Those in the audience would please take their seats, well get underway. I now call the regular meeting of the Health Services board to order. Would you please join me in saying the pledge of allegiance. I pledge allegiance to the flag of the United States of america and to the republic, for which it stands, one nation, under god, indivisible, with liberty and justice for all. Well have the roll call. Roll call. Scott, present. Lim, present. Breslin, here. Farrell, expected. Ferrigno, excused. Follasbee, present. Sass, present. We have a quorum. Thank you. First action item. Item 1 approval of possible modification the minute of meeting regular meeting december 8 , 2016. Do i have a motion . Moved and [inaudible] the minutes the regular meeting och december 8 , 2016. Second. There is a second. Properly moved and seconded we approve the minute of the december 8 regular meeting of the board. Any comments or questions or edits by members of the board . Seeing none, any Public Comment . If not, wree ready to take action. All in favor of approving the minute as distributed say aye. Aye. Opposed . So ordered. Item 2. Item 2, discussion item. General Public Comment on matters within the boards jurisdiction not appearing on todays agenda. Good afternoon commissioners rich rld rothland retireee. Im leer to talk about kaisers [inaudible] which is a property which is a transportation desert. Last time i talked i look adthat web page, they have some information about bestriving alternative services which i didnt think was adequate enough. When i looked today all they had to drive there, nothing about muni. I dont know if they are continuing the Shuttle Services but it want on there and i think since we are the second largest dealer with our agency that deals with kaiser, that we should really tell them that they need to provide better transportation especially like the richmond and the sun set to especially seniors and popeal who have a hard time getting around that they need to provide Shuttle Service. I dont know if they stopped it or not but there is nothing listed today on the web page. You know,u csf has a great Shuttle Service and go around to all the facilities, there is no reason why kaiser cant start at french and go to geary street and they have campuses i think up the street here. I think we really need to providekaiser needs to provide services so that they can get to owen street. Im lucky, my doctors department wnt but he stayed at geary street. If i have to go to owens i rather go to south San Francisco, it is easier for me but think the board should ask kaiser to explain what they will do about improving public transiteven active and retired members. Thank you. Thank you for your comment. Is there publicother general Public Comment on matters not appearing. Herbert winer, city retiree. One concern i have and related to what the previous presenter made is it is public possibly of mta and expect seniors and disable tooz walk a quarter mile to the bus stop. I realize you dont have direct authority over this or jurisdiction or this but this is for the information the board. Actually this policy is done to make the buses run faster and frankly it is a add mixture of the rationalty and cruelty as i pointed out to the board of supervisors on tuesday. This really effects our retirees many who rely on Public Transportation including myself. Im able bodied but the bord should be aware of this. The mta run amuck and has to be brought to heel. It is terrible and aprogess what they are doing. They think for the Public Comment. Any other pub luck comment on matters within the jurisdiction of the board . Seeing none, we go to discussion item 3. Item 3, discussion item. President report. President scott. As part of the president report today i want to acknowledge very outstanding presentation made by a on hewitt on Market Trends and update in the last meeting and make a formal request of them that during the benefit cycle later in the benefit cycle once we get more clarity about what is going on nationally if we ever do. I didnt say that publicly, that you come back and provide us with a update. So, well work with executive director dodd to talk about the time for that to happen. You have done a great job outlining what things could and might be and think with a little time there will be more clarity and i think it is a informative reassessment of some of the things you highlighted during the presentation. I make that request of you. I am also in receipt of the following letter dated december 19, 2016. Dear chairman scott and Board Members, thank you for your commitment to insuring quality affordable Sustainable Health benefits for the Health System members and their depends. Your efforts have not gone unnoticed by hhs members. Not a day goes by that thanks are offered by employees i encounter. At end of january 2017 i will have worked 10 years for the city and coupty of San Francisco and therefore eligible to retire. I will be planning to retire immediately at my 10th anniversary but realize adding a additional month for transition is essential to set the rates and benefits process in motion to establish the Department Budget with Mayors Office and assist any way i can to launch a search fl a new director. This letter is to inform you im resigning as ecextev director on february 28, 2017. I am grateful for the opportunity for professional and personal development i had during the last 7 plus years. We have accomplished much. Established a wellbeing for employers which includes data by department implemented in all payer claim database. Found two successful care organizations, brought theagy into compliance with state and federal reg ylgdsulations and maintain compliance throughout the Affordable Care act. Launched Research Agenda preventing diabetes and participated in research on cancer correlation chemicals women Fire Fighters work with daily. Mostimportantly, kept overall premeial rate increase below 2 percent. We added board of education to the annual board meet ing agendas and met all Customer Services standards. I believe i am leaving hss in cape capable hands and there is much to do in 2017 and beyawn. I will do whatever is necessary to insure a smooth transition. I inyoied working with you the committed member thofz borebd and appreciate the support provided during the tenure with the cyst meez do do not hesitate to be in term what i can do to help. If i can be any help during the transition letd me xoe. Sincerely Catherine Dodd director of San FranciscoHealth Service system. There was a communication where director dodd extended the time with us until march 15th to help with the transition. I want to make a personal observation relative to this letter and director dodds decision. It can be found in a quote by benjamin franklin. It says for want of a nail. For want of a nail the shoe was lost, with for the shoe the horse was lost, not a horse the rider was lost, not a rider the battle of the [inaudible] all for the want of a horse shoe nail. I find it regrettable that sometimes the exceptional and superior performance of executive drether dodd over time during her tinnier and during this performance particular ly is only minimally recognized for those responsible for compensation practices and actions for Department Heads for the city and county of San Francisco. These actions have occurred despite repeated requests and recommendations by this board even most recently as september of 2016. The consequences of this in my view and im stating my opinion here, process combined with some episodic communications around it that had a very disruptive near term and impact on the operations of the Health Services system and it will possibly adversely or could adversely impact our services to our members. I wish that we had another outcome here and i worked both publicly and behind the scenes to try to achieve that. But we didnt. We are where we are. Catherine agreed to stay on for a period of time to help with the transition and i absolute her for that and wish her every success, personal and otherwise in her upcoming retirement. Also, as a part of the president s report, i am in re seat of a resolution by the protect our benefits group and to talk a bit about process for replacing this physician. I asked and she graitiously came today, the director of Human Resources for the city and county of San Francisco director mickey cal hann so when you please come at this time. I asked her to come so we all can be informed about process and then i will talk a bit about how well work with the pauss that she will outline as we undertake the search. Good afternoon. A bitter sweet opportunity. Pleased to be able to describe to you the services and processes dhr can support the commission as they go forward to fill the position but saddened we will lose catherine. Her achievements are nothing short of remarkable in her time in the position. We have not always agreed on everything, but im shocked. But she is really done her best i think for the benefit of the system. I like to talk about the general process that boards use to replace the executive directors and how dhr can support that. You may not know recently the Police Department has under gone a search and hired a new police chief and Port Commission has done the same. Building inspection. Art commission have all done that and we provide support to that process at the level desired by the board or commission. You can get as much or little of us as you want. We have a prequalified list of vendors who provide Recruitment Service and the advantage of a prequalified list is that we dont have toif somebody is on the list a contract to perform the search can be executed fairly rapidly. If the commission desires to use someone not on the list that can be done but the is a process of proiving they provide equal benefit squz going through the process that can slow things down significantly. Typically what we would do and ill speak generically is we would meet with the usually a subcommittee of the governing body to lead the process. We would look atwe draft a solicitation based on the level of support that the commission would like to have in the search and send that out to the various firms and they would then bid and then bring it back with a recommendation and then the commission either the subcommittee or commission as a whole will 15e79 that and we move forward with that. We have a list ofi have a sheet information sheet if you would maybe you have it to pass out. It lists the firms that we used and we used all of them very recently. Most recently i think Anderson Associates handled the police chief recruitment and alliance for director in my own department. We can also in the solicitation ask them for what experience you have in re cruting for this type of position. I do think it is a very unique position so encourage the commission not to require a level of experience that you might end up with no nobody bidding on it. Depending on how much you want the firm to do i say go between 20,000 to 50,000. On the police chief it was higher because they had a lault of meetings, meetings in the department and Community Areas where people came and kribed what they thought was important in the police chief and also handled it as a commit6tee of the whole because that was their decision. That took 1345u9 longer than it otherwise have but it is a option available to you. We have again you can use the full board or a subcommittee. My recommendation is use a subknhity so the committee can approve the letter soliciting, recommend the firm or choose the firm, approve the initial screening. The subcommittee or board can delegate to the firm, the job of qualifying the applicants in and ranking them in order. Normally they are good, better best aming those who apply but typically they present that to the the commission and commission may say the person you said was middle we like to interview because of x, y or z. That is the screening process that the board would decide how to handle it. There is no hard fast rule. These are exempt positions so no Civil Service exam. You can use the firm to do the contact squz arrange the interviews. We allow them to meet at our offices becausewe like some amount of confenchalty and may not want to show up where they might work so we facilitate the interview process. And then ultimately the of course the decision is by the board. So we couldyou could delegate a lot of it to the firm. Say bring your top 6 as a example. Or you could and you might or might not decide they need a community meeting. Meeting the board and meetings with aerts to determine the profile of the candidate. Or you could handle some of that yourself. If the board decided you wanted student to do most yourself, dhr will help with that. Sample letters and questions and helping set up skype interviews. I want to introduce [inaudible] sorrywhat is her name . Director of finance and administration and runs the processes and able staff member christina [inaudible] who supported a lot of board and commissions. I didnt hear the name of the first . Chand saw icada. Most recently the director of [inaudible] and decided dhr was better. Very happy about that. Thank you for that kind of process. One of the questions i would have is a national starting point is you typically have a member of the staff assigned to work with the commission if we request that . Yes and initially it is chandsa or christina. If you desire to have a person attend the interviews, and help with the questions we might at that point use somebody from our recruitment and Assessment Team to help give you sample questions for example or if you want to doi dont want to say Civil Service but have a scoring system we can provide examples how you might evaluate and record the evaluationoffs the candidates. Any questions from the commissioners on process . We are not talking about specifics today, just process. When we first became a independent department i found the other day the Job Description or duties or whatever, so we can do our own duties or Job Descriptions . Yes. The only thing we wouldif you want to put something there that wasnt legal we would prevent you from doing that. I have a copy of the old one. That fsh a specific request that i was going to make of directorif you could send to the board secretary and i like to send the old one. We have the old onethese type of positions whauv you have on file or whatever the last that you have on file in your office i like for you to send that. Our historian has a copy or anyone else has a copyanyone else have a copy of a prior executive director Position Description so they can be distribute today the board to begin some thoughtful process about what the scope of duties needs to be as we go forward. To the point that you made, i will be prepared part of the next meeting and hopefully be able to announce how we will structure ourselves as a commission to do this and we need a little discussion around that, but also i want to put on the record today that this will be a broad transparent and open process. I want to emphasis that, broad, pranz transpaernts and open process. I envision if we select a firm they are in collinitation with a variety of constituents. We have 4 different employers as part the system and they need to weigh in on this. We have retirees from the different systems so there we want consultation about the profile. There is probably dch different views of what the expectations should be for a new executive director as we move forward so those need to be brought into being as well. Who ever we select will be part of the early part of the process we want them to engage and bring that consolidated information back as candidate profile criteria report, whatever they call it and then we kind of have common cause of what we are searching for, if there is priortiizations among what various constituencies have said so thats our commitment and want that on the record. If i may provide information on that. We can provide you with examples of both solicitation letters and accepted proposals where the commissions have done a lot of this outreach and it would make sense to require the Recruitment Firm to manage that process but that will increase the cost. If instead you wanted to have various Commission Members lead meetings that is another option. In my humble opinion and a decision of the committee, it needs to be a independent party collecting the data so it is consistently done and presented in a format that is comprehensive in the approach. That is what the broad direction from a process standpoint today is and we got tothink this through more to be sure that we havent missed a step. Any questions from commissioners . Yes . Is it ever the case that retiring director can par ticipate in a technical or advisory capacity with a selection of a successser . Absolutely it is up to the commission. I think given thethis probably wont work for you because the time but there is a provision you can double fill a position with a person who is existing and person coming in to have a overlap. It sounds like the outreach you are looking for there will be a gap so the commission will look how to bridge the gap until you have your Selection Process completed. That is why im saying we are better prepared to talk about this next month because i