|
| Contractor |
Type of Service |
Proposed FY 00-01 Transaction |
|
Catholic Youth Organizations – St. Vincent’s School for Boys |
Sub-Acute Residential Treatment |
$68,600 |
|
High Gear Achievers, Inc. |
Tutorial Services |
$30,000 |
(2.14) PHP-CMHS – Request for approval of a retroactive contract renewal Mental Health Management I, Inc., dba Canyon Manor, in the amount of $3,087,539 per year, for a three year contract total of $9,262,617 for the provision of 24-hour Institute for Mental Disease services to San Francisco residents, for the period of July 1, 2000, through June 30, 2003. (DPH contracted with Canyon Manor for services totaling $8,363,811 during FY 1999-2000).
(2.15) PHP-CMHS – Request for approval of a retroactive contract renewal with Progress Foundation, in the amount of $7,493,781, for the provision of mental health residential, outpatient and day treatment services targeting adult residents of San Francisco, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with Progress Foundation for services totaling $6,984,300 during FY 1999-2000).
(2.16) PHP-CMHS – Request for approval of a retroactive contract renewal with San Francisco Mental Health Education Funds, Inc. (SFMHEF), in the amount of $158,792 per year, for a four year contract total of $635,168 for the provision of fiscal agent services to the San Francisco Mental Health Board, for the period of July 1, 2000 through June 30, 2004. (DPH contracted with SFMHEF for services totaling $155,898 during FY `1999-2000).
(2.17) PHP-CMHS – Request for approval of a retroactive contract renewal with Westside Community Mental Health Center, Inc., (WCMHC), in the amount of $4,432,844, for the provision of mental health crisis, outpatient, day treatment, residential care facilities coordination and fiscal intermediary services targeting adults and youth, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with WCMHC for services totaling $9,784,090 during FY 1999-2000).
(2.18) CHN-Primary Care – Request for approval of a retroactive contract renewal with Bayview Hunters Point Foundation (BVHPF), in the amount of $309,609, for the provision of mental health outreach/case management services targeting the homeless, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with BVHPF for services totaling $7,109,248 during FY 1999-2000).
(2.19) CHN-Primary Care – Request for approval of a retroactive contract with Mission Neighbor-hood Health Center (MNHC) in the amount of $106,250 for the continuation of Primary Care services targeting women and children at the Excelsior Clinic, for the period of October 2000 through June 30, 2001. (DPH contracted with MNHC for services totaling $835,606 during FY 1999-2000).
(2.20) CHN-Pharmacy – Request for approval of a contract modification with Asereth Medical Services, Inc. to increase the contract amount from $500,000 to $900,000 for the provision of as-needed supplemental pharmacy personnel services, for the period of July 1, 2000 through June 30, 2001. (DPH contracted with Asereth for services totaling $3,400,000 during FY 1999-2000).
Commissioner Sanchez emphasized the need for culturally competent pharmacists.
CHN-Revenue Management - Request for approval of a new contract with Health Advocates, LLP, to enhance Medi-Cal and other third party reimbursements through an Uncompensated Care Recovery Program at San Francisco General Hospital for the period of March 1, 2001 through December 31, 2002.
The Department will continue the existing contract for another 60 days.
Public Speakers:
Commissioner Monfredini clarified that the recommended contractor had the lowest bid; there are no outstanding complaints on the recommended contractor; the recommended contractor will provide bilingual services; and this issue will go to court prior to going to the Board of Supervisors.
Ms. Zmuda reported the Department negotiated a reduced rate with Health Advocates.
Commissioner Parker asked about the consequences of a court case. A judge may decide to defer the case if all administrative steps have not been exhausted.
Note: The Deputy City Attorney for the Health Department was not present.
Commissioner Parker preferred this item be decided at the full Commission.
Commissioner Monfredini, with Commissioner Sanchez agreeing, would recommend approval of Health Advocates to the full Commission. She supports the Department.
Note: Due to the large number of protestors chanting and disruptions for over 30 minutes, the Commission recessed at 3:40 p.m. The representative from the Coalition on Homelessness demanded the following:
- Implementation of police crisis intervention
- Resist forced outpatient treatment
- Protection of civil and human rights
- Implement consumer directed mental health treatment on demand
The Commission reconvened at 4:20 p.m. President Guy announced that agenda items #4 and #7 will be continued to the January 9, 2001 meeting. Item #5, DPH Strategic Plan, will be continued to January 16, 2001.
The consent calendar of the budget Committee continued to be presented by Commissioner Sanchez to the full Commission.
Public Speakers on Item #2.21:
Action Taken: The Commission unanimously approved the consent calendar of the Budget Committee.
3) DIRECTOR’S REPORT
(Mitchell H. Katz, M.D., Director of Health)
Note: Dr. Katz submitted his report.
COMMUNITY HEALTH NETWORK
LHH to File SB 1953 Report
Pursuant to state law SB 1953, all licensed acute care hospitals must file an evaluation report describing the seismic safety status of patient care buildings by December 31st. After research and discussion by the LHH Replacement Project Team and CHN Administration, it has been decided to self-declare the LHH patient care buildings as Structural Performance Category (SPC) 1, and Non-Structural Performance Category (NPC) 1. The self-declaration process allows the Department to proactively acknowledge that the existing LHH buildings do not meet the stringent seismic safety criteria established by SB1953 without making a significant investment in engineering analysis (before the replacement facility is completed in 2007).
Harley Riders Annual Visit to SFGHMC
Each year the SFGH Volunteers depend on the Harley Riders’ generosity in its annual toy campaign that donates hundreds of children’s toys at the hospitals’ annual Pediatric Holiday Party. Yesterday, more than 150 Harley Riders showed up on the hospital campus to drop off their gifts.
LHH SATS Program
Friday, December 1st was a big outing for 12 LHH residents who attended the 5th Annual Recovery Day sponsored by the Contractor's Association for DPH's Community Substance Abuse Services. Residents enjoyed live music, good food, the company of recovering community peers, and an open mike to tell their stories about being clean and sober. The LHH residents also met staff and participants from the community programs, which they will participate in after they leave the hospital.
|
SFGH Credentials Report |
12/00 |
2000 YTD |
|
New Appointments |
02 |
168 |
|
Reinstatements |
01 |
10 |
|
Reappointments |
18 |
415 |
|
Delinquencies |
0 |
0 |
|
Reappointment Denials |
0 |
0 |
|
Resigned/Retired |
09 |
169 |
|
Disciplinary Actions |
0 |
0 |
|
Restriction/Limitation-Privileges |
0 |
0 |
|
Changes in Privileges |
||
|
Additions |
03 |
15 |
|
Voluntary Relinquishments |
01 |
03 |
4) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE RECOGNITION AWARD FOR DECEMBER 2000
This item was postponed to January 9, 2001
5) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH STRATEGIC PLAN AND CONSIDERATION OF A RESOLUTION ON THE PLAN
This item was postponed to January 16, 2001
6) TIME SPECIFIC AT 4:30 P.M.: PRESENTATION AND DISCUSSION OF THE AFFILIATION OF ST. LUKE’S HOSPITAL WITH SUTTER HEALTH
Jack Fries, CEO of St. Luke’s Hospital, reviewed the affiliation between Sutter Health and St. Luke’s. He pointed out that St. Luke’s Hospital, with Sutter Health’s support, shall remain a separately incorporated and separately licensed acute care hospital at its current location and in the context of its current mission, providing the same services for which it is licensed as of the date of affiliation. The St. Luke’s Hospital Board of Directors shall remain in place and shall continue to govern the provision of health care services at St. Luke’s Hospital.
Mr. Fries also pointed out the community, the employees and physicians want this affiliation.
Pat Fry, Vice President of Sutter Health, indicated there will be local governance, maintenance of a full service acute care hospital, the provision of capital to St. Luke’s, care to the indigent, the ability to modernize the facility, and promotion of a long-term success.
Public Speakers:
Commissioners’ Comments:
Commissioner Monfredini pointed out St. Luke’s is a backup to SFGH; because Sutter Health did not have disproportionate share/poor as a high priority, this will not be tolerated in San Francisco; requested Sutter Health to make a decision on disproportionate share. Mr. Fry pointed out that in certain counties, Sutter Health is the sole indigent care provider; Sutter Health will embrace St. Luke’s mission. He also pointed out that Sutter Health Board members would be added to the St. Luke’s Board for communication purposes.
Commissioner Sanchez wants to see St. Luke’s continue its mission and supports a Prop Q hearing being scheduled.
Commissioner Parker asked if Sutter Health is being altruistic and does Sutter Health benefit? Mr. Fry indicated from a business sense, it’s altruistic; Sutter Health will be able to strengthen St. Luke’s and help with efficiency and improve financial situation. Commissioner Parker commented that past promises have been made but not fulfilled. Mr. Fry stated that the trustees of the hospital talk to each other on results.
Commissioner Chow thanked the representatives; he would like to have assurances on the real altruism for community benefits and no harm to the public; he encouraged a Prop Q hearing and would like to hear from other hospitals taken over by Sutter Health.
Jack Fries, Chief Financial Officer of St. Luke’s, ran St. Luke’s Hospital for 13 years. He made support statements for Sutter Health staff and encouraged the Commission to hold Sutter Health accountable but not dictate the amount of charity care.
Dr. Katz recommended that St. Luke’s be allowed to select its own Board of Directors and take out of the agreement the Sutter Health involvement on the Board selection. He also encouraged Sutter Health to indicate in writing the amount of charity care it will provide at St. Luke’s. On labor issues, Dr. Katz would like to know that the employees are brought up to labor standards. He also recommended a Prop Q hearing and expressed appreciation to the Sutter Health and St. Luke’s representatives.
Dr. Katz requested a copy of the antitrust suit settlement. Mr. Fries will send a response. Additionally, Dr. Katz asked where in the written agreement would there be financial/operating issues that have been orally discussed? Mr. Fries indicated there should be a balance between keeping St. Luke’s open and what information the Commission wants.
President Guy interprets a transfer of management when the St. Luke’s budget goes to the Sutter Health Board. There’s a general mistrust on the affiliation. The Commission needs to have clarity on the agreement. Sutter Health needs to come back with clear responses. President Guy genuinely appreciates the openness and commitment of Mr. Fries.
7) PRESENTATION OF JAIL HEALTH SERVICES
This item was postponed to January 9, 2001
8) OTHER BUSINESS/PUBLIC COMMENTS
None.
The meeting was adjourned at 6:20 p.m.
Sandy Ouye Mori, Executive Secretary to the Health Commission