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tv   [untitled]    September 6, 2014 4:00am-4:31am PDT

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wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective >> okay. [gavel] the commission will now come to order and the secretary will call the roll. >> commissioner singer. >> present. >> comissioner taylor-mcghee.
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>> present. >> commissioner chow. >> present. >> commissioner chung. >> present. >> commissioner sanchez. >> present. >> commissioner karshmer. >> present. >> the second item is approval of the minutes of the health commission meeting of august 19, 2014. >> so commissioners we're prepared for a motion for acceptance of the minutes. >> so moved. >> is there a second? is there further discussion? seeing none we're prepared for the vote. all in favor say aye. all those opposed? the minutes are passed. next item please. >> item three is the director report. >> good afternoon commissioners. on friday dr. chow i attended the new commissioner's swearing in. our new health commissioner will be dr. david pating. dr. david pating i have known for over almost 30 years since working with the federal government in samhsa he was a well known
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expert in that field and sought after many times for his expertise for that scheduled agency. he works for kaiser, a psychiatrist specializing in addiction psychiatry. he's also he has a long cv so i will be short and a professor at san francisco school of medicine. he is past medicine much the california addiction of medicine and a member of the medical society here and currently and probably will not continue in this role once he starts with the commission he is vice chair of the california's mental illness oversight and accountability commission for proposition 63 so i know you will welcome him when he's here at our next meeting. dr. chow i'm not sure if you wanted to add to that. >> i think you've said everything. >> okay. >> we're looking forward to
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him being here and he was unable because his swearing in was just a few days ago to make today's meeting but he will be here at our joint meeting with the commission for the citizen of women. >> i also wanted to clarify it's not in the director report but about four, five months ago we had an rfp for a homeless outreach team and another team received it and meaning another entity will run the service. we had changes in the way the program was going to be rub. in order to facilitate the change we rehired and reorganized and due to that we looked at the data to see when the team was being used the most and we saw we would have to continue 24 hours even though we don't have enough staff so we moved to five days a week, 24 hours for at least the next 60 to 90 days as
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we e hire and expand the program. both organizations have worked very well together. this program will go from the cats program to the public health towrchgz foundation enterprise and they're working well together and i think we will have a smooth transition but the problem is we can't serve the entire 24, seven days a week in order to retire and the administrative changes and contracting as we need to so some misinformation out there because we sent a notice particularly directed to the providers so they knew the team wasn't available on saturday and sunday but the team will be running in full capacity in 60 to 90 days. i think all of you felt early sunday morning a 6.0 earthquake, two sundays ago. i want to report to you that our staff immediately went into action ensuring that all facilities were in tact and no problems. we were online. we
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didn't kicked off of the network but a great reminder for us. i was at a meeting with the special disaster council and the city remain vigilant around the issue considering the fact sometimes there are thousands of after shocks so we are -- that day we checked in with the executive staff made sure they understood their roles and so we will be responsive and prepared as we enter into another phase of having a close large earthquake. i have gone through several of the earthquakes myself in response. the loma prieta and another smaller city called watsonville which is south, a lot of the issues with non reinforced masonry and the town lost several buildings and they had to rebuild the town. it took 10 years to do that rebuild so napa will have years
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to be able to kind of look how they're going to do rebuilding of their buildings and anytime that happens they become more seismically stronger so i wanted the commissioners to know that's always on our minds and we did really well through this one as there were no injuries or any issues regarding our buildings. i do worry about this building though. we did have some issues going on the roof of the lab that we did look at this last friday. our health ofs system and team have been teaming abreast of the ebola situation and everyone has the information they need. there is no ebola in san francisco and the risk to san francisco is extremely low. we have been working with the california department of public health cialtion the centers of disease control to make available the most updated comprehension i information on
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hate alert section of our website. they inform clin ikzs on an ongoing basis of issue in terms of issues and they're well prepared to respond to any communicable disease outbreaks including ebola. we are taking steps to share the information and everyone is prepared and there is frequent communication with hospitals concerning e bowl -- ebola and health advisories are issued and lots of communication with the radio stations in the area and there is a fact sheet posted on our website. we recently did entered into agreement and this is part of our expansion with our managed care contracts with northeast medical services, one of the largest primary claire
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clinics in the community and we have an agreement with them to provide for specialty and hospital services, and the target date for enrolling patients is november 1, 2014 so i wanted to thank the executive leaders involved in that in working those details out with them. as you know with robin williams growing death it drew attention to mental illnesses and depression that make life challenges for so many people. we opened a new mental illness triage line and offer peer counselors 24 hours a day, seven days a week for someone that need someone to talk to right now. it's a project of the san francisco department of public health and funded by a grant by the state mental health service act that produces programs to reduce hospitalizations due to mental illness. the line is
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operated by the department of public health under a contract with the department and augments the city's telephone services which includes a 24 hour suicide prevention hot line. you will hear today through a resolution regarding the central american youth and families. the san francisco gate featured an article by pediatricians in the department of pediatrics san francisco general. i have been active with the mayor's office ensuring that we know that the schools are seeing influx of young kiz and it's family and young children but there are many unaccompanied minors in detention centers that could potentially be sponsored by families in san francisco. since the 1980's san francisco has been a sanctuary city for many families fleeing wars in the 80's so we have one of the largest central american communities along with washington d.c. and i believe
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houston is another large area so we're watching this very closely. we have some nonprofits in the community who are applying for federal grants to provide for those children who do not have sponsors, but are here, and they will be looking at somewhat of a foster care programming so institute the family and larkin street have come together to apply for dollars from the federal government. we anticipate anywhere between 300 to 500 children but that does not include families that could be coming. as you know many of the individuals are fleeing from the cartels as well as violence and poverty in those areas, so for us it's one of the first times in this country's history we had a refugee border issue so it's taken us both federal and state and local government some time to figure out how to respond to
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this but from a city perspective i think we're have been prepared. we have the programs that provides for the children. i am working with the maternal and child health program who could assist with some of the home visiting that maybe required by the legal services and i think the biggest group that has been impacted is the legal services of san francisco providing legal services to these families. their social work areas have been -- really needing support so we are working with legal services along with advocate programs so we have ongoing meetings with the mayor's office and other offices to ensure that we respond to the children and family needs as they come to san francisco. i will leave the report there. if there are any other questions that the commissioners may have. >> commissioners, questions? commissioner singer. >> i had one -- so many of the issues we will talk about later
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but i had one comment. i was inspired about the note about dr. chin, the department's commonwealth club interview of, seekial e manuel and i listened to it today on a long drive and reaffirms what we know that we have this incredible staff within the department and this is just one more example of thoughtful articulate member of our staff showing some leadership on a national scale. >> absolutely and after that dr. berry sim simmons, another physician in the community was also present at the commonwealth club so i totally agree with you commissioner. we have some incredible leaders in the community and our department. thank you. >> any other questions? i am pleased -- not pleased about robin williams death but pleased with the article you have written in here and i am
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wondering if that information has gotten outs also to the public? i will approximately up on that commissioner chow. i am sure that the mental illness community does know about that and there will be a process for them to let the community at large know about that and probably part of the contract but we will bring an update on that as we move forward with the contract process on that. >> thank you. otherwise we will discuss the other items as we go along. any further questions to the director? i did want to ask your report about the 6.0 magnitude earthquake also came to the commissioners and i think a note by email, but was there nothing in the city that we had to do? >> i didn't open up a eoc emergency operations center because of the reports there
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was no damage but the department itself, our director of disaster did go out and call all of the hospitals and did all of the work she would do on a normal crisis situation, and so although the eoc wasn't activated there we did do our work locally from a department perspective ensuring at least all of the facilities -- as an example we knew that the network was on. there were no issues with that and then the facilities reported there was no damage reported. >> all right. i think one of the items of business we did that that reminded me of also in the new plan that had been put forth the role of commission was not articulated and we just need to remember that we should do that, so that when necessary and if necessary we could be able to assist.
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>> yes. and i did speak to the department of the emergency management and that is an area that they have not addressed. although your role would stay the same except we may ask you to as an example have more meetings because we may need to respond in some ways or spend dollars we didn't know we had to spend, but that is not an area that they have articulated to us ye explained to us. >> that's another area to be prepared. >> absolutely. >> any other questions? if not let's move to the next item. >> next is general public comment. oh there is a gentleman standing up. i didn't receive any comment. >> you wish to make a public comment. >> yeah, i turned it in. >> that's fine. why don't you state your name and you will have three minutes.
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>> honorable president dr. chow and other honorable members of the commission, and also director garcia. i am ruben goodman. i'm a dual diagnosed mental illness consumer and the volunteer team captain of team dan goodman on the walk of alzheimer's on the 20th this year and begins at 10:00 a.m. at mission creek park and 3-mile walk and a one and a half mile shortcut for those that can't walk the 3 miles. there number information booth about alzheimer's research, help for caregivers of alzheimer's patients and the alzheimer's association has a 24/7 help line. i would like to invite every member of the commission as well as director garcia and
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all members of the san francisco health department to participate. as far as i know two different departments within the health department have formed their own team and you go online to our website to get more information. i encourage everyone to form their own team and those that don't form a team you're invited to join team ben goodman in memory of my father who lived to 90 and the last years of his life developed alphasia and alzheimer's and i have given a challenge to the alzheimer's association to find better treatment in the next 17 years because if i am blessed to live another 17 years i will be
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turning 80, and my father developed his issues between 80 and 90. i would like to see better treatment so my children standing before me or my grandchildren i will be able to recognize them. thank you very much. >> thank you mr. goodman. any further public comment? >> no. q. okay. >> sorry. >> [inaudible] >> oh -- >> [inaudible] >> jerry mehan and i came down here today -- [inaudible] >> i'm sorry. >> do i have three minutes or two? >> you have three minutes. >> okay just to let you know i exist and i want to talk about the healthy san francisco program, and i feel like i'm doomed in i lose it at the end of the year. i don't think i'm exaggerating like saying it's a death sentence to me because
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it's been my primary care for the past three years but i would like to give a brief description of myself. i got here in the summer of 85 and i fell in love with the city after 15 minutes and knew i wanted to spend my life here and i got a job driving a taxi and have been doing that since and i am low income and with the pink mustache and the uber cap and a pigeon and looking for scraps and taking old ladies home from aif way and sticking a wheelchair in my trunk because people with disabilities have a hard time getting home and when i was diagnosed with a chronic disease similar to crohn's disease and i have been in and out of hospitals for the past three years, emergency care, urgent care and i have been on so much medication and i am
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forever grateful to have the help they from st. mary's clinic and i was told we would lose healthy san francisco and i can't afford obamacare. it's up there in the stars. i can't come close to paying for that. i think my wife and i made $38,000 this year, so and she pays $5,000 for her health care, so i am really concerned and worried about being that i don't have a colon. i don't know if i mentioned that. my colon was removed the 26th of june and i need a lot of follow up care and monitoring and evaluation and i was just over in my surgeon's office last
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week at st. mary's and in bold black print that said we don't honor covered california, so it just seems weird to me that even if i could afford for it i wouldn't get my doctors who have been great to me and given me such great monitoring and care. they have been like family to me at st. mary's center and i am just going to be devastated if i lose this. it's going to be a fight to live really, so i hope you can see right -- >> time is up sir. >> keep the healthy san francisco program for us residents. thank you. have a nice day. >> sir i don't want you to leaveout help that you need. we will have staff talk to you about that. >> thank you and we will remember that testimony under item 9. >> i believe that is the last
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public comment. all right. so we move to item five which is the report back from the finance and planning committee. >> good afternoon commissioners. the finance and planning committee met before the commission meeting from before and we had a full agenda today and we had an update from the aca enrollment and also like the san francisco health network managed care report, so for those not familiar like we're combining some of our existing programs into the new office which we now call office of managed care which also include healthy san francisco i believe, and the other update that we got was the health care accountability ordinance and there will be a resolution to come in front of the commission in the october meeting for
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approval and there will be presentations on that as well as the managed care report that will come to the full commission in october i believe, so and we have the contract -- monthly contracts report which are included in your consent calendar for approval minus one of them which is the public health foundation's contract because there's some wording issues we decide to defer that to october for review, so that concludes my -- also one more thing. the pharmacy san francisco general they have -- they have to enter a new agreement with the current
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software providers for the web based web based architect and that is included in the consent calendar for a vote as well. >> commissioners if i may the issue that commissioner chung just mentioned is in the contracts report. it's one of the contracts. >> yes. so what i would also like to encourage is that today we actually have three health things on our agenda. each are in differing stages. the health care accountability ordinance was heard at the finance and planning. it will come before this commission for final approval of their recommendations so it's important to read those. we went into them in detail just like a subcommittee does and we
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will have the final hearing for that here i believe october 2. >> [inaudible] >> and so that's one of the healthy ordinances that we deal with, and we then need to make a decision, but that's in regard to 8c8o. there is also on the calendar today healthy san francisco and that's before us and we are also going to be listening to that, but as a full commission, and then in on october 2 or 7th. >> seventh. >> our first meeting in october we will take that one up so that's one of our ordinances. the third one is for decision today because we heard that last month which is the health care services master plan consistency determination so i found that this causes some confusion because it's all part of our
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regulatory obligations, but that one also we will do today because we have heard it and the public had an opportunity to speak to it, so i just encourage -- for myself i needed to ferret all three out. i thought it would be helpful so we understand they showed up on today's agenda. >> okay. next item then please. item six is the consent calendar and again i would like to remind you that the public health foundation enterprise -- >> contract , right. >> has been taken off. >> the new contract has been taken off. the older contract which has extensions are in the contract report and again we don't want to get confused. it's the same agency but we are approving on the consent calendar the two extensions or additions related to funding that came in, and then we also have a third new contract --
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not a third contract, but the only new contract on here which is for macro helix. it is on the consent calendar. any commissioner can take any of these off. do i hear any wishing to extract from the consent calendar? if not we will proceed with the vote. all in favor of the full consent calendar minus the new contract for public health foundation enterprises say aye. >> aye. >> all those opposed? the consent calendar is adopted. >> the next item on the agenda is the health commission vice president elections. >> so as i mentioned in our last meeting if in fact we do have a new commissioner which we do, dr. pating then i recommend that we defer the election of the vice president until he is able to attend which will be agendized for the first meeting in october because our next meeting is really a joint
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meeting with the commission on the status of women. if there is no objection we will move it to the first meeting in october please. i see no objection. so moved then. next item please. >> yes item 8 is the health care services strategic plan and consistency. >> >> master plan consistence for healthright360 and this item was brought to your attention in august and today you will be voting on it. >> good afternoon commissioners. i am with the office of policy and planning and as dr. chow mentioned this is one of the items you considered previously. at your last meeting we gave a presentation which was an overview of the master plan and the health commission's role and then a discussion of healthright360's application for consistency determination for their location on mission street, their new location on mission street, and at that time we presented you with a draft resolution and it indicated that
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our staff recommendation was that the commission find this project consistent and recommended for incentives with the planning commission as it goes through the planning process and our basis for recommending consistent with incentives was the extent to which healthright360 does now and plans to in the future serve an under served population identified by the plan as important and recommended for incentives so specifically expanding primary care, expanding dental care, expanding behavioral health care to low income populations with high health disparities in under served neighborhoods in san francisco. at the time the commission reviewed our resolution and asked for additional detail on the specifics as to the extent to which healthright360 intends to meet the plans of the goal we so interested that into the resolution and it's more spivelg how healthright360 will meet the
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goals of the plan and i know the executive director is here of healthright360 if you have any questions for her. also in response to the health commission's conversation we discussed how healthright360 would come back a year after opening to talk about how they're meeting the goals of the plan so we've had some preliminary conversations about what such a report to the health commission would look like at that time. >> thank you. commissioners you have the draft resolution redrafted from our input before you. was there any public comment? >> i have not received any public comment requests. >> okay. commissioners so we're prepared to have a motion for acceptance of the resolution before you. >> so moved. >> and so i heard a move and a second move which say second so we're ready for discussion. discussion of the resolution? commissioners, yes commissioner. >> just for clarity this is the


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