HIV Health Services Planning Council
Steering Committee DRAFT Minutes
Monday, June 19th, 2006
SFDPH 25 Van Ness Avenue, Room 330B
5:00 -7:00pm

Committee Members Present: Billie-Jean Kanios (Council Co-chair); Dorothy Kleffner (Membership Committee); Mark Molnar (Membership Committee); George Simmons (Planning Committee); Charles Siron (I&P Committee); Mary Lawrence Hicks (Evaluation Committee); Bill Blum (POI Co-Chair)
Committee Members Absent: Randy Allgaier (Council Co-chair); Donald Soto (Council Co-chair); Devin Anderson (COA Committee); Margot Antonetty (Housing Work Group Co-Chair); Sparkie Spaeth (Evaluation Committee), Laura Thomas (Planning Committee), Ayisha Benham (I&P Committee);
Council Support Present: Jack Newby; Susan Latham; Joe Lynn

1. Introductions

Council Co-Chair Billie-Jean Kanios called the meeting to order at 5:20 pm. There was no quorum. Everyone introduced themselves.

2. Review/Approve Agenda

The group reviewed the agenda, and there were no objections.

3. Review/Approve May 15th, 2006 Minutes

The group reviewed the minutes and suggested changing the PWP designation to POI in the list of committee co-chairs represented. Approval of the May 15, 2006, minutes will be placed on the next agenda.

4. Announcements

• Update on meetings with San Francisco Board of Supervisors and Ammiano Resolution

• Update on HRSA Response Letter (HRSA Letter received 3/29/06: HAB Policy Notice-99-02, AMENDMENT #1, Document Title: The Use of Ryan White CARE Act Funds for Housing Referral Services and Short-term or Emergency Housing Needs

Ms. Kanios said that there would be a needs assessment on late testers. She also announced an upcoming community outreach forum on June 22. There was no update on meetings with the Board of Supervisors. Laura Thomas, Randy Allgaier and Don Soto had been in Washington, D.C., the prior weekend.

Director Jack Newby said that there still had been no publication in the federal register of the of HRSA letter.

5. Public Comment

There was no public comment.

6. Committee Check-in

Discuss any issues coming up at the different Committees, communication between Committee Co-chairs, and ensure linkage of Committee activities to the Full Council.

• I&P(Infrastructure and Policy) Committee Update

I&P Co-Chair Charles Siron said there would be an upcoming meeting with the Evaluation Committee and I&P. He said that the SRO Task Force would be canceling its meetings scheduled for July 12.

• COA (Community Outreach and Advocacy) Committee: Update to include HOPWA, Housing & SRO Task Force; Community Forum at The Metropolitan Community Church

Mr. Newby said that the June 22 community forum for positives 50 and older would not contain the dot exercises but be structured more as a focus group. The goal was to learn what is important to this group now. POI Co-Chair Bill Blum volunteered to give Mr. Newby some questions for the group to learn the possible barriers to testing this group had encountered.

• Planning Committee Update

Planning Co-Chari George Simmons said that the rest of the meeting contained the results of the most recent Planning Committee meeting. The main subjects were the preparation for the August summit and the presentation to the full council of the RCF-CI.

• Housing Work Group Update

There was no update.

• Membership Committee Update

Membership Co-Chair Mark Molnar said that Norman Tanner had resigned. The committee would continue its review of Danny Garcia’s application in August when they hoped to have the completed application; the Committee had reviewed others’ applications, one of which was illegible, and two others where interviews would be scheduled when the applicant had attended a full council meeting.

The Committee also had developed a consensus on making meeting attendance requirements more automatic so that they could be administered by staff. There was some question as to whether only HIV-related illnesses should be the cause of an excused absence. Some thought that this should be expanded to all illnesses while others thought such an expansion may create problems. There was a consensus that other excuses should be allowed such as advocacy for the Council that prevented a member from attending the full Council meeting. There was also a consensus to remove a member who had been on probation for four out of the last 12 months.

• Evaluation Committee Update

Evaluation Co-Chair Mary Lawrence Hicks said that there would be no regular meeting of Evaluation since they were planning a July meeting with I_&P.

• PoI (Points of Integration/HPPC) Update

POI Co-Chair Bill Blum reported on the meeting with the Centers of Excellence on prevention with positives. They were focusing on late testers and non-testers. A recent change will monitor the COE’s on prevention with positives.

7. Prepare for Prioritization and Allocation Summit, Discussion of Issues and Decision- Making Process
Draft Format:

• Thursday, August 24th
Eureka Recreation Center, 100 Collingwood Street, San Francisco

o Review Reauthorization
o Review Data
o Priority Setting

These meetings will be from 9 to 5. It was uncertain who would be responsible for the review of the data.

• Saturday, August 26th
Eureka Recreation Center, 100 Collingwood Street, San Francisco

o Resource Allocation

The Planning Committee will develop scenarios for the full council to consider under both the present law and the possible change to the new 75% rule. Top leadership in the City needs to be prepared to assume the role in directing a possible reshifting of resources. The Council itself needed to be prepared for significant changes. Although a waiver is possible, it carried possible negative side affects on the competitive part of the award.

There was a discussion of the definition of medical case management. The term seems to raise the prospect of case management involving nurses who would cost twice as much as competent social workers.

8. Discussion of July and August Full Council Meeting Schedules and Agenda Items

The committee will discuss possible meeting schedules and agenda items.

• Monday, July 10th meeting, 4:30 – 7:30pm, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B & C

The draft Schedule contains multiple meetings. A review indicated that they were needed, in part because presentations had been put off earlier in the year. This Schedule will be placed on the agenda for the next full Council. There were comments that a greater number of meetings could exacerbate the quorum problem faced by many committees, but it was agreed the work had to be done.

The presentations of the counties still needed to be calendared. It was thought that this might be added at the allocation meeting during the summit.

• Monday, July 24th meeting, 4:30-7:30pm, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B & C
• Monday, August 14th, The State Building, 455 Golden Gate Avenue, The San Diego Rooms A, B ONLY
• Monday, August 28th, 4:30-7:30pm, The State Building, 455 Golden Gate Avenue, The Benicia Rooms A, B (no microphones)

The Aug. 28 meeting had been scheduled in the event it was needed.

9. Reauthorization Update

This matter had been discussed above.

10. Discussion of Funding Streams Overview

Mr. Newby’s presentation was available in the form of a handout, and there were no comments.

11. Discussion and Possible Action Regarding Policies and Procedures Manual

There was no need to discuss this subject.

12. Review Council Meeting June Agenda
Review and finalize next Full Council meeting agenda for Monday, June 26, 2006. The meeting will be located at the Milton Marks Convention Center, 455 Golden Gate Avenue, Lower Level, San Diego Rooms

• Scheduling Full Council June presentation(s)
o DPH Quarterly Report
o Facility Based Health Care for San Francisco Collective
• Prioritization and Allocation Timeline for August Summit Meetings
• DPH Reggie and Quality Management Report
• Funding Streams Overview

There was a discussion of the order of items and increasing the time for Council Member Laura Thomas’s presentation. There would be no need for the proposed discussion on policies and procedures. It was also agreed that more time should be put into the proposed agenda for a discussion of the new business at the following meeting.

13. Next Meeting Date and Agenda Items
Determine the next Steering Committee meeting and agenda, Monday, July 17th, at the same location.

Adjournment. The meeting adjourned at 6:27 pm.

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