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||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| AIDS Emergency Fund | $ 662,392 | ||
| AIDS Legal Referral Panel | $ 200,952 | ||
| American College of Traditional Chinese Medicine | $ 276,827 | ||
| Asian Pacific Islander Wellness Center | $ 540,961 | ||
| Baker Places | $ 177,000 | ||
| Bar Association of San Francisco | $ 77,868 | ||
| Catholic Charities | $ 159,815 | ||
| Chemical Awareness & Treatment Services, Inc. | $ 594,042 | ||
| Community Dental Care, Inc. | $ 651,429 | ||
| Compass Point Nonprofit Services (formerly The Support Center) | $ 200,833 | ||
| Continuum HIV Day Services | $ 993,516 | ||
| Dolores Street Community Services | $ 184,273 | ||
| Family Support Services of the Bay Area | $ 300,231 | ||
| Haight Ashbury Free Medical Clinics, Inc. | $1,005,557 | ||
| Immune Enhancement Project | $ 223,668 | ||
| Instituto Familiar de la Raza | $ 255,310 | ||
| Iris Center | $ 150,000 | ||
| Legal Services for Children | $ 190,915 | ||
| Lutheran Social Services | $ 559,479 | ||
| Lyon Martin Women’s Health Services | $ 381,727 | ||
| Maitri AIDS Hospice | $ 981,880 | ||
| Marin County | $1,501,296 | ||
| Mission Neighborhood Health Center | $ 113,563 | ||
| New Leaf (mental health services) | $ 147,212 | ||
| Positive Resource Center | $ 498,455 | ||
| Project Open Hand | $1,348,637 | ||
| Quan Yin Healing Arts Center | $ 127,327 | ||
| Saint Mary’s Medical Center. | $1,234,862 | ||
| San Francisco Community Clinic Consortium | $ 341,042 | ||
| SFDPH Community Health Network -Forensics Services | $ 356,524 | ||
| SFDPH Community Health Network -Health at Home | $ 590,244 | ||
| SFDPH Community Health Network - Primary Care | $2,709,422 | ||
| SFDPH Community Health Network -SFGH | $2,229,052 | ||
| SFDPH Community Health Network-SFGH-Positive Health Pract. | $ 144,784 | ||
| SFDPH Community Health Network-Tom Waddell | $ 175,353 | ||
| SFDPH PHP Mental Health Services | $ 288,234 | ||
| SFDPH PHP Public Health Laboratory | $ 58,560 | ||
| SFDPH PHP STD Services | $ 176,929 | ||
| SFDPH PHP Substance Abuse Services | $ 250,000 | ||
| SFDPH PHP Housing Services | $ 8,704,836 | ||
| Ark of Refuge, Inc - $ 282,480 | |||
| Baker Places - $1,577,064 | |||
| Black Coalition on AIDS – $ 373,912 | |||
| Catholic Charities - $1,393,216 | |||
| Larkin Street Youth Center - $ 643,357 | |||
| Lutheran Social Services - $ 145,488 | |||
| San Francisco AIDS Foundation - $4,213,562 | |||
| Walden House - $ 75,757 | |||
| San Francisco Suicide Prevention | $ 107,784 | ||
| San Mateo County | $ 2,300,965 | ||
| Shanti Project | $ 892,897 | ||
| Tenderloin AIDS Resource Center | $ 349,962 | ||
| UCSF/AIDS Health Project | $ 977,701 | ||
| UCSF/Center on Deafness | $ 40,236 | ||
| UCSF/Pediatric AIDS Program | $ 170,945 | ||
| UCSF/Substance Abuse Services | $ 662,134 | ||
| UCSF/ Women’s Specialty Clinic | $ 222,000 | ||
| University of the Pacific-School of Dentistry | $ 543,600 | ||
| Urban Indian Health | $ 72,780 | ||
| Walden House | $ 1,699,928 | ||
| Westside Community Mental Health Services | $ 212,850 | ||
| $38,018,791 | |||
Michelle Dixon, AIDS Office, reported that she will bring four remaining contracts to a future meeting.
Commissioner Sanchez abstained on the five UCSF contracts; and Commissioner Umekubo abstained on the St. Mary’s Medical Center contract due to conflicts of interest.
As requested earlier, Commissioner Chow requested a report on the evaluation of alternative treatments for HIV.
Commissioner Parker requested clarification on units of service for each contractor.
Action Taken: The Commission approved items #3.2 through #3.12, with the specific follow-up requests.
4) FOR DISCUSSION ONLY: DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
(Report on activities and operations of the Department, and may include activities within
the Community Health Network and Population Health and Prevention Divisions)
ADMINISTRATION
Conference on Medical Marijuana
The University of California School of Medicine will be presenting a full day conference June 10th on medical marijuana entitled, "Cannabis Therapy: Science, Medicine and the Law."
The program is intended to provide practicing physicians with useful and accurate information about the benefits and risks of cannabis therapy for specific types of patients and/or medical conditions. Speakers will discuss the elements of informed consent doctrine, appropriate documentation in the patient medical record of a physician's discussion/approval of cannabis therapy, and state and federal legal considerations. The program will address professional liability coverage, the relevant standard of care and the development of pharmaceutical-quality cannabis extracts and nonsmoking delivery devices.
POPULATION HEALTH AND PREVENTION
HIV Prevention
It pleases me to announce that Steven Tierney, Ed.D., began his tenure as the new Director of HIV Prevention March 6th. Many of you already know Steven from his work on the HIV Prevention Planning Council, his Executive Directorship of Health Initiative for Youth (HIFY), and his leadership on national HIV/AIDS policy issues. Please join me in welcoming Steven to HIV Prevention and the Department of Public Health.
STD Prevention and Control
An agreement was reached this month with the San Francisco Unified School District to expand STD screening among the public high school students. DPH will begin screening students at all alternative and community day schools in the City. Screening will also be done at selected mainstream high schools that participated in the pilot screening project.
Homeless Outreach Prevention Effort (HOPE)
Along with the new initiatives that the Health Department is proposing for the next fiscal year and underscoring the change in the way we deliver services the former Death Prevention Team has recast itself to emphasize prevention. We will not continue to focus on body count. The former Mission Rock shelter health care team joined with the Homeless Death Prevention Project's Health Outreach team to form the new Homeless Outreach Prevention Effort (HOPE) team. The eight-person team includes social workers, health workers, physicians, a nurse, nurse practitioners, and an eligibility worker.
The HOPE team targets individuals with one or more medical or psychosocial problem who have difficulty accessing support on their own. The team provides health care on the streets and in SRO hotels with a special focus on the Mission and Jefferson hotel where many former Mission Rock residents now reside. The nature of these patients’ problems calls for time consuming and intensive work. The team's goal is to provide assistance, which enables each patient to access ongoing primary care as well as stable, and supportive living environments. Questions and referrals can be made to Damon Eaves, MSW, at 554-2731.
Women's Health Services
The Commission on the Status of Women held a hearing February 23rd on the status of women's health. Commissioner Roma Guy articulated DPH’s commitment to women's health. Kate Monico-Klein, Coordinator of Women's Health, provided background and introduced presentations by Mildred Crear, Director of the Bureau of Children, Youth and Family, Cynthia Selmar, Coordinator of the African American Health Initiative, and Jan Murphy, Director, Primary Care. Feedback from the COSW was very positive. Thanks to all who participated.
Lesbian Health Summit /Lesbian Health Forum
A summit on lesbian health sponsored by the Mayor's Office and Supervisor Leslie Katz will be held April 7th. The summit is in response to the Institute of Medicine’s recent report on lesbian health. If you are interested in participating, please contact Kate Monico-Klein, at 554-2608.
African American Health Initiative
The Bayview Hunter's Point Health and Environment Resource Center held a Conference February 19th for the African American Men’s Health Initiative-Prostate Cancer Project at Southeast Community College. Presenters included survivors and experts in the field. Three well known African American Physicians, Arthur H. Coleman, M.D. Family Practitioner; Edward Collins, M.D. Urologist; and Joycelyn Speight, M.D., Ph.D. Clinical Fellow Radiation Oncology spoke at the conference. The American Cancer Society, Health and Environment Resource Center and the African American Health Initiative provided resource tables.
Breastfeeding Accommodation Policy at Silver Avenue Health Center
Silver Avenue Family Health Center has signed a new policy titled "Breastfeeding Accommodation". The purpose of the policy is to provide guidelines to assist any breastfeeding staff person to continue breastfeeding upon their return to work. It provides a space, and allows time for the staff person to use a breast pump during work hours. This is in accordance with the American Academy of Pediatrics Policy Statement on breastfeeding, which encourages employers to provide facilities and time in the workplace for breast pumping.
If anyone wants assistance in writing a policy for his or her worksite, please contact Gail Davis, at 715-0370.
Tobacco Free Project
We have been advised by the White House that President Clinton is sending a letter of recognition to the youth advocates from Booker T. Washington Community Services Center and the African American Tobacco Free Project. The Commission may recall that members of these groups—which are funded by the Tobacco Free Project—were instrumental in bringing the subject of bidis before the Federal Trade Commission and the US Customs Service.
The efforts of these youth advocates led to a special segment on "60-Minutes" and resulted in the US Customs Service banning certain bidis because of evidence that they were being produced with bonded child labor. It is also worth noting that the outcome of the initiative these youths demonstrated is an example of the unexpected benefits of the Tobacco Free Project’s approach to prevention. To be able to support and witness the creative activities of local youth advocates that brings about a significant change in national public policy is a rewarding and confirming event for our prevention program and for the youths who will inherit this tradition. I will be joining this very fine group of youth advocates to present the President’s letter on March 15th. The Health Commission will be receiving an invitation to this event. I hope you will join us.
COMMUNITY HEALTH NETWORK
Laguna Honda Hospital's Waiver
The Health Care Financing Agency [HCFA] has approved Laguna Hospital’s request for a waiver to maintain the census by keeping the open wards and private/semi-private rooms at the current capacity. We had strongly argued the importance of maintaining the city's capacity of skilled nursing beds because of the overall loss of over 100 SNF beds in the last two years.
Robert Christmas Moves to LHH
I am very pleased to announce that Robert Christmas has joined the Laguna Honda team as the Associate Administrator for Operations effective March 1, 2000. Robert has served on the administrative team at San Francisco General Hospital for the past 18 years. During his tenure, he served as Director of Ambulatory Services for ten years, Acting CEO for one year, and for the past two years, Robert has been responsible for accreditation and licensure for the entire SFGH campus. Robert is nationally recognized for his expertise in educating and preparing staff for health care system surveys by various regulatory agencies.
As Associate Administrator at LHH, Robert will be responsible for the Pharmacy, Nutrition Services, General Services, Materials Management, Plant Services, Capital Projects, Institutional Policy, Telecommunications and the hospital’s Safety and Emergency preparedness programs. He will also play an integral leadership role in preparing for future DOJ visits and State and Federal surveys as well as participating in the planning of the new facility. Please join me in congratulating Robert on his new assignment and thanking him for his many years of contribution to SFGH.
Laguna Honda Nursing Division Personnel Changes
Anne Hughes, RN, MS, FAAN has joined the Laguna Honda Nursing Division as the Clinical Specialist for Palliative Care Services. In her new role she will be developing the quality, educational and clinical practice programs for this service area. Anne comes to LHH after many years of distinguished service and leadership at SFGH. We are delighted to have Anne choose LHH as the place to develop this new role and move her career in the direction of Long Term Care.
Nursing Awards
Two nursing leaders have received recognition for their expertise and contributions to Nursing. Mivic Hirose, RN, MSN has been selected as a finalist for this year's Nursing Excellence Award sponsored by NurseWeek publication. Ron Walent, MS, RNCS was selected by the Journal of Gerontological Nursing to serve as a member of the review panel for the national publication. Congratulations to both for their accomplishments.
Chancellor’s Award
Donna Howell, Finance and Business Manager for the School of Medicine Dean's Office at SFGH, is being honored as a recipient of the Chancellor's Award for Exceptional University Management. The three recipients will be honored at the annual UCSF Founder's Day luncheon on March 21. Donna's reputation for service and mentoring is legion at SFGH to CHN and UCSF employees.
Early Intervention Program at Southeast Health Center
The State of California, Department of Health Services, Office of AIDS (DHS/OA) awarded DPH a $350,000 augmentation to its Early Intervention Project (EIP) grant. The new grant will respond to the growing concern of residents of Bayview Hunter’s Point that HIV/AIDS is among the top three health problems facing the community. The new project will be located at Southeast Health Center, 2401 Keith Street. EIP is expected to start in April 2000.
The new HIV/AIDS services will include medical evaluation and treatment, psychosocial case management, and health education aimed at reducing high risk behaviors among infected individuals and community residents in the Southeast section of San Francisco. Southeast Health Center will work with other Bayview Hunter’s Point HIV/AIDS prevention providers to develop a system of coordinated HIV/AIDS services for the Southeast Community of San Francisco.
Expanded STD Screening at Potrero Hill Health Center
The Potrero Hill Health Center (PHHC) recently began a special one-year project of Chlamydia screening among asymptomatic male patients, ages 14 - 30 years. Jeffrey Klausner, M.D., STD Prevention and Control Director contracted with PHHC because of the extremely high Chlamydia incidence among its patient population. Among women, PHHC has the highest prevalence of Chlamydia in all of the City’s health centers, even higher than the City's STD Clinic. It is hoped that by screening asymptomatic male urine, Chlamydia will be identified earlier in males and their female sexual partners, thereby decreasing the serious complications of female pelvic inflammatory disease and infertility.
Commissioner Monfredini expressed her gratitude to all who sent supportive messages and cards to her and her husband Jim.
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARDS FOR FEBRUARY 2000
The Commission presented the February Department of Public Health Employee Recognition Award to:
Individual Nominee
Norm NickensDivision
Central Administration, EEONominated by
Barbara Garcia
6) PRESENTATION OF THE ENVIRONMENTAL HEALTH DIVISION
Dr. Rajiv Bhatia, Director of Environmental Health and OSH, presented the annual report on the status of environmental health in San Francisco. A copy of the report is available at the Commission Office.
Dr. Bhatia reported that State, Federal and local regulations and mandates are generally effective in protecting San Franciscans from traditional environmental threats, such as polluted air and contaminated food and water. Emerging environmental health issues include indoor air quality and its relationship to asthma morbidity and novel pathogens as contaminants in municipal water. Programs and polices need to shift and develop in recognition of changing concerns.
The Department of Public Health will continue to pursue research and develop initiatives to address social and environmental justice concerns.
Dr. Bhatia reported updates on key environmental indicators, such as air quality, childhood lead exposure, asthma, water and food borne diseases, water quality, solid waste generation, and rodent activity.
He also presented key program activities and accomplishments; and described the planning for future initiatives.
Commissioners raised issues around development of asthma data, the ongoing problem of rodent control and infestation, environmental health education in communities and with the School District, environmental clean-up on City properties, water safety, effects of radio frequency radiation, toxic waste on Bayview Hunters Point, lead exposure, causes of mold, and priorities of environmental health.
Dr. Katz and Commissioner Chow emphasized the importance of having a physician looking at a wide range of activities and with a special expertise in environmental health and occupational medicine. The Division’s direction is to look at the disease determinants and communities.
7) REPORT ON THE (PROPOSITION 99) TOBACCO FREE PROGRAMS, EVALUATION AND OUTCOMES
Alyonik Hrushow, Tobacco Free Project Director, presented an overview of the Tobacco Free Project, including the background on the Prop 99 funded component; outcomes at the State level and in San Francisco; staffing; contracts; the Tobacco Free Coalition; and evaluation. Information on the California Tobacco Control Program was also provided.
A copy of the full report is available in the Commission Office.
Public Speakers:
Commissioners discussed penalties and fines for selling tobacco to minors, pending ordinances for local tobacco control, and the importance to regulate the sales of tobacco to minors by increasing fines and impacting the business licenses.
8) OTHER BUSINESS/PUBLIC COMMENTS
None.
The meeting was adjourned at 5:00 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission