HIV Health Services Planning Council
Planning Committee Draft Minutes
Tuesday, December 9, 2003
25 Van Ness Ave., Room 330 A
3:30 p.m. – 5:30 p.m.

Committee Members Present: John Conley, Lara Sallee, Bill Blum, Margot Antonetty, Susan Shea, Mary Lawrence Hicks
Committee Members Absent: George Simmons
Council Members Present: Charles Siron, Brad Hume, Don Soto, Joe McMurray
Others Present: Leah Crask (Council Adm. Asst.), Joe Fera (Director of Community Support), Michelle Long Dixon (HIV Health Services), Russ Zellers (HIV Health Services)

1. Introductions

2. Review/Approve Agenda
Council Support announced there will not be a December Council Meeting, so agenda item 8, Preparing for December’s Council Meeting, should be changed to preparing for the January 2004 Council Meeting.

Agenda item 10, Solicitation Plan Update was moved to after public comment.

The revised agenda was approved by consensus.

3. Review/Approve Minutes
The minutes from November 13, 2003, were approved.

4. Announcements
Council Member Sallee (CM) announced the National Caear Collation meeting was focused on reauthorization. She also announced many other sections of the Country are pushing for a readjustment of the formulas for funding. This readjustment would not be good for out EMA and we would be likely to more rapidly lose more money.

CM Conley announced, he attended the California Conference of Local Health Offices board meeting and requested that they take a position against the Governor’s cap on ADAP enrollment. The board unanimously agreed to this, and having this group on record as opposing the Governor’s action might be helpful.

5. Public Comment
There was no public comment.


6. Ethical Decision Making Presentation

The Committee discussed the Ethical Decision Making Presentation from the last Council meeting and how to apply the information from the presentation. Some of the discussion points included:
· Integrating the Shared Values and Vision into the prioritization process
· Possible discussion and ranking of Values in Full Council Meeting
· Having members engage in this complex system where many of the documents/values used to make decisions contradict each other (have new members engage in this discussion at orientation)

CM Shea stated a motion to hire John Golenski to work with the Council on creating a process for incorporating the Shared Values and Vision of the Council into the prioritization process. The motion was seconded. The Committee discussed the motion and how such a project would be coordinated. The Committee voted all in favor of the motion.

Council Support will plan a conference call with John Golenski, the Planning Committee, and the Council Co-chairs. The Council will ask for a proposal from Mr. Golenski for the project.

7. Solicitation Plan Update
Russ Zellers asked the Committee what directives they have for the AIDS Office regarding an decrease or an increase in MAI funding. The Committee agreed this question should go to the Infrastructure and Policy Committee.

Russ Zellers then asked the Committee for clarity regarding reduced funding. It was not clear to the AIDS Office if the Council was expecting them to first make cuts for underutilization of services. The Committee explained that cuts should be done by category, but the Council should be informed if all the services in a given category are under producing.

Russ Zellers then gave the Committee an update on the solicitation process. The AIDS Office has looked a some details and revised the solicitation plan, reducing the number of programs that need to go out to bid. By doing this the overall work load of staff is reduced and allows more time to concentrate on planning the ISM. A few contracts may need to be moved up to this month instead of in a few months on the solicitation calendar. This way these will be finished and again will allow for more focus to be on the ISM for the new year. He handed out an updated HHS Solicitations FY 03-04 sheet. This includes the solicitations, which have already been released. Office of Minority health and Assertive Case Management will most likely not have to go out to bid after all. The second page of the handout includes those services, which will be put out for the ISM.

Mr. Zellers than gave an update on the ISM developments. The AIDS Office is working with a consultant, using some of the unobligated funds, to work with providers to plan for the reorganization and solicitation for the ISM. He has also mentioned this to the Infrastructure and Policy Committee and they are planning to have a joint meeting with this Committee to discuss the issue of putting all of the primary care dollars into ISMs or staggering the amount of money over time. He has also met with the Community Outreach and Advocacy Committee to work with the Committee on gathering community input.
The Committee discuss the integration of the Council into the solicitation process. CM Shea and Blum will be contacting HAPN about integrating them into the information process about solicitations. Russ Zellers will be attending the Infrastructure and Policy Committee to discuss the ISM and will give solicitation updates to this Committee. He also mentioned at this time, the Standards of Care for the ISM are not being developed. A discussion about the primary care dollars moving into the ISM category will be discussed at the January Infrastructure and Policy Committee meeting. The Committee agreed to attend the January 7, 2004 Infrastructure and Policy Committee meeting to discuss moving primary care dollars in the ISM category.

8. Discuss Evaluation of Council Presentations
CM Blum mentioned this agenda item is to check in on how the Committee felt the last Council meeting presentations went. The Committee agreed evaluations of the Council Meetings is the work of the Evaluation Committee. The Committee agreed to do a standard check in at each Committee meeting to discuss the presentations at the previous Council Meeting.

9. Prepare for January Council meeting:
The Committee reviewed the topics to be covered at the January Council Meeting. CM Shea suggested talking to the Council about the type of work the consultant will do instead of discussing what decision making model to use.

Joe Fera agreed to have an overview of other EMA’s decision making methodologies to present to the Planning Committee in January. CM Shea mentioned she is hoping the consultant will help the Council develop its own decision making method.

Other topics to be presented at the January Council Meeting include:
Overall Structure of HIV Care in San Francisco- The idea behind this is to show how the money is distributes through out San Francisco and who pays for HIV Care in the city as a whole, to help Council Members see where Title I and Title II dollars fit in. Council Support will ask Laura Thomas if she will present this and CM Antonetty will work with Joe Fera to develop this presentation.

Ridding Process-CM Shea will present and CM Hume will review the presentation before the January Council meeting.

Input for 04-05-CM Sallee will follow up with the Evaluation Committee Co-chairs about having them come to the next planning Committee meeting and they presenting the information at the January Council Meeting.

HRSA program guidance-This is to remind the Council of the HRSA program guidance. Joe Fera will check to see if Lorenzo Taylor could prepare something for this topic or if HRSA already has recommendations or a presentation on disk. If not, then CM Shea will present this and Laura Thomas will be asked to assist in the presentation. CM Hicks will review the presentation before the January Council Meeting.

10. Revise Prioritization Calendar
CM Sallee suggested the Committee determine a date of the prioritization meeting. Cm Salle stated a motion to move the July meeting to June and then have two meetings in May and June, with the second June meeting being the prioritization meeting and then take off the month of July, including all committee meetings being off. CM Shea seconded the motion. The Committee voted, five members were in favor of the motion and three members were opposed to the motion. The motion did not pass.

CM Hume mentioned that fact that Council Members to not agree to two meeting a month when they apply for membership to the Council. The Committee discussed having two meeting in a month and possible dates for the prioritization meeting.

CM Sallee stated a motion to hold the eight-hour meeting in the fourth week of July, holding two meetings in June. The motion was seconded and the committee voted all in favor of the motion.

11. Next Meeting Date & Agenda Items

The next Planning Committee meeting will be on January 13, 2003 from 3:30-5:30 p.m. Possible agenda items for next meeting include:
· Standard for all coming meetings include- review of last Council Meeting, planning for the next two Council Meetings
· Determine when Young Positives Needs Assessment Project present their results to the Council
· Calendar results of the Bayview-Hunter’s Point study and get a progress report

The meeting was adjourned at 5:31 p.m.


Meeting minutes are considered to be in DRAFT form until reviewed and approved by Council attendees.

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