Transcripts For SFGTV Health 20240704 : vimarsana.com

Unceded ancestral homeland of the Ramaytush Ohlone who are the original inhabitants of the San Francisco peninsula. As the indigenous stewards of this land and in accordance with their traditions, the Ramaytush Ohlone have never ceded, lost nor forgotten their responsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. As guests, we recognize that we benefit from living and working on their traditional homeland. We wish to pay our respects by acknowledging the ancestors and relatives of the ramaytush community and by affirming their sovereign rights as first peoples. Thank you. The next item on the agenda is approval of the minutes of the Health Commission meeting from august 1, 2023. I believe there was some kind of correction, so secretary morewitz, if you can share that with us. Page 2 of the revised minutes i added Public Comment for Robert Rinehart and apologize for leaving that out. Otherwise, the minutes stand before you as posted. Thank you. Any other additions or corrections from the commissioners . Alright; seeing none, is there a motion to approve the minutes . So move. Second. Is there Public Comment . I believe there is notices for secretary morewitz to articulate . Yes, for each item members of the public will have a opportunity to comment up to 3 minutes. The Public Comment process is designed to invite input and feedback from individuals in the community. However the process does not allow questions to be answered in the meeting or for the members of the public to engage in back and forth conversation. The commissioners considered comments when discussing item and making request. Please note each individual is allowed one opportunity to speak per item. Individuals may not return more then once. Written Public Comment may be send to the Health Commission at health. Commission. Dph s fdph. Org. Please note policy along with federal, state and local law prohibit discriminatory harassing conduct. We will first take Public Comment from individuals attending the meeting in person. We will then take remote Public Comment from individuals who received accommodation for disability. I have given each individuals a code to speak when they begin commentts and given two people a code for todays meeting. Finally, we will hear from remote Public Comment from all over individuals. There will be a time limit of 20 minutes of Public Comment heard on each item from individuals not received an accommodation for disability. We are item 2, the minutes. All comments relate to that and see one hand. Jaime or janette, not sure who is doing Public Comment. Please unmute that caller. It is patrick. Can you hear me . Yes, please begin. Shamefully these minutes report the august 1 meeting was called to order at 403 p. M. Sfgovtv never has problems with the audio system which was used as a excuse when that meeting began broadcasting online. It started without a call to order or the land acknowledgment. Taking agenda item 5, the Health Commission resolution 2306 approving submitting applications to cms first. Completely out of order. Members of the public knowing you changed agenda order items. indiscernible an opportunity to testify about the proposed resolution. Commissioner bernal wildly claimed later on audio that there was an agenda mix up with two versions of the agenda, trying to ajustify what the agenda want taking in pub lishedorder. That mythology was complete nonsense and spin control. The two versions of the agenda obtained both in the resolution agendized for the middle of the meeting, not the first agenda item. Commission president bernal indiscernible and Nancy Pelosis chief of staff should know about roberts rules of order and agendas being fallowed appropriately. Furthermore, Commission Secretary Mark Morewitz earned total pay of 182. 576 in fiscal year that ended june 30, 2023. He is paid handsomely to insure all audio and video equipment are functioning properly before meetings begin by testing the equipment prior to the start of the meeting. This was completely shameful. Thank you. I think thats the only hand i see. Again, we are on item 2, the minutes. No other hands, commissioners. Well move to a vote. All in favor of approving the minutes . Aye. Wonderful. Thank you. The next item is general Public Comment. I believe there is another notice. Yes. I have a little script. At this time members of the public may address the commission on items of interest to the public within the subject matter jurisdiction of the commission but not on the agenda. Each member of the public may address the commission for up two minutes. The brown act forbids the commission taking action or discussing a item not on the agenda including those raised in Public Comment. Each individual is allowed one opportunity to speak and individuals may not return more then once to read statements from others not able to attend the meeting. This item is for topics not on the agenda. Well start with folks in the room. I have several people have given me their card. Lets go with remo morelli. Everyone has three minutes. Please feel free to adjust the microphone if you wish. Dr. Green. Members of the Health Commission. My name is remo, the chief of staff at Saint Mary Hospital where i have been practicing since 1985. I respectfully request the Health Commission take a closer look indiscernible to ucsf to understand how the sale will impact patient care, the cost of healthcare in San Francisco and the overall delivery of healthcare in the city. Saint mary San Francisco oldest continuously operating hospital founded by the sisters of mercy 1857. indiscernible cared for victims of the indiscernible 1906 earthquake, hiv aids crisis and mostly since covid19 epidemic. We do not oppose the sale to ucsf, in fact we welcome the union, but we ask the Health Commission help us preserve the services we now offer at saint mary so we can continue to provide compassionate affordable patient centered care in a Community Hospital setting by independent physicians. Through the sister mary indiscernible for thousands of individuals each year, including the homeless and uninsured. The mccally institute provides acute patient psychiatric anywhere for youth and young adults in crisis, a service not available anywhere in San Francisco. Through the medical residency program, Training Ground for new physicians in internal medicine, orthopedics and podiatry. Many residents stay in the bay area. We request the commission closely monitor the sale providing regular updates to you and the public to insure that they are keeping their word and maintaining saint mary Vital Program and service. The loss of any saint mary programs will be detrimental to those most in deed of San Francisco, shifting the responsibility for care to the cityt a a time when San Francisco can least afford to shoulder more burden. We do not want to see repeat of Mount Zionand Children Hospital in oakland. indiscernible doctors and patients. Within two years all the doctors at mount zionrelocated and now now longer a acute care hospital. Children hospital indiscernible which relocated across the bay to the mission bay campus. This forced patients to cross the bridge incurring tolls and parking fees and access to care more difficult. Furthermore, studies have shown the cost of medical care in Northern California is already 30 to 70 percent higher then Southern California and insurance premiums are 31 percent higher. Due to the indiscernible medical services. The loss of Community Hospitals in the one major factor driving these high medical costs. Input from doctors patients residents and this commission are included as a indiscernible im confident saint your time is up. Thank you. I thank you for listening. Pamela lewis. Good afternoon. My name is dr. Lewis, chief of surgery at sant mary hospital. Thank you to president bernal, Vice President green and commissioners for commitment to the health of the city. The women center at sant mary provides state of the art Breast Cancer screening and imaging to the community. The only center providing these services on the west side of the city. I ask the Health Commission row view and monitor the purchase of sant mary and saint francis. I understand the sale is early stage, but as a private practitioner i urge you to look at the impact the sale will have on independent physicians programs neighborhood access to care, Service Consolidation and potential damage to ambulance response times. The uc parnassus rebuilt starts now and will be completed in 2030. To where will the Campus Service relocate during construction . One of the main reason for acquiring sant mary is manage capacity demand at parnassus. Where will they send Campus Service and what will be sent to sant mary . How will neighborhood impacts be managed . Will ucsf future plans for expansion be exempt from city regulations . Had what will happen to sant mary partners, Crestwood Behavioral Health with sant mary and dph and centfield the longterm acute care. Sant mary and sant francis are full Service Acute care suvs the west and north areas of the city. Will the sale effect ambulance response times if Emergency Rooms are consolidated at parnassus . Not long ago there were 19 hospitals in San Francisco. Each time a hospital was acquired medical care eliminated and neighborhood in consolidated. Sf general, sutter, kaiser and uc. My colleagues and i are Small Business and office in the neighborhood like inner and Outer Richmond and sunset. We may lose our choice to operate businesses and thousands patients lose easy timely access to care. It is perfect to look at broader policy issue jz put the acquisition on agend paw for future meeting. Uc stated they like to close by the end of the year so time is of the essence. Look at the sale through the prism of your Health Service master plan and future direction of healthcare in San Francisco. In closing, thank you president bernal bringing congressman pelosi and commissioner guillermo. Thank you lori green for all your care for women, myself included. Thank you for your attention to the proposed action of the two important historic institutions. Thank you. Thank you. Anyone else in the room on general Public Comment . We can movei see one hand. Jaime, please unmute the caller. Thank you mark. This is Public Comment. Im addressing a issue not on todays agenda, so please dont cut me off. As i testified august 1, during past Health Commission meetings, Roland Pickens stated division was in sfdph is conducting a study regarding expanding Behavioral Health beds in San Francisco. What sfdph entity is conducting the study . Is the meetings open to the public . Per pickens previous statement during Commission Open session meetings, that work group is studying and considering whether to use space at laguna honda hospital by placing separate cohorts of patients in laguna hondas two towers. Sniff patients in one tower and Behavioral Health in the other tower. Which Health Commission subcommittee will this report eventually be presented to and when . That report should have been issued before laguna honda applied for recertification from cms. Why hasnt this commission answered these basic questions that i have repeatedly asked you about who is conducting that study, when it will be presented, whether the public will have an opportunity to comment on the study bindings before they are finalized, et cetera, et cetera. The commission has repeatedly refused to answer me or provide any further information about what is going on with that study. Thank you. That is the only comment on remote Public Comment. The next item on the agenda is gregory wong, adman strative analyst resolution to recommend to board of supervisors to authorize dph to accept and extend gift of retinal imaging machine values at 496. 500 from University California San Francisco. Good afternoon Health Commission members. Please speak closer to the microphone. Good afternoon Health Commission members. We ask for approval for acceptance of this retinal images gift from university of california San Francisco. This donation from the University California San Francisco has indiscernible conduct and facilitate comprehensive eye care for the city and county of San Francisco. Please approve acceptance of this gift and director indiscernible is happy to answer any questions that you might have. Thank you. Is there a motion to approve acceptance of the gift . So move. Is there a second . Second. Is there any Public Comment on this item . Any Public Comment in the room on the item . Folks on line, item 4 recommending the board of supervisors to authorize dph to accept a gift from ucsf. Please let us know by pressing star 3. No hands. This is great news, because these imaging machines are so important especially people with advanced diabetes, so well take a vote. All in favorno . Aye. I do have a comment. Sorry. Actually, it might be that in your second whereas, im not sure it belongs there. Perhaps you can explain to me, it says university of california has notified the department of Public Health proceeds from the gift will be distributed, but i thought that we were getting the retinal scanner. Sorry, that was a error on my part. Can we exclude that whereas . Yes. I like to amend the motion to exclude the whereas that is the second whereas. Before we submit it to the board of supervisors. Is there a second to that . Second. Alright. So, we would approve vote on the motion to amend and then vote well vote on the motion to amend. All in favor . Aye. Alright. Now you can vote on the full resolution without the amendment. That vote was just the amendment. Now we vote on the approval. Lets vote on the motion then. All in favor . Aye. Wonderful. Thank you for that correction. And the next item also is resolution to recommend to the board of supervisorss to authorize dph to accept and expend gift of 204. 250 from the Epic System Corporation. Thank you members. We ask your proval for acceptance of this gift from the Epic System Corporation. The donation from the Epic System Corporation is vital helping frunlt line medical personnel to treat indiscernible please approve the acceptance of this gift and eric who is chief Information Officer is here to answer any questions you may have. Is there a motion to approve this resolution . So move. Is there a second . Second. Any Public Comment . Any Public Comment in the room on the item folks online, we are on item 5. Press star 3 if you like to comment. I see no Public Comment commissioners. Is there any questions or comments from the commissioners . Commissioner gerardo. Second bullet it says the Epic System Corporation has notified the department of Public Health that proceeds from this gift will be distributed. Is it proceeds or the gift . It is the gift of okay, so we should amend this as well so it is not the proceeds. I propose that we amend bullet two. The Epic System Corporation notified department of Public Health that the gift will be distributed. Is there a second to tha