Good morning. Welcome to thursday, october 17th meeting of the government audit and Oversight Committee. I am joined by supervisor brown, supervisor peskin is running late this morning. Thank you to the committee clerk. I would like to thank sfgovtv for staffing this meeting. We are joined by supervisors ronen and mandelman. We are grateful to our colleagues for joining us today. However, this meeting will be conducted in all respects as a regular audit and Oversight Committee meeting. Any substantive decision will constitute a recommendation of the Committee Rather than action by the whole board. Mr. Carroll will make a note. At the present moment we dont have a quorum. This committee is operating as the normal committee with a few extra guests. Do you have any announcements. Plea silence cell phones. Speaker cards and documents should be submitted to the clerk. Items today will appear on the october 29, 2019 board of supervisors agenda unless otherwise stated. Thank you. Do we have a
However, this meeting will be conducted in all respects as a regular audit and Oversight Committee meeting. Any substantive decision will constitute a recommendation of the Committee Rather than action by the whole board. Mr. Carroll will make a note. At the present moment we dont have a quorum. This committee is operating as the normal committee with a few extra guests. Do you have any announcements. Plea silence cell phones. Speaker cards and documents should be submitted to the clerk. Items today will appear on the october 29, 2019 board of supervisors agenda unless otherwise stated. Thank you. Do we have a motion to excuse supervisor peskin . Can we take that without objection . Who was the mover on that. Roger brown. Please call items one, two, three, four together. One hearing to discuss the removal of 41 out of 55 longterm beddings from the adult residential facility. Agenda item two is an ordinance excuse me. Agenda item two is a resolution urging the department of Public Healt
This is a big need is the longterm programs, a step down and where are people going to. At prc baker places, we have three different types of programs. The first is the assisted Living Program and this is Mental Health driven. You have to have a Mental Health diagnosis but doesnt many you dont have Substance Use. Many are doing the same thing, many are cooccurring disorders. We have our baker supported living disorder. This is another set of coop units and 34 clients are living with positive diagnosis and a Substance Abuse diagnosis and Mental Health diagnosis. These are the hoops to jump through. How do we get to where the open beds are . So, for example, what was happening in the Residential Programs, people would relapse and go out and use drugs or alcohol. One of the options at that point is to say, we might have to discharge you. The olden days, in the past, has been, well have to discharge you and here is a list of shelter, the emergency room and if you have trouble, please call
You mentioned the fact that there are times when you cant address the need right away and part of the waiting time is because you cant draw down the reimbursement dollars. Uhhuh. I know i was looking at the slide in what areas of need, but it seems like when you cant help some participants, its due to cost reimbursement and not necessarily due to capacity. So would you say a gap funding or some way to eliminate their wait time to able to help a patient right away is important for addressing the need immediately . Yes. I mean, i think in general, we have come to understand the managed care system that is drug medical, and you think the county has been a learning process. We know that somebody will be eligible. We would like to put them in a bed and we will work out the funding after the fact. And yeah one think that would be helpful. Thank you. I dont want to oversell it. There are times when there are other barriers. Like, if a person has a Health Condition thats not been taken care of
This is a big need is the longterm programs, a step down and where are people going to. At prc baker places, we have three different types of programs. The first is the assisted Living Program and this is Mental Health driven. You have to have a Mental Health diagnosis but doesnt many you dont have Substance Use. Many are doing the same thing, many are cooccurring disorders. We have our baker supported living disorder. This is another set of coop units and 34 clients are living with positive diagnosis and a Substance Abuse diagnosis and Mental Health diagnosis. These are the hoops to jump through. How do we get to where the open beds are . So, for example, what was happening in the Residential Programs, people would relapse and go out and use drugs or alcohol. One of the options at that point is to say, we might have to discharge you. The olden days, in the past, has been, well have to discharge you and here is a list of shelter, the emergency room and if you have trouble, please call