OPENPUBLICA · PUBLIC MEETING RECORD
Record of Proceedings

Public Safety and Neighborhood Services Committee Meeting - February 10, 2022

Public Safety and Neighborhood Services CommitteeThursday, February 10, 2022
BodySan Francisco, California
SessionPublic Safety and Neighborhood Services Committee
DateThursday, February 10, 2022
StatusFILED
Video Record

STREAMING COPY IN PREPARATION — RECORDING AVAILABLE FROM THE ORIGINAL SOURCE

Transcript — Verbatim
0:00

February 10th, 2022 meeting of the Public Safety and Neighborhood Services Committee.

0:05

Um, Supervisor Gordon Maher, the chair of this committee, and I'm joined by committee member Catherine Stephanie.

0:11

I want to thank this committee's clerk, Elisa Samara.

0:14

And I'd also like like to thank Colina Mendoza and Michael Balthazar from SFGov TV for staffing this meeting.

0:21

Madam Clerk, do you have any announcements?

0:23

Yes, Mr.

0:24

Chair.

0:24

The minutes will reflect that committee members participated in this meeting remotely through video conference to the same extent as though they were physically present.

0:32

The board recognizes that public access to city services is essential and invites public participation in the following ways.

0:39

First, public comment will be available on each item on this agenda, either Kate Channel 26, 78, or 99.

0:45

NSFgovTV.org are streaming the public comment call in number across the screen.

0:50

Comments or opportunities to speak during the public comment period are available via phone call by calling 415 65501.

0:59

Again, 415 65501.

1:03

The meeting ID is 24808404683.

1:09

Then press pound and then pound again.

1:11

When connected, you will hear the meeting discussions, but but you will be muted and in listening mode only.

1:17

When your item of interest comes up, please dial star three to be added to the speaker line.

1:21

Best practices are to call from a quiet location, speak clearly and slowly, and turn down your television or radio.

1:27

Alternatively, you may submit public comment in writing in either of the following ways.

1:31

You can email them to myself, the Public Safety and Neighborhood Services Clerk at Elisa Samara, A-L-I-S-A.S.O.M.E.R.A.

1:39

at SFGO V dot O R G.

1:42

If you submit public comment via email, it will be forwarded to the supervisors and included as part of the official file.

1:48

You may also send your written comments via ULS postal service to our office at City Hall.

1:53

One, Dr.

1:54

Carlton B.

1:54

Goodlip Place, room 244, San Francisco, California, 94102.

1:59

Finally, items acted upon today will appear are expected to appear on the Board of Supervisors agenda of March 1st, 2022, unless otherwise stated.

2:10

Thank you, Madam Clerk.

2:13

I would first like to make a motion to excuse Supervisor Haney from today's meeting.

2:18

Can you please call roll?

2:20

Yes, on the motion to excuse Supervisor Haney from today's meeting.

2:25

Vice Chair Stephanie.

2:26

Hi.

2:27

Stephanie I, Chair Mahr.

2:30

Hi.

2:31

There are two eyes.

2:33

Thank you.

2:34

Madam Clerk, can you please call item number one?

2:37

Yes, agenda item number one is an ordinance amending the health code to require general acute care hospitals in the city to report annually to the Department of Public Health the number of and certain demographic information regarding patients transferred to a health facility outside of the city to receive subacute skilled nursing care and patients who qualify for subacute skilled nursing care but are not transferred to a health facility outside of the city.

3:01

Members of the public which apply public comment on this ordinance should call the public comment number now, 415-655-0001.

3:08

Enter the meeting ID of 2480-840-4683, then pound and pound again.

3:15

Once connected to the meeting, you will need to press star three to enter the queue to speak.

3:18

Assistant prompt will indicate that you have raised your hand.

3:21

Please wait until we take public comment on this item, and the system indicates that you have been unmuted.

3:25

And that will be your cue to begin your comments.

3:28

Mr.

3:28

Chair.

3:29

Thank you, Madam Cork.

3:30

And thank you, uh Supervisor Safai, for joining us and just for all of your leadership on this really important issue of how to address our city's um uh deficit of subacute care beds.

3:43

Um thanks for bringing this conference forward.

3:46

Supervisor Sapai Thank you, Chair Maher.

3:51

Thanks, uh Supervisor Stephanie, board members.

3:54

Uh so this has been an ongoing conversation from the minute we came into office and when CPMC negotiated uh with the city.

4:05

There was unfortunately a clause in their negotiation that allowed them to eliminate subacute beds at St.

4:13

Luke's Hospital.

4:15

At the time, the notice was sent out to families and subacute patients that they would be basically sent out of county.

4:24

And with the elimination of all those beds, there would be no more subacute in hospital care in the city and county.

4:31

We were able to work with CPMC.

4:34

They transferred the patients over to the Davies campus, uh, but it's still highlighted for our city the lack of subacute care in San Francisco and the need for that of subacute in hospital care in particular.

4:51

Many of the patients are indigent and their families don't have the ability or the time to travel outside of the camp county to see people that are essentially living on ventilator support and other support systems within the hospital.

Discussion Breakdown — Share of Meeting
Public Health█████████████████████████████████████████████53%
Procedural████████████████████████████████████████47%
Summary of Proceedings

Public Safety and Neighborhood Services Committee Meeting – February 10, 2022

The Public Safety and Neighborhood Services Committee of the San Francisco Board of Supervisors met on February 10, 2022, at 6:00 PM remotely. The committee considered one agenda item: an ordinance amending the Health Code to require general acute care hospitals to report annually on subacute care patient transfers out of county. Supervisor Gordon Mar (Chair) and Supervisor Catherine Stefani (Vice Chair) were present; Supervisor Haney was excused. Supervisor Ahsha Safai temporarily joined the committee to present the legislation.

Public Comments & Testimony

  • Patrick Manad Shaw stated that the legislation "needs massive amendments or a complete rewrite" to broaden the scope of out-of-county data to be reported, which facilities must report, and the types of facilities patients are discharged to. He also noted he recently won a Sunshine Ordinance complaint against the Department of Public Health, which had claimed its Epic database does not track out-of-county discharges, but Epic Corporation confirmed the data is collected in structured fields.

Discussion Items

  • Supervisor Safai explained the ordinance is a response to the elimination of subacute care beds at St. Luke’s Hospital under the CPMC agreement, which forced patients to be sent out of county. He noted that San Francisco is "the only county in the Bay Area that does not have in hospital care at an appropriate level." The goal is to require data collection on subacute care transfers and to work with the Department of Public Health to refine the scope. He expressed willingness to continue the item to allow further input from DPH and community advocates.
  • Supervisor Mar acknowledged the need to get details right and consider requests from community advocates like Dr. Palmer and Patrick Manad Shaw to expand reporting to other types of care for which patients are involuntarily discharged out of county.
  • Supervisor Stefani thanked Supervisor Safai for his commitment, noting she visited the Subacute Hospital at Davies with him.

Key Outcomes

  • The committee voted unanimously (3-0) to continue Agenda Item 1 to the call of the Chair, allowing time for further amendments and consultation with the Department of Public Health and community advocates. The item is expected to return on a future agenda.

Meeting Transcript

February 10th, 2022 meeting of the Public Safety and Neighborhood Services Committee. Um, Supervisor Gordon Maher, the chair of this committee, and I'm joined by committee member Catherine Stephanie. I want to thank this committee's clerk, Elisa Samara. And I'd also like like to thank Colina Mendoza and Michael Balthazar from SFGov TV for staffing this meeting. Madam Clerk, do you have any announcements? Yes, Mr. Chair. The minutes will reflect that committee members participated in this meeting remotely through video conference to the same extent as though they were physically present. The board recognizes that public access to city services is essential and invites public participation in the following ways. First, public comment will be available on each item on this agenda, either Kate Channel 26, 78, or 99. NSFgovTV.org are streaming the public comment call in number across the screen. Comments or opportunities to speak during the public comment period are available via phone call by calling 415 65501. Again, 415 65501. The meeting ID is 24808404683. Then press pound and then pound again. When connected, you will hear the meeting discussions, but but you will be muted and in listening mode only. When your item of interest comes up, please dial star three to be added to the speaker line. Best practices are to call from a quiet location, speak clearly and slowly, and turn down your television or radio. Alternatively, you may submit public comment in writing in either of the following ways. You can email them to myself, the Public Safety and Neighborhood Services Clerk at Elisa Samara, A-L-I-S-A.S.O.M.E.R.A. at SFGO V dot O R G. If you submit public comment via email, it will be forwarded to the supervisors and included as part of the official file. You may also send your written comments via ULS postal service to our office at City Hall. One, Dr. Carlton B. Goodlip Place, room 244, San Francisco, California, 94102. Finally, items acted upon today will appear are expected to appear on the Board of Supervisors agenda of March 1st, 2022, unless otherwise stated. Thank you, Madam Clerk. I would first like to make a motion to excuse Supervisor Haney from today's meeting. Can you please call roll? Yes, on the motion to excuse Supervisor Haney from today's meeting. Vice Chair Stephanie. Hi. Stephanie I, Chair Mahr. Hi. There are two eyes. Thank you. Madam Clerk, can you please call item number one? Yes, agenda item number one is an ordinance amending the health code to require general acute care hospitals in the city to report annually to the Department of Public Health the number of and certain demographic information regarding patients transferred to a health facility outside of the city to receive subacute skilled nursing care and patients who qualify for subacute skilled nursing care but are not transferred to a health facility outside of the city. Members of the public which apply public comment on this ordinance should call the public comment number now, 415-655-0001. Enter the meeting ID of 2480-840-4683, then pound and pound again. Once connected to the meeting, you will need to press star three to enter the queue to speak. Assistant prompt will indicate that you have raised your hand. Please wait until we take public comment on this item, and the system indicates that you have been unmuted. And that will be your cue to begin your comments. Mr. Chair. Thank you, Madam Cork. And thank you, uh Supervisor Safai, for joining us and just for all of your leadership on this really important issue of how to address our city's um uh deficit of subacute care beds. Um thanks for bringing this conference forward.

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