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Southeast
Community Facility Commission
M I N U T E S
WEDNESDAY, January 24, 2001
6:00 P.M.
1800 Oakdale Avenue
San Francisco, CA 94124
I. Call to Order:
Commission Vice President Bobbrie Brown called the Wednesday, January 24, 2001 meeting to order at 6:15 p.m.
II. Roll Call:
Present: Commissioner Bobbrie Brown
Commissioner Heidi Hardin
Commissioner Kim Nguyen
Commissioner Enola Maxwell
Not Present: Commissioner Millard Larkin II
Staff Present: Robert Bryan, Dep. City Atty.; Toye Moses, Exec. Dir., SECF;
Kathy Basconcillo, SECF Commission Secretary
III. Approval of Minutes:
Commissioner Brown tabled the minutes of Thursday, January 11, 2001 to the next Southeast Community Facility Commission meeting of Thursday, February 8, 2001.
IV. Public Comment: None offered at this meeting.
V. Communications:
a) Letter from Public Utilities Commission/Commercial Land Mgmt. Director Gary Dowd to City College of San Francisco Chancellor Phillip R. Day re: Subleasing space at the Southeast Campus;
b) Letter to Mayor's Budget Analyst requesting for approval of an increase in the General Fund Budget for satellite sites under SECFC jurisdiction;
c) Letter to Ms. Reid re: lock alternations to Building B at 100 Whitney Young;
d) Invitation to the Annual City Clean-Up: Saturdays in February for District 10;
e) Update on construction activities on the new UCSF Mission Bay campus;
f) Memo to All City Boards and Commissions re: New Restriction imposed by Proposition J during the last election;
g) Schedule of SECF Commission meetings for the 2001 calendar year
h) Letter to the 1999-2000 Civil Grand Jury responding to the request for an Annual Report and Statement of Purpose.
VI. Director's Report:
a) HVAC is still in progress with an extended completion date. The contractor is waiting for several BBR crafts to complete their respective jobs before testing, calibrating and balancing the four air handlers with the entire system. The extended completion carries an extended price tag; therefore we are also trying some creative financing to cover these extra costs.
b) The ADA project has been halted due to inclement weather and will resume work once it dries up a little.
c) Regarding the FY01-02 budget request: Met with PUC General Manager last week to defend the request; next stop is the Public Utilities Commission itself, then on to the Mayor's office and the Board of Supervisors; Commission will be kept updated.
Commissioner Hardin moved and Commissioner Maxwell seconded to accept the Communications and the Director's Report. Motion passed.
VII: Presentation: Commissioner Brown introduced Executive Director of the Southeast Health Center, Mr. Freddie Smith who thanked the Commission for inviting him to speak on the status of the Southeast Health Center and an update into include the last 18 months of his tenure as Director.
Mr. Smith related that in these past 18 months he has learned that by comparison the Southeast Health Center, in providing health care services predominately to the City's Southeast Sector is even more needy than the East Oakland Health Center (part of the West Oakland Health Council) from where Mr. Smith has just migrated. Expecting that a (San Francisco) City Health Center would be more of an urban health center (healthier, fewer problems, etc.), has found that Southeast Health Center is more of an ‘acute care facility' than East Oakland ever was. During first 6 months at Southeast he experienced both his first fatality due to a drug overdose and a baby delivery in the facility. The ambulance comes to the (out-patient) facility on a regular basis, once to twice weekly as opposed to maybe once a quarter in East Oakland.
The Southeast Health Center serves a population of about 33,000 in the 94124 zip code where many of the health issues are: high incidence of chronic illnesses (diabetes, hypertension, heart problems, asthesma, HIV); staff challenges (return visits per patient ratio - 3.5:1, staff to patient ratio - 5,000 patients:18,000 visits); short staffed (no medical director for over two years - no clinical leadership, current acting medical director is only part-time). Despite this situation, as a community agency and facility, the Southeast Health Center should not be overlooked but supported and encouraged especially during budget season.
Break out of patient population is: approximately 80% Black, 10% Hispanic, and 5% Asian. Since between 70%-80% of total population is without insurance and health care is very expensive, patients wait until very last minute to come for medical attention. Often we must transfer/transport to General patients that more sickly, harder to stabilize and requiring more intense care.
This (the Southeast Sector) seems to be experiencing a growing homeless population with urgent health needs. Southeast Health Center has been in the community for 17 years, but without support from the community and the City it is getting more difficult to provide appropriate health care service.
Mr. Smith then opened the floor to questions and responded briefly:
In comparison to other community health facilities, it has been difficult to fill the position of Medical Director at Southeast Health Center because it is a civil service position and the financial compensation coupled with the increased responsibilities is not a natural draw to the position. Any support from the Southeast Community Facility Commission to the Executive Administrator of all the City Health Centers (Tony Wagner) would be appreciated. Sliding scales and referral/outreach of patients to home health care programs currently happens at the Southeast Health Center, however, three health outreach positions are currently out on Worker's Compensation.
Mr. Smith closed the presentation by inviting the Commission and all interested Community residents to the Health Commission presentation in the Community on February 20 (see invitation flyer) and stated that he would be glad to come back and update the Commission at a future date.
VIII. Facilities Committee Report: Commissioner Hardin read the Facilities Committee report and recommendations.
a) Commissioner Maxwell moved and Commissioner Nguyen seconded to extend the use of the current Rules and Regulation until June 30, 2001. Motion passed.
b) Commissioner Maxwell moved and Commissioner Nguyen seconded allow City College/Southeast Campus to use the Alex Pitcher Community Room on Monday evening for a Physical Education/Dance class. Motion passed.
c) The Facility Committee referred City College/Southeast Campus request to mount a mural project to the Arts Commission for design approval, then return to the Southeast Community Facility Commission for further (location, etc) approval.
IX. Adjournment:
Commissioner Hardin moved and Commissioner Nguyen seconded to adjourn the SECFCommission meeting at 7:05 p.m.
Respectfully submitted: _________________________
(Commission Secretary)
