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tv   [untitled]    July 23, 2015 3:30pm-4:01pm PDT

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. >> sdmirng commissioner chow commissioner chung commissioner sanchez commissioner karshmer the second item on the agenda is the approval of the minutes of july 15th commissioners the minutes are before you and a motion forceps is in order. >> so moved. >> second there is a motion and a second are there any corrections to the minutes if not. >> all in favor, say i. >> i. >> opposed? of the minutes have been passed thank you. >> item 3 director's report.
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>> i want to welcome commissioner taylor-mcghee commissioners we are existing to share with you our port for a proposal for your review and approval to strengthen sorry health care security ordinance to insure continued health care assess and coverage i'm sure you're aware of the department is a long time supporter healthy san francisco prior to the ac a shows our ability to provide and insure that people in the community get access to medical homes that p and to healthy san francisco we the that and another phase of how to insure that people are able to get a health benefit and today so you'll be hearing a proposal to modern motion to dismiss our security ordinance to insure that low income and moderate san
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franciscans have access to health care the increases the california plan for many san franciscans and maintain the healthy san francisco safety net for those who don't have another coverage opposed those improvements help more low income san franciscans fired orange county r affordable health care act while leaving the safety net in place may we announced his support on friday noting it keeps the health reform for all san franciscans you'll hear a more detailed report later this summer the centers for medi-cal and mcwill recognize ways in which medi-cal and medicaid have transformed as we mark the investigating anniversary of medi-cal and medicaid we see the protection of the linebacker of families
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and the economic security those are life-threatening programs to commemorate camtc and heartache and san francisco general hospital and others are hosting an event on july 30th from 10 to 11:30 a.m. i'd like to invite the commissioner 50 years that president johnson signed the social security into law it was featured remarks from the health care experts how medal and medicaid help to build a smarter system i's conference of marries took place in san francisco and here the mayors passed the resolution to support vision 2025 to eliminate traffic fatalities and severe injuries awhile increasing safety and health and mobility for all san francisco proud to lead the u.s. cities committed to vision
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zero and want to see more people and cities work towards this goal i want to acknowledge that sue karen retiree from central nervous system as a nurse and minority since 2009 this has helped san francisco generous quality is nationally recognized with stand up that he had risks and cancer and trauma and hiv and aids she's focused many safety initiatives in the department during your 10 you are but the san francisco general hospital foundation they've got gifts and we've met in the san francisco general and the capital campaigns we want to wish many karen's the best and
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thank her for the great success in the department want to acknowledge laguna honda has hair medical annual retreat and medical leadership and those are listed in the report also just to thank laguna honda for attending the 2015 aids walk that happened july 19th we are really working and trying to support our dpw hiring ability and so we're doing a lion an improvement practice win our human resources department to really look at how we can streamline and improve our hiring practice to get the right candidates so this will be an ongoing process for the next coming years and most importantly we've define work to achieve our ability to hire as
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quickly as possible also want to do a shout out to alice the class and institute health and scholarship the goal to strengthen the leadership of no matter oversees across the health care system and connect and desire to create new approaches for the health and well-being she's our chief medical officer and continues to look at innovations throughout the department we want to congratulate her on that appointment (clapping) that's the end of my report commissioners, if there's further questions. >> commissioners any questions from the director at this point? you were so clear michelle obama i know we'll be talking about the ordinance we'll - i'll reserve my comments for that
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>> any other comments if not our next subject. >> item 4 general public comment not received any requests for general public comment at this time. >> so we move on to item 5 the health community public meeting and i'd like to report on today's health committee this is my first opportunity to take over at the chair i want to thank the previous chair in the past and turning over the good work on the committee community population public health committee is trying to look at the programs in the health division to see how they integrate and fit into a network of programs to improve our overall city today, we heard programs of food and security of
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plat standard and tb control i'll give a quick run down paula jones heading up our task force food and security is endemic to san francisco it relate to health in so many ways without food you don't have health we need to think of food as medicine the board of supervisors recognized ♪ 2013 and xhiktdz a food security task force which was headed by dpw to address the food securities throughout the community about a quarter of san franciscans are blow the 2 hundred poverty level which is where we begin to see incomes derotated into the security of less than 2 percent of poverty level 35 percent are designated as having tenuous food insecure
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status to the committee is looking at the health issues and tool based and health and food needs and food needs for seniors and they're doing quite a bit of work we heard a fraction of coalition of with program meals on wheels open hand dependent on aging, too many programs to name really come together together and bring the food services to the aide we ask that this program has it's who's also on the ground come back to us in january to present some population based indicators how much progress since will 2013 and have indicators based on the survey we'll look at the initiative for 3 years has
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improved food skirt goal of this mission to reduce and eliminate food insecurity by 2020 so we can have 5 years to do that and check in on this january you'll hear more we'll expressed how relevant this issue is in san francisco despite our economic boom and the second class standards class is a federal requirement of all medicare funded programs 15 standards and the federal government office revised the standards for class bottom line is san francisco department of public health is the population health division is meeting the class standards we're hundred percent meeting the services one
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the highlights was our governance and leadership bodies this agency including commissioner sorry director barbara garcia and her staff all 9 way down to our basic service workers are involved with training throughout the city this is improved to approved to be the culture change making san francisco culturally confident we heard about the tuberculous control we've had very good efforts on tb control in 19903 hundred and 34 cases of actually tb and through case finding and screening we decreased to hundred and 14 cases of active tb last year and this is all brought under the department of
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public health tb infection control division so while we have this control the question that is being discussed where we might have a framework to eliminate tb or active tb in the city we're not quite there yet but possible hope when we get an electronic health record the writer use of screening techniques implementation of screening universally in our medical homes we might get a confluence of forces where the possibility of eliminating tb in san francisco becomes real so the department was not ready to commit to this letting us know this is something we're thinking but with active treatment and surveillance and the public and private hospital this is a possibility we'll work on this in the department and perhaps
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come forward with a later on but we should feel secure that the control of tb is very well done in san francisco although in the as elimination which are two different things that's our report and i'll leave to any questions >> commissioners any questions? i have a question from our last report on the tuberculous i'd like to hear that that is not only me trying to understand how they try to reduce our portion of tuberculous cases so that state is no greater than the national average if it can't get to zero >> well san francisco has becoming you know we're an urban population large immigrant population and a as well as
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there are always continuing forces that are bringing in new cases of tb one process our active screening under the affordable health care act has co-pamphlets to it one of the things that was look at what kind of funding to our system to reduce the barriers of people getting screening with regards to possible being at risk for tb while we're doing active screening the question is moving towards treatment that is foreperson under the affordable-care act and another health insurance plans a matter of bringing the financing and the technology and applying this to some of our communities at risk those are the things that have to come together there say
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i think we were representative not a vision but hoping a possibility there's a way to eliminate tuberculous not just control which is what we're doing we're controlling it we're identifying cases and making sure those cases don't spread but making this go to zero is another issue does that answer your question commissioner chow. >> i was looking for that next step they're going to be taking and that it isn't just a wish on their part but that we ask there be a designated time they'll come back with the food security issue and that they would then tells you the progress they're making towards doing that i think just as you said this requires breaking down the different population we know in the past when we have recorded
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to us there were the cases were coming in from those who were well those who are immigrant and also the reciprocal cases that happened to recess recurrent we had the fund they hadn't retreated to be positive and also then within the population that was vulnerable from weakness within chronic diseases or hiv that's the goal to try to reach vision zero really is the type population i'd like to see more. >> commissioner chow and i spoke about that i'll be working with the staff on having an action plan towards the goal and one of the areas dr. chow worked with us the direct observation
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therapy to incorporate a better manner in which to improve our tb work and so we'll work with the staff and the next phase will think an action plan towards insuring that we're looking at. >> on the committee we were comfortable with the flow that not forcing this issue to come forward before it was ready we've presented ideas and a clear view of where the status is i don't want to get ahead of actually intents by a different timeline and i think to hear that was being thought of and how to approach that is wonderful i'm appreciative that appreciative of the fact for a number of years we had to decrease our programs because
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the federal funding was not there and last year and this year we'll add city monies back into this problem this is one of the focused problems we need to and glad to hear the department is trying to work on eradication of tuberculous. >> i just wanted to add one point some of the discussions that happened during the committee we were looking at other commensurate diseases likehiv and eliminate that what are some of the steps you know including the strategies that we can use i think that if we could break you know the preschools down to more granulated a details i think we
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will have a better strategy so i'm pretty confident we'll have more data. >> thank you commissioner chung so thank you very much for that presentation your presentation. >> i'll note no public comment requests for that item moving on to item six the laguna honda hospitalized gift fund expenditure for 2015-2016. >> good afternoon, commissioners. and director garcia i'm the deputy financial office in the hospital center
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before i go over the detail of the proposed budget i'd like to go over give you a little bit of background of the laguna honda laguna honda maintains a difference for the purpose of the city donation contributions of money other than for the comfort of laguna honda in corneas with the admin code section 10201 so we think the laguna honda gift fund there are multiple gift codes not only identifying the donors intent and purpose but giving special recognition to some significant donors they align with the worries about of the donors if the donors is not specific then the demons will be adopted into the grant code identified as
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miscellaneous for the confront of the residents and each the grant codes has a program monitor to plan budget and also supervisor the spending of the funds there is also a defund management committee that meets quarterly to review the expenditures and make recommendations for budget planning different committee members include the president of the residence council or a resident representative when the president can't attend and the hypothetical executive administrator and me the deputy financial officer and other hospital executives so i asked the deputy officer on behalf of the committee also to provide quarterly updates of the different activities including donation and expenditures and
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fund balances to the laguna honda jc c in the beginning of the fiscal year each committee meets with the program monitor to plan for the expenditure budget for the upcoming fiscal year based on the residents needs and also the past year expenditures so that activities in the budgetary strategies can be recommended for approval by the health commission before others of every year that's why we're here today in did submitted gift fund budget for 2015-2016 you have a copy of the budget so the - there on and on expenditures items from past f as well as new budget items from the different committees recommendation or from new donations overwhelming to go over some of the items that i think i might
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have questions or appreciative the details of that so the ongoing expenditures include funding for programs and purposes of ticket for giants games and musicians for the residents and funding for spiritual support other than religious events and newspaper and magazines sub descriptions and outings to parks and restaurants for residents barbecue and social hours for hospice residents, support of aids walk for positive and this happened last week and special cultural food for the residents so what i mentioned was only a few works of the funded activities for laguna honda have enjoyed for years from the gift fund a couple of new items i want to go over the 9 months
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pilot program of latino boys choir recommend by the hospital social services department and the gift fund committee the program will have the choir director and the music company from san francisco music center to help us form a latino choir of interested spanish speaking residents at laguna honda choir members will practice sing and help to cooperate performances and perform in the community so not only there will this experience over enjoy and kraefltd and fund u fun and connection to its participants it will provide them with a sense of belonging and responsibility pride and leadership and engagement and the second budget item i want to attention or mention is a new donation by dr. rosa former physician that made a
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generous $400,000 to the gift fund a few months ago to benefit end of life programs in the hospital we have created a new program on the last item on the budget list so the hero are some examples of the budget items that are proposed by the clinic leadership the lodging fund for that 9 members and a or families those at the end of life to be reunits with their loved ones during the last days and the next it the comfortable the model that many hospitals provide end of life care that create a comfortable suit which is like a single room with home like decorations and couches for
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families and friends and comfortable chairs and soft latin-american the third example is the berealism support so the residents and families to remember those who have passed away in the past years so again we here by request the health commission do you want and exhaustive the laguna honda budget for the 2018 and i can answer any questions that you might have related to this fund >> commissioner karshmer. >> thank you for presenting this and certainly we see the wonderful work this is bordering by this fund and the kind of really great activities that the residents get from this thanks for bringing up this before the
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full commission. >> commissioner chow. >> thank you for the presentation so i just want to find out a little bit the rational like increasing the budget for instance the one i'm looking at specifically the care programs and events you've budget $10,000 as of may 31st you know like the actual expenses to $849. >> so this yes ma'am item is a new budget item a new program we recently strengthened the program had the monitors to propose some idea and role them into implementation fully in the coming fiscal year i know the
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first year we have not had a lot of expenses. >> the other one seems more logical you have a reception on the i know like the projected budget and yeah, so i was trying to get a sense of that. >> good afternoon commissioner and director garcia and dr. chow i wanted to add to what of the mentioned with the dementia program initially our dementia program was specific to 3 neighborhoods and looking at our painter population our residents population we have over 60 percent of our residents population have dementia diagnoses in impairment diagnoses so we in the leadership have made a determination we can provide dementia programming and other residents outside of the 3 designated dementia neighborhoods have access to the
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program that are benefited from the gift fund that is the justification behind also the increase in the budget and as i participate in the budget management and the gift and that's the information i can share with you. >> so the reason why i ask is because you know that is unusual when you understand and you know, i appreciate our explanation thank you. >> commissioner sanchez. >> yes. i would say that a number of the fists particularly the last 3 years have expanded more the opportunities and the need and how we are servicing those is really commendable another testimony to the quality of services and this one is the
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fact that some of our staff that have retired are disease themselves have made donations and continue to make donation to this very important activities which we don't have in our budget so it answers the quality of life and it is part the evacuation i'd like to move we approve the recommendation and the budget to get a second and have no more decision if you wish. >> i'll accept that motion. >> second okay. so further discussion - i had one or two questions and most was related not so much to how well you described the different programs and although i saw the van at