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Edward A. Chow, M.D. President David B. Singer Vice President Cecilia Chung Judith Karshmer, Ph.D., PMHCNS-BC. David Pating, M.D David.J. Sanchez, Jr., Ph.D. HEALTH COMMISSION CITY AND COUNTY OF SAN FRANCISCO Edwin M. Lee, Mayor Department of Public Health Barbara A. Garcia, M.P.A. Director of Health Mark Morewitz, M.S.W. Executive Secretary TEL (415) 554-2666 FAX (415) 554-2665 Web Site: http://www.sfdph.org AGENDA HEALTH COMMISSION MEETING Tuesday,, 4:00 p.m. 101 Grove Street, Room 300 or Room 302 San Francisco, CA 94102 1) CALL TO ORDER 2) PROPOSED ACTION: APPROVAL OF THE MINUTES OF THE HEALTH COMMISSION MEETING OF MAY 17, 2016 *Minutes of the meeting of May 17, 2016 3) FOR DISCUSSION: DIRECTOR S REPORT (Barbara Garcia, Director of Health) Legislation Programs Budget Departmental News Announcements *Director s Report 4) GENERAL PUBLIC COMMENT AT THIS TIME, MEMBERS OF THE PUBLIC MAY ADDRESS THE COMMISSION ON ITEMS OF INTEREST TO THE PUBLIC THAT ARE WITHIN THE SUBJECT MATTER JURISDICTION OF THE COMMISSION THAT ARE NOT ON THIS MEETING AGENDA. WITH RESPECT TO AGENDA ITEMS, YOUR OPPORTUNITY TO ADDRESS THE COMMISSION WILL BE AFFORDED WHEN THE ITEM IS REACHED IN THE MEETING. EACH MEMBER OF THE PUBLIC MAY ADDRESS THE COMMISSION FOR UP TO THREE MINUTES. THE BROWN ACT FORBIDS A COMMISSION FROM TAKING ACTION OR DISCUSSING ANY ITEM NOT APPEARING ON THE POSTED AGENDA, INCLUDING THOSE ITEMS RAISED AT PUBLIC COMMENT. 5) FOR DISCUSSION: FINANCE AND PLANNING COMMITTEE THE COMMITTEE CHAIR WILL GIVE A BRIEF UPDATE ON MATTERS DISCUSSED AND/OR RECOMMENDATIONS MADE IN THIS COMMITTEE INCLUDING: PROP. I REQUEST FOR INSTITUTO FAMILIAR DE LA RAZA, JUNE 2016 CONTRACTS REPORT, CONTRACT REQUEST WITH BETTER WORLD ADVERTISING, SFDPH ANNUAL SOLE SOURCE LIST, SFDPH ANNUAL SOLE SOURCE CONTRACT REPORT, SFDPH SOLE SOURCE USAGE REPORT, SFDPH SOLE SOURCE POLICIES AND PROCEDURES, PERFORMANCE METRICS AND PROGRAM MONITORING.

6) FOR ACTION: CONSENT CALENDAR JUNE 2016 CONTRACTS REPORT REQUEST FOR APPROVAL OF A NEW CONTRACT WITH BETTER WORLD ADVERTISING, IN THE AMOUNT OF $470,400 WHICH INCLUDES A 12% CONTINGENCY, TO PROVIDE SOCIAL MARKETING SERVICES, FOR THE PERIOD APRIL 1, 2016 THROUGH DECEMBER 31 2016. RELOCATION REQUEST FOR INSTITUTO FAMILIAR DE LA RAZA INC. (PROP. I) REQUEST FOR APPROVAL OF ANNUAL DPH SOLE SOURCE CONTRACTS LIST UNDER CHAPTER 21.42 OF THE SAN FRANCISCO ADMINISTRATIVE CODE 7) FOR DISCUSSION: ZUCKERBERG SAN FRANCISCO GENERAL (ZSFG) REFLECTION ON HERITAGE SHARED WITH OUR COMMUNITY (Jeff Critchfield MD, ZSFG Chief Medical Experience Officer) THE HEALTH COMMISSION WILL HEAR A PRESENTATION ON THE HISTORY OF ZSFG. 8) FOR DISCUSSION: ZSFG REBUILD/TRANSITION UPDATE (Iman Nazeeri-Simmons, ZSFG COO) THE HEALTH COMMISSION WILL HEAR INFORMATION REGARDING THE RECENT OPENING OF THE NEW ZSFG HOSPITAL BUILDING. 9) FOR ACTION: SFDPH PATIENT RATES FY 16-17 and FY 17-18 Anne Okubo, Deputy Financial Officer THE HEALTH COMMISSION WILL CONSIDER NEW PROPOSED SFDPH PATIENT RATES. APPROVAL IS REQUESTED. 10) FOR DISCUSSION: FY 16-18 MAYOR S BUDGET UPDATE (Greg Wagner, CFO) THE HEALTH COMMISSION WILL HEAR AN UPDATE ON THE CITY OF SAN FRANCISCO FY16-18 BUDGET PROCESS. 11) OTHER BUSINESS: OPPORTUNITY WHEN COMMISSIONERS, THE DIRECTOR, AND THE PUBLIC MAY BRING UP TOPICS FOR DISCUSSION, PROVIDING THAT ANY ACTION IS DELAYED UNTIL PROPER NOTICE CAN BE GRANTED. 12) FOR DISCUSSION: JOINT CONFERENCE COMMITTEE REPORTS THE HEALTH COMMISSION WILL HEAR A BRIEF SUMMARY OF THE MAY 24, 2016 ZSFG JCC MEETING. 13) FOR DISCUSSION AND COMMITTEE AGENDA SETTING POSSIBLE ACTION: OPPORTUNITY WHEN COMMISSIONERS, THE DIRECTOR, AND THE PUBLIC MAY BRING UP TOPICS FOR DISCUSSION, PROVIDING THAT ANY ACTION IS DELAYED UNTIL PROPER NOTICE CAN BE GRANTED. 14) CLOSED SESSION A) Public comments on all matters pertaining to the closed session B) Vote on whether to hold a closed session (San Francisco Administrative Code Section 67.11) and to invoke the attorney-client privilege (San Francisco Administrative Code Section 67.10(d) Page 2

C) CONFERENCE WITH CITY ATTORNEY Convene in Closed Session - Existing Litigation - Motion that the convene in closed session with the City Attorney for the purpose of conferring with, or receiving advice from, the City Attorney regarding the following existing lawsuits in which a proposed settlement is being consider by the Commission, pursuant to San Francisco Administrative Code Section 67.10(d) and California Government Code Sections 54956.9 and 54956.9(e)(3) permit this closed session. Discussion in open session concerning these matters would likely and unavoidably prejudice the position of the City in the pending lawsuits listed below. (After a closed session, if one occurs, the shall adopt a motion either to disclose or not to disclose.) 1. Settlement of Existing Litigation as Plaintiff: Lawsuit filed by the San Francisco City Attorney's Office, acting on behalf of the People of the State of California, against Blue Cross of California and Anthem Blue Cross Life & Health Insurance Company (collectively, "Blue Cross"). Blue Cross to pay City $6,250,000 in restitution and civil penalties for under reimbursing Zuckerberg San Francisco General Hospital and Trauma Center ( ZSFG ) for emergency medical care provided to Blue Cross s insureds prior to July 1, 2015, and for the payment of additional amounts at agreed upon rates for such emergency medical care provided between July 1, 2015 and June 30, 2019 People of the State of California, acting by and through City Attorney Dennis J. Herrera, vs. Blue Cross of California, Inc., d/b/a Anthem Blue Cross; Anthem Blue Cross Life and Health Insurance Company; and Does 1-50 (San Francisco Superior Court Case No. 11-511181) (ACTION) 2. Settlement of Existing Litigation as Defendant/Supplemental Report: David Zeller, $900,000.00 David Zeller vs. San Francisco General Hospital; The City and County of San Francisco; The Regents of the University of California; Matthew Oertli, M.D.; Malini Singh, M.D.; John Rolsont, M.D.; Daniel Pastula, M.D.; Jeffrey Dixon, M.D.; Murat Pekmezci, M.D.; Ehsan Tabaraee, M.D.; Ralph Coughlin, M.D.; Abbey Kennedy, M.D.; Samantha Piper, M.D.; Peter Shen, M.D. (San Francisco Superior Court, Case No, CGC-13-529554) (ACTION) 3. Settlement of Existing Litigation as Defendant: Paul Walker, $80,000.00 Paul Walker vs. City and County of San Francisco; and Does 1-10 (US District Court, Northern District Case No, CV-15-5129-JCS) (ACTION) 4. Settlement of Existing Litigation as Defendant: Mary Perez, $87,500.00 Mery Perez vs. City and County of San Francisco, Orin Zebest, Robert E. Alvernz, Erin M. Grace, Dr. Derrick Lung, Lieutenant Stephen Tilton, and Does One through Fifty, inclusive (San Francisco Superior Court, Case No, CGC-15-544024) (ACTION) 5. Settlement of Existing Litigation as Defendant: Muaadh Alawadhi and Suad Mahoub, $156,250.00 Page 3

Muaadh Alawadhi and Suad Mahyoub vs. City and County of San Francisco, San Francisco General Hospital, Regents of the University of California, and Does One through Fifty, inclusive ( San Francisco Superior Court, Case No. CGC- 15-543559 (ACTION) D). Closed Session pursuant to Cal. Government Code Sec. 54957(b) and S.F. Adm. Code Sec. 67.10(b): PUBLIC EMPLOYEE PERFORMANCE EVALUATION: Executive Secretary -- Mark Morewitz (ACTION) E) Reconvene in Open Session: Motions and vote on whether to disclose any or all of the closed session discussions, San Francisco Administrative Code Section 67.12(a) (ACTION) 15) ADJOURNMENT * Explanatory documents are available at the Office, 101 Grove Street, Room #309, telephone 554-2666. If any materials related to an item on this agenda have been distributed to the after distribution of the agenda packet, those materials are available for public inspection at the Office at the address above during normal business hours. Accessible Meeting Policy Meetings are held in the Auditorium, Room #300, at 101Grove Street, in San Francisco, CA. The Auditorium is wheelchair accessible through the Grove Street entrance. The closest accessible station for Muni and BART is the Civic Center station. The nearest accessible BART station is Civic Center (Market/Grove/Hyde Streets). Accessible MUNI Metro lines are the J, K, L, M, and N (Civic Center or Van Ness Stations). MUNI bus lines serving the area are the 47 Van Ness, 9 San Bruno, and the 6, 7, 71 Haight/Noriega. For more information about MUNI accessible services, call (415) 923-6142. For information about MUNI services, call 673-6864. There is accessible parking in the vicinity of City Hall at Civic Center Plaza and adjacent to Davies Hall and the War Memorial Complex. Accessible curbside parking is available on Dr. Carlton B. Goodlett Place and Grove Street and at the southwest corner of Grove and Polk Streets. American Sign Language interpreters and readers and/or language interpreters are available with advance notice of three business days. The Department of Public Health will make every effort to accommodate requests for sound enhancement systems and alternative formats for meeting minutes and agendas. Please make these requests as far in advance as possible. For all requests contact the Department of Public Health, Equal Employment Opportunity Program, telephone 554-2595 or the office at 554-2666. Late requests will be honored if possible. In order to assist the City's efforts to accommodate persons with severe allergies, environmental illnesses, multiple chemical sensitivity or related disabilities, attendees at public meetings are reminded that other attendees may be sensitive to various chemical based products. Please help the City to accommodate these individuals. Cell Phone and/or Sound Producing Electronic Device Usage at Hearings The ringing of and use of cellular phones, pagers and similar sound producing electronic devices are prohibited during public meetings. Please be advised that the Chair/President may order the removal from the meeting room of any person(s) responsible for the ringing or use of a cell phones, pagers, or other similar sound producing electronic devices (Sunshine Ordinance 67A.1). Page 4

Know Your Rights under the Sunshine Ordinance Government's duty is to serve the public, reaching its decisions in full view of the public. Commissions, boards, councils and other agencies of the City and County exist to conduct the people's business. This ordinance assures that deliberations are conducted before the people and that City operations are open to the people's review. For more information on your rights under the sunshine ordinance or to report a violation of the ordinance, contact the Sunshine Ordinance Task Force Administrator by mail to, 1 Dr. Carlton b. Goodlett Place, Room 244, San Francisco, CA 94102, by phone at (415) 554-7724, by fax at (415) 554-7854 or by email at sotf@sfgov.org. Citizens may obtain a free copy of the Sunshine Ordinance by contacting the Sunshine Ordinance Task Force or by printing Chapter 67 of the San Francisco Administrative Code on the Internet, at http://www.sfbos.org/sunshine. Lobbyist Ordinance Individuals and entities that influence or attempt to influence local legislative or administrative action may be required by the San Francisco Lobbyist Ordinance (Administrative Code Section 16.520-534) to register and report lobbying activity. For more information about the Lobbyist Ordinance, contact the Ethics Commission at 25 Van Ness Avenue, Suite 220, San Francisco, CA 94102; telephone (415) 252-3100; fax (415) 252-3112 or visit its website at http://www.sfgov.org/ethics. Page 5