I. Call to Order
II. Roll Call
See attachment A.
III. Review and Approval of Agenda
The agenda was reviewed and approved by consensus.
IV. Review and Approval of Minutes- May 24, 2004
The minutes were reviewed from the May 24, 2004 full Council meeting.
CM Sanders pointed out that Steve Kawa had agreed to continue to have CM Allgaier
represent the City on the CAEAR Coalition. CM Sanders also objected to stating
the Mayor intends to increase taxes.
With these changes, the minutes were approved by consensus.
V. General Announcements
Bylaws Change Vote Notification (first notified 5/24/04)
The Infrastructure and Policy (I&P) Committee announced that that a vote
on changes to the Bylaws will occur at the June 28, 2004 HIV Health Services
Planning Council meeting.
CM Siron announced the Community Forum on June 29, 2004, from 5:00-8:00 p.m. at the Metropolitan Community Church, 150 Eureka Street at 18th Street.
CM Chung announced the Transgender March on Friday, June 25 at 7pm from Dolores Park to Civic Center. Mark Leno will speak at Civic Center at 9pm. This year’s Pride theme will be “Out for Justice”.
CM Pugh announced an additional I&P Committee meeting scheduled for Thursday, June 21st, from 4:30-6:30pm to discuss rollover funds.
VI. Public Comment
Tim Patriarca (Maitri) wanted to remind the Council that facility-based healthcare
is different than home-based health care, and the only option for people
who are not in an institute or home.
Elizabeth Cohen expressed concern about maintaining funding streams for the redevelopment agency she represents, which receives HOPWA funds to fund RCSCI’s.
VII. HIV Prevention Planning Council Update
Tracy Packer, HIV Prevention Planning Council
*Planning Committee Prioritization Topic
Tracy Packer presented a brief update on the activities of the Prevention Council
including an overview of the prevention plan and the Prevention with Positives
Committee. She handed out copies of the Prevention Plan. For information on
this presentation please refer to the handouts.
The Council briefly asked questions and discussed the presentation.
Public Comment on this item:
There was no public comment on this item.
VIII. Summary Sheets
Russ Zellers, HIV Health Services
*Planning Committee Prioritization Topic
Russ Zellers presented the Summary Sheets to the Council. Mr. Zellers apologized
for not getting the document out sooner and will send it out by e-mail. All
service subcategories were at 100% or almost at 100%, so providers are mostly
meeting expectations. Another trend in the summary sheets was the increase
in the cost of providing care. The data is from the year 2003-2004 for San
Francisco only. The services are listed in priority order and do not include
information for San Mateo or Marin County. This year information about the
location of the service was provided. Sheets were included for the programs
which had their funding cut. Mr. Zellers agreed to send the information he
wished to highlight for the Council via email.
The Council asked questioned and discussed the summary sheets. For more information
please refer to the summary sheets or the audio recording.
Public Comment on this item:
Brent (Richard Cohen) encouraged Council Members to really go through prioritization
process and consider the consequences of different service groups such as
his, and to look at categorizing this service into a residential facility
service category.
Tim Patriarca (Maitri) mentioned private insurance is not an option at his facility and he doesn’t thing any RCSCI can bill insurance. He requested that this service be taken moved out of its current service category. He also stated they are seeing an increased need for end of life care and are seeing 45-50 clients a year in 15 bed facility.
Patrick Monette-Shaw stated that the Council Co-chairs should know that they are not to be speaking about specific providers.
IX. Unmet Need Report-
Ling Ch Hsu - AIDS Office
*Planning Committee Prioritization Topic
The unmet need report for the EMA was presented. Please see the hand out of
the presentation for more information.
The Council then asked questions and discussed the presentation.
Public Comment on this item:
There was no public comment on this item.
X. Dinner Break
XI. Membership -VOTE
Mjay Sanders/ Jorge Rodriguez
The Membership Committee recommended Council Member Brad Hume for membership
term renewal beginning July 2, 2004.
The Council voted in favor of the recommendation.
Public Comment on this item:
There was no public comment on this item.
XII. Rollover funds- VOTE
Co-chairs
The Co-chairs and Infrastructure and Policy Committee Co-chairs requested that
Council Members interested in the discussion attend the I&P and Steering
Committee meetings. The Council discussed voting to allow the Steering Committee
to approve a final recommendation to the AIDS Office.
CM Hume explained that the letter from Dr. Katz requested a response by June 21, 2004. The full Council would not be able to vote on this again because the next meeting is not scheduled until June 28, 2004. The Co-chairs have made a proposal for the issue to go first to the I&P Committee and then to the Steering Committee on Monday, June 21, 2004 for approval.
CM Durio made the motion to have the discussion and vote at the Steering Committee
and encourage all Council Members to attend the meeting.
CM Shea and CM Booker seconded the motion.
The Council discussed the motion to make the final decision in the Steering
Committee.
CM Simmons spoke in favor of the motion only because of the turn around time,
but warned against having small groups of people making funding decisions that
affect thousands of people.
CM Booker spoke in favor of the motion but was disappointed with the given
timeframe for the decision.
CM Geanuracos spoke in favor of the motion but asked if she could submit an
item for potential funding to the I&P Committee in writing since she would
not be able to attend the meeting.
CM Hume mentioned the AIDS Office will be a list of funding requests and the
unmet need project has a proposal also.
Public Comment on this item:
Patrick Monette-Shaw stated he was disturbed that the Council seemed to be
tying CARE Council deadlines and funding with the city’s deadlines
and funding. He recommended the Council follow procedure.
The Council voted in favor of the motion by a roll call vote. (Please see attachment A, column 2.)
XIII. Prioritization Exercise
John Golenski
*Planning Committee Prioritization Topic
John Golenski facilitated an exercise developing the Council’s prioritization
process by reviewing a values ranking process. Please refer to the hand outs
for the list of values. Each Council Member picked 2-3 values for this exercise.
Mr. Golenski mentioned that this process will also be used on the day of the
prioritization retreat. The Council added fidelity to the list of values. The
Council discussed the various values and then gave their individual rankings.
The results of the exercise produced, distributive justice as the first value
and utilitarianism as the very close second value. Compassion was an overwhelming
second choice for members. It was noted that many also picked retributive justice.
The Council discussed the exercise.
CM Simmons voiced concern about when the ISM recommendations will be presented
to the Council.
CM Shea mentioned the ISM advisory group is working very diligently to make
their recommendations. She has been encouraging the group to come to the Council
with the recommendations at the end of the group’s process instead of
after each small recommendation, since these could change depending on the
final outcome of the groups work.
CM Hicks mentioned that if the process is not explicit then it is much more
difficult to work together to make decisions.
John Golenski mentioned that after the Council’s prioritization process
he will write a report for the Council and the AIDS Office with suggestions
about information needed and the prioritization process.
Public Comment on this item:
Patrick Monette-Shaw spoke in support of CM Simmons and the Council having
enough information to make informed decisions at prioritization.
XIV. New Business/ Next Agenda
XV. Adjourned
The meeting adjourned at 7:30 PM.
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