accessible to the entire neighborhood. >> the new rec center houses multi-purpose rooms for all kinds of activities including basketball, line dancing, playing ping-pong and arts can crafts. >> you can use it for whatever you want to do, you can do it here. >> on friday, november 16, the dedication and ribbon cutting took place at the sunset playground and recreation center, celebrating its renovation. it was raining, but the rain clearly did not dampen the spirits of the dignitaries, community members and children in attendance. [cheering and applauding] ♪ ♪ [ gavel ] >> the health commission will please come to order. the second will call the roll. >>clerk, please call the

roll. commissioner pating, singer, commissioner chow, commissioner sanchez, . >> the minutes of december, 2014. >> a motion is in order. i hear a motion and second. are there any corrections to the minutes? seeing none, then we are prepared for the vote. all those in favor of the minutes for december 2nd, say aye. >> aye. >> directors report. >> good afternoon commissioners. i wanted to share with you that on december 9th, supervisor wiener shared a conversation with michael baxter director of family planning service for mcah. he has worn many

hats. michael baxter is ill today and he has been working tirelessly for youth. so he was given a special accommodation by the supervisors and many of the staff went to support him on that day. our health officer thomas aragon joined the advocacy network and other organization rights to speak out on the stigma of ebola virus and went to west africa. there were several speakers in the african immigrant communities in the bay area to further stop the stigma against ebola advice. tomorrow we have project connect 57. it will take place in the

civic auditorium and this will be the last event of the year. if you haven't volunteered at the project homeless connect, it's a great opportunity and serves over 1,000 individuals and we usually have almost 1,000 volunteers. anything that you can think of that an individual would need is right across the street. we encourage the public who are in need of services to come. it's particularly targeted to homeless individuals. health at home had a successful day of public health recertification surveys, there were eight homes conducted with the surveyors and our missions and compliance with home health title two regulations including title care and personnel record reviews.

i wanted to acknowledge the san francisco general hospital osep sis mortality and quality leaders award. an award that shows and recognizes the improvements by the california health system. the hospital accepted the award on behalf of the sepsz task force at the annual conference. two awards were given to two dph collaborative change initiatives grants of the eat fresh fruits and vegetables grant program. each program will receive $400,000 from the hell man foundation to strengthen the partnership and improve effort to improve lives in san francisco for

having access to god -- good food. i wanted to acknowledge dr. alice chen, the new chief medical officer. cmo. dr. chen is responsible for providing clinical leadership, vision, direction and expertise in oversight operations in our own san francisco health network with the focus on clinical integration, access, quality and care. strategic initiatives and programs for enhancing clinical effectiveness. doctor chen has been at san francisco general hospital and also our integration officer at the hospital, so we really want to acknowledge her and welcome her in that new important role. i will end it by just acknowledging, we do have a

retired admiral from the navy from resource services and health at home and she received the military award for her outstanding performance of service in the united states navy. thank you very much. i'm available for questions. commissioner singer? >> a comment and a question. i want to congratulate doctor for her talent award. identify a -- i have a question about the low tolerance of the hospitals. any information about our city? >> i will get that and i will follow up with the assessment program of the task force.

>> commissioner sanchez? >> i would like to acknowledge you for the great report and acknowledge our men and women in public health. i want to note particularly one of our very distinguished colleagues not only does she serve in the general but also in honored honda and we have an admiral served. she not only received the distinguished cross, this is the second highest cross awarded in our military services. the one above that is a congressional medal of honor. this is in honor of serving

in her command and serving the men and women in armed forces and bringing training to not only services but to sf general and other facilities where trauma facilities and these protocols are done. i just want to make that note. thank you. >> thank you. i had a question on anna's market. is this a store that is going to be reopened. it says reopening. i'm not sure if it's reopening or repurposing itself. >> i do not know anything about that. dr. aragon? >> my understanding is that this is a store completely renovated to be able to provide fresh fruit and

vegetables for consumers. i think that's why it's reopening. they closed down. they renovate the location, but the other important thing that this program does is that in order to provide fresh produce, in fruit you really have to have the whole supply chain set up and all the particulars in place and we have that service that provides the technicals set up to provide the solutions. >> that is where they have appropriate foods for the communities and i thought it was important to understand how this was working and this is the beginning of trying to bring another opportunity for the purchase of good food. >> correct, the program now has the work being done in the tenderloin and bayview and it's a very

comprehensive program and i think it's a really good model. they presented a little bit at the public health committee, but it doesn't go this much in depth. >> i think it would be good because it's part of our wellness program that we are working in conjunction with other agencies of the city to help support that and thank you. >> we have our own program and the city has the program built off the work done here . >> we'll do a follow up on another calendar date. >> any other questions of the director? any public comment? >> there are no public comment request. >> thank you, next item. >> next item is general public comment. i'm not receiving any request. would anyone like to make a comment? >> we've move on to the community and

public health committee report back. he will report back on the meeting. >> we covered two items today on healthy food and healthy eating initiative and happy to note the certified coalitions have come together to bring health y exercise and regards to repurposing stores, corner stores that do not have food we heard there were three that were repurposed in bayview and one in tenderloin and one in my district and two on the way. we have been very successful of repurposing these stores. it's not only the food chains but the infrastructure with regard to new equipment and food and supplies. we also heard about the

needle exchange program which continues to serve 18900 addicts in san francisco using iv drugs. it's been very important and very successful program. the only question i had was how this would link up with getting the zero program and that will be a program to link the iv needle program. >> thank you very much. questions to pating? is there any public comment? >> there were no request for this item. >> okay. >> next item. item 6 is the

non-hospital employee recognition award. >> again it is the privilege of the members of the commission to recognize staff who have performed their work in exemplary manner we have done that at general and laguna honda and we are giving those awards to those who are not within those institutions. it almost seems like 6,000 employees names are in here and i'm sure most of them deserve it. the first person who i think you just said was ill is michael baxter. so i'm sorry that he was not here. other achievements that the director didn't quite

name, but i would name so we can recognize him so we can present in absence, he cofounded the lark son clinic, the coal clinic, a founder and expanded services at the third street youth clinic. he expanded the youth guidance center medical clinic to incorporate mental health and primary care services. he founded the dimensions clinic focusing on lgbt youth at the castro youth health center and collaborated to expand the balboa teen clinic and wellness center into areas of mental health and health education. and he coauthored a

comprehensive program for the san francisco unified school district and the implementation of long acting reversible contraception for youth and young adults. clearly he is well deserving as being one of our outstanding employees and in absence, we will be presenting him this certificate. [ applause ] >> our next honoree is dwayne iron horn. is he here? [ applause ] in 2008, dwayne was assigned the director of the contract compliance and in a staff of 11. under his leadership he completed a corrective action practice to improve

community based contractors with issues, a, an issue for our department. this project has been so effective that the entire city adopted it and the office has been redesigned to be more effective and efficient cht mr.ion horn is an outstanding employee working together to integrate and has in fact been so successful that the programs businesses offices expanding to become the business office to ensure that monitoring practices are standardized and centralized across the department. we need this effort and in incredibly grateful for your efforts. [ applause ] >> please, come on up. [ applause ]

>> our next award is the ebola planning team. it's a large group of people. those who are here, could you please come up and stand with the team leader there, barbara garcia and mr. aragon. all of you please stand up so we can acknowledge all of you. [ applause ] on september 30, 2014, the cdc announced the first

laboratory case confirmed of ebola diagnosed in the united states and this prompted a local response in the nation. a planning teaming meeting was convened. there were three times as many people who were unable also to come here and we want to recognize all of you. who worked tirelessly hours to ensure this city has a coordinated and unified response of an vent of an ebola case. that included developing information and materials to educate the public, convening public meetings, communicating internally with our stall and externally on media request, assisting the airport in its preparedness. developing and

executing ebola type exercises and establishing protocol and monitoring systems and ensuring staffing supplies and needs for response and developing and conducting training, contracting with clean up companies to ensure environmental safety, keeping up to date the social awareness of the outbreak worldwide identifying negotiating locations for possible isolation in quarantine needs and collaborating with our partner agencies and cbo's. we know the word got out for ebola, we know the city felt it was prepared because of this team. thank you very much. [ applause ] >> please step forward so we can acknowledge all that are here. thank you. there is a photo op

here. okay. amika, please come forward. she provided analysis and staff report for

the mayor's 2013 universal health council. on july 2013, mayor asked her to include the stakeholders and data driven process to examine san francisco's implementation of the federal affordable care act and it's integration in our own health and security plan. the final report issued in january of this year. the topic was controversial and the ten adversarial. micka remained the focus was on the staff. micka help identified the key issues in order to do its work and draft the key issues. she planned with

meeting and planning and evaluation of logistics. it was successful to its success and certainly helped this commission through the issues. thank you very much, and congratulations a. [ applause ] >> our next award is to the jail information management design team and those who are part of that

team, if they will also stand up. let's go on the side with dr. golden stone who helped nominate them. we are glad that you are here and we would like to acknowledge all the work that you have done as we understand you are nearing retirement. the jail team, johnson, fred, rj and margaret and wesley straton. [ applause ] this team successfully helped to design, build and implement the jail services new and improved medical records system known as jim. this was also executed at no extra charge to the department. this helps the non-jail staff easier access

to patient medical history housed in the county jails. it has a relational view between the department's lcr and improves work flow and improves outcomes for the patient. an innovative best practice for jim now allows for drug interactions and drug allergy interactions that can be seen by the provider at the time of ordering resulting in decrease of adverse reactions to prescribed medications. because this is relational data base, it also gives our users the ability to develop and enhance the system without relying on a vendor to customize it. jail house is very fortunate to have the dedication and enthusiasm and knowledge from jane and fred to move

the health from more efficient jail information systems. >> kathleen shutin. come on up. [ cheers and applause ] >> always nice to have the crowd favorite go last. congratulations. kathleen is a public health

nurse who coordinates care for the urban health clinic. most recently kathleen worked to establish two community sites in the housing development and treasure island areas. each project helps the systems with services. kathleen managed both of these projects simultaneously while running existing shelter sites. she's often the sole clinician evaluating individuals. she serves patients whose needs fall during the scope of her practice. kathleen is a dedicated employee of whom we are very proud who truly cares about the integrity of her work and the communities to which she serves. [ cheers and applause ]

>> that was the staff in the back. i just want to acknowledge them. i think these are all wonderful examples of the type of work that all of our employees do. it makes this commission and this city very proud to have such a wonderful workforce and we congratulate everybody for all the work that they are doing on behalf of our city, on behalf of our patients. thank you very much. [ applause ] >> the next item on the

agenda, commissioners is the palliative care task force report and the resolution. >> good afternoon, i'm the deputy here. i wanted to briefly introduce the next item. this past summer a diverse group of stakeholders came together to discuss the need for palliative care, the increasing need for palliative care in san francisco. they represented different sectors and different populations but all had a shared interest in increasing the palliative care in san francisco. dph was happy to cosponsor the department of aging and adult services. dr. chow represented the committee on the task force. this is a final report which you are going to hear about today and we really benefited through the strong leadership of two cochairs and from the department of aging and

adult services, the executive director there and dr. christine ritchie from uc sf. before i turn it to them to lead you through the presentation, i want to also acknowledge two individuals who played a role in the development report that you have. one is monique parish who worked with the facilitation of the meeting and also pat il who supported this work of this task force as well. [ applause ] >> at this point i will turn it over to ann. >> i'm bringing this down just a little bit. good afternoon, president chow, commissioners, director garcia. it's a pleasure to be with you today to talk about and walk you through this report. we are going to

start by looking at what the goals that were set for the group, talk a little bit about process. i know commissioner sanchez in the past you have been interested in how we manage things to get done and implement them. we are going to set short and long-term goals and there was a resolution for your consideration at the end. i also in addition for introducing everyone, we have a number of people from the palliative care task force, if you can stand up, any who worked on it or part of it, thank you. nice to have so much support. i will have