Committee Members Present: Charlene Pugh, Elyse Graham, Charles Siron, Laura
Thomas
Other Council Members Present: Randy Allgaier, MJay Sanders
Council Support Present: Leah Crask, Kari Orvik
Others Present: John Golenski,
1. Introductions
2. Review/Approve Agenda
The Committee reviewed and approved the agenda by consensus.
3. Review/Approve Minutes
The Committee reviewed and approved the minutes by consensus.
4. Announcements
There were no announcements.
5. Public Comment
There was no public comment.
6. Steering Committee Update
CM Allgaier reported that the ISM Advisory Group had decided to recommend to the Council that all funding, including the DPH set side funds, within primary care and ISP categories be put out to bid together. The Group has yet to make any recommendations on the amount of money. The Advisory Group also discussed subcategories to define the target population for ISM. These subcategories would be cumulative, not ranked in order of importance. The ISM Advisory Group also recommended that the ISM now be called Centers of Excellence, in an effort to create a terminology that reflected both the efforts of managing chronic disease and compartmentalizing funding streams and services in a coordinated fashion. The Advisory Group plans to use the ISM guiding principles as the basis for the Centers of Excellence, and plans to ask for input from different departments, including DPH, to be involved in the planning process.
The Committee Co-chairs updated the Committee on the last Steering Committee meeting. The Steering Committee discussed the topic of Council Support and voted for the option presented by Shanti to stay at the same level of funding for this contract year. This budget would include hiring a part-time evaluation and training coordinator. Any salary savings would go into hiring consultants.
7. Severe Need Definition Discussion- VOTE
John Golenski and the Committee discussed the Severe Need Definition. CM Sanders
voiced his concern that the definition might exclude those with some kind
of insurance, but who were underinsured, from receiving services. Mr. Golenski
interpreted from the last full Council meeting that the Council was critical
of taking out eligibility issues, such as uninsured, from the Severe Need
definition and asked the Committee if there was a way for the group to modify
the Severe Need definition to include and address the needs of the under-insured
and those who don’t have access to services. The Committee discussed
the possibilities of deepening the categories to include issues of access.
CM Thomas – they want you to identify severe need pop, look at data, document the extent to which you have severe need in your EMA, Need to look at how def impacts other folks CM Allgaier wants to expand def so that people don’t fall through cracks to become the severest need
The final conclusions of the Committee’s discussion are below. The Committee
voted on the following criteria for the Severe Need definition.
CM Siron made a motion to accept the following criteria for Severe Need and
forward this revision on to the Steering Committee for approval to send to
the Second Full Council meeting in June. CM Pugh seconded the motion. The motion
was approved.
CM Thomas agreed to write up a summary of the categories.
•
HIV+
•
County resident in EMA
•
Uninsured or underinsured for the service being provided
•
Low income- 300% FPL ($39K)
o same as ADAP
Severe Need
•
HIV/AIDS disability/ stage of disease
•
Active substance abuse & mental health
•
Poverty- 100% FPL (13K)
o Will include most homeless
Special Populations with Unique or Disproportionate Barriers to Care
•
Transgender individuals
•
Populations with lowest access to HAART
o E.g.-African Americans & Bayview/ Hunter’s Point
•
Language and cultural barriers
o Includes undocumented
•
Incarcerated/ recently released
8. Review Revised Media Policies-VOTE
The Committee discussed the changes to the draft Media Public Policy. CM Graham
made a motion to approve the policy. CM Pugh seconded the motion. The motion
was approved and the document will be forwarded to the Steering Committee.
9. Next meeting date & agenda items
The I&P Committee meeting will meet on June 17th from 4:30-6:30pm.
The meeting adjourned at 6:50pm.
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