Minutes of the Health Commission Meeting

Tuesday, November 6, 2001
3:00 p.m.
101 Grove Street, Room #300
San Francisco, CA 94102


The Health Commission meeting was called to order by President Roma P. Guy, M.S.W., at 3:10 p.m.

  • Present:
  • President Roma P. Guy, M.S.W.
  • Vice President Edward A. Chow, M.D.
  • Commissioner Arthur M. Jackson
  • Commissioner Lee Ann Monfredini
  • Commissioner Harrison Parker, Sr., D.D.S.
  • Commissioner David J. SŠnchez, Jr., Ph.D.
  • Commissioner John I. Umekubo, M.D. - arrived at 4:35 p.m.


Action Taken: The Commission (Chow, Guy, Jackson, Monfredini, Parker, Sanchez) approved the minutes of the October 16, 2001 Health Commission meeting.


Commissioner Sanchez chaired, and Commissioner Jackson and Commissioner Monfredini attended, the Budget Committee meeting.

(3.1) PHP-AIDS Office - Request for approval to accept and expend retroactively a new one-year grant from the DHHS Office of Minority Health in the amount of $1,105,000 to improve health outcomes for women and minorities, for the period of September 30, 2001 to September 29, 2002, and four sole source contracts with: Dolores Street Community Services, Mission Neighborhood Health Center, UCSF Positive Health Practice for Men and UCSF Positive Health Practice for Women, and two MOUs with: Castro-Mission Health Center, and San Francisco General Hospital, for the same time period.

Commissionersí Comments

  • Commissioner Sanchez commented that one key component of the grant is enhanced data collection, which is critical for quality assurance purposes and will add to the depth of the program.
  • Commissioner Monfredini stated that she is uncomfortable with the Black Coalition on AIDS receiving funding through this grant, given the problems they have been experiencing with their contract. Michelle Long Dixon responded that the Black Coalition on AIDS is not receiving any of the grant money. Rather, the money will fund a UCSF staff position, which will be outstationed at the Black Coalition on AIDS.

(3.2) PHP-Health Promotion and Prevention - Request for approval to accept and expend retroactively a new three-year grant from the Centers for Disease Control and Prevention in the amount of $2,700,000 for the SevenPrinciples Project to eliminate racial and ethnic disparities in infant mortality rates for the period of September 29, 2001 to September 28, 2004, and two sole source contracts with: Booker T. Washington Community Services Center in the amount of $180,000 per year and the UCSF San Francisco Family Health Outcomes Project in the amount of $180,000 per year for the same time period.

(3.3) PHP-CMHS - Request for approval to enter retroactively into a cooperative program agreement with the California Department of Rehabilitation, including a required match of $289,163, to provide vocational services to mentally-ill psychiatric clients, for the period of July 1, 2001 to June 30, 2004.

Commissionersí Comments

  • Commissioner Jackson asked the agenciesí success rates for job placements. Daniel Michael, Program Director from Richmond Area Multi-Services, responded that every year they have either met or exceeded the State Department of Rehabilitation goals. The program director from Community Vocational Enterprises stated that the CVE program is 80 percent successful.

(3.4) PHP-CMHS - Request for approval to accept and expend retroactively a new three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) in the amount of $1,200,000 to expand mental health services for racial and ethnic minority transgenders in non-mental health settings, for the period of October 1, 2001 to September 30, 2004, and a sole source contract with the Regents of the University of California on behalf of the San Francisco Center for AIDS Prevention Studies (CAPS), Health Studies for People of Color program, in the amount of $619,662 for the same time period.

(3.5) PHP-AB75 - Request to authorize adoption of the County Description of Proposed Expenditure of California Healthcare for Indigents (CHIP) Program Funds for fiscal year 2001-02.

(3.6) PHP-Mental Health - Request for approval of a retroactive contract renewal with Progress Foundation, in the amount of $8,185,673, to provide mental health residential, outpatient and day treatment services for adult residents of San Francisco, for the period of July 1, 2001 through June 30, 2002.

(3.7) PHP-Mental Health - Request for approval of a retroactive contract renewal with Recreation Center for the Handicapped, in the amount of $86,095 per year for a contract total of $344,380, to provide behavioral day treatment services, for the period of July 1, 2001 through June 30, 2005.

(3.8) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Friendship House Association of American Indians, in the amount of $270,220, to provide a drop-in center targeting Native Americans, for the period of July 1, 2001 through June 30, 2002.

(3.9) PHP-Substance Abuse - Request for approval of a retroactive contract renewal with Haight Ashbury Free Clinics, Inc. (HAFC), in the amount of $5,144,002, for the provision of substance abuse services, for the period of July 1, 2001 through June 30, 2002.

(3.10) PHP-Mental Health/Substance Abuse - Request for approval of a retroactive contract renewal with Bayview Hunters Point Foundation for Community Improvement, Inc., in the amount of $7,805,900, to provide substance abuse and mental health services, for the period of July 1, 2001 through June 30, 2002.

This item was continued to the November 20, 2001 Health Commission meeting.

(3.11) PHP-Mental Health/Substance Abuse - Request for approval of a retroactive contract renewal with Episcopal Community Services of San Francisco, Inc., in the amount of $603,245, for the provision of mental health and substance abuse services for homeless individuals, for the period of July 1, 2001 through June 30, 2002.

Action Taken: The Commission (Chow, Guy, Jackson, Monfredini, Parker, Sanchez) approved the Consent Calendar of the Budget Committee, with the exception of Item 3.10, the contract with Bayview Hunters Point Foundation, which was continued to the November 20, 2001 Health Commission meeting.

(Mitchell H. Katz, M.D., Director of Health)
(Report on activities and operations of the Department.)

Bioterrorism Preparedness

The Department has been actively engaged in assuring that San Francisco is prepared for a bio-terrorist attack. Through our participation in the Federal MMST program, we have stockpiled sufficient antibiotics to handle a large-scale exposure to treatable agents. We also have the appropriate equipment and implementation plans to evacuate parts of the City, isolate infected persons, decontaminate sites, and set up field clinics to treat the population.

We have been working closely with the non-profit hospitals in San Francisco, as well as community-based physicians and other providers. The cooperation we have received across the City has been phenomenal.

Our Toxics Unit, headed by Richard Lee, under the purview of Dr. Bhatia, has responded along with the haz-mat team to provide consultation and testing of potentially hazardous materials. Our public health laboratory, under the direction of Dr. Sally Liska rapidly developed a protocol that enables them to do anthrax testing. Dr. Bhatia has performed walk throughs of work places and consultations on how to prevent occupational exposures.

Dr. John Brown and Michael Petrie of the EMS agency have done an excellent job of preparing Emergency Departments for the possibility of dealing with exposed or infected persons.

Dr. Tomas Aragon has coordinated all our bio-terrorist activities, has been carrying the on-call pager for clinician questions 24 hours a day and done grand rounds at every hospital in the City.

I gave a lecture at UCSF on Monday on the Public Health response to bio-terrorism. It was broadcast to several local shows throughout the City. I have attached a copy for Commission.

National Coalition of STD Directors

Dr. Klausner, the Director for STD Services, is working closely with the National Coalition of STD Directors and CDC to try to get America On Line to begin posting warnings in some of their MSM chatrooms about the risks of exposure to STDs. NCSD has already drafted and sent a letter to AOL asking that they air PSAs and other health related messages in their chatrooms and CDC has agreed to convene a meeting of experts from around the country to discuss STDs and the Internet.

First System-wide CMHS MD Meeting

The first system-wide CMHS MD meeting took place on October 17th at the Fort Mason Center in San Francisco. The meeting was attended by more than 50 psychiatrists who work in association with CMHS including city and contract agency clinics, Inpatient Services, Mental Health Rehabilitation Facilities, and all City and Contract agency Special Services. The agenda included opening remarks from CMHS Director Jo Ruffin. CMHS Medical Director, Dr. Bob Cabaj also reviewed data from the Pharmacy Benefits Manager covering the costs involved in prescribing medication to clients. The meeting offered a forum for psychiatrists to get to know each other and to help foster a sense of camaraderie and cohesiveness within the mental health services system. The meetings will be held quarterly.

National Lead Poisoning Prevention Week

The Childrenís Lead Prevention Program developed a number of activities to mark National Lead Poisoning Prevention Week, which took place the week of October 22nd-27th. Lead prevention program staff publicized new State Department of Health Services regulations requiring medical providers to test blood lead levels of children at 12 and 24 months of age if they receive services from publicly funded programs for low-income children. Also medical providers are required to test these children between the ages of 25 and 72 months if they have not been previously tested. In addition staff participated in a number of health fairs and neighborhood press events during the week. Informational bookmarkers in English, Spanish, and Chinese were delivered to the San Francisco Public Library for distribution.

HIV Prevention Receives Supplemental Grant for Hepatitis C Work

The HIV Prevention Branch recently received a $65,000 supplement to the Prevention for Positives grant to evaluate Hepatitis C infection among people at risk for HIV. Specifically this funding will be used to enroll 400 HCV positive individuals in a study to determine if the results of HCV viral load testing changes behavior such as alcohol intake, safe needle use and accessing treatment for HCV infection.

National Rehabilitation Awareness Celebration at LHH

On November 14, Rehabilitation Services at LHH will be hosting an Open House in recognition of the National Rehabilitation Awareness Celebration. LHH staff members, CHN staff, community support groups, healthcare providers and leaders are invited to learn about the types of services and programming provided by Rehabilitation Services at LHH.

Redesign of the CHN Registration Eligibility System

The Patient Financial Services office of the CHN has organized a committee that includes SFGH and Primary Care (campus and community clinics) representatives in order to redesign the current registration eligibility system. This includes studying the application of existent technology such as I.D. swipe cards with patient data that could be used when a patient/client presents for services at a clinic, greater utilization of appointment-making staff to do confirmation of demographic patient information on the phone, and pre-registration. The goal is to realize efficiencies in staff utilization and to expedite patient flow in health centers. This process will not address everyoneís needs; specifically a substantial number of drop in or walk in patients (around 30% of the Primary Care Network workload) that would not be pre-registered. This committee has been in existence since the Summer 2001.

San Francisco General Hospital Diversion Report

The Emergency Department (ED) recorded 39 episodes of diversion for 165 hours representing a rate of 23% in September 2001. This is an 18% decrease in diversion since August 2001.

The 39 episodes of diversion are categorized as follows:

Diversion Type

# Episodes



% Change from previous month

Total diversion





Trauma over-ride





The ED was impacted by capacity and high patient acuity during the episodes of total diversion and trauma override. During this time, 186 patients were awaiting admission to in-patient beds (ICU-24 4B/StepDown-74 MedSurg-88). In September of 2000, the ED was on diversion 37% of the month. Trauma Override was invoked 8% of the month in September 2000.

Total diversion was recorded for 37 episodes, a total of 162 hours or a 22.5% rate for September 2001. Trauma override was recorded for 2 episodes, a total of 3 hours or a .5% rate for September 2001. This is a 2.5% decrease in trauma override from August 2001. While on Trauma override the ED held 302 patients awaiting inpatient beds. See attachment for full report.

Associate Hospital Administrator Appointment

Effective December 3rd, Roland Pickens will assume the position of Associate Hospital Administrator for Diagnostic Services. Roland brings to our organization a unique and timely combination of skills and experience. His professional experience in health care management spans the broad spectrum, encompassing positions within the for-profit hospital industry including psychiatric and substance abuse programs, not-for profit and academic medical centers, the Veterans Administration system, and our own Department of Public Health.

As Administrator for Diagnostic Services, Roland will be responsible for all of SFGHMC Diagnostics including the departments of Radiology, Nuclear Medicine, Infection Control, Clinical Laboratory, Pathology, and Medical Specialty Clinics in Pulmonary, GI, Cardiology, and Dermatology.

Chronicle Special Report

A series of articles about the City's homeless programs appeared in Sunday's Chronicle by reporter Patrick Hoge. Many Departmental staff were interviewed over the course of the last six months for this series and we provided numerous documents and records--some of which are reflected in Sunday's edition. I have attached a copy of the entire special report for your review.

Commissionersí Comments

  • Commissioner Chow asked whether the decreased diversion rate at San Francisco General Hospital for the month of September represents a trend. Dr. Katz responded that diversion is an imperfect solution to the difficult problem of emergency room overcrowding. While he is pleased that there was an 18 percent decrease from August 2000, Dr. Katz cannot state that this is a true trend. Commissioner Chow pointed out that a number of Commissioners attended the 5th anniversary of the Mental Health Rehabilitation Facility (MHRF) on November 5, 2001, and thanked the MHRF staff for their hard work.
  • Commissioner Parker asked if any progress has been made to establish a helipad at San Francisco General Hospital. Dr. Katz responded that for the first time, funding for the helipad is included on the Cityís list that has been submitted by Fire Chief Trevino to the Federal government for disaster preparedness funding.
  • Commissioner Sanchez commented that he attended the MHRF celebration, and was impressed with the quality of staff and the environment at the MHRF, and the links that have been established with other agencies.
  • Commissioner Guy applauded DPH staff and the community at large, including the private hospitals, for their willingness to cooperate on disaster and emergency preparedness. She asked how the medical community preparing its on-going public message to address public fear and anxiety. Dr. Katz responded that health educators would play a leading role. In addition, the Department has tried to be savvy in using the media to get the message across, and the message has been information.

(Colleen Johnson, Acting Director, Office of Policy and Planning)

Colleen Johnson, Acting Director, Office of Policy and Planning, presented the legislative update for year one of the 2000-2002 California Legislative Session. The report provides a review and final status report for health-related legislation tracked by the Department during the first year of the two-year legislative session.

Ms. Johnson stated that the Departmentís Strategic Plan identifies advocacy as a key strategy to achieving partnerships with communities that also advocate for health funding, policies, programs and services. The Departmentís advocacy objectives are:

  • Increase funding for core public health
  • Support the costs of caring for safety-net populations
  • Address unnecessary eligibility disparities in categorical funding
  • Increase revenues and reimbursement rates consistent with the Departmentís other Strategic Planning goals and objectives.

The Department monitored 520 health-related bills, of which 165 became law and 30 were vetoed. In the 2001 legislative year, three of the Departmentís top priorities were successful. Funding was secured for trauma services for San Francisco General Hospital. The Department was able to access supplemental Medicaid payments for skilled nursing care at Laguna Honda Hospital. And health insurance for children was expanded under AB 495. Seismic safety was another top priority for the Department but the legislature did not make much progress on this issue during the legislative session.

Ms. Johnson stated that many factors go into the City and Countyís decision to take a position on a particular piece of legislation. The Department impacts legislation through its relationship with the Mayorís Office of Legislative Affairs. No Department takes individual positions on legislation-they are citywide positions. Ms. Johnson stated that positions are based on many factors: the timing of legislation; where the legislation is in the process; what amendments are likely to be made; and what the Cityís coalition partners are doing.

Ms. Johnson then highlighted some of the health-related bills that were enacted in 2001which fell into the following categories: children and youth; communicable disease; emergency medical services; environmental health; environmental justice; health care facilities; health insurance expansion; health professionals; Healthy Families/Medi-Cal for children; injury prevention; long-term care; managed care; Medi-Cal; mental health; pharmacies/pharmaceuticals; seismic safety; standards and regulations; State budget; substance abuse; and womenís health.

Ms. Johnson then summarized the disposition of the Departmentís 2001 legislative priorities, and discussed the Departmentís legislative priorities for 2002.

Commissionersí Comments

  • Commissioner Monfredini asked the status of seismic safety legislation. Gene OíConnell responded that nothing has changed. Dr. Katz added that Jackie Speierís bill, which extends the deadline for compliance with SB 1953, is not likely to move forward, which means the same deadlines apply-a new hospital by 2013 or close by 2008.
  • Commissioner Chow asked what impact AB 1075, which sets staff to patient ratios for long-term care facilities, would have on Laguna Honda Hospital. Ms. Johnson responded that the bill used to have very specific ratios, but they were removed. The legislation now states that the patient care ratios will be developed by the Department of Health Services. These ratios need to be developed by 2003, and the Department is monitoring this closely. Commissioner Chow then asked how the Department advances its Federal legislative agenda. Ms. Johnson said that the Department does monitor Federal legislation but because it does not impact the Department as much as State legislation does, not to the same extent. Commissioner Chow requested a summary of Federal legislation when Congress completes its session.
  • Commissioner Parker asked if there are any areas of the city other than Bayview Hunters Point that have environmental justice issues. Dr. Katz responded that Bayview Hunters Point has the most direct environmental health problems, but other areas, including the Tenderloin and the Western Addition, have health disparities.
  • Commissioner Sanchez urged the Department to monitor the mental health parity legislation that was just passed by the United States Senate because, if approved by the House of Representatives, it could be a window of opportunity for additional funding.
  • Commissioner Guy said that bioterrorism will likely be at the top of the State and Federal legislative agendas. There will likely be additional dollars added in this area, and the Department should be prepared for this. With regard to Medi-Cal, this Commission supports changing the Federal/State match, so that California no longer ranks 47th in the nation. Commissioner Guy added that the Department should support legislation that will help bring more universal and comprehensive health care coverage.


Jim Stillwell, Acting Director of Community Substance Abuse Services and Dr. Josh Bamberger, Medical Director for Community Health Promotion and Prevention, presented the Substance Abuse Update, specifically focussing on heroin.

Mr. Stillwell stated that the Departmentís response to heroin use is informed by the Treatment on Demand Planning Council (TOD), the Heroin Sub-Committee of the TOD, and public health data resources. Mr. Stillwell stated that heroin use is an extensive and costly problem in San Francisco. He said that the Department of Public Health is focusing on the health effects of heroin use, and the four major effects are overdose, soft tissue infection, Hepatitis C infection and addiction. The Department has responses targeting each of these effects.

Dr. Bamberger discussed the epidemiology of heroin use, and discussed the programs that the Department has developed.

Overdose Prevention

Dr. Bamberger stated that most heroin overdose deaths occur among users found alone, and 25 percent of these deaths occur within seven days of leaving jail or a drug treatment program. The Department embarked on a ďfix with a friendĒ campaign to encourage a person to call 911 if he or she is with someone who overdoses. The Department has also been working with the San Francisco Police Department to not arrest individuals after they have called 911 to report an overdose. The most leading edge program was a study that entailed distribution of Naloxone to heroin users, which resulted in eight lives being saved.

Soft Tissue Infection Prevention and Treatment

Dr. Bamberger stated that the Departmentís response to soft tissue infection was presented in depth to the Commission at a previous meeting, but the components of this effort are the ISIS Clinic at San Francisco General Hospital, medical care at every needle exchange location, the new Mission Resource Center and the expansion of needle availability.

Hepatitis C Infection

Dr. Bamberger stated that 90 percent of heroin users in San Francisco are HCV antibody positive. Dr. Bamberger said that the Department has a long way to go in addressing this problem, and looks forward to presenting more detail to the Commission when the plan is further developed.

Heroin Addiction Treatment

Mr. Stillwell then provided the Commission with an overview of the treatment programs currently available in San Francisco. In the next report, the Department will discuss the progress of OBOAT and mobile methadone. Mr. Stillwell said that the addiction treatment policy strategies are Proposition 36, Drug Court, harm reduction, and 24-week detoxification.

Mr. Stillwell stated that the next steps in the response to heroin use are the following:

  • Integration of HCV and HIV counseling, testing and prevention strategies
  • Improved access to methadone treatment
  • Programs to encourage users to call 911
  • Evaluation of overdose programs
  • Continued collaboration with community groups

Mr. Stillwell then introduced Terry Mitchell, co-chair of the Treatment on Demand Planning Council, who described the process by which the Councilís Heroin Committee developed its recommendations, which are alternative treatments, overdose prevention, soft tissue infection treatment and Hepatitis C treatment.

Colin Eaton, chair of the Heroin Committee, described alternative treatments, including 26-week methadone detox, peer counselors and mentorship.

Rachel McClean discussed the measures that the committee would like to see implemented around overdose prevention that have not yet been implemented. Specifically, the Heroin Committee would like the efforts to be community-based; that a standardized curriculum be developed; and that abstinence-based programs participate in overdose prevention training. Ms. McClean stated that, on the whole, they are pleased with what has been done so far.

Jennifer Plummer spoke about soft tissue infection. She congratulated the Department for its efforts, but stated that the Council would like to see an expansion of needle exchange sites, an expansion of drug treatment slots and the development of a 24-hour wound care clinic at a site other than SFGH. The Council would also like the Departmentís needle exchange contracts to include more needles and a change to the Police Departmentís policy of confiscating clean needles.

Norma Hoteling spoke about Hepatitis C treatment, of which she said there are three main components: Hepatitis C prevention incorporated into outreach and service provision; Hepatitis C prevention public education; and Hepatitis C treatment in the form of Interferon and alternative treatments.

Commissionersí Comments

  • Commissioner Jackson asked about the Departmentís prevention programs, and what role they plan in keeping people from trying heroin. Dr. Bamberger stated that there are a lot of novel programs in the schools around prevention.
  • Commissioner Monfredini asked staff to explain in detail how a person who is trying to stop using heroin would access the methadone detox and methadone maintenance systems, and what happens if that person starts reusing. She also asked the average length of time someone who successfully stops using heroin is on methadone maintenance. Terry Mitchell responded that a study done approximately five years ago showed 2-5 years. Dr. Katz added that almost no one stops using heroin without long-term methadone maintenance.
  • Commissioner Guy asked if the mobile van helps overcome the neighborhood resistance to methadone centers. Mr. Stillwell responded that the van is a great program, and does not generate as much neighborhood resistance. Commissioner Guy emphasized that there is a real medical and community consensus that more methadone maintenance slots are critically needed. Commissioner Guy stated that the next steps need to be fleshed out at the Community Health Network Joint Conference Committee, particularly in regard to van versus permanent sites; enhancing community input; priorities; prevention strategies; and stronger recommendations for methadone maintenance.
  • Commissioner Chow asked how many of the 15,000 users would go into a methadone program today if they could, and how much would this cost. Mr. Stillwell responded that a methadone slot costs $4,000 per year, and perhaps 1/3 of the current users would enter treatment if it were available. Based on that, Commissioner Chow estimated the cost to be $20 million.
  • Commissioner Parker stated that the use of heroin has a tremendous fiscal impact on health care services, in that emergency treatment for heroin users constitutes 10 percent of the hospitalís total budget. It seems that, in spite of the fine work of the Department, we still do not have a handle on the problem.

(Monique Zmuda, DPH Chief Finance Officer)

Monique Zmuda, Chief Financial Officer, presented the 1st quarterly financial projection of revenues and expenditures for the Department for fiscal year 2001-2002. Based on this data, the Department is projecting an annual surplus of $3.4 million, but as this is based on only three months of data, it is a very preliminary projection. Projections include a revenue surplus of $9.6 million and over-expenditures of $6.2 million.

Ms. Zmuda then discussed the General Fund reduction plan for the current fiscal year. The Mayorís Budget Office has estimated that, in fiscal year 2001-2002, there will be a $60-$100 million revenue shortfall citywide. The Mayor has asked for a $60 million reduction, which translated into a $7.4 million general fund reduction for the Department of Public Health. Ms. Zmuda said the Departmentís plan includes $2.4 million in additional revenue and $5 million in expenditure reductions. Ms. Zmuda said they are looking at a selective hiring freeze in administrative and support positions. At this time, she does not think it will be necessary to freeze any positions at San Francisco General Hospital, Laguna Honda Hospital or Jail Health Services, or other clinical positions. She said that the Childrenís Insurance Initiative is underway but enrollment is slower than expected, so there is an estimated $1 million savings from the $4 million was budgeted. The reduction plan also includes deferring $1 million of the $5 million primary care capital improvement allocation. Ms. Zmuda emphasized that the citywide revenue shortfall is only projection at this time. The Mayorís $60 million reduction plan will be presented to the Board of Supervisors, and there will be another review in January, at which time Ms. Zmuda will report to the Commission if any further reductions are necessary.

Planning for next yearís budget has begun. The Controller is expected to estimate a $200 million shortfall for fiscal year 2002-2003.

Commissionersí Comments

  • Commissioner Chow complimented the Department for being able to hold the hiring freeze away from San Francisco General Hospital and Laguna Honda Hospital, particularly in light of the upcoming JCHO review at San Francisco General Hospital. However, once again the Department is once again being forced to constrict its administrative infrastructure.
  • Commissioner Guy appreciates that the total capital budget was not lost. She emphasized that the Department needs to finish what has already been started, including an elevator at Tom Waddell Clinic. Commissioner Guy stated that she appreciates the challenges that the economic downturn is presenting, and that these challenges will be even greater next year.
  • Commissioner Sanchez commended the staff for keeping the Commissionís priorities intact during these tough economic times. He stated that sustaining the Health Departmentís core missions is going to be a challenge during the next year.

Commissioner Monfredini left the meeting at 6:00 p.m.




A) Public comment on all matters pertaining to the closed session


B) Vote on whether to hold a closed session (San Francisco Administrative Code Section 67.11)

Action Taken: The Commission (Chow, Guy, Jackson, Parker, Sanchez, Umekubo) voted to hold a closed session.

The Commission when into closed session at 6:10 p.m. Closed session attendees were all commissioners expect Commissioner Monfredini, Dr. Katz, Gene OíConnell, Margarita Gutierrez, Alison Moed, Gregg Sass, Diana Guevara and Michele Olson.

C) Closed session pursuant to Government Code Section 54956.9 and San Francisco Administrative Code Section 67.10(d)

Conference with Legal Counsel - Existing Litigation

  • Proposed settlement of $9,500 in Patient Doe v. CCSF et al, U.S. District Court Case No. C01-2773 CW.

Action Taken: The Commission (Chow, Guy, Jackson, Parker, Sanchez, Umekubo) approved the settlement of $9,500.

D) Reconvene in Open Session

Possible report on action taken in closed session (Government Code Section 54957.1(a)2 and San Francisco Administrative Code Section 67.12(b)(2).)

Vote to elect whether to disclose any or all discussions held in closed session (San Francisco Administrative Code Section 67.12(a).)

Action Taken: The Commission (Chow, Guy, Jackson, Parker, Sanchez, Umekubo) voted not to disclose any discussions held in closed session.


The meeting was adjourned at 6:15 p.m.

Michele M. Olson, Executive Secretary to the Health Commission