Minutes of the Health Commission Meeting
May 1, 2001
101 Grove, 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, M.S.W., at 3:10 p.m.
- President Roma P. Guy, M.S.W.
- Vice President Edward A. Chow, M.D.
- Commissioner Arthur M. Jackson
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner John I. Umekubo, M.D.
- Commissioner Lee Ann Monfredini
- Commissioner David J. Sanchez, Jr., Ph.D.
2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF APRIL 17, 2001
Action Taken: The Commission adopted the minutes of April 17,
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(Commissioner David J. Sanchez, Jr., Ph.D.)
(3.1) CHN-SFGH/LHH - Request for approval of a contract renewal with
Hanson, Bridgett, Marcus, Vlahos & Rudy, LLP, in the amount of
$100,000 per year, for a total contract amount of $500,000, to provide
as-needed, specialized legal services to the Community Health Network,
for the period of July 1, 2001 through June 30, 2006. (DPH contracted
with Hanson, Bridge for services totaling $150,000 during FY 2000-01).
(3.2) PHP-Housing and Urban Health - Request for approval of a
one-time. Four-month sole source contract with the Mission Housing
Development Corporation (MHDC), the lead agency and fiscal agent for the
Mission SRO Collaborative, to conduct a Census of Families with Children
Living in SRO Hotels, in the amount of $70,724, for the period of April
1, 2001 through July 31, 2001. (DPH contracted with MHDC for services
totaling $245,000 during FY 1999-2000).
(3.3) PHP-Disease Prevention - Request for approval of a retroactive
modification to the multiyear contract with Mission Neighborhood Health
Center (MNHC), to increase the annual amount by $15,350 for the third
year (7/1/00-6/30/01) and the fourth year (7/1/01-6/30/02), for a new
annual total of $58,821 each year, for the provision of clinic
immunization and education services to at-risk children up to four years
of age. The contract total with this modification equals $213,045 for
the four-year period of July 1, 1998 through June 30, 2002. (DPH
contracted with MNHC for services totaling $835,606 During FY
(3.4) AIDS Office - Prevention - Request for approval of a
retroactive contract renewal with the Regents of the University of
California on behalf of the UCSF AIDS Health Project, in the amount of
$64,000, to provide HIV Prevention for Positives training services to
service providers of HIV-positive individuals, for the period of January
1, 2001 through December 31, 2001. (DPH contracted with UCSF for
services totaling $13,999,667 during FY 1999-2000).
(3.5) DPH - Central Administration - Request for approval of a
resolution approving an extension of the terms of the FY 2000-01
contracts for the Department of Public Health’s Population Health and
Prevention and Community Health Network.
Action Taken: The Commission approved the consent calendar of the
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
POPULATION HEALTH AND PREVENTION
$2 Million in Grants for Mental Health Programs for Older Adults
Governor Davis announced the Department of Mental Health’s intent to
award approximately $2 million in grants to four counties. These grants
are for the development of Older Adults System of Care Demonstration
Projects beginning July 1, 2001 as part of the Governor’s Mental Health
Initiative. The counties selected to receive these grants include:
Tuolumne, San Francisco, Stanislaus and Humboldt Counties.
The grants will allow the four counties to develop model services to
adults who are 60 years of age or older, who have been diagnosed with a
mental disorder or have a functional impairment.
Community Health Promotion and Prevention
- The National Highway Traffic Safety Administration will feature the
work of the Department’s Community Health Education Section in their
May publication "Building Safe Communities." This innovative
community-department partnership was funded through the State's Office
of Traffic Safety, and DHS State and Local Injury Control Section. The
Mission and Tenderloin Safe Communities Projects plan to improve
pedestrian safety in their communities. Thanks to staff, Michael
Radetsky, Nicamer Tolentino and Stephanie Dunlap, for their vision for
innovation, and to community partners, St. John's Educational
Threshold Center, Adopt-A-Block, Safety Network and the Neighborhood
Safety Partnership/SAFE, for all their hard work.
- As part of a community-based pedestrian safety effort funded by the
California Office of Traffic Safety, the Community Health Education
Section is working with local neighborhood groups on selected safety
projects. Four grants of $10,000 each were awarded this month to
Chinatown Community Development Center, William R. De Avila Elementary
School PTA, OMI Neighbors In Action, and Walk San Francisco SOMA
project. The projects reflect a broad mix of different groups,
neighborhoods, and interventions
Community Health Education
On May 16th, CHES staff will offer an all-day Community Action
Training, focused on developing organizing and project development skills
among community partners. The Community Action Model, developed by CHES
based on the successful work of our Tobacco Free project, uses interactive
exercises to build community capacity to organize around a wide variety of
Public Health issues.
April was STD Awareness Month. The STD Control Section worked with bar
and club owners to get them to offer free admission or free drinks to
patrons who show a card validated by City Clinic indicating that they were
tested for STDs. This is a true collaboration between the community and
the Health Department and shows a real commitment by these club owners to
"join the STD Program in the fight against the spread of STDs."
This innovative program was publicized in a press release issued by the
Health Department on 4/5/01 and was highlighted in articles in the San
Francisco Chronicle, the Bay Area Reporter, the CDC Daily STD Update and
on several local TV and radio stations. It was also covered by a TV
station in Seattle, Washington.
Health Promotion and Education at DHS
The PAES Project -- a pilot venture undertaken jointly by DPH and DHS
-- combines the efforts of our two departments as well as non-profit
agencies to implement strategies in the integration of primary and
behavioral health services into a welfare-to-work Personal Assisted
Employment Services (PAES) Program. DPH staff and providers are training
DHS staff how to incorporate health early in the welfare-to-work process,
including linkages to primary care, dental care, mental health, HIV/HCV/STD
and substance abuse treatment services. Practical tools, guides and
educational materials are provided to help clients understand and make the
connection between health and employment. Support for this training has
been provided by Dr. David Ofman, Primary Care Section; Jim Stillwell,
CSAS; Sylvia De Trinidad, Health Promotion Section; Elizabeth Davis, HIV
Prevention Section; Julie Javrostsky, Dental Health Education Program; Dr.
Tom Neill, DHS PAES Section; and Po Yee Au Lindahl, DPH's PAES Program
Analyst. Funds from the AIDS Office are enabling Glide HIV Prevention
Services and the Black Coalition on AIDS to provide HIV/STD/HCV prevention
and education series for PAES clients on a long-term basis.
COMMUNITY HEALTH NETWORK
SFGH Volunteer Dinner
This past weekend, the Volunteers of San Francisco General Hospital
Board hosted a celebration for the SFGH Volunteers at Gabbiano's
Restaurant in San Francisco. Over 100 people attended the event. Mayor
Brown; Robert Christmas, President of the Volunteers of SFGH Board; Gene
O'Connell, Executive Administrator of SFGH; and Renee Cibulka, Director of
the Volunteers of SFGH, were among the keynote speakers who expressed
their appreciation for the very important work that the volunteers provide
There are over 900 volunteers at SFGH who assist in the daily
operations of the hospital - from collecting clothes for patients,
delivering medications to the Emergency Department, to providing
chaplaincy services. The Department is deeply indebted to the volunteers,
the Volunteers of SFGH staff and board.
5) HEALTHY FAMILIES AND CHILDREN’S HEALTH
Tangerine Brigham, Director of Policy and Planning,
delivered an update on Healthy Families and the San Francisco Children’s
Health Insurance Initiative. She
highlighted the eligibility for the Health Families program, and recent
enhancements that include: budget
increases to cover program growth; increased budget funds to expand
outreach efforts; and coverage of legal immigrants through budget
allowances and legislation. Ms.
Brigham identified recent legislation, including the passage of AB 2415,
that concerns eligibility for qualified aliens.
Ms. Brigham discussed enrollment and retention
issues. According to Ms.
Brigham, the program has enrolled approximately 77% of the eligible
population. She then
discussed the avoidable and unavoidable reasons that families leave the
program, and reasons for ineligibility.
Ms. Brigham identified proposals to extend Healthy Families
coverage to parents. She
concluded her presentation by describing the Healthy Families consumer
survey of health plans that assessed the satisfaction and experience of
families within participating health plans.
Ms. Brigham focused on the survey results of San Francisco Health
Plan families. The complete text of Ms. Brigham's written report is
enclosed as Attachment A.
Commissioners sought clarification concerning
whether a person who was covered as a child could retain coverage even
if that person also was a parent of a child.
Ms. Brigham responded that a person who was otherwise eligible
for coverage would remain eligible for coverage, even if that person
were a parent.
Vice President Chow asked about funding
Brigham responded that the Department was looking to the Mayor, the
Board of Supervisors, reallocation, foundations, and other City
Departments, especially for outreach efforts.
Vice President Chow was encouraged by the short time lines
contained in the report.
President Guy asked whether outreach was analyzed
by ethnic group. Ms.
Brigham responded that presently the analysis is reflected by
community group, not by ethnicity.
The Commission looks forward to a more detailed report on this
Vice President Chow raised issues concerning
language and cultural interpretations of the questions on the survey.
He stated that different groups may have different
interpretations or understandings of the terms “satisfaction” or
“dissatisfaction,” and that within the Chinese speaking community,
expressions of dissatisfaction may be more meaningful and more
important than high survey scores
Commissioner Umekubo was happy to see how numbers
have jumped statewide; he expressed concerns with the application
process, stating that a simpler process could encompass 9 – 10% more
Commissioner Parker stated that Ms. Brigham’s
presentation demonstrates the importance of universal health care. Dr. Katz added that, even with several City efforts, we still
fall behind on health insurance coverage.
Commissioner Jackson expressed concern with
health insurance coverage and housing for the working poor and working
6) ADOPTION OF STANDARDS OF PRACTICE FOR THE PROVISION OF
QUALITY HEALTH CARE AND SERVICES FOR GAY/LESBIAN/BISEXUAL
Gladys Sandlin, Director of the Mission
Neighborhood Health Center, added that in the Latino community many
people do not apply due to immigration concerns, a fear that she said
is often instilled by attorneys.
Michael Lyon, Emergency Coalition to Save Public
Health, asked the Commission to think twice regarding the children’s
health initiative. He
stated that the clinics should be open later hours, and that DPH’s
age 0-18 proposal would mean that San Francisco would be subsidizing
Barbara Garcia, Deputy Director for Population Health and Prevention,
spoke about the proposed standards. She stated that fear of
discrimination and stigma causes many Gay, Lesbian, Bisexual, and
Transgendered (GLBT) individuals and their families to postpone or
decline health care. The purpose of the proposed standards is to
communicate a set of guidelines for service providers to increase their
ability to meet the need s of GLBT and their families. The full text of
the report is enclosed as Attachment B.
- President Guy asked to see updates through the JCCs.
- Commissioner Jackson wanted to ensure that there was an outreach
to seniors, so that these people know that they can get services and
respect. Ms. Garcia stated that DPH will work with other Departments
that have relationships with seniors to meet that goal.
- Vice President Chow offered suggestions to make the wording more
precise and to speak to principals.
- President Guy and Commissioner Parker stated that the expectation
is to incorporate these standards into Policy 24, which is scheduled
before the Health Commission in two months.
- Commissioners Chow and Guy urged that the Community Advisory
Committee for Policy 24 invite representatives from the GLBT Task
Force on Standards of Care to work together on this issue.
- Gloria B. Soliz, Coalition of Lavender Americans on Smoking and
Health, and GLBT Task Force Standards of Care, stated that the
standards were working documents that should be provided separately
to the GLBT community, and to their providers. She also believed
that the document should be placed on line.
- Clair Skeffington, DPH Finance and Operations, said that the
standards are a wonderful start and inclusionary. She would like to
see the percentages of staff sent to culturally competency training.
- Dr. Suzanne Dibble, U.C., expressed an interest in Standard 4
(Standard 4 states that any research conducted by, through, or in
conjunction with DPH shall include GLBT individuals and their
families and shall include, where appropriate, questions on sexual
orientation, behavior, and gender identity along with other
7) OTHER BUSINESS/PUBLIC COMMENTS
Paul Hendrickson, Bayview Clubhouse, stated that he is a consumer and
is not receiving the services that he expects from the Bayview Hunters
Point Foundation (BVHP). He stated that the BVHP is not trying to hire
for service positions.
Linda Zaretsky is the President BVHP charter, Local 790. She stated
that DPH officials have worked hard with BVHP, but that it has not
helped. Ms. Zaretsky stated that fewer children are served today than in
1997. She said that the BVHP administration and board have been unable
to collaborate with mid level staff, community, and DPH, especially in
the area of mental health. She asked for the Commission’s help.
Faye Roe, is a local representative for BVHP union members. Referring
to BVHP, she stated that the quality of care will suffer with the low
salaries of staff. Ms. Roe said that the BVHP administration is
incapable of collaboration with the workers, consumers, and the
Dale Butler, staff person, Local 790, stated that in his union of
over 30,000, workers do not suffer as they do in BVHP. He stated that
BVHP returned unspent money because it failed to provide services, and
does not pay sufficiently high wages.
8) CLOSED SESSION
a. Public Comment on All Matters Pertaining to Closed Session
b. Vote to 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 closed session began at 4:45 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 total settlement of $50,000 in Khary Butler vs. CCSF, San
Francisco Superior Court, Case # 993-756
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
Section 67.14 (b)(2)
Action taken: The Commission approved the proposed settlement of
2) Vote to Elect Whether to Disclose Any or All Discussions Held
in Closed Session (San Francisco Administrative Code Section
Action Taken: The Commission voted not to disclose any
discussions held in closed session.
This closed session ended at 5:10 p.m.
9) CLOSED SESSION
a. Public Comment on All Matters Related to the Closed Session
b. Vote on Whether to Hold a Closed Session Pursuant to Government
Code Section 54957 and San Francisco Administrative Code Section
Action Taken: The Commission voted to hold a closed session.
The closed session began at 5:15 p.m.
c.. Closed session pursuant to Government Code Section 54957 and
San Francisco Code Section 67.10(b)
Public Employee Hiring: 1551 Executive Secretary to the Health
d. Reconvene in Open Session
1) Possible report on action taken appointing the Executive
Secretary to the Health Commission (Government Code Section
54957.1(a)(5), and San Francisco Administrative Code Section
2) Vote to elect whether to disclose any or all discussions held
in closed session (San Francisco Administrative Code Section
Action Taken: No report issued. The Commission voted not to
disclose any discussions held in closed session.
The meeting was adjourned at 5:30 p.m.
Arthur R. Greenberg, Interim Health Commission Secretary