Appoint to the chancellor at ucf f were thrilled for dan the most wonderful person but that position will post and as held president he resigned october 16th and well not be able to fill his shoes but leading the commission the elections are usually in march we thank dan and have more to say about that so ill start with the land acknowledgement commissioner christian will commissioner christian will read it. Thank you thank you are on the unceded ancestral homeland of the ramaytush rahmytoosh ohlone olonee who are the original inhabitants of the San Francisco peninsula. Irresponsibilities as the caretakers of this place, as well as for all peoples who reside in their traditional territory. Elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first peoples. Thank you very much. Next item is the. 2. Approval of the minutes of the Health Commission meeting of october 3, 2023. You have before you and upon review my amendments or corrections . Okay. Hearing no one is there a motion to approve . Motion to approve. Do i have a second . He what about Public Comment. Yes. I see a hand anyone in the room . Please that unmute the caller before you unmute and start speaking i have a scripture for the scripture for the scripture for the respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. Meeting. The commission from taking action or discussing any item not appearing on the posted agenda, including those items raised at Public Comment. Individuals may no return to speak again remote dot d dog paul h as you may also watch live at www. Sfgovtv. Org special your name without taking a lot of time federal, state, and local law prohibit the first take Public Comment from individuals and take Public Comment from the individuals who receive an. Moments for disabilities. Caller please let us know youre there. Limited to 3 minutes per speaker mr. Shaw. Thank you. Dr. Terry palmer and repeating raised longterm plans recurrence of the Miss Management of laguna honda and september 5th combhirltz commissioner guillermo asked in the contract needs to be spent when it expires at the end of august next year and quote laguna honda will likely unintelligible for monitoring and evaluation and preference for ongoing regulatory unquote and laguna honda has care for servants unintelligible have an spent contract. They stated unintelligible likely will change to orderly check ins after unintelligible current contract end quote expires in august of 24 the Health Commission is considering the contract in an additional period of time. unintelligible the vehicle for oversight of laguna honda well additional contracts annually into the foreseeable future only mechanism to insure greater oversight time to present future mismanagement. And at laguna honda. Thank you. Thats the only Public Comment commissioners. Right during is there a vote to approve. All in favor, say aye. Aye. That passes wonderful. Next item is. 3. Resolution honoring michelle fouts, pharmd david smith, pharmd, dph chief pharmacy officer we want to read the resolution illustration. There is an twoogs and then ill read the revolution. Im the dr. Michelle fouts, pharmd. My joy and sorrow are to read this resolution been with dph for 25 years and colleagues no one could have earned more respect and dedication not just their health and wellness but thank you for taking the time to honor her in the resolution. Thank you. Whereas, dr. Michelle fouts, pharmd. Has served the on and off as a exceptional leader for over that 25 years and during her tenure was a pharmacist and offsets and has inspired a generation of enter professional training by sergio with compassion and collaborative disciplinary teamwork and exceptional chintion and all roles and her intelligence been a model for excellence and doing so while bringing a smile to those around here and thorough dr. Michelle fouts, pharmd. Leading Innovation Technology and supporting residents wellness and other projects and whereas dr. Michelle fouts, pharmd. Partnered with nursing and technology and faculties and other disciplines in the Information System and to improve the patients care. And whereas, dr. Michelle fouts, pharmd. Inclusive environment throughout San Francisco and enthusiasm and grace and innovation optimize mentioned for all patient and the whereas, dr. Michelle fouts, pharmd. Been a model driven clinician and the staff has benefited for her commitment and revolve Health Commission honored dr. Michelle fouts, pharmd. For her leadership and contributions to the health and wellbeing. Entertain motion to approve the resolution. So moved. Everybody is to enthusiastic so any Public Comment . Lets see i see a hand. Please unmute the caller. Caller you have three minutes. Thank you patrick good morning dr. Michelle fouts, pharmd. Certainly deserves this resolution honoring her years of service. To san franciscans. When i worked with her closely at laguna honda she was wild respected by auto laguna honda staff for generally by clinicians working at rehabilitation and assisting with those medications adjustment to the free applications unintelligible and false related injuries and rehab staff certainly appreciated her skills and experience helping those patients. I also commend her for years of dedication serving laguna honda residents congratulations to her her assumed are apparent retirement thank you, michelle. Thank you. Id like to note that that mr. Shaw threw out positive comments and commissioner chow needs space to speak ill remind you of that. I see mr. P wants to say a few words and then comment. Thank you very much. Commissioners. I also want to add my thanks to michelle when she started her career no out insurance and packaging was done by hand and also and led to a much higher adequacy and safety for the resolution shell tell you improve the healthcare and one of the Department Leaders in the implementation of the system wide d hr and couldnt have done it without without her contributions wanted to add that. Thank you. I apologize to. Thank you for the opportunity also to join in thanking michelle for all her work and ive watched you and the gentleman described again, the amount of work she put in the transformation for its pharmacy and presentation and was certainly within compliance to all of the different surveys weve had and all the different surveys has always been a very positive experience so thank you, michelle and congratulations and enjoy youre next activities. Thank you. Other commissioners . Commissioner commissioner guillermo. You want to add my thanks and congratulations as a member of laguna honda jc c and throughout my tenure, you know. I know we relied on you not just for the time when the agency has asked for your input and clarification on matters before us but generally knowing you were email commentac beverlyhills. Org and in front of the scenes taking of the business of laguna honda and over has spoken about i wish you well and hope we can continue to find leaders like yourself dedicated clinicians not just laguna honda but all of San Francisco. Thank you, again. Well, i guess may i say some things . Yeah. So im the last member of jc c laguna honda to speak sea i think, you know. I do remember back in the day everything was done by hand as said. You cant imagine how the pharmacy has been changed and they get stuck with what we know with the evolution and how each step you have left hand and become an expert that is valued through this vast array of changes that are have happened and it is remarkable and seen the reports from individuals so clear every time you were involved out of respect that you earned where people look to you as leader and so apparent in a way the pharmacy is the hub and the culture of an institution and never mind the come complete like 5 or 10 percent of drugs and become much more xhiblthd but the plethora of mentioned is like an invisible amount of work a person has to educate and teach others and find the pitfalls involved in all of that you have been remarkable i hope you can teach the leadership and pharmacy and teach compassion were really miss you and grateful for all you contributed so i been a pleasure to get to know you and the colfax. Michelle i want to express any gratitude to you on behalf of the department your work is very through covid and throw the laguna honda medication recertification process so too important. And um, i believe able to unintelligible several times in the last in the late year or so and one of the things that so impressed me, you walked through the pharmacy doors how supported your team as residents and enthusiasm and the can do attitude and the Quality Improvements which very much part of that culture there and want to thank you. I meant mentioned to people when this transition to other things a true mark you leave behind with the wonderful work thank you, very much for that. Thank you. So dr. Do you want to step up and say a few words we would like to hear from you and your plans. Sure first thank you. You know. I came to dpw for 25 plus years and has been a great honor and privilege so many opportunities throttle ic staff and its been a great joy and pleasure and tried to enjoy the last couple of weeks as i walked through the hassle when i first started. Beckett was under was under investigation and i hope at one point but i think were well own our way so thank you for the honor and recognizes and so proud of department of Public Health a no the vote needs to cu ill give you a copy of the thing and will be a photo opt. So well now take a vote on the resolution honoring dr. Michelle fouts, pharmd. Please say i. I and commissioner chow, aye. And commissioners would you step forward so we can get a picture . All righty say cheese or laguna honda. All right. So the next item on the agenda is general public respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. Meeting. The commission from taking action or discussing any item not appearing on the posted agenda, including those items raised at Public Comment. And then all the information about the other agenda items pertain anyone in the room and one hand so, please caller. Yeah. Hi richard again. You limited to 3 minutes per speaker. Thank you. I also want to congratulate on this new job at uscf, however, as congresswoman nancy pelosi staff seemed to have an thinking stated conflict of interest serving on this commission. So did sort of good hearing hes finally resigned. Thank you. All right. Thats the only comment on this item. Next item it 5. Directors report grant colfax md, dph, director of Health Grant Colfax md, dph, director of health. Good afternoon commissioner green and commissioners ill highlight a few of the items and answer any questions. You have. First was to host a conversation with with dr. Fiona where dr. Provided his and spent a lot of time with the staff in answering questions and take one of two photos with people and to make sure that we had a wide range of people who worked hard on covid in the Health Department at present and able to live stream the event with 750 people watched this and honored to have dr. Facuci and in other news. Midyear budget update the economic rally of San Francisco is such that the mayor has determined we cant wait until next year for the budget process to begin and therefore instructed the department to have reductions of three percent of the general fund to support the courage fiscal year for identifying approximately 26 million in addition revenues or saving by october 26th so we will be following those instructions and to the Mayors Office and dph will work in the next session and update the commission on this response to the budget process for this year. Item e pleased to say a laguna honda had a certified of extension with the department of Health AssociatedInfections Program and services group. Long title and recognition as dph laguna honda hes is successfully completing the intervention trainer workshops and over 27 hundred individuals attended the workshops and nursing home and the laguna honda was in the top 7 percent and completed all four sessions we are pleased to have that information it is very important Training Program and then we as part of the our Environmental Health branch participated in many communities event and training throughout the year and most recently San FranciscoHousing DevelopmentCorporation Sponsored work shop so this was on tuesday and people wanting to manage services for the public and the San FranciscoHousing Department corporation reached out out to partner with the Health Department to make sure that people understood how to be code k34r50i7b9 in the work so nice collaboration there. We continue to partner with opportunities for all faces to provide job interim for San Francisco youth we know are a core part of our talent and continue to invest because interested in Public Health we want to encourage that and as a covid update our 7 days testing for post is three point plus percent and 38 people with covid adopt from just a few weeks ago we were in a bit of a solid increase and the new Covid Vaccination is here and were delayed in public we have that and asking the state for more supplies because we the demand is quite high and not enough supplies so continuing to ask for more with the Community Partners in that regard. He and ill be happy to answer any questions you may have. Thank you. Thank you. For the report. Public comment on the directors report. . I dont see any hands oh, we are on item 5 if you want to make Public Comment star three no Public Comment. Please turn on our microphone. Any questions or comments from the commissioners . I see the commissioner chow. Thank you. And i really appreciate the opportunity to participants virtually and want to thank dr. Colfax for sending the presentation really outstanding and had the opportunity to view it and found him very inspiring we were very fortunate during that time to have outstanding leaders thank you, dr. Colfax for resigning a wonderful seminar. If note those comments or questions we can move pickens, director and ceo, Sf Health Network executive sponsor lhh recertification incident command good afternoon, again expirations thank you for the opportunity to provide you an update on the status of laguna honda as it relates to the cms recertification. Can i ask you about the power point . Director and ceo, Sf Health Network executive sponsor lhh recertification incident command. Okay. Again, thank you for the opportunity well start like to share an update on some of the key components leadership hires on board the two new directors of nursing and have stacey and mr. Michael collins and each will the director for nursing for one of the two respective towers you recall the dual director of nurses structure as part of early recommendations from improving all the nursing status of operations and made the permanent structure with the improvement of those two individuals and both of them come with tremendous amount of experience and skill in nursing and proud worked her way up to a nurse to registered nurse and certified wound care that is important at laguna honda for the prevalence of nursing facilities and also served previously as a surveyor for the department of health so speaks in the regulatory nursing operation and Michael Collins a Long Term Care nurse motorist in the career with the United States army and been in Skilled Nursing leadership. So they and continue theyre learning what we call hit the floor next week to immerse he themselves and tony the officer will transition to a support role similar to myself over the next few months to be there to help with a hand off for the two nursing leaders. Id like to update you on the status of laguna honda chief medical officer that has been underway for almost a year now. We have gone through a competitive process with the final stages of offering a position and hope to be able to solidify that in the next several days want to give you an update of this this status of this position and. Next slide, please. In terms of our recertification journey as you recall we received the recertification back at the end of july. And accordingly do to that pros we were directed to submit a change of application that allows us to pursue your medicare recertification and that office on the 23. We received clarifying direction from the c s f for a brand new application that is done on september 15th. And we are now in the window awaiting the survey to ensue therefore were expecting news from c m f and department of health for medicare. Procedure certification survey. And when we do receive that notice well make sure the commission is aware of their presence. Next slide, please. We reported to the laguna honda jc c we in preparation for the Medicare Survey took a thirty day pause for the superstition of our relation to the surveys in december of last year. And so that staff will be freed up to focus on the Medicare Survey<