Elders, and relatives of the Ramaytush Ohlone community and by affirming their sovereign rights as first peoples. Okay. 2. Proposed action approval of the minutes of the Health Commission meeting of september 5, 2023. Commissioners you had the minutes upon reviewing them, no amendments make a motion. Make a motion. Second. And if i may offer a motion im hoping you can include a provision from commissioner chow on the uptodate i incremental said he gave the update that was commissioner green that gave that. That amendment a first and the segmented. All right. Any other amendments if none any Public Comment. I have a script to read. For the process didnt allow questions for answered or the public to engage with the commissioners any members of the public when discussing an item please note each individual has one opportunity to speak to an agenda item. Where i know sent to the Health Commission meeting will also be broadcast on sfgovtv. Everyone attending the meeting in person is encouraged to wear a mask throughout the meeting. Spell your name for the Public Comments and please note the federal, state, and local law prohibit harassment and will not be tolerated first Public Comment from invented inperson. And then take remote Public Comment from those for accomodation for disabilities. Finally well hear promote Public Comment from all individual a time limit of 20 minutes for the Public Comment and each individuals anyone in the room like to make Public Comment on the minutes . All right. So lets see we have one hand, please unmute that caller limited to 3 minutes per speaker. Michael please unmute the caller. Can you hear me . Yes youve enrollment 3 minutes. Okay. Great. My code is aa and the minutes of this commissioners september the application was submitted and to why the board of supervisors and legislative analysts had his report on september 6th about the e emergency repairs in which the b o a and the certification application for september 17th. Those minutes with dr. Terry palmerer and at mukilteo are concerned when the laguna honda hospital and Rehabilitation Center with resume the missions admonitions and it sounds distinctly that laguna honda hospital and Rehabilitation Center may have granted authority for the services are now detailing the redissension of admonition despite laguna honda hospital and Rehabilitation Center has retained staffing with only new residents as of august 22nd. Fewer residents in from april 2022 will be the same number of employees. Laguna honda hospital and Rehabilitation Center obviously needs fewer activity and fewer Food Service Workers to handle two hundred and 22 patients admonitions should resume any not after. Hire more theorists. Thank you. Thats the only caller for this item. No other comments commissioners questions or comments. All right. All in favor, say aye. Aye. As amended. Aye. Opposed . The minutes are approved and next is the directors report. Well, i have another script to respect to agenda items, your opportunity to address the commission will be afforded when the item is reached in the meeting. Commission from taking action or discussing any item not appearing on the posted agenda, including those items raised at Public Comment. And the same information around the brown act and any discriminatory harassing statements are not permitted and lets see the hands. Anyone in the room like to make general Public Comment i see machine in the room and no hands for general Public Comment we can move on. Next is is the directors report grant colfax md, dph, director of health. Good afternoon, commissioners and with the directors report. I want to start offer on one not written item this is september 19th, tuesday, september 19, 2023, which the commission will rarely laguna honda hospital and Rehabilitation Center voluntary transferred patients getting care we extensions and im delighted and laguna honda hospital and Rehabilitation Center later in the meeting i want to acknowledge that because of of the work because of everybody pulling together with the partnership across the city the work of the workers in the hospital the work will be certified for for medicaid a day of celebration. And really wanted to acknowledge that and well get more details on the medicare application. And in addition, i want to call your attention the new covid vacant will be available for the fall and winter. And this is a for last technically were calling this a vacant that is for a different variant prior to that and encouraging everyone 6 months and older to get the vacant and people should soon be able to or actually depending on where you are accessing that well be distributing at dph in august and go to different pharmacies for the additional vacancies and very importantly were seeing an increase in covid case nationwide and across the city so many of us are tired of thinking about covid but here to stay we have the vacancies vaccines and work we really want to make sure that with regards to the number of situations in San Francisco our 7 day positive activities is 7. 7 percent. And there are 58 people across the city hospitalized with covid and again, that number is not necessarily rising for the conditions but important to say www the increases the city has a Positivity Rate were not seen a burden on our Healthcare System but courage people that toast positive to talk to theyre healthcare procedure about educating in particular which is a medication to prevent serious complications due to covid. In addition highlighting a couple of other items in the directors report. Two workforce opportunity for the professional development of this professional development for staff that is the Bloomberg Philip sponsor at the john hopkins Public Health and diverse executive an initiative with the editorial and the constitute school of medicine is pleased to present this and our staff to look at those opportunities and potentially apply. Really pleased to the next item to call out one of our its been a long time coming. Leaders. By the california homeland that was awarded to dr. Tenner for anyone with their essential skills and join me in this great achievement and link in the report and ill stop there and answer any questions. Or any questions . Thank you. Before commissioners questions or comments any Public Comment. Hi any Public Comment in the room . Seeing none, folks were on item 4 if i want to make comments please press star three now. I see no hands commissioners for this item. Commissioners questions or comments . Commissioner green. Yes. And want to lend my voice and congratulate the doctor for everything shes done a thats a humble individual and been recognized really wonderful and for the quality of people about the dpa we appreciate the she of the recognized this way. All right. Thank you commissioner green any other questions or comments . Director. I have one other piece yesterday, we got the new overdose numbers up for the month of august. We those are data from the office and unfortunately, had a high number we know from prior data due to fentanyl is part of our drug supply needs to be an issue and people know that treatment is available and dpw is doing everything we can to make sure that is vaccine is available and yesterday, we launched a pubically available dashed which tracks the covid deaths and provides context around the number of people seeking treatment. And just want to acknowledge three well provide more details in the next directors report. But yesterday, we also know how important databases can be to doing everything we can with the data point to strive toward a better um, and that is a dashboard around those serious issues and in the directors report and ask commissioners to avail themselves of this information and under the leadership of the doctor working extremely hard to get this dashed out and want to acknowledge that work and dashed will continue to be romantic to the situation during this terrible epidemic. I took the opportunity to visit the dashboard and hoping that the trend and commissioner any other questions or comments . Yes. Commissioner chow. I just wanted to reenthuses was so many discussion with the covid recommendation and that simple and clear as it says here six months everyone is encouraged to stop by a cohort im sorry that is done by a cohort the elder everyone should be getting a 6 month of less unintelligible . Were encouraging everyone to get that. Thank you. Not that complicated. Right. Not limited or not. A nuance recommendation; right . Thank you. Thank you, commissioner chow and director i was able to schedule an appointment for a vaccination so ill let you all know how it goes. Our next item on the agenda is resolution is resolution is resolution accept and expend a gift of 57,264 from the San FranciscoPublic Health foundation gregory wong, administrative analyst . Thank you very much. Commissioners. We would like to ask approval for accept and expend a gift of 57,264. From the San FranciscoPublic Health foundation and an organizational activity to assist the on and off with the physical and administrative budget and the city and county of San Francisco. If you have any questions please ask. Thank you very much. Thank you gregory wong, administrative analyst do we have motion to approve. Second. Any Public Comment . Is there Public Comment in the room . And i see no hands at this time folks were on item 5 if you want to im sorry three no hands commissioners. All right. Commissioners any questions or comments stern. All in favor, say aye. Aye. Opposed . All right. The resolution passes thank you, gregory wong, administrative analyst and the next recertification update roland pickens, director and ceo, Sf Health Network executive sponsor lhh recertification incident command welcome. Good afternoon, commissioners thank you for allowing me to present own on behalf of roland pickens, director and ceo, Sf Health Network executive sponsor. Next slide, please. So the recertification statistics first, ill point out good afternoon and so nice to meet you. Thank you. Im here to present the recertification program. The agency you know more than 95 percent are certified by medicaid this certification is a direct result of improving in surveys we met the highest standards for the safety for life and fire safety and the operational program. Laguna honda hospital and Rehabilitation Center is made tremendous progress to achieve the recertification and to secure our future but our journey is not over them were working with the recertification in the medicaid with the the centers for medicare and Medicaid Services known and cms next slide, please. Laguna honda hospital and Rehabilitation Center submit a change of information proclamation for medicare on august 5th m and cm directed another proclaims and laguna honda hospital and Rehabilitation Center actually has submitted that application so we need the so to submit an application because the work and zoning text amendment and commitment needs improvement we are succinct by cms can happen any time and also to determine strait we met the highest standards 6 Public Health for fire and operations. So a few notes for the recertification timeline. First to achieve the recertification cms we submitted an application and submitted this change of Information Application at the direction of cms leadership. A change of Information Operations utilities existing laguna honda hospital and Rehabilitation Center information. However, cms later informed laguna honda hospital and Rehabilitation Center to submit a change application was incorrect and the cms hired us for a new application. So laguna honda hospital and Rehabilitation Center now has submitted that application as i mentioned earlier with the application as of september 15th. And as i mentioned we wait the recertification secondly, for recertification the medicaid on august 16th the california Public Health notified laguna honda hospital and Rehabilitation Center to recertify the medicaid property and congressmens amended that date to september 5th. And important to note cms is not questioning not questioning are the recertification on 5 the change for the recertification date six the Fire Life Safety and specifically cms determined the Fire Life Safety was originally due and asked for further documentation we provided and they determined we were in sub anal compliance for the life and fire safety on september 5th. So which was the date certified by the California Department of health and healthcare services. So has laguna honda hospital and Rehabilitation Center has been reserved isnt medicaid Procedure Program and dr. Colfax was saying not moving forward today but, however, laguna honda hospital and Rehabilitation Center will continue to transfer residents to lower levels of care. Or to their homes they no longer are required to have a certain level of care. So for the entire laguna honda hospital and Rehabilitation Center hole community. Vdz we are dedicated for the height and safety we remain confident that laguna honda hospital and Rehabilitation Center is the best place for residents to get care and continue to demonstrate we are a different laguna honda hospital and Rehabilitation Center hospital ill say that and has made improvements and the progress of two its been a long time coming. Questions when laguna honda hospital and Rehabilitation Center will begin to add admit those patients and new residents and while we are eager to do so well only submit when we demonstrate the improvement we have made are sustained and staying for a long term this will help us at laguna honda hospital and Rehabilitation Center. When we do begin new admonition for the laguna honda hospital and Rehabilitation Center patients transferred will be open and for now theyll be First Priority for now patients. Providing they still require this level of care. And also like to take a moment to address the 120 beds waiver timelines as cms said that laguna honda hospital and Rehabilitation Center should be in full compliance so a minimum medicare and medicaid. And if we have the certification before the of waiver and laguna honda hospital and Rehabilitation Center has maintained that 120 beds and we will reactivate the room in the waiver is granted and board of supervisors approved the work and it is necessary for the recertification and Capital Improvement and Maintenance Work and are the result of adopting to update regulatory requirements and the modernization at the facilities around the country. Those are prior to the recertification. And the benefit of the board resolution allows the work for the city guidelines and in has provided manner and at provided completion of those projects help demonstrate the commitment for the immediate compliance and laguna honda hospital and Rehabilitation Center will continue to spread that for a successful survey. Next slide, please. For our action plan update. Go through this forking for the medicaid and cms 90 days monitors in july submitted the proposed action plan and in response to the june service as well as other nonmonitoring survey finding. The proposed action plan includes three hundred monitoring for survey three and also the one hundred and fifty milestones for nonmonitoring survey finding and this submitted 200 and 57 milestones for this and one hundred and 9 milestones for nonmonitoring survey finding. So id like to take a moment to and in collaboration and partnerships with the Quality Improvement experts or two i d laguna honda hospital and Rehabilitation Center and the two id continue the improvement work. So in conclusion, throughout the row certification process remained dedicated to the residents for the health and safety