires the California Attorney General to prepare a plan for evaluating
whether additional charity care or community benefits standards should be
imposed on non-profit hospitals in the State. Last week the Attorney
General (AG) issued a plan identifying key issues that should be
considered in establishing such standards. The AG acknowledges that
California does not impose any substantive charity care or community
benefits standards on non-profit hospitals. You may recall that SB 697
(Torres) imposes a planning and reporting duty on non-profit hospitals
with respect to the community benefits they provide.
The AG recommended the following:
- The Legislature should designate a lead agency to perform the
evaluation. Currently, the Health and Human Services Agency, Attorney
General and Department of Managed Health Care provide oversight to
- The evaluation should include an examination and formulation of
uniform standards to be applied to non-profit hospital transactions.
Specifically, the Attorney General proposes that definitions and
measurements of charity care and community benefits be developed. The
lack of a uniform and an agreed-upon definition has thwarted attempts
to do a comprehensive assessment of charity care.
- The Legislature should define the scope of issues related to the
role that Boards of Directors of non-profit hospitals play in ensuring
the delivery of appropriate care and community benefits to their
- The Legislature should define the scope and the methods of assessing
the impact of corporate structure on the delivery of healthcare and
community benefits by non-profit hospitals.
- The Legislature should direct the evaluator to develop alternatives
to adopting charity care and community benefits standards and to
provide assessments of health and financial impacts of each
alternative on affected stakeholders.
- The lead agency should ensure input from a wide-range of
- The Legislature should establish realistic budget and deadlines for
The AG’s report is currently being reviewed by the Legislature. The
Legislature has an opportunity to either ask for additional information
from the AG and/or start the evaluation process by designating a lead
agency to perform the evaluation with respect to charity care and
community benefits standards. The Department will keep the Health
Commission apprised on this effort as it proceeds.
On a similar note, it has been reported that the Internal Revenue
Service has issued a field service advice memorandum on charity care
provided by tax-exempt hospitals (Modern Healthcare). The IRS memorandum
indicates that a hospital policy on indigent care is insufficient to
satisfy the charity-care requirement of a community-benefits standard. It
further states that “a hospital also must show that it actually provided
significant healthcare services to the indigent.” While the memorandum
carries no legal precedent, it does provide a glimpse into the IRS’
enforcement approach. The memorandum cites several revenue rulings and
court decisions that support its position. According to the IRS, providing
free or subsidized care to the indigent is an important indicator to the
courts and the agency that a hospital promotes community health. The IRS
also provides a series questions that staff can ask to determine a
hospital’s charitable policies and activities.
POPULATION HEALTH AND PREVENTION
Community Mental Health and the California Institute of Mental Health
are sponsoring a conference on April 26th called "Pathways to
Wellness": A Dialogue on Recovery. The conference will examine:
- What recovery is and its roots in rehabilitation
- Services and approaches to improve client access
- Tools to increase the quality of client/provider relationships
- Its impact on adult and children services
- The conference will feature clients, providers and family members
talking about their experiences with recovery.
SRO Task Force
A workgroup from the SRO Families Task Force Committee held a forum to
study the impact on the development of children and families growing up in
SRO's. The meeting was a success and included over 40 representatives from
advocacy groups, City agencies and providers. The group examined issues
relating to the physical, psychological, social and cognitive development
of children living in these buildings. An outcome of the forum was a
series of recommendations about how to improve the health and well-being
of children living in SRO’s.
COMMUNITY HEALTH NETWORK
Laguna Honda Hospital Update
Health At Home and Laguna Honda Increase Collaboration
Members of the Health At Home leadership team visited Laguna Honda on
March 7th to discuss increasing collaboration in getting Laguna residents
into community settings. The Health At Home Medical Director, Chief of
Client Services, and Chief of Social Services met with the entire Laguna
Social Services Department and select nursing and medical staff. All
parties agreed that having health At Home staff members meet with the
Laguna resident and interdisciplinary team before discharge and having
Laguna staff meet with the resident and Health At Home tem after discharge
- would increases residents’ chances of successful community placement.
Laguna Honda Hires two Peer Counselors
In February, Vincent Beehan became the peer mentor coordinator at
Laguna Honda Hospital. Mr. Beehan serves on the Board of the Public
Authority and the Mayor’s Disability Council. In March, Karen
Young-Simmons began work as the first peer mentor. Peer mentors can have
inestimable value in reducing institutional dependence by serving as role
models for successful community living. They will help Laguna Honda
residents find resources, learn transportation routes, and develop
contingency plans for mishaps. Residents who are actively seeking
discharge or contemplating discharge are eligible for peer mentor
Three Laguna Honda Clinicians Chosen for Pain Program
The University of California Academic Geriatric Resource Program
recruited three Laguna Honda staff members to attend a program called
“Managing Pain and Suffering in the Elderly” in Los Angeles on March
15-16. Anne Hughes, RN, CNS, NP, Michelle Fouts, PharmD, and Victoria
Behrman, MD will attend the train-the-trainer conference, which will be
led by a nationally known team of experts. The Academic Geriatric Resource
Program is covering the expenses of the Laguna staff members with the
understanding that they will train others in cutting edge programs to
reduce pain and suffering.
New Director for Quality Improvement Department at Laguna Honda
Mivic Hirose has accepted the position of the Director of Quality
Improvement at Laguna Honda Hospital. Ms. Hirose has served as Assistant
Director of Nursing for approximately 1-1/2 years. We are developing a
transition plan, which will allow for Ms. Hirose to assume her new duties
in a timely manner.
I will to extend my personal thanks to Hiro Tokubo who has served as
the Interim Director for many months in addition to his CHN
Examiner’s Bay to Breaker’s Event to benefit LHH
Mr. Ted Fang, new owner of the San Francisco “Examiner”, has
advised Laguna Honda Hospital of his desire to have the LHH Replacement
Project be one of the beneficiaries of proceeds from this year’s Bay to
Breaker’s event. Mr. Fang has indicated a preference to have the
proceeds apply to furnish and equip the new Childcare Center which will be
an integral component of the new campus. We extend our appreciation and
gratitude to Mr. Fang for this thoughtful generosity and continued support
for the mission of Laguna Honda.
SFGH Credentials Report
Changes in Privileges
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE AWARDS
FOR MARCH 2001
On behalf of the Commission, Commissioner Jackson presented awards to
Jackie Clarke, RN
CHN - Forensics - Health Services
Joe Goldenson, M.D., Medical Director, Jail Health Services
||CHN - Forensics - Health Services
||Frank Patt, Assistant Director, Jail
|Kathryn Eng, Director, Health at Home
||CHN - Health at Home
||Gene O’Connell, Executive
- Regina Pera
- Gina Garcia
- Maria Aleman
- Christia Mea
- Melody Doan
- Michelle Valentin
- Allan Gonzalez-Ruiz
- Ruth Barretto
- Andy Chow
- Donna Childers
- Ronald Alvarez
PH&P Human Resources and PH&P MIS
Frank Patt, Assistant Director, Jail Health Services
- Diana Guevara
- Donna Louie
- John Aaron
- Ed Ang
- Sheri Lee
- Robert Perry
- Agnes Davis
|CHN-SFGH - Patient Financial Services
6) PRESENTATION AND CONSIDERATION OF A RESOLUTION RECOMMENDING THE
SAN FRANCISCO GENERAL HOSPITAL REBUILD
Gene O’Connell, Executive Administrator, San Francisco General
Hospital, and Carlos Villalva, Executive Project Manager, briefed the
Commission concerning the San Francisco General Hospital (SFGH) rebuild
project. Their briefing began with an overview of the background issues,
planning processes, assumptions, and charges. They then presented
detailed, site-specific rebuild considerations. The briefing identified
three bond options: $472.7 million; $387.8 million; and $299.8 million.
The presenters described legislative considerations and next steps in the
process, including completing the SFGH Institutional Master Plan,
collaborating further with UCSF, and increasing community dialogue.
The presenters recommended waiting until 2002 to bring a bond measure
before the voters, which they stated would provide the Department of
Health with additional time to build upon the original assumptions,
incorporate the legislative changes and Master Plan, explore collaborative
efforts with UCSF, and elicit further community input.
- Christopher Sabre, stated that he lives 2 ½ blocks from the site,
and is concerned about the size of the project. In his view, there
have been inadequate community meetings.
- Rae Ann Emery said that the new project will take views away from
her residence. She asked that the project not be rushed.
- Judith Berkowitz stated that not enough planning had been done, and
that the project was not a rebuild, but an expansion. She asked the
Commission to postpone consideration of the measure.
- Babette Drefke said that she was a long time Potrero Hill resident.
Her suggestions to the Commission included: conform to a 40 foot
height limit; do not build up to property line; do not expand
buildings on hospital grounds; keeps lawns and greenery; and retrofit
the red brick buildings.
- Dr. H. T. Debas, Dean, UCSF School of Medicine and Vice Chancellor
for Medical Affairs, served on the rebuild planning committee and
supported that process. He asked the Commission to consider the
academic and research needs of the faculty.
- Michael Lyon stated that there was a concentration of medical
facilities for the indigent around San Francisco General Hospital. He
stated that the SFGH plan may be insufficient to meet future medical
- Nora Roman, Emergency Coalition to Save Public Health, stated that
she was happy that the Department’s recommendation is not to bring a
bond measure before the voter’s now. She said that there had been
only one community meeting held on this issue, and that the plan
needed more community and worker input.
Dr. Katz’s Comments
- Dr. Katz thanked Gene O’Connell and her staff for their good work.
He added that there are many issues related to rebuild project ahead
next year, including: 1) State legislation, especially issues relating
to seismic standards; 2) how to best collaborate with UCSF, and 3)
addressing community interests. He further stated that the Department
will know more about pending State legislation in October or November.
- Echoed Dr. Katz’s comments, congratulating staff for their good
work, including the amount of work that staff accomplished in a short
period of time
- Pleased with recommendations; 2002 date provides opportunities to
work through many of the issues raised
- Raised the need to respond to issues concerning UCSF collaboration
and research aspects
- Raised the need to respond to issues of technology, and the increase
of dually diagnosed and psychiatric patients in the Emergency
- Stressed the need for more community input concerning the rebuild
- The Department and Commissioners agreed that the Department would
present a progress report to the Commission by October 2001.
- Action Taken: The Commission agreed with the recommendation to wait
until 2002 to bring a bond measure before the voters
- The Commission directed the Department to present a SFGH Rebuild
Progress Report to the Commission by October 2001
7) PUBLIC HEARING IN ACCORDANCE WITH THE HEALTH CARE PLANNING
ORDINANCE - (PROPOSITION Q, 1988), TO CONSIDER THE IMPACT OF CHANGES ON
HEALTH CARE SERVICES TO THE COMMUNITY AT ST. MARY’S MEDICAL CENTER
Several representatives from St. Mary’s Medical Center (SMMC) made
presentation to the Commission during the Proposition Q hearing. Ken
Steele, Interim President at SMMC, began with an overview of the SMCC and
Proposition Q. He apologized to the Commission for not providing the
required 90 days notice for three of the four program closures. Mr. Steele
stated that he looks forward to improving the communication between
President Guy, the Commission, Dr. Katz, and himself.
Mr. Steele stated that, as a result of the actions taken in January and
February 2001, St. Mary’s financial picture has improved dramatically.
He told the community that St. Mary’s is not closing, is not for sale,
and that he wants to ensure the viability of St. Mary’s now and far into
the future. He described each closed program, closure dates, number of
staff and patients impacted: Adult Partial Hospital Program (closed
February 25, 2001); the Outpatient Psychology Clinic (will close June 30,
2001); the Outpatient Pediatric Clinic (closure date: March 23, 2001); and
the Radiology Oncology Service (transferred to St. Francis Hospital, March
Mr. Steele also discussed two other SMCC Units. These are the HIV-Care
Unit, which Mr. Steele said was relocated to another SNF Unit at SMCC,
with patients receiving the same service at a different location, and the
Medical-Psychiatric Unit whose patients were transferred to different St.
In addition to Mr. Steele, several other SMCC representatives presented
before the Commission: Stephen Krause, M.D., Medical Director of McAuley
Institute; Brother George Cherrie, Director of Mission Services, Spiritual
Care, and Community Services; and Jim Illig, Chair of the SMMC Community
Advisory Committee. They described in further detail the financial,
clinical, and staffing aspects concerning the closure or transfer of the
- Allen Fitzpatrick, R.N., stated that the skilled nursing staff from
the HIV Dementia Care Unit has been laid off, and the patients no
longer have the freedom, care, and support that they experienced. He
further stated that the nurses in the skilled nursing unit received
proper orientation or training to enable them to safely care for the
- George Ouellette, R.N., told the Commission said that he has been a
nurse at St. Mary’s for 23 years. He stated that some patients are
displaced into units were they do not receive proper care, and
patients at risk due to their wandering tendencies.
- Helga Carltonis is a CNA (certified nursing assistant) at St. Mary’s.
She described a patient that she observed as increasingly isolated,
hopeless, and despondent, and who counts on St. Mary’s for care and
- Rob Eshelman is legislative aide for Supervisor Matt Gonzalez. He
spoke about the Supervisor’s views generally concerning Proposition
Q, and St. Mary’s failure to notify properly the Commission. Mr.
Eshelman stated that as private hospitals make cuts, the need for
health care grows, and the impact on SFGH increases. He asked the
Commission to take steps to minimize the impact of the program
closures. He also spoke about a proposed ordinance that would add an
enforcement mechanism to Proposition Q.
- Sheila O’Neill, a nurse at St. Mary’s, spoke about St. Mary’s
patients with AIDS-related dementia. She stated that St. Mary’s is
no longer offering a separate, locked unit for these patients’
safety. In addition, Ms. O’Neill stated these patients now housed in
the SNF Unit, are at risk and place other patients at risk.
- Nancy Borsocchini is a staff nurse at St. Mary’s skilled nursing
care unit, into which the AIDS-dementia unit was incorporated. She
stated that wanderguard alarm bracelets and anklets now have to be
used for patients who were formerly in a secure unit. Ms. Borsocchini
told the Commission that one day the alarms went off 28 times in one
hour. She further stated that there is not enough staff to watch these
patients on Saturday evening and Sunday.
- Ray Castro, R.N. at St. Mary’s, worked at the medical-psychiatric
Unit for 15 years, and opened the AIDS-dementia unit about ten years
ago. He stated that these patients need specialized treatment and
- Fred Seavey, SEIU, Local 250, regrets the contraction of health care
in recent years. He urges St. Mary’s to work with the City,
employees, and unions to ensure that St. Mary’s patients have access
to the health care that they need.
- Lisa Cohn, Ph.D., spoke concerning the closure of the Adult
Psychiatric Partial Hospitalization and After Care Intensive
Outpatient programs at SMMC. She wants the patients to stabilize,
increase their functioning, and live the highest quality of life at
the lowest level of care. Dr. Cohn is concerned about the
psychological impact of repeatedly disrupting patients’ services for
this patient population.
- Nora Roman, Emergency Coalition to Save Public Health, stated that
non-profit hospitals should serve the community. She stated that the
standard for charity care nationwide is 3%, but that Catholic
Healthcare West devotes less than 1% of its gross revenue to charity
care. She was opposed to the St. Mary’s closures.
- Mary Ellen Deignan is a 30-year employee at St. Mary’s Hospital.
She described examples of where the closures increase the need to find
proper placement for the patients.
Dr. Katz’s Comments
- Dr. Katz described the value of Proposition Q public hearings and
Commission debate to evaluate different ideas. He stated that closing
the Radiation Oncology Unit may have a positive impact for public
health. Dr. Katz suggested that regionalizing expensive equipment
purchases, such as a linear accelerator, health care institutions are
able to spend more money locally for the types of services that people
need more frequently and closer to patients’ homes.
- Noted that Proposition Q concerns not only program closures, but
also assesses the impact of reducing or eliminating services provided.
Need to ensure an opportunity for public dialogue in advance of
closures or reductions, as envisioned by Proposition Q.
- Acknowledged Mr. Steele’s apology concerning St. Mary’s failure
to notify the Commission properly, but stated that St. Mary’s lack
of proper notification is not tolerable. Noted that this is not the
first time that St. Mary’s notification had been late; the
Commission’s 1998 resolution (#23-98) concerning another St. Mary’s
Medical Center program closure stated that St. Mary’s failure to
provide proper notice was isolated, and that the Commission could
count on St. Mary’s compliance in the future
- Expressed concern about the safety of patients and quality of care
during the transfer period
- Noted the City’s contract with the St. Mary’s AIDS-Dementia
Unit, and the public testimony concerning St. Mary’s not providing
these patients with proper care and safety due to downsizing. There
are sharp differences between the testimony of St. Mary’s officials
and public comment by St. Mary’s clinical staff. Need to ensure that
patients are provided appropriate clinical services and are kept safe,
and that the facts concerning patient care and safety are reported
correctly to the Commission
- Requested St. Mary’s and the Department to provide the Commission,
for the Commission meeting of April 3, 2001, with a Monitoring Report
concerning the level of care, safety, and other issues concerning
patients from St. Mary’s AIDS-Dementia Unit, and on the issue of
- President Guy requested an update from Mr. Steele regarding the care
and safety of patients moved from the St. Mary’s AIDS-Dementia Unit
to the SNF Unit. She also requested Mr. Rose, a representative of St.
Mary’s, to update the Commission on changes to, and the new role of,
the Community Advisory Council. Mr. Steele and Mr. Rose agreed to the
- Identified the need to update realistic options related to
continuity of patient care and quality of care; and be certain that
patients can reasonably access new services
- As clinical programs are transferred, need adequate transportation
for elderly and frail patients to get from medical campus to campus
Commissioner Jackson requested a report on charity care statistics from
Mr. Rose agreed to this request
President Guy requested that Mr. Rose separate charity care from
Mr. Rose agreed to this request.
Raised the need to ensure viability of hospitals in San Francisco
Action Taken: The Commission will further consider this item at the
8) OTHER BUSINESS/PUBLIC COMMENTS
9) CLOSED SESSION
A) PUBLIC COMMENT ON ALL MATTERS PERTAINING TO THE CLOSED SESSION
B. VOTE ON WHETHER TO HOLD A 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.
The Commission went into closed session at 6:50 p.m.
C. CLOSED SESSION PURSUANT TO GOVERNMENT CODE SECTION 54956.9 AND SAN
FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(b).
CONFERENCE WITH LEGAL COUNSEL - EXISTING LITIGATION
PROPOSED SETTLEMENT OF $125,000 IN SARONA COLLINS ET AL V. U.C.
REGENTS AND CCSF, SUPERIOR COURT CASE NO. 309-463
Action Taken: The Commission came out of closed session at 7:10 p.m.
D. RECONVENE IN OPEN SESSION:
1. POSSIBLE REPORT ON ACTION TAKEN IN CLOSED SESSION. (GOVERNMENT
CODE SECTIONS 54957.1(a)(2) AND SAN FRANCISCO ADMINISTRATIVE CODE
Action Taken: The Commission approved the settlement of $125,000.
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 not to disclose any discussions
held in closed session.
The meeting was adjourned at 7:20 p.m.
Arthur R. Greenberg, Interim Executive Secretary to the Health