MINUTES
HIV Prevention Planning Council meeting will begin at 3 p.m.
(Please be respectful of the meeting in progress when entering the room)
Joint Meeting with the HIV Prevention Planning Council
4:30-6:00 p.m.
I. Introductions
Co-Chair Siron called the meeting to order at 4:30 p.m.
He requested for speakers to announce their name and agency or whether they
are a consumer.
Council members from both Councils introduced themselves.
Co-Chair Israel Nieves-Rivera reminded everyone on process regarding announcing themselves and public comment. He also provided some background on the Prevention Planning Council to explain the differences between Prevention and Health Services.
II. Roles, Mission & Vision of Councils Presentation
Charles Siron, HIV Health Services Planning Council
Gayle Burns & Israel Nieves-Rivera, HIV Prevention Planning Council
Each Council will briefly present their roles, mission and vision.
Gayle Burns & Israel Nieves-Rivera provided an overview of the roles, mission & vision of the HIV Prevention Planning Council. They explained that they prioritize tiers, identify at-risk populations, and taking leadership to ensure that the national agenda is not the only agenda to provide strategies and interventions to reduce the epidemic through prevention efforts.
Co-Chair Charles Siron provided an overview of the roles, mission and vision of the HIV Health Services Planning (CARE) Council. He offered details on the specific mission and roles of the CARE Council, including demographic information of Council Members.
Council Members questions or comments: none.
Public Comment on this item
No public comment on this item.
III. Reauthorization of the CARE Act
Randy Allgaier, HIV Health Services Planning Council Co-chair
Laura Thomas, HIV Health Services Planning Council
CM Allgaier and CM Thomas will present the current status and issues of concern
regarding the reauthorization of the Ryan White C.A.R.E. Act. Time for questions
and answers will follow.
Co-Chair Allgaier and CM Thomas presented information on the current status and issues of concern regarding the reauthorization of the Ryan White C.A.R.E. Act. The presentation reviewed the guiding principles and proposals of reauthorization, including severity of need index, 75% of funds for core medical services, submission of HIV data by 2007 and names-based reporting, elimination of “double counting,” the “hold harmless” issue, and the role of Planning Councils to serve as voluntary and advisory bodies.
The direct impact of these proposals on California was discussed.
The final conclusions were: that the Ryan White CARE Act works; reauthorization should not change the original intent of the RWCA; current problems will be fixed by increased resources, not by cutting from current programs; and the current administration proposals could cause major cuts to California and San Francisco. Other concluding discussion: support services are essential to keep clients in care and adhering to treatment and should not be jeopardized; jurisdictions that have dedicated resources to HIV/AIDS care and treatment should not be penalized for stepping up to the plate; Planning Councils are essential to ensuring the voices of consumers are part of local planning.
CM Thomas offered suggestions for how people can take action to do something about voicing their opinion on reauthorization including contacting elected representatives.
A handout of the Power Point presentation was provided to all present and is on file at Council Support Offices.
Council Members addressed questions to Co-Chair Allgaier and CM Thomas. Council discussed various issues with regard to decreased funding, concerns over name-based reporting of HIV cases.
Council Members requested clarity on when more information would be available.
Co-chair Allgaier indicated that there is not much movement at the time, because of other priorities of Congress (wars, hurricanes, and tax cuts) that there is not a clear idea of when a decision will be made. He agreed that Prevention Council would be notified when an issue arises that needs action, especially contacting elected officials.
Public Comment on this item
No public comment.
IV. Prevention with Positives Presentation
HIV Prevention Planning Council
The HIV Prevention Planning Council will give an update on current prevention
with positives initiatives and contracts. Time for questions and answers will
follow.
Co-Chair Burns announced the presenters for Prevention with Positives. Ed Byron
provided an update and history of the committee of the HPPC. A power point
presentation reviewed the main goals of Prevention with Positives (PWP); history
of PWP programs; how PWP programs fit into the overall prevention plan and
prevention priorities; currently funded PWP programs listing target populations.
PWP Programs linked to Centers of Excellence. Eileen Loughran discussed barriers
to implementing the program, such as recruiting medical providers, staff attrition,
evaluation social marketing and burnout for outreach and mobile clinic workers,
providing HIV/std counseling. She also discussed next steps: to continue funding
PWP programs, and SFDPH will focus on linkages among these programs.
Council addressed questions to the presenters.
Public Comment on this item
No public comments.
V. Next Steps
Co-Chairs, HIV Prevention and HIV Health Services Planning Councils
The group will discuss any next steps for the two Councils to continue work
together.
Co-Chair Gayle Burns introduced the topic and asked for comments and suggestions.
Comments and suggestions:
• Randy Allgaier proposed a collaborative workgroup made of members
of both Councils to explore how the Councils can work better together.
? He also suggested that Co-chairs of the Councils should met more often.
•
Perry Rhodes III suggested a social event for both Councils as people tend
to work better with people they know.
•
Laura Thomas remarked that the epidemiology data shows that people in SF are
coming late into care, and that 40% are late-testers -- all of which is problematic.
? Israel Nieves-Rivera indicated that this issue would be referred to the HPPC
Co-Chairs.
•
Catherine Geanuracos observed that the cultures are different between the two
Councils.
? She suggested that both Councils prioritize inclusion of the others' members.
? She also noted that she believes that there are too many ad hoc committees
in the CARE Council; and perhaps there should be a level of involvement that
is less than the year commitment required on the HPPC.
? She suggested recruiting members from the other Councils for committees.
•
Steve Gibson suggested a short term working group comprised of members of both
Councils to look at reactions to Names versus No-Names Reporting.
•
William Blum suggested Harder & Company make a presentation on PwP findings
and what the Committees thinks should be on COE.
•
Israel Nieves-Rivera suggested the Councils explore sharing a unique identification
code so as to clearly connect the linkage of services provided to individuals.
? He observed that most referrals from Prevention providers are to CARE providers
and such a code would facilitate tracking and evaluation.
? He also raised the possibility of CARE providers accepting the code established
by Prevention to ensure clients aren't double counted, while maintaining confidentiality.
•
Billie Jean Kanios suggested collaboration should continue as both Councils
have the same goal, and it would most likely benefit all to do strategic planning
together.
•
Catherine Geanuracos suggested that the format of Joint Council meetings probably
wouldn't work all the time, but that she has heard presentations in both Councils
that would be valuable to the other Council.
? She suggested that to facilitate better crossover both Councils could meet
on the same day of the month and have quarterly joint meetings.
•
Anita Booker indicated that she believes presenting late is systemic in the
African-American community and other communities of Color in SF.
? She added that there are a lot of issues that aren't being dealt with that
require thinking out of the box from both Councils.
•
Anita Booker also suggested that that there are so many meetings that perhaps
additional joint committee meetings might have different attendance requirements.
Charles Siron thanked attendees for participating, and said that the Co-Chairs
of both Councils will continue to work together.
Additional next steps include:
Continue collaboration of prevention and care.
Strategic planning together to reduce the incidence of HIV.
Having CARE Council with more research presenters
More cross-over with presentations and attendance at both Council meetings
Public Comment on this item
No public comments.
Co-Chairs thanked everyone for attending.
VI. Joint Meeting Adjourned
Co-Chair Burns adjourned the joint meeting at 6:00 p.m.
Dinner will be served from 6:00-6:10 p.m.
HIV Health Services Planning Council Meeting
6:10-7:30 p.m.
I. Call to Order
CM Siron called the meeting to order.
II. Roll Call
Council Support called the roll. See Attachment A, Column 1.
III. Review and Approval of Agenda
Council reviewed the agenda. CM Hume moved to approve the agenda. CM Durio
seconded. Agenda approved by consensus.
IV. Review of Minutes- August 26 & 27, 2005
Council Members were instructed to review the 40-plus pages of minutes from the Prioritization and Allocation two-day meeting and they will be approved at the October Council meeting.
V. General Announcements
CM Kanios announced graduation of Walden House at Palace of Fine Arts on November 1st. This is evidence of the success of their program, and people reclaiming their life. He will provide invitations and encourages everyone to attend.
CM Graham announced her pending resignation from the CARE Council with all of her growing demands on the Marin Council and will still be involved.
CM Sallee announced her pending resignation that this would be her final CARE Council meeting, due to the increased demands of her new position at Kaiser. She expressed her gratitude for serving on the Council for three and half years, she believes in the work of the Council and will continue to support however she can.
CM Durio thanked everyone for the last three years, this will be his last Council meeting and he will be submitting his resignation soon.
CM Hume announced that this is his last Council meeting and has already submitted his resignation.
CM Geanuracos announced that she has already announced her resignation.
CM Booker announced that due to personal and business reasons she has submitted a three month request for a sabbatical from the Council.
Jack Newby announced that there is a cake in recognition and appreciation of all the Council Members for all their work, and congratulated them. Jack presented three certificates of appreciation to CMs Hume, Sallee, and Geanuracos.
Council Support Leah Crask announced that she is resigning from her position at the end of the month.
VI. Public Comment
Tracy Brown of TARC announced receipt of a letter awarding them a grant working with H+Co. to build on the Needs Assessment research and to determine how to provide more services in the Tenderloin.
No other public comments.
VII. Distribute Ballots for Council Co-chair- VOTE
Co-Chair Siron asked for additional nominations for Council Co-Chairs.
Ballots distributed listing names of nominees identified at the last Council
meeting and blanks for write-in names.
Co-Chair Allgaier reviewed the demographic qualifications of current nominations.
No further nominations. Nomination closed.
Council Support collected and tabulated the ballots and will provide results
later in the meeting.
Public Comment on this item
No public comment.
VIII. Grantee Quarterly Report
Michelle Long, Director HIV Health Services
Michelle Long provided the grantee quarterly report to the Council. She provided
a handout (on file at Council Support Offices).
All of original care contracts have been completed. At this point, only 3% of contracts are still in review or negotiation process. Approximately 18 new contracts from the MOU will be generated from 2 solicitations and not included in the other reported counts. Other information provided includes information on solicitation and the number of proposals for each solicitation as well as the total amount request and total amount funded. She pointed out a disparity in the amount requested (nearly $15 million) and the amount funded ($4.8 million) for the COEs.
Council directed questions to Michelle Long who offered clarification on various concerns.
Due to meeting running late, Michelle indicated that Council Members could contact her directly with any questions.
Public Comment on this item
There were no public comments on this item.
Co-Chair Siron asked for a consensus to continue the meeting to 7:40 p.m. There was no disagreement.
IX. Counties Working Group Proposal-VOTE
Co-chairs, HIV Health Services Planning Council
The Council will review the Proposal (Structure of Relationship Between Counties
and the Planning Council) from the Counties Working Group and vote on accepting
the proposal.
Council Co-Chair Siron informed Council that he also served as one of the co-chairs
on the Counties Working Group. He directed Council to the Relationship document
(presented to all present and on file at Council Support Offices). He announced
that this has been brought to the Council as a motion from Steering Committee.
CM Allgaier spoke in favor of the motion from Steering to approve the proposal.
CM Kleffner spoke in favor of the motion and added that it is 10% down payment,
a first step that Marin County is admitting that it will follow the Title
I process. She added that EMA-wide issues need to be addressed and willing
to accept as an initial step.
CM Spaeth spoke in favor of the proposal, and on behalf of the Marin County
DPH she says it will help make it clear on how to move forward and they have
already achieved many of the goals and objectives in the document.
CM Durio asked for explanation about the cost of the proposal.
CM Allgaier indicated that little cost is attached, other than some funds already
included in the budget, for Council Support for the Counties. This was agreed
to by the Counties.
CM Byers indicated that Title II dollars does not go to the Counties and this
can change from year to year…and suggested adding a reference to (“and/or
Title II”) which will address future issues. He made a motion to amend
the motion accordingly.
CM Graham seconded.
Council discussed.
VOTE ON THE AMENDMENT by hand vote: Y (18); N (none), 1 abstention. All in
favor of the motion to amend the proposal.
Discussion on amended motion.
Public comment. NONE.
VOTE ON amended motion: All if favor 18, Opposed (none); abstentions (2). The motion passed to approve the proposal on the Counties relationship.
Public Comment on this item
No public comments.
X. AIDS Partnership California Statement-VOTE
Randy Allgaier, HIV Health Services Planning Council Co-chair
CM Allgaier will present the statement from the AIDS Partnership California
regarding reauthorization of the CARE Act. The Council will vote on whether
or not to sign on to the statement.
CM Allgaier reviewed the information presented earlier on reauthorization and everyone was in agreement that the entire presentation need not be repeated. He briefly explained the AIDS Partnership California Statement.
Public Comment on this item
No public comment.
HAND VOTE on adopting and signing 16 in favor, opposed (none); 3 abstentions.
The motion to adopt the AIDS Partnership California Statement passed.
XI. Discuss Comprehensive Plan Values & Vision Statement
Randy Allgaier & Don Soto, Comprehensive Plan Working Group
Council will discuss the Shared Values and Vision statement from the Comprehensive
Plan and participate in a Shared Values and Vision exercise.
CM Soto announced that the Comprehensive Plan Working Group (CPWG) has been formalized. He provided brief background information on the process. He announced the upcoming meeting dates and encouraged Council Members to participate. He pointed everyone to the definition of Core Values (document on file at Council Support Offices).
Co-Chair Allgaier encouraged the Council to brainstorm on different ideas regarding core values without considering funding cuts, and in light of all the best possible scenarios.
Access
Respect
Equity EMA-wide
Client-Centered
Accountability/Oversight
Independence
Integration
Collaboration
Excellence
Education
Choice
Compassion
Collaboration
Culturally competent
Consolidation
Advocacy
Efficiency
Council reviewed similarities on different values that could be combined or collapsed, and reviewed values identified in previous years.
The previous Three-Year Plan included these values:
Access
Compassion and respect
Excellence
Partnership
Integration
Informed Choice
Equity
Council discussed that they Equity was the same as Equality.
Group reviewed the list of identified values and Co-Chair Allgaier indicated that everyone would go around the room and apply colored dots to their top four choices of values. These would be taken back to the CPWG who would then collate the information to determine everyone’s top choices. The CPWG will bring the information back to Full Council with recommendations for core values which will lead the discussion on goals and objectives.
These decisions are based on the fact that reduced funding is inevitable, and Council Members were encouraged to make their choices based on having this in mind.
Public Comment on this item
No public comment on this item.
XII. Membership -VOTE
The membership Committee recommends the following applicants for appointment
to the Council commencing on October 1, 2005.
CM Hume announced the nominees who were up for a vote by Council for membership.
Discussion on motion from Membership Committee is a slate of nominees to have
them voted on.
Discussion on this motion.
CM Sallee asked if any candidates were applying for a particular seat, or general
membership.
CM Hume mentioned that nominee Brown will fill a Title II chair, and that candidate
Flores will fill demographic needs.
CM Pearce expressed concern about not having enough opportunity for Council
Members to discuss.
CM Miller mentioned that most meeting evaluations show that CMs do not want to stay late and that is why these candidates are being presented as a slate.
CM Molnar stated that he has no objection to the slate, but suggested individually in the future to allow a more democratic approach and individual voting.
CM Durio expressed concern about demographic statistics for the Council and commented that demographic information should be available when having a vote.
CM Hume indicated that the Council was on track except for Latino populations.
Co-Chair Siron added that this issue of demographics was discussed thoroughly
at Membership Committee.
CM Hume agreed with CM Molnar and recommends in the future that votes be done
individually.
CM Sallee suggested that more detailed information be provided on the experience
provided by a mandated seat (such as Title III).
Objection to slate voting. None.
Public comment: none
CM Graham made a motion not to vote on a slate and vote individually instead.
CM Hume seconded.
Discussion: none.
Public comment: none.
VOTE on voting for candidates individually: 13 in favor; 6 against.
The motion to vote for candidates individually passed.
All in favor of Tracy Brown: 19 in favor; none opposed; 1 abstention. Passed.
Council Co-Chair Siron welcomed Tracy Brown as a new Council Member.
All in favor of Wade Flores: 14 in favor; 4 opposed 4; 2 abstentions. Passed.
Council Co-Chair Siron welcomed Wade Flores as a new Council Member.
All in favor of Kandi Patterson:19 in favor; none opposed. No abstentions.
Passed.
Council Co-Chair Siron welcomed Kandi Patterson as a new Council Member.
ACTION: Council Support to add these new members to the Council Member roster, mailing lists, and other tasks.
Public Comment on this item
No public comments.
XIII. Nov. & Dec. Council Meeting Dates -VOTE
Co-Chairs
Council Support reported that the November meeting falls on the Monday after
Thanksgiving and should they look for another space or change the date.
CM Allgaier made a motion to look for another space.
CM Kanios offered Walden House as a meeting space.
No further discussion.
No public comment.
VOICE VOTE to hold November Council Meeting at Walden House. All in favor.
None opposed.
Regarding the December meeting, which falls on the Monday after Christmas.
CM Flood made a motion to cancel the December Council meeting.
CM Booker seconded.
No further discussion.
No public comment.
Raised hand vote to cancel Dec. meeting
7 in favor, 10 against. The motion to cancel Dec. meeting did not pass.
CM Thomas made a motion to change the meeting date for the December Council
meeting.
Discussion:
CM Hume commented that perhaps changing the Council meeting day permanently
would prevent this problem in the future.
No further discussion
No public comment.
Motion to change meeting date to Dec. 19 (3rd Monday): 16in favor; 2 opposed; 2 abstentions. The motion passed.
ACTION: Council Support to modify calendar and arrange for meeting space for
December 19.
Public Comment on this item
No public comments.
XIV. New Council Co-chair Voting Results
Council Director Jack Newby presented results of Co-Chair election ballots:
Billie-Jean Kanios, Randy Allgaier, and Don Soto
ACTION: Council Support to modify documents, email lists, and other tasks associated with assigning of Council Co-Chairs.
CM Allgaier thanked CM Siron and CM Booker for working together over the past
year.
Public Comment on this item
No public comment.
XV. New Business/ Next Agenda
•
Council Members will have an opportunity to complete Meeting Evaluation Forms.
•
The next Council Meeting will on October 24, 2005 from 4:30-7:30 p.m.
XVI. Adjourned
The meeting adjourned at 7:42 p.m.
Note: Agenda items are subject to change, postponement, or removal. Meeting agendas are considered to be in DRAFT form until reviewed and approved by Committee attendees.
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