|
|
On-Call Therapists |
|
|
Preferred Therapy Registry |
|
|
PT and OT Registry, Inc. |
(3.5) CHN–SFGH – Request for approval of a new retroactive contract with Dobri D. Kiprov, MD, a professional corporation dba Bay Area Mobile Apheresis Program, in the amount of $215,000, to provide intermittent, as-needed, on-call mobile therapeutic apheresis services (in which a patient’s blood is collected using automated FDA approved devices, separated into its components and filtered), for the period of July 1, 2000 through June 30, 2002.
(3.6) CHN–SFGH – Request for approval of a new contract with Asereth Medical Services, Inc., in the amount of $650,000, for as-needed, supplemental pharmacy personnel services, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with Asereth for services totaling $1,066,000 during FY 1999-00).
Commissioner Sanchez raised the possibility of sharing the costs with UCSF.
(3.7) CHN–SFGH Medical Staff Services – Request for approval of a sole source contract renewal with Medical Staff Services Registry, Inc. (MSSR), in the amount of $54,000, to provide as-needed credential verification services, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with MSSR for $45,000 during FY 1999-00).
(3.8) CHN–SFGH Radiology – Request for approval of a retroactive contract modification and a contract renewal with The Registry Network, Inc., to provide intermittent, as-needed, professional radiology technologists with on-call availability 7-days a week, in the amount of $55,000, for a modification for the period of July 1, 1999 through June 30, 2000, and $173,600 for a contract renewal for the period of July 1, 2000 through June 30, 2001, for a total value of $228,600, for the two-year period. (DPH contracted with Registry Network for services totaling $100,000 during FY 1999-00).
(3.9) PHP-CHS – Request for approval of a retroactive contract renewal with Family Service Agency (FSA) in the amount of $181,643 to provide HIV mental health services, for the period of
March 1, 2000 through February 29, 2001. (DPH contracted with FSA for services totaling $4,727,179 during FY 1999-00).
Commissioners expressed concern on the monitoring report. The Department assured the Commission the contractor is positively following up on the monitoring reports. Lonnie Hicks, Executive Director, stated that mutual communication and follow-up on the monitoring issues are taking place.
Commissioner Hill requested the Department to follow-up on the monitoring report with the Executive Secretary to the Health Commission in three months. (October 17, 2000).
(3.10) PHP-CHS – Request for approval of a retroactive contract renewal with San Francisco Food Bank (SFFB) in the amount of $96,416, to provide food solicitation services, for the period of
March 1, 2000 through February 28, 2001. (DPH contracted with SFFB for services totaling $97,220 during FY19 99-00).
Commissioner Hill requested an update on this contract to the Budget Committee in three months. (October 17, 2000).
(3.11) PHP-CMHS – Request for approval of a new contract with West Bay Pilipino Multi-
Service Center in the amount of $140,300 to develop a culturally responsive family intervention model for mental health and substance abuse services, for the period of July 1, 2000 through September 30, 2001.
At the full Commission meeting, public speaker Michael Lyon, Emergency Coalition to Save Public Health, spoke on #3.6, indicating this contract can be challenged; and that closure of the outpatient pharmacy is an outrage to patients.
Action Taken: The Commission approved the Consent Calendar of the Budget Committee, with the specific requests.
4) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
ADMINISTRATION
DPH Fire Response
A fire occurred at 225 Taylor Street a little before 3:00 a.m., July 15th resulting in one fatality and one serious injury. The Department of Public Health was notified and responded to the scene immediately. All 24 units in the building were evacuated, displacing 44 adults, 11 seniors and 8 children. The building residents were primarily monolingual speaking Spanish and Tagalog. The Red Cross established an emergency shelter at the Hamilton Recreation Center. The shelter remained open through yesterday at 5 p.m. when all of the 63 residents had been placed in motels temporarily until more stable housing options can be found.
The Mayor’s Office, Department of Human Services, Recreation and Park Department, MUNI and the Health Department worked together seamlessly with the Red Cross. Our efforts over the last two years to refine the City’s emergency response plans and provide better services for survivors of catastrophic events have really paid off. I visited the shelter Saturday night and was so proud of our City’s efforts. I am sure you wish to join me in acknowledging the great work of Linda Wang and the entire mental health team who responded on site, Jan Murphy and Mary Anne McGuire-Hickey for their work in recruiting public health nurses to staff the shelter and Chris Wachsmuth and Willie Crawford for providing logistical support over the weekend. As always, Anne Kronenberg did a great job coordinating our efforts.
Medical Cannabis ID Cards
This past Friday, the Department hosted a press conference with Supervisor Mark Leno, District Attorney Terence Hallinan and Assistant Police Chief Earl Sanders. Commissioner Harrison Parker also joined us. Friday's media event marked the City's first official day of issuing voluntary medical cannabis ID cards. The Department began issuing cards on July 5th, using only a word-of-mouth approach so that Vital Records could work out any technical and programmatic problems. I am pleased to report that the system appears to be working well. We have also posted information about the program on our website. To date, approximately 40 cards have been issued to patients and caregivers. There is an admistrative cost of $25 charged to each person who applies for a card, which is valid for up to 24 months. My thanks to Herminia Palacio, MD, Donna Childers and her MIS staff Irina Tomashevsky and Ed Sanchez, and Ed Hernandez and the staff in Vital Records.
"Profiles of Excellence" on KGO
I am sure the Health Commissioners join me in congratulating Health Commissioner John Umekubo, MD, for his appearance on KGO, Channel 7's "Profiles of Excellence" series. Five outstanding Bay Area Asian Pacific Americans were profiled for their achievements. Along with Dr. Umekubo's private practice in Japantown, he is also chief of staff at St. Mary's Medical Center, vice president of this Health Commission and still finds time to play a mean guitar with the Bold Rebels, one of the first local Asian American bands. The program first aired Sunday, July 16th. It will air again on Sunday, July 30th at 10:30 a.m. Chief Fred Lau of the San Francisco Police Department was also recognized.
Snapshot of Community Health
The US Department of Health & Human Services has just issued a report that provides the first-ever snapshot of an individual county's health compared to other counties with similar characteristics. Entitled the "Community Health Status Indicators" (CHSI) report, this document comes in response to many requests for data to help in assessing needs and developing data-based policies to improve the health of communities and their residents. The report will be released on July 24, 2000 and may be downloaded and printed from the Internet at www.commnityhealth.hrsa.gov.
POPULATION HEALTH AND PREVENTION
Bureau of Environmental Health Management
In the past fiscal year, the environmental health section increased revenues collected by $494,000. In addition, expenditures were reduced by $46,591. {{General fund support for the section subsequently fell by $491,332}}
While all staff contributed to this success, special attention is merited to a few efforts. Sue Cone, Manager of the Hazardous Materials Program, successfully dealt with her program's restructuring while maintaining excellent client services and surpassing revenue targets. Jim Gillen, Budget Analyst, worked to identify environmental health programs where revenue collections needed attention and helped to develop successful fee increases. Jim also worked with Principal Inspector Johnson Ojo and the tax collector to identify delinquent accounts and to obtain credits for owed revenues collected by other city departments. Larry Pong and Lisa Palladino developed the account Campbell Bill training which contributed additional revenues for the consumer protection program. Sheldon Lew was also instrumental in getting a fee increase for our special events program. It is expected that the section will continue to meet its revenue expectations in the coming year as well.
COMMUNITY HEALTH NETWORK
Chinatown Public Health Center
Chinatown Public Health Center was well represented at the Tenth Conference on Health Problems Related to the Chinese in North America, recently held at Parc Renaissance Hotel in San Francisco. Over 250 health care providers came from U.S. and Canada to attend this conference. The theme for this biannual conference was on ‘Integrating the Best of Chinese and Western Medicine - A New Paradigm for Health Promotion and Patient Care’. Dr. Ed Chow, Health Commissioner, was one of the chief organizers of this year's conference. Many of our key Chinatown Public Health Center staff presented and participated in the event. Also, the well-known Cancer Quilt made by members of the Health Center's Support Group was on display at the conference.
SFGH Foundation receives $50,000 gift from Golden Gate Bank
Golden Gate Bank, a member of the Greater Bay Bancorp family, has made a $50,000 donation to the SFGH Foundation for projects in the Emergency Department. Golden Gate Bank has joined with the SFGH Foundation, the 1001 Club, hospital leaders, and the community at large in an effort to raise more than $500,000 to renovate the patient triage and family waiting areas, purchase new patient tracking software and portable ultrasound equipment.
2000 Budget Initiative Moves us Closer to Meeting our Strategic Direction
Wound Care Center Expansion
I am pleased to note that the expansion of the 4C Wound Care Center is currently underway. The Health Commission may recall that this expansion was a key proposal of the DPH Task Force on Management of Patients with Abscesses and Injection Drug Users and entailed the development of an Integrated Soft Tissue Infection Service (ISIS). The charge to the ISIS team was to evaluate patients presenting with soft tissue infections and develop more appropriate ambulatory care protocols and systems for treatment.
An ISIS team, consisting of Department of Surgery faculty, Nurse Practitioners, and 4C Nursing staff, began providing ambulatory services to patients with soft tissue infections on July 5. In the first six days of operation (including half day clinics on Saturday and Sunday), ISIS has provided the following:
Concurrently, Substance Abuse Services and Medical Social Services are providing substance use evaluation for treatment and referrals for shelter and other concrete services. A weekly multidisciplinary meeting of ISIS, Medical Social Services, Substance Abuse Services, Emerg. Department, Anesthesia, PHP, Pharmacy, OR Nursing, Patient Acting and Admin. representatives has been initiated to review and resolve operational & clinical issues, with the goal of refining & developing services over the next fiscal year. Program evaluation will be another key aspect of discussion for this group. All services have been extremely collaborative in this venture. This proposal has gotten off to an excellent start through the commitment of numerous individuals, and we look forward to further progress over the next few months.
Health at Home Volunteer Training
Health at Home is seeking individuals interested in working directly with our clients in their own homes, apartments and residences providing emotional and/or practical support. This 10-hour home volunteer training will commence early September and include an overview of caring for individuals diagnosed with life-threatening, chronic and disabling illnesses such as HIV disease, cancer, respiratory and heart disease.
|
SFGH Credentials Report |
7/00 |
2000 YTD |
|
New Appointments |
09 |
111 |
|
Reinstatements |
1 |
7 |
|
Reappointments |
24 |
230 |
|
Delinquencies |
0 |
0 |
|
Reappointment Denials |
0 |
0 |
|
Resigned/Retired |
10 |
92 |
|
Disciplinary Actions |
0 |
0 |
|
Restriction/Limitations – Privileges |
0 |
0 |
|
Changes in Privileges |
||
|
Additions |
0 |
1 |
|
Voluntary Relinquishment |
0 |
0 |
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARDS FOR JULY
On behalf of the Commission, Vice President Umekubo presented the July awards to the following:
Penney Mitchell, LCSW, Social Services, SFGH/CHN, nominated by Dolores Gomez, R.N., Former Chief Nursing Officer, SFGH Medical Center
MIS Team for Y2K Compliance, nominated by Monique Zmuda, CFO
6) CONSIDERATION OF A RESOLUTION DELEGATING AUTHORITY TO THE DIRECTOR OF PUBLIC HEALTH TO ACT ON LAGUNA HONDA HOSPITAL MEDICAL STAFF RECOMMENDATIONS CONCERNING MEDICAL STAFF APPOINTMENTS, REAPPOINTMENTS, TERMINATION OF APPOINTMENTS, AND THE GRANTING OR REVISION OF CLINICAL PRIVILEGES ON BEHALF OF THE GOVERNING BODY
Dr. Katz pointed out this policy emphasizes a Departmentwide approach in addressing these medical staff issues. He assured Commissioner Chow that the appeal process for physicians is uniform throughout the Department.
Action Taken: The Commission adopted Resolution #8-00, "Authorizing the Director of Public Health to Act on Laguna Honda Hospital Medical Staff Recommendations."
7) OVERVIEW OF THE MEDICAL MARIJUANA IDENTIFICATION CARDS
Dr. Herminia Palacio, MPH, Special Advisor to the Director, reported the following:
In response to Health Commission Resolution #29-99, "Supporting the Development and Implementation of a Voluntary Medical Cannabis Identification Card Program", passed in December 1999, and the Medical Cannabis Identification Card Ordinance signed into law in March 2000, the Department of Public Health designed the Medical Cannabis Voluntary Identification Card Program. The program opened on July 5, 2000, and issues Patient and Primary Caregiver ID cards to individuals who qualify as medical cannabis users or primary caregivers, under the Compassionate Use Act of 1996, (California Health and Safety Code 11362.5).
Dr. Palacio provided a detailed program description. Each application packet contains a program description in a "question and answer" format and contains all the forms necessary for both the patient card and the primary caregiver cards. The application packet includes the following:
The program strives to complete all of the verification steps while the applicant waits, if feasible. If staff are unable to complete all the verification steps while the applicant waits (for example, if no one is available at the physician’s office to confirm the Physician’s Statement), then the applicant is offered the choice of returning to pick up his/her ID card and/or documents in person, or to fill out a self-addressed envelope to have the card and/or documents mailed.
In summary, this program provides a convenient way to qualified individuals to demonstrate that they meet the criteria to use or possess medical cannabis under the Compassionate Use Act of 1996. Dr. Palacio emphasized that this project was implemented through a team effort with participation from multiple individuals, all of whom made valuable contributions. A special note of thanks, however, goes to the MIS team who went above and beyond the call of duty to help improve a quality program in a timely fashion.
For a copy of the complete report, contact the Commission Office (554-2666).
Commissioner Chow commended the Department for developing forms that are clear and user-friendly. He also pointed out this program would really help people in pain and could be supportive for end-of-life issues.
8) PRESENTATION OF OFFICE-BASED OPIATE ADDICTION TREATMENT
Dr. Herminia Palacio, MPH, Special Policy Advisor to the Director, gave a progress report on the San Francisco Office-Based Opiate Addiction Treatment (OBOAT) program.
Commissioner Umekubo inquired about the requirements for participating physicians. Dr. Palacio reported the Department will provide training and curriculum development. The availability of physicians to give consistent quality care will be a factor.
Commissioner Chow inquired about whether the physician providers will come from various groups outside of the Department. Dr. Palacio stated that in the pilot phase the plan is to use DPH physicians.
Dr. Katz pointed out that with this program the Department is creating a model to increase methadone maintenance. He also commended Dr. Palacio for her work on this program.
9) OTHER BUSINESS/PUBLIC COMMENTS
Public Speakers:
10) CLOSED SESSION:
A. PUBLIC COMMENT ON ALL MATTERS PERTAINING TO THE CLOSED SESSION
None.
B. VOTE ON WHETHER TO HOLD A CLOSED SESSION. (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(a).)
Action Taken: The Commission voted to hold a Closed Session.
The Commission went into Closed Session at 4:45 p.m.
Individuals in the Closed Session were: Commissioners Umekubo, Chow, Hill, Parker and Sanchez, Mitch Katz, M.D., Larry Funk, Tony Wagner, Mary Louise Fleming and Sandy Mori
C. CLOSED SESSION PURSUANT TO GOVERNMENT CODE SECTION 54956.9 AND SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.11(b).
EXISTING LITIGATION
PROPOSED SETTLEMENT OF $30,000 IN A CLAIM FOR WRONGFUL DEATH: WAE SON JENSEN, INDIVIDUALLY AND AS ADMINISTRATRIX OF THE ESTATE OF MI PUN KIM, V. CITY AND COUNTY OF SAN FRANCISCO. SAN FRANCISCO SUPERIOR COURT CASE NO. 306-739
The Closed Session ended at 5:06 p.m.
D. RECONVENE IN OPEN SESSION:
1. POSSIBLE REPORT ON ACTION TAKEN IN CLOSED SESSION. (GOVERNMENT CODE SECTION 54957.1(a)(2) AND SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.14(b)(2).)
Action taken: The Commission approved the settlement of $30,000.
2. VOTE TO ELECT WHETHER TO DISCLOSE ANY OR ALL DISCUSSIONS HELD IN CLOSED SESSION (SAN FRANCISCO ADMINISTRATIVE CODE SECTION 67.14(a).)
Action taken: The Commission voted not to disclose any discussions held in Closed Session.
The meeting was adjourned at 5:07 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission