Minutes of the Health Commission Meeting Tuesday, April 4, 2000 3:00 p.m. 101 Grove Street, Room #300 San Francisco, CA 94102 1) CALL TO ORDER The regular meeting of the Health Commission was called to order by President Roma Guy, MSW, at 3:05 p.m. Present: Commissioner Edward A. Chow, M.D. Commissioner Roma P. Guy, M.S.W. Commissioner Ron Hill Commissioner Lee Ann Monfredini Commissioner Harrison Parker, Sr., D.D.S. Commissioner David J. Sanchez, Jr., Ph.D. Commissioner John I. Umekubo, M.D. 2) APPROVAL OF MINUTES OF THE REGULAR MEETING OF MARCH 21, 2000 Action Taken: The Commission unanimously adopted the minutes of the meeting of March 21, 2000. 3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE (Commissioner Ron Hill) (3.1) Update on Bayview Hunters Point Foundation. Barbara Garcia, Director of Population Health and Prevention, gave a positive overview on the comprehensive technical assistance and organizational development consultation with Bayview Hunters Point Foundation (BVHP). The Department’s direction is to be responsive to large, complex organizations, which have multiple contracts with the Department. She assured the Commissioners that she is satisfied with the progress made to date and that BVHP Foundation will continue to improve their responsiveness and compliance to contractual agreements. Additionally, Ms. Garcia expressed given the many years BVHP Foundation has served high-risk communities in Bayview Hunters Point and the Tenderloin, this investment is crucial for the future of BVHP Foundation. Karen Patterson Matthew, Executive Director of BVHP Foundation, reported that BVHP Foundation has used the role of the CompassPoint consultant to enhance the relationship with the Department, to address the program aspects of the monitoring reports, and to work with the BVHP Foundation Board of Directors. Commissioner Hill complimented the Department and agency to make this partnership work in a positive direction. These services are important to the community. Commissioner Hill expressed his expressed his concern on the many areas of responsibility assigned to the Executive Director. Ms. Matthew reported that some of the responsibilities will be delegated to other management staff. Commissioner Parker pointed out that BVHP Foundation is not alone, and that there may be other contractors in need of technical assistance. He encouraged the Department to hold all contractors equally accountable. Ms. Garcia assured the Commission the Department agrees. Commissioner Sanchez pointed out the importance of the partnership among nonprofits, the Department, and consultants in order to respond to change. He complimented all of the parties involved. Commissioner Hill requested an update in August. (3.2) PHP-CMHS – Request for approval of retroactive modification with Community Vocational Enterprise, Inc. (CVE), in the amount of $152,177, to expand the existing vocational rehabilitation services targeting mental health adult and youth consumers, for the period of March 1, 2000 through June 30, 2001. The total four-year contract amount will be $3,756,216 for the period of July 1, 1998 through June 30, 2002. (DPH contracted with CVE for services totaling $862,225 during FY 1998-99). The Department has requested the contractor to submit the demographics in two weeks to the Commission. (3.3) PHP-CMHS – Request for approval of modification with Saint Vincent de Paul Society of San Francisco (SVdP), in the amount of $59,375, to expand existing programs at the Multi Service Center South, a mental health and substance abuse program for homeless men, for the period of May 1, 2000 through June 30, 2001. The total four-year contract amount will be $4,618,231 for the period of July 1, 1998 through June 30, 2002. (DPH contracted with SVdP for services totaling $284,928 during FY 1998-99). (3.4) PHP-CMHS – Request for approval of retroactive modification with San Francisco Study Center (SFSC), in the amount of $154,000, to expand the existing Oasis programs targeting the homeless population, for the period of March 1, 2000 through June 30, 2001. The total four-year contract amount will be $2,194,305 for the period of July 1, 1998 through June 30, 2002. (DPH contracted with SFSC for services totaling $1,444,242 during FY 1998-99). The Department has requested the contractor to submit the demographics in two weeks to the Commission. (3.5) PHP-CMHS – Request for approval of retroactive modification with Swords to Plowshares (SP), in the amount of $192,599, to provide new outreach and linkage services targeting veterans in shelters and in the streets, for the period of April 1, 2000 through June 30, 2001. The total four-year contract amount will be $1,038,602 for the period of July 1, 1997 through June 30, 2001. (DPH contracted with SP for services totaling $304,677 during FY 1998-99). Commissioner Parker pointed out the need for these services to veterans, who continually fall through the cracks. Before the full Commission, Karen Patterson Matthew, Executive Director of BVHP Foundation, acknowledged the supportive relationship with the Department and indicated the relationship is mutual. Action Taken: The Commission unanimously approved the Consent Calendar of the Budget Committee, with the specific requests of the Budget Committee. 4) DIRECTOR’S REPORT (Mitchell H. Katz, M.D., Director of Health) ADMINISTRATION Contract Expansion to Four Providers Today the Commission’s Budget Committee reviewed contract amendments for four mental health providers. The modifications totaling approximately $600,000 over a 15 month period of time will allow the Department to begin implementing the Commission’s policy directive to decrease decertified days in the hospital by increasing community based care alternatives in this current fiscal year. This contract expansion will increase vocational mental health services for 40 adults and 30 youths. In addition mental health service capacity will increase by 700 to the city’s most vulnerable populations: the homeless, veterans, dually diagnosed and mental health/substance abusers. Services include peer counseling support, acupuncture and outreach. CMA Drug Treatment Reform Resolutions At the last Commission meeting I reported that the California Medical Association's House of Delegates had passed five progressive drug reform resolutions. In addition to these, the delegation passed two other drug treatment reform resolutions. The first resolution supports the deregulation of syringe sales in California, and further supports the sale of syringes without prescription at licensed pharmacies. The second resolution supports the prompt treatment of patients with STDs and their partners by physicians and surgeons who diagnose or care for persons with chlamydia, gonorrhea or other STDs which may include field-delivered therapy. POPULATION HEALTH AND PREVENTION Nursing Excellence Awards Congratulations to Twila Brown, RN, NP, MPH on being a finalist in Nurse Week's Nursing Excellence Awards 2000 competition in the management/administration category. Free Zone Project Shivaun Nestor, Assistant Health Educator at the Wedge Program and Free Zone Project Coordinator made a presentation at the National HIV/AIDS Update Conference, held in San Francisco the week of March 13th. The title of her paper was "Free Zone: A Community Building Model of HIV Prevention for Young Adolescent Gay, Bisexual, Transgender, and Questioning Males." The goal of the Free Zone project was to reduce the risk for HIV infection among young gay, bisexual, transgender, and questioning (GBTQ) adolescent men of color by teens by building community, fostering communication, nurturing self-esteem and assisting participants in the development of a healthy self-identity as GBTQ men. Preliminary evaluations found that participation in Free Zone activities had a positive impact on participants' perceptions of personal risk for HIV, feelings of empowerment, and connection to community. HIV Prevention Education Program An abstract about the Wedge Program has been accepted for the Annual California Conference of Local Directors of Health Education, April 13-14. Christine Wong, Program Coordinator will be giving an overview of the award winning HIV prevention education program that reaches over 6,500 adolescents each year in middle and high schools classrooms and out-of-school community based settings. The goal of the Wedge Program is to stop the spread of HIV infection among adolescents through promotion of positive attitudes toward HIV prevention and risk reduction and changes in behavior that directly affect the prevention of HIV. A special feature of the program is the opportunity to meet a person living with HIV/AIDS. STD Awareness Month April is STD Awareness Month. Activities include: STD screening in 6 public high schools; advertising in the BAR, the Bay Guardian, El Mensajero and the New Bay View; sending a letter to African American churches in the City; sending a Dear Neighbor letter to all residents living in selected high risk zip codes in San Francisco; participating in the KMEL "Hoop it Up" contest; sponsoring an STD poster contest; and, participating in the Erotica 2000 Trade Show. Emergency Medical Services Megan Corry, MA, EMT-P, Quality Manager of the Emergency Medical Services was recently recognized by the UCLA Prehospital Care Research Forum at the EMS Today Conference for her outstanding oral presentation of the Prehospital Treatment of Status Epilepticus (PHTSE) Study. PHTSE was conducted in the San Francisco EMS System from 1994-1999, and is nationally recognized as benchmark study of prehospital status epilepticus. The EMS Section is excited to have Megan as a recent staff addition and looks forward to her valuable contribution to the Department. COMMUNITY HEALTH NETWORK CHN Takes Drunk Driving Message to Students Every 15 minutes someone who has been drinking and driving kills someone in a car accident. To help prevent these tragedies, staff from CHNs Emergency Room met with high school students from Sacred Heart Preparatory High School to educate them on the importance of not drinking and driving. The program took place on March 22 - 23. On March 22nd, the Grim Reaper went to Sacred Heart High School and removed a student every 15 minutes from the classroom (students who died in drinking accidents). The students did not reappear until the assembly the next day. The SFPD also simulated a car accident where one student died at the scene, one was critically injured and transported to our ED, and the driver was arrested for driving under the influence. The student DOA was brought in to our ED and pronounced dead by the Medical Examiner. The other student was treated as a real trauma and died in our ED. The parents of both students came in to the ED and we told them their children were killed. The parents were so visibly shaken, one had to go outside. Dr. Bretz was our attending physician for the program and did a fabulous job with the family, police, and paramedics. Beth Karlsrud, Michael Parkison and Mary Jo Webb were the nurses. Radiology even sent a tech over to take X-rays. Homeless Outreach Wins National Honor The homeless outreach team Margaraita Loinaz, Douglas Price-Hanson, Lynette Martinez, Basil Stamos, Christopher Stoehr, Mary Mays, Karen Nunez, and Tony Patchell are recipients of the National Health Service Corps primary care team of the year. I am sure the Commission joins me in congratulating this team for their excellent work. SFGH Volunteer Recognition Luncheon The Commission is cordially invited to attend the annual SFGH Volunteer Recognition Luncheon, Saturday, April 15th at noon, at Gabbianos Restaurant, One Ferry Plaza. Take your Daughter to Work Day CHN and UCSF at SFGH are proud to sponsor the Fourth Annual Take Your Daughter to Work Day April 27th. This is a half-day program for children of SFHMC employees. This year the event will include Laguna Honda Hospital and the CHN Primary Care Centers. 5) PRESENTATION ON THE OVERVIEW OF THE HEALTH STATUS IN SAN FRANCISCO Jessica Wolin, Director of Planning for Population Health and Prevention, reviewed the activities scheduled for National Public Health Week. The Department will be releasing the 2000 Overview of Health Status for San Francisco. This report will have a wide distribution to community representatives, DPH staff and partners. She acknowledged Carolyn Lieber and Randy Reiter for their expertise in developing this report. Additionally, for National Public Health Week, a poster contest, the idea of Commissioner Parker, was held. Ms. Wolin acknowledged Kathrine Forbes and Tisha Kenny for their work on the poster contest. Randy Reiter presented the 2000 Overview of Health Status for San Francisco. A copy of the full report is available at the Commission Office. This report provides a look at data that illustrates for the population of San Francisco who we are, how we live and our health. Mr. Reiter reported that because social conditions and personal health behaviors have a significant effect on health, this report includes statistics on social issues such as poverty and unemployment, behaviors and health risks. The data on this report come from surveillance data, census/demographic data, program utilization or diagnosis data, vital records and surveys. Commissioners’ Comments: What is the homicide rate for females? Inquired about data on homelessness and housing The trend statistics are very helpful Disparity for African American health needs to be addressed Very good report High cost of living in San Francisco and large numbers of indigent and homeless High degree of diseases in African Americans and Latinos relate to poverty Simply providing services will not address the health problems – need to address poverty Questioned the statistic on deaths by alcohol Surprised at large numbers of individuals on social security in San Francisco Data in this report is important Dr. Katz emphasized that the City can make a difference by its policies (i.e., living wage) in addressing poverty and determining poverty to be a disease. The Commissioners thanked Mr. Reiter for an important report to be utilized for policy development. 6) 4:30 TIME SPECIFIC: PRESENTATION OF WINNERS OF THE BILLBOARD DESIGN CONTEST FOR NATIONAL PUBLIC HEALTH WEEK, AND CONSIDERATION OF A RESOLUTION HONORING YOUNG PEOPLE AND THEIR VISION OF HEALTHY PEOPLE IN HEALTHY COMMUNITIES Jessica Wolin, Director of Planning for Population Health and Prevention, described the procedures and process for the poster contest, including Commissioner Parker being part of the judging panel. Commissioner Parker thanked his fellow colleagues on the Commission, Dr. Katz, Barbara Garcia and all staff who worked on this project to make this a reality. He gave special thanks to Ms. Garcia for implementing this project within this fiscal year. Commissioner Parker expressed his belief in all children for the future. On behalf of the Commission, Commissioner Parker presented special certificates to the following: Two Runners Up: Megan Harty Ms. Harty attends St. Stephens School and is 13 years old. She received a $100 gift certificate. Her artwork will be posted in BART stations Monica Lui Ms. Lui attends St. Thomas the Apostle School and is 13 years old. She received a $100 gift certificate. Her artwork will be displayed in BART stations. Winning Artist: Vanessa Puchendorf Ms. Puchendorf attends St. Stephens School and is 13 years old. She received a $250 gift certificate. Her artwork will be displayed in bus shelters throughout the City of San Francisco. Commissioner Parker introduced a resolution recognizing the contributions of these youth in creating a vision for a healthy San Francisco. Action Taken: The Commission unanimously adopted Resolution #4-2000, "Honoring Young People and Their Vision of Healthy People in Healthy Communities for Public Health Week, April 3-9, 2000." 7) OTHER BUSINESS/PUBLIC COMMENTS None. The meeting was adjourned at 4:40 p.m. Sandy Ouye Mori, Executive Secretary to the Health Commission