tv Mayors Press Availability SFGTV September 13, 2023 7:00am-8:01am PDT
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>> hello fellow commissioners and members toft public welcome to the health commission meeting of tuesday september 5th, 2023. please call the roll. >> commissioner andrado. >> present. >> commissioner christian. >> present. >> dismissinger bern al. >> present. >> commissioner greene. >> present. >> and i'll recognize commissioner christian to offer the ramaytush ohlone.
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they have not seeded or lost or forgotten the responsibilities of the place as well as all people who reside in their traditional territory. as guest we recognize that we benefit from their traditional homeland. >> thank you, the next item is the approval of commission meeting. commissioners you have the minutes before you. which you have reviewed. if there are no amendments, do we have a motion to approve? >> so moved. >> sektd. >> public comment, please.
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>> hi everybody, let me read a script for each agenda item. members will have an tount make a comment for up to three minutes. however the process does not allow questions to be answered in the meeting or for questions from the public to, i'm sorry for members of the public to engage back and forth conversation with commissioners. making request to the dph. please note that each allowed to speak three minutes on one agenda. written public comment may be sent to the health commission at the following address. if you wish to--please know that policies along with local
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law, prohibit conduct against public meetings and will not be tolerated. we will first take public comment from individuals in-person. and then remote comment from individuals who have received accommodations for disability. i have given each of these individuals a code to speak to prevent others from speaking at this time. finally, we will hear from our remote individuals. there will be a total of 20 minutes on remote comment that's can be heard at each time for those who have not received accommodation for disability. is there any public comment from the room, this is regarding the minutes? okay, yes, please come up and i have a, i'll put three minutes on my timer and when i note the time is up, please finish your comments. >> dr. former physician specialist at public health. i staff central emergency
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that's what we were called inle and served as word naturer administration. we didn't have an opportunity to talk about some of the issues surrounding the vote to adopt article article 31 and i did want to bring to your attention that there are a few things that you have the power to protect people from violations and propositions 65 enforcement along the entire western since line of the shipyard, people who live on city streets, streets lick griffith, crisp avenue, revere and finch, are being exposed to a toxins from deep soil excavations that are being conducted along with fence line
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that does not even have basic humane, that's what you should address from article 31. many of you are probably not aware that there are industrial grade mining dust curtains, the mining industry has a financial incentive to keep the product in. they want to avoid lawsuits and loss of valuable product and they have developed dust curtains that are highly resilient, have tolerated typhoons and can be used to reenforce the western fence line. many are not aware that there is a children's playground within 500 feet to the shipyard and the campus of the defense
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laboratories. the land field is also at the boundary of san francisco street and fitch street. it has no dust barriers in contrast the barrier waste entombed in the area in the south pacific that was bombed and where at least 100 ships were brought back to the 100 shipyard, that waste is in tuned and in san francisco, we have a situation where people are living literally within feet of a radiation contaminated land field. and there are people in campers and homeless encampments along that western fence line. so in addition to you know, reinforcement of the fence line and enforcement of proposition 65 violations, there is the
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benefit of worker--. >> your time is up. >> speaker: thank you very much. >> thank you so much. and we have one person on the remote. jamie, please unmute that person. >> caller: code a a can you hear me? >> yes, please begin. >> caller: the minutes of this august 15, commission meeting, reports for the dr. chow was to hear laguna honda has applied for medical recertification. report mr. peck ins indicated that obtained medical location, the next step reports from a second application to obtain
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medicare recertification. approval first. we learned from a chronicle article the next day on august 16th, medical application was improved by cdth. so when will the medical application be submitted? the minutes also report commissioner chow inquired how soon honda will--they will have to revisit the submission status end quote. that was [indiscernible] since the location was approved on august 16th, they have the duty
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to inform the members of the public of the actual date admissions are expected to resolve. i want to publicly thank dr. chi for her great leader ship on 100 shipyard monitoring that, she is a hero in my book and this commission needs more aggressively listen to her testimony and take substantial reneedial actions to protect our more vulnerable citizens in the shipyard area and out there on treasure island. this commission needs to do much more around monitoring that radioactive toxic dump.
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thank you. >> thank you, that is last public comment. all those in favor of approving the minutes? >> aye. >> aye. >> opposed? all right, the minutes are approved. the next item is general public comment. my apologies, all right i have a script to read and then we can move on to see who wants to make public comment. subject matter of jurisdiction but not on this meeting agenda. each member may address the commission for up to three minutes. discussing not appearing on the posted agenda. please note that each individual will be allowed individual--so let's first take
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anyone in the room, would you all like to make public comment? okay, we will go to remotel public comment. i see money hand. please unmute that person. >> caller: hi, this is dr. palmer, i'm aa, i wanted to follow-up with what dr. sintie said and when are we going to hear from the health commission about dealing with the dangers of bay view hunters point. and the clearly, inadequate protection that residents are having from the toxins there. i would like to know when that meeting will be. thank you. >> thank you.
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all right, those are the only hands that i see raised. >> all right, thank you for your comments. our next item is the director's report. dr. colfax director of health. >> good afternoon, health commissioners and members of the public. the director's report for september 5th, is specific and i'll address some questions. so the good news to repeat is long term future of laguna hospital is secure. this was a major step for the city and county of san francisco. in that, the california department of public health and the department of healthcare services, at the state approved laguna honda hospital for recertification meaning and thankfully the critical dollars will continue to flow to the institution.
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more than 95% of laguna residents rely on medicaid funding for their care and this will ensure that they serve the residents for generations to come. and i want to recognize the incredible work with the honda team as you know many many leaders were deployed to laguna honda, especially the frontline staff who really pulled together and ensure that our quality improvement happened. the partnership with our unions and of course the incredible support of our policy makers including the health commission, mayor london breed and the board of supervisor sxz hom others that contributed to this as well as our advocates. moving on to our second item which is similar to the first item, but just to say that our efforts, at laguna honda are continuing, they will be sustained.
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this announcement represents a new beginning as we ensure that laguna honda maintains this quality improvement and will be the nursing home, the exemplary home for the future for the rest of the state. i also want to let the commission know that we did apply for our medicare funding, our medicare application was submitted to cms on august 23, we are survey ready and expecting a survey at any time at laguna, if you recall those surveys are unannounced. next item, with regards to covid-19, the commissioners are likely that we're seeing an increase in covid-19 cases, locally and state wide and across the country, thankfully
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even with these variants, boosters and baxovid are making a difference and due to the ending of the may, of this federal state of emergency and vas reductions in federal funding for covid-19 services, we have had to reduce our covid-19 footprint in the community in terms of providing services to at certain community testing sites and you can see where the sites will be closed. and thankfully we will continue to offer, testing at ella hutch center so i just want to call your attention to that. we do expect the cdc to announce when the fall covid booster will be available, we
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made that announcement anytime. right now, we believe that the covid booster would be available at the end of september or october. our healthcare system will be ready to administer those changes as soon as they become available to our network patients and of course we will look to our other partners to ensure that members get their booster as well. next item is to congratulate the grad units, the graduation was held on august 5th at china town health center. it was sponsored by asian resource center. and it's cosponsored by the china town ymca, this is to empower youth as well as faster leadership skills and the program was started in 2019, and you can read more about how
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this program promoted healthy living and education in the director's report. wanted to congratulate to dph leaders who are recognized, through the american college of healthcare executives award, that american executive is a professional society of more than 48,000 who lead hospitals and other healthcare organizations. and yearly, the american healthcare of executive also known as ape, each year, the hcag, across central california collects executive in early career to receive the highly competitive regents awards. i'm happy to say that carina
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for health at home examine integrate rehabilitation services was recognized with the regent early award which is a great honor and really affects her leadership and without saying, who currently says as san francisco chief operating officer and laguna recertification commander was recognized with the senior level career award. so really, great recognition at a national level of the leaders that we have in healthcare executive, healthcare executives in the department. next items are focused on the great work that is being done at dcsfg, just to call out that the california health and human service and cal hospital can, and the california and human
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services and care hospital compare recognize as a hospital that can consistently demonstrate a demos culture of safety in the maternity care honor role. the 2023 maternity honor role recognized aimed the redursing birth to c-section. so another indication of great medical care that people receive. also very timely at cfg, received honor roll. this recognizes for the hospital efforts to increase access to addiction treatment by placing the hospital honor role and it was one of 100
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hospitals that submitted data and was, was recognized for achieving excellence progress in making opioid treatment more available to our patients. and as you know, with the incredible challenges that we have overdose deaths across the country, and across the state and unfortunately here in san francisco, this is such an important thing to continue to expand treatment and make sure that treatment is available when people want it and when they need it, that every door so we know that treatment works. and then with regard to, other wellness activities happy to say that, that wellness, the wellness center has reopened, the team wellness month is a foundation to coordinate a variety of wellness for staff. so we know that our staff need
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to stay healthy in order to support people on their support patients and our clients in their journey of health and wellness, so really nice thing that this center has been reopened. and you have our gph updates in the news. you can add that link in the report. and lastly, i did want to call on dr. suess an philip to provide the commissioners with a brief update on further work that she and her team have been doing to at the commissioners request, of structure in a timeline for strengthening our community engagement. so dr. philip, i'll turnover to you and then commissioners i'm happy to answer any questions the report. thank you. sxl dr. philips is joining us remotely. >> thank you, director colfax, i'm happy to join you again today and give you an update on the work that we have been
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doing in ph.d since we last met and talked with you and heard from community. and we do completely agree this is a very important area of work as you heard. we are pulling together a multi disciplinary team for the first time to really work with community and to to really press for clear information from the navy, from the regulators including the epa, the department of substance control at the state and the water board as well. and so what we will be doing is coming back to speak with you more formally in january for an update. in the meantime, i'm going to be joining the communications meetings with the av and regulators to really push for clear communication. we are having our internal meetings on a regular biweekly
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basis and deputy director for ph.d which you heard on this topic for article 31 will also be helping lead our efforts to reach out to some of the community members that were present at the health committee to speak with them and to start doing that work of ensuring that communication is as clear and as strong as it can be, so that is the work that we'll be doing in the coming weeks and months that we will started and we will continue and accelerate and reporting back to you in january. >> thank you, dr. philip. before we go to commissioner comments or questions, do we have public comment? >> sure, is there any public comment on this item on the director's report? okay, i don't see any in the room. i see one hand raised, i see two. we will take comment first from those who received
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accommodations, so i have two folks codes, if you're those two folks, leave them up. may i please start with caller 2, and we'll go from there. >> caller: good afternoon, it's patrick, on the can you hear me? >> yes, please begin. >> caller: on page 2 of the report, update section at laguna honda submitted both the application for medical and medicare recertification in august. however, a budget report posted on the board of supervisors agenda for tomorrow, september 5th, states that laguna honda application was going to be submitted on september of 17th,
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presumably to beat l.a., obtained that september 17th date from somebody. if laguna actually submit its medicare application on august 16th, as dr. colfax just asserted or will it be submitted on september 17th? particularly why wasn't the background information provided to the budget and legislative analyst, the board of supes told that they have been submitted in your request in the 4.5 million dollars in the emergency repairs. after all, you claim that you need that 5 million in emergency repairs to assist with recertification, but
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you've already obtained it why is the budget and legislative analyst misinformation that the application has not been submitted yet for medicare recertification. this is a glaring error. thank you. >> thank you. jamie, please unmute the next caller. >> caller: hi, this is dr. teresa palmer, can you tell us when the admissions will resume? i imagine it's after any survey that medicare will do. but, we do need to know. have some item of when this will be. and then, is medicare
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recertification needed for services to resume or can long term certifications be admitted. once who are still alive, be readmitted? is theres no indication anywhere in writing that they have any proximity, i would like to see that in writing from the health commissioners. and it seems to be that residents who have had to leave the county prepared should have priority at laguna honda. how are the hiring of high ends going? since most of the staff is not even cna home health aid and patient care assistance, you need adequate to superintendent.
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you're at-risk of jeopardy again if there is not enough supervising rns. and how are you going to deal with the admission and management of conflicts and acute behavioral patients? is it going to be on going pressure from county hospital to admit patients who can't safely be handled? is general hospital once again to be the well being of everyone else at laguna honda and patients who are admitted that need another setting? and when, are they--[audio breaking up] mr. peckins did verbal eyes that you're committed to that waiver. thank you. >> those are the only two public comments for this item. >> all right, before we go to
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commissioners questions and highlights, i want to highlight two things, congratulation to see carina clark as well as the teams for the maternity and opioid care, that's really great news. i just really want to highlight, in the covid-19 testing, they were doing in the community that free kids will will still be available one in the western addition and also in the southeast center for people to pick up, right? >> just want to make sure that we had spoken it today. any questions or comments? commissioner jer ado?
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>> in the report, i understand that the test kits need to be free but it needs to be sue --publicized because even here it's not indicated that it's free. that's one concern. >> yes, she can add some more information about what we're doing to help community to increase awareness of those kits. dr. hill? >> thank you, commissioner. that's a very important point, we're emphasizing that those kits are free. and trying to ensure that all others have access to kits. and we will make sure that social media and flyers emphasize that the kits are available at no cost at the community sites, thank you.
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>> thank you, i have one other comment about article 31. and i understand from the minutes for our last meeting beinger the timeline of reporting back to the commission is january first, am i correct? of the date and information that you are gathering currently, correct? >> dr. philip, did you hear the question? >> i did, i believe we are scheduled to come back on january 16th but i'll review that date to make sure i'm accurate. >> thank you. i was not specific, it was janl. but my other question is, we had discussed at the meeting and in the, that there would be more than community engagement just with the people that were here, that were making public comment.
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but in fact, that we would try again with community meetings that in fact, they people here at the that were discussing the concerns, were going to facilitate with dph for a community meeting or community meetings. in so that's what i wanted to follow-up on. >> thank you, commissioner. yes, we wanted to start with smaller groups of people to be able to understand what we need to convey. because truthfully, we need to have all the agencies involved participate and so our goal with these next immediate steps is to be able to bring some information to these agency partners to navy and epa to the department of substance control to the water board to ask them to help us, by engaging with
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these community requests et cetera. there are limited that we can do single handedly but one of our main roles is to try to coordinate and try to make the information as accessible as possible. so it will be a combination of trying to understanding ourselves and but also facilitating so that the agency that's are primarily working right now as the regulators and primarily clean up agencies, are also engaged with this process of understanding what the current gaps are from community communication from the the perspective of residents in san francisco and that's our role to ensure that we're closing the gaps and asking those federal and state partners to join us in exactly what you said, the community meetings to better understand and to better frame information that they are sharing. >> okay, so my understanding, i just want to make sure i understood. so step one is to engage the
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partners, the navy et cetera to get the information that then you're able to share with community engagement, to be able to present what you have learned in let's say, the community small community meetings et cetera, am i correct? it's like a two step process that you're recommending. >> there are multiple steps that are happening, and we're trying to figure out the best way to proceed. but we will reach out to community but simultaneously, we are, we are joining meetings that are on going with the agencies, the federal and state agencies, we're joining the communication work groups, we're trying to do other things to close the gaps in communication that we know exist. and that is, that is what i think our key role will be is to facilitate the communication
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gaps. so we'll be reaching out to community but also to join the larger process and my goal would be to really make sure that, that's people responsible can join with us as we engage in the community process. i know that they have done that in the framework that they currently have and there might be additional helpful ways that we can expand that current work with guidance in our role at dph. >> okay, thank you very much. i just wanted to be clear on what the process was. so i appreciate it. >> thank you. >> commissioner christian? >> thank you, president bern al and thank you commissioner ger ard o for carrying on these concerns that we articulated on a prior commission meet ing of our subcommittee but also at
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the last committee meeting which unfortunately i was not able to attend due to illness. so i want to thank all of my sister and fellow commissioners for carrying that forward and i, i apologize for being not being able to be here to help with that. i'm glad to hear you, thank you dr. philips so much for taking the time to come back with us with information about how, the department will be proceeding, very glad to hear that there will be this such a strong effort to close communication gaps and i, i assume that i'm not the only one and that you share in this concern about there not only being greater communication but greater involvement of the department with the navy in the early stages when, i understand i think we all understand that the department has no
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regulatory authority that belongs to the navy with respect to the clean up. but during those clean up processes and even after that shouldn't, the department be reviewing what the navy does and engaging with them about in the areas where, where the department may feel and the community may feel that their efforts are lacking. i understand there is no authority but clearly there is the authority to engage and represent the health commission concerns our physicians concerns and also the community's concerns and to ask for some engagement and movement around addressing the concerns themselves. you know, this is we have, you know, this is a great institution and we have no higher duty than to protect and
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preserve the health of the community and that is done by so many department and this is no exception and given what we're addressing here, the con contamination, of our city. and even if it could be contained in one area which of course would not be, okay, it is i think somebody noted, i read the minutes from the last meeting and somebody did note that there is no contamination like this and it will spread through the waters and to the rest of the city and so, there is a strong and on going and unending sadly need to monitor and to address the issues that
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are found and so i just wanted to lend my voice to the voice that's were spoken already and to, voice my strong confidence in you and the rest of the leadership of the commission, well of the department and also certainly in the commission to address this to take this on a much stronger way that we have so far. and i don't know whether there is anything else that you can tell me about the ways that you're thinking that the department will engage or may engage with the navy in a back and forth even when there is no authority or no right people for authority for the department to klaep up per se. >> i do agree with the sentiment, we to have an active
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role on working with this with the community in mind and being advocates for the community. and that's what we need to do. for the first time, we do have a multi disciplinary team which i'm feeling very positive about. i think you met some of the experts in our environmental health, represented in article 31, they continue to follow along very closely for the technical development that's come out of the work that is happening at the shipyard, in addition to that, we have deputy director of ph.d, asia king whom you also met. but leading our over al engagement work in this area. we also have janet james brown, and dr. a coiy who is trained in governmental medicine and working as part of health division and with us as well.
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and i'm closely with this work as well. as you can see, i believe for at this point, we have a very highly qualified team with a breath of expertise. we're all committed to the work of ensuring community health for the residents around the shipyard and we are actively, going to be actively engaging with the navy and talking with community. to really try and make sure that we are doing everything that we can so advocate for clarity and for the highest standards. but again, the main regularers are the epa but we do have a voice and we're going to start using that voice and starting that process now. >> thank you, dr. philip and yes, advocacy, that we're here to advocate on the maf of the community.
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and to that point, i'm not a physician or researcher but there is on fwg levels of testing in the community to ascertain the levels of, substances in people's bodies, i know that the community has come forward about with the evidence that they have presented with higher lelz of heavy medals and health, and it would seem to me that assuming that that is documents, that there would be a reason to have set up a testing regimen to people living closest to the sites to understand what may be happening in those sites.
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>> we will certainly be talking with federal experts, the experts and academic experts and certainly we'll be advocating for the state-of-the-art in relation to whatever interventions should we put in place by federal state partners or by us as a city. but we do want to make sure that we fully understand the current state as you have said and then we can work on solutions and counter measures based on the state of science by the experts who work in the area. >> thank you, dr. fill partnership, i know i'm not the only one that has a great deal of confidence on you and your team. thank you for your work. >> vice president, green. >> thank you so much and i could not have said this more eloquently than commissioner christian zen.
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it's going to take a lot of--and your team, so much of this you don't know until people report to these areas and reports were of great concern of all of us. and more and more activity starts to surface after things have been cleaned up. i hope also that as you report to us, you can give us a flavor for the kind of response you're getting. i think there are some concerns in the part of a lot of people depending on who takes over in 2025, that there could be stripping of the funding as well as the priorities of the epa, i'm not sure about the navy. but if you can give us some guidance and understanding, because when multiple bureaucratic organizations are involved, sometimes as you know, there is significant gridlock of really moving forward. there have been suggestions and
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the public of ways that you can imagine, the current idea that was brought up today. and i'm wondering as you learn and interact, that we do have oversight and regulations. so we can add least level set and advocate more strongly if we need to. so we really appreciate hearing about your interactions examine your senses on how things may unfold. and i have another question on covid, people are concerned obviously, the clarity of people undering the testing is free, but i know there is a lot of confusion about the actual cost of vaccines in particular with the emergency over. i know a lot of people are concerned that their health plan may not cover or there would be a problem with peoria tricks, because the newest vaccine is going to be multi
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vial by is makes it difficult for some places to purchase extremely costly and if you don't use all the doses, it goes to waste. and i gather the companies are not going to rebate unused doses. i'm wondering if terms of public information but including our healthcare partners how we may provide more information because the people did not get vaccine because they were fearing out-of-pocket cost. >> thank you, thank you for your comments both about the shipyard but also about covid. and really as director colfax said, we're waiting to hear the cdc recommendation and more information and the way that that vaccine will be made available for those who are uninsured and unable to afford
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vaccine, there will be programs in place to ensure that, but right now, i don't have unfortunately additional details to share with the commission but we will as soon as we're able to hear more about how that may look. and i agree with you that we want san francisco to maintain the standing one is of the highly vaccinated cities particularly with this new formulation of vaccine. as director colfax said, we know that we have fewer directed resources to do that. we will try to share information and allow our partners to pass that information on to who they serve and work with as well. >> thank you so much, and as the film that has, you have always done a great job in this department. so we have great companies that this new vaccine will be no different. thank you very much.
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>> commissioners any other comments or questions? >> no. >> commissioner christian. >> thank you, i just wanted to join president bernal in congratulating the ache awards that is wonderful to see that the rest of the country continues to recognize what an amazing staff we have here in san francisco. i was also very interested in the teen heal internship. and i wonder if that's only at the china town center or if that exist outside. it's such an amazing and important piece of work to be doing with the youth of our community. and it does not exist outside of health center, it would be great if we can try to expand that to increase the foundation of health for the young people in our community.
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>> i appreciate that question, commissioner. dr. hammer, i'm not sure if she is on remotely. may have the answer to that. and if not, we will get you an answer about that is specific. i believe within dph it is, i just don't know if there are any other entities that are moan sites for a lack of a better ward but we can get that information to you. >> yes, go ahead. >> dr. horton. >> yes, dr. him is on vacation and i don't know the answer but i will get back. >> thank you, both. and congratulations to the health center for that work, really thankful for it. >> thank you. >> thank you. >> all right, we'll move on to our next item which is financing and planning committee update which will go
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into our consent calendar. for today's update, we have commissioner bernal. >> thank you, i had an opportunity to stand in for commissioner chung for the today's finance and planning meeting. at the meeting today we reviewed the september contracts report which listed 6, i believe contracts that were both renewals of the existing program and extensions or contract amendments for others. and we recommend those six for approval on the consent calendar. in addition to the six that were reviewed in the contract report, i think we had 8 new
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grant agreements and contract agreements. that again, we recommend to the full commission on the consent calendar just so that, i have a little bit of context for the new ones, i can give a brief description that first was asian and pacific islander which operates as a community center. a new grant agreement to, perform tenderloin navigator program which, is again, it's a new program, where that is going to provide i believe, 7 p.m. to 3 amor, services in the tenderloin to provide trauma informed mental healthcare hiking and referral services on the nights and weekend. second is the security services
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which is the process of bringing in security services for our facilities that are, that allows us to have less of a dependence on the sheriff's office or the sheriff services and that contract is new professional services agreement. new professional agreement with the psj, this is an attempt to again, a new and diva tempt to recruit high level of physicians particular difficult to revaout primary a clinician leaders, i believe and other executives and this is the
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first time using this particular provider service and its a 12-book contract, next. contract with richmond area services to hire and train peer counselor to unhouse the individuals. it's a program that is in a great with the best neighborhood behavioral health teams. the next is, approval of a contract with luna health. this is an interesting one also that, will provide non categorical support workforce development training programs for the department. the next is a contract with health services advisory group to provide on going support to
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the laguna honda hospital, to really help with the sustainability efforts post certification recertification and to transition laguna honda from that recertification focus to release on going level of professional and clinical patient safety and compliance with regulatory framework that laguna is subject to. new contracts and they list it there for your information and recommend all of these for approval and consent calendar. i think that was the bulk of
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the agenda the meeting agenda for today. we defer one item to the due to absence of the members of the finance committee. >> thank you, commissioner guillermo it's good to review these items today. do we have any public comment? >> do we have any in the room. and i'm going to make a quick addendum to the contract, mr. sanghaw mentioned it would be sustainable but it may be about quarterly meetings and a tampering overtime, not the day-to-day engagement. so for your information it would be something on going basis. jamie let's set the timer.
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>> caller: this is patrick, i take it we're on agenda item 5. and i'm seeking clarification mr. morewits and commissioner val, the process in the actual consent calendar for the next agenda item so it will be taking public on both the specific contract listed in the september contracts report separate from the discussion of policies and procedures for the two separate hospitals, is there going to be two published comment periods? >> you know, we don't answer any questions, i can address that in the next item. do you have more comments or is that the end?
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>> caller: i was just asking to you clarify that at the start of the next agenda please. >> thank you. >> any commissioner questions on the finance and planning committee? then we move on to item 6 which is the consent calendar. >> and if i may note. this is one item and there is one opportunity for public could make public comment on all of these items because there is one vote on all the items. i believe there, it is. >> yes, it's one vote on all the items and we'll make a motion to approve after we get a quick summary of those. we just received the summary on the contracts report and the individual contracts and we're chair briefly regarding the csfgs as well as lh and procedures. vice president greene will be presenting.
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>> yes, thank you the jcc recommended we approve the in the pediatric service for the family and community care clinic and the department of medicine. >> all right, thank you vice president greene. and commissioner guillermo for that laguna honda. >> yes, for policies and procedure, the jcc for laguna honda met and asked for poll he's presented for recommendation at the jcc meeting, prior to bringing a recommendation to the full commission, those policies were revised and provided the language to to the jcc members in time for this meeting. in particular, there was
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concern about the or questions around the admissions policy and prioritization of the admission. one that was particular concern and i'm calling it out just because it was one of the key revisions that was requested had to do with the first, articulating around residents who were transferred out of the facility during the time that laguna honda was decertified and now will be the first priority when, when laguna honda begins to evaluate a new admission request based on the admission criteria. so beyond that, the jcc recommends the listed policies and procedures for consent.
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>> all right. >> thank you, to the finance and committee and as well as lag no honda for your hard work on these items. our next is to have a motion to approve the consent calendar. >> so moved. >> second. >> all right, we'll move to public comment, sure. policies were posted on saler morning with time for the public to see as well. so i see one--and do caller three? >> yes. >> hi. >> it's patrick can you hear me? >> yes, please begin. >> this is a sunshine violation that you're taking what is separate two separate items that should have been separate items and dein
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