HIV Health Services Planning Council
Infrastructure & Policy Draft Agenda
Wednesday, January 7, 2003
25 Van Ness Ave., Room 330 B
5:30 p.m. – 7:00 p.m.

Committee Members Present: Charlene Pugh, Charles Siron, Elyse Graham
Committee Members Absent:
Council Members Present: Don Soto, Brad Hume, Joe McMurray, Bill Blum, Margot Antonetty
Others Present: Leah Crask (Planning Council Assistant), Russ Zellers (HIV Health Services), Laura Thomas (Continuum)

1. Introductions

2. Review/Approve Agenda
Planning/ I&P Committee Discussion was moved to agenda item 6. The agenda was then approved as amended.

3. Review/Approve Minutes
The minutes from December 4, 2003 were approved by consensus.

4. Announcements
Council Member (CM) Antonetty announced The Department of Housing and Urban Health is hiring for the position of Program Coordinator Level III. For more information, please contact CM Antonetty.

5. Public Comment
There was no public comment.

6. Planning/ I&P Committee Discussion
The Committee discussed adding Prevention with Positives to the Integrated Service Model (ISM) definition. Russ Zellers announced that currently the AIDS Office is not planning to competitively rebid the Department of Health Programs but otherwise will be rebidding Title I and Title II dollars. The Committee discussed details around monitoring the ISM Definition and enhancing communication between DPH and the Council regarding contracts going out to bid. The discussion included the necessity to update the definition as need, integrate the ISM definition into the prioritization process, and evaluate if the inclusion in the prioritization process was successful. CM Blum agreed to speak with the prospective prioritization consultant and ask that he include the Severe Need Definition into the Council’s prioritization process.

CM Blum stated a motion that for this year, the Three Year Plan will be housed in the Planning Committee and the rebidding process will be housed in the Infrastructure and Policy Committee. The Committee discussed this motion. It was suggested there may be a need to have a separate Three Year plan working group formed out of the Planning Committee. Two main issues with the Three Year Plan are: the current Three Year Plan needs to be reviewed and the development of the new Three Year Plan should begin taking place. The Planning Committee should look at updating the current Three Year Plan and then in the future should reconsider where to look at writing the next Three Year Plan (TYP). It was suggested that the Planning Committee look at the goals and objectives of the first and second years of the TYP and try to incorporate these into the prioritization process. The Committee agreed on the TYP being in Planning for this year and the rebidding process to be in Infrastructure and Policy this year. It was mentioned how important Communication between the Planning and Infrastructure and Policy Committees will be regarding these topics. CM Blum mentioned communication between the Committees can also be discussed more at the Steering Committee meeting.

7. ISM Solicitation Planning Update
Russ Zellers came to give an update and ask for Committee input on the ISM planning. The Community meeting regarding the ISMs is planned for January 28, 2004 at 101 Grove, room 300 from 9:30 a.m.-12:30 p.m. Letters regarding the event have already gone out to inform providers. All [providers currently listed under ISP are required to attend the meeting. Mr. Zellers would like to have many Council Members present at this meeting. A consultant will help to facilitate providers building relationships to aid in the transition to the ISM. Mr. Zellers asked the Committee for feedback on what has been developed for the ISM solicitation so far.

The Committee discussed adding prevention with positives to the ISM definition. The Committee agreed prevention with positives should not become part of the ISM definition but should be more of a Standards of Care issue. The Committee then discussed why housing was not included as part of the ISM definition.

Russ Zellers asked for Council Members who would be interested in participating in the ISM Community Meeting. Council Members Susan Shea, Brad Hume and Lara Salle were all mentioned to participate.

CM Antonetty mentioned case management is provided for people in housing , only while they are in the housing services. This is a very important component of housing services. Because of the way some housing sites are paid for case management, it would not make sense to include case management in the RFP. If the case management dollars are placed in the ISM category, then residential services might not be able to access case management dollars. Therefore, case management should be excluded from the ISM requirements. Russ Zellers agreed to leave the case management dollars as they were.

Mr. Zellers asked for guidance around what percentage of monies should go out to bid for ISMs. Does the Council want to take small steps or do a very quick transition? All the money put into Integrated Service Providers will be put out but the question is how much of the other service categories, such as out patient mental health, substance abuse and case management. Should all of the monies be put out to bid or just 30%. Adult Day Health will be skipped at this time. The Committee discussed how much funding should be put out to bid. The Committee also discussed whether DPH programs should be required to fulfill the same ISM requirements.

Russ Zellers mentioned creating a separate ISM Committee for this time when the solicitation is being developed. HIV Health Services will staff the meeting and Infrastructure and Policy and Planning Committee members can be involved in the committee as well as some community members. CMs Pugh, Shea, Hume and Graham and Laura Thomas expressed interest in joining the ISM Committee. At the Community Meeting on January 28, 2004 the Committee will be announced to solicit community participation.

8. MAI Funding
Russ Zellers announced that since the agenda items were out of time, he would come back to discuss this item at a future meeting. The question to discuss is what should be done with less funding. It appears logical to cut from the bottom but the committee will need to discuss this.

9. Development of Committee Policies and Procedures
This agenda item was tabled until the next Committee meeting.

10. Review draft Master Council Calendar
This agenda item was tabled until the next Committee meeting

11. Next meeting date & agenda items
The next Infrastructure and Policy Committee meeting will be Wednesday, February 4, 2004 from 5:30-7:00 p.m.


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

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