Transcripts For SFGTV LIVE Health Service Board 20160811 : c

[gavel] i know called the meeting of the San Francisco Health Service board to order. Our regular meeting for thursday, august 11, 2016 would you please stand and join and stay with me the pledge of allegiance . [pleage of allegiance] i will now ask our secretary to call the [reading ordinance] [call of the roll] scott lamb Breslin Farrell excused, ferringo expected, follansbee sass. We have a quorum. Thank you. With that we will undertake action item number one item 1, action item approval with possible evocations of the minutes set forth below. Regular meeting of june 9 22nd special meeting of june 21, 2016. Are there any comments or clarifications by members of the board rregarding the minutes of these two prior meetings . Again i commend those who do the translation of all of this stuff given the volume of Public Comment on some of the complexity of the details of the proposals we were considering but generally on the june 21 meeting. Any comments from the commissioners . Ready to entertain a motion i guess were doing both sets . Both sets, yes it there is seconds . Moved and seconded. Any Public Comment . Seeing none, we are now ready to vote all those in favor signify by saying aye [chorus of ayes] opposed . [gavel] speak so ordered. It is unanimous. We are now going to overtake discussion on item number two. Item 2, discussion item. [reading ordinance] is there any Public Comment on any matter not appearing on the agenda . Yes . If you would please identify yourself . My name is sylvia alvarez. Although the scheduling and dedication is not on the agenda regarding the distribution of our new health plans im requesting a consideration of instructing the Healthcare System director ms. Dodd to bail out to act each active employee further to be able to make intelligent comparisons between health plans being offered. Last year the active group provided a onepage letter informing them no health plan information will be mailed and this in the 29 years that was 28 years i never had this done. Instead, we were to look at the information on computers are dropped into the offices and make decisions. There is a problem with this. With this scenario, as expressed in my email to all of you, and let me give you a copies sent to each of you, of which i did not receive a reply, and i am going to give these copies to your secretary right here. Thank you. What happens is theres a class issue here. Theres three transit operators the laborers, the bluecollar trades, plumbers, bus drivers, truck drivers, dont have a computer or printer. Readily available while they do their jobs. Most of them commute because San Francisco is too expensive to live engine to be able to take their time away from work when youre doing with 39,000 employees, this is not feasible. Nor is it fair. I has a clericalyes i sit at a computer i have a printer i can easily access the information i wanted but not those bluecollar workers. Also, it seems every year we hear fewer healthcare options. Theres a minimal competition issue here. Before when i start with the city, we were given at least six of their plan options. They were competitive and health going to me was the best and the worst in my experience was kaiser. Napa county readily, right now, is getting their employeesand heres a copy to the Commission Secretary to distribute to you10 Healthcare Plan options. We are in workforce of 39,000 employees in over 20,000 employees could not help retirees mightve been included only gets to pick from to. With our clouds, without power of money, i think we can do better. If ms. Dodd needs assistance with that i think you should give your the resources she needs to have a more competitive presentation for employees for the so they can consider other Healthcare Plans not just to, not just three. Thank you. Thank you for your comments. Is there any other Public Comment on items not appearing on todays agenda . Seeing none, we will go to discussion item 3. Item 3, discussion item. President s report. Ill reserve my comments to a later agenda item. Item 4, discussion item directors report. Director dot. Thank you. Commissioners that you have my report in my packet but i ask the indulgence of the chairusually i sleep through it but i did want to highlight some things since its been two months and then a very very busy two months. I would like to start by introducing two new staff people. The first is our new contracts manager Michael Scott to get michael, would you stand up . Michael comes to us, he is a native san franciscan and he came to us during contracts with the airport good is an undergraduate degree in economics from ucla and Legal Training from American University in washington dc. He is already putting contracts in order so we are grateful to have him. Then, next the haiti would you please remain standing . Lee comes to us also from washington dc and he is filling the Research Assistant position. He served as a Human Resources policy advisor for the office of the deputy mayor in washington is did he served under three different mayors in washington dc. He has a jd and mba from hostile university in new york and were thrilled about both of these positions filled with such capable people. Well on behalf of the board id like to welcome you both to the Health Service system. Your backgrounds seems to made you more than qualified to undertake the duties that have been assigned to you. We do profoundly welcome you and wish you every success in your career endeavors at this stage of your career. So, thank you for deciding to join us. We also had two additional interns with whom i dont believe our. Wellness interns. There Public Health students and their special classification within stephanie managed to hire to really bright young women. One is doing evaluation of the wellness program. So she is working with statistics and the other is helping on the program itself. We still have our Member Services manager position open and we will be interviewing tomorrow for that position. So, we are very excited. The of seven candidates finally came through and met all the qualifications. So its been open for a while and working to fill it. The other personnel issue is the Employee Engagement survey was completed and you will hear later from dr. Lynn where item number 10 on our agenda, i believe. In terms of operations, operations and communications, and finance to some extent and myself have just been working full steam on open enrollment materials and preparing for open enrollment. In terms of the mundane, all of our Customer Service levels were met. Commissioner sass raised a question about why the resume any terminations in june and mitchell grays Operations Manager pointed out that you had three paid or not. By the time the people got their second letter there have only been a paid period and a missed another one. So, that will happen to two months of the year when there are three paid. Well hear more about our work with United Healthcare in terms of preparing for the new city plan implementation and mitchell has been consumed with getting ready for implementing voluntary benefits for this first time. We will be offering eight voluntary benefits to all city county and court employees. It would be a test of my memory to list them off, but they are life, pet, longterm disability, Deputy Director, would you help the director out . I got four. Mitchell greg chief operating officer of the Health Services and were not heard voluntary benefits and we do have an update next month on the agenda about that. Weekly, supplemental life, of two 100,000 guaranteed issue. Pet insurance, shortterm disability, Accident Insurance critical illness, and did i say pet insurance . Yes so that is six. I thought it was eight . Six will get a complete report next month with the details. Thank you. Supposedly administered by ebs currently administers the benefits. Its very exciting and as youll see in the medications report we had over 2000 responses to voluntary benefits questioned in terms of what would be most important to you. The idea of being able to get Life Insurance with no physical exam no evidence of coverage requirements, is really a onetime plus for all of our employees. In terms of the Data Analytics cannot you remember Enterprise Content Management System where we are going to digitize over 200,000 paper records that programming is complete. Staff training has begun. So, we will hopefully be have a whole new room available to us at this time next year. Maybe, to do more exercises in meditation. We did successfully submit all of the 1094 and 1095 forms to the irs by the filing deadline and the irs is currently processing corrections probably for everything oh employer in the country. Finance, i will just point out, they worked on those two contracts as well as the branding contract and met with doctors in operations to work on scope of work for doctors. The finance report is in your packet and you will hear market in terms of given occasions, i think if you didnthavent look at the deck, its important to note, there were 1085 clicks on the choosing wisely tab in terms of whatwhen you should get checkups. You will recall choosing wisely presented us at the november for and the board instructed us to begin the rollout choosing widely. So people are interested in getting information about taking more control over their healthcare. There were also 1200 clicks on the Health Service board. The most clicks the Health Service board has ever got. Communications is immersed in open enrollment materials and getting things ready and to the printer and we are also working with two different agencies rolling orange, which is a web strategy project, and with the red company which is a brand and style guide company. These are 12 week projects. If you would, say up a little bit more about what they result is briefly . We see it in the packet but youve identified thus far, what the new logo will look like can i just do that at the end were comes . Okay stephanie will be here later to go through some of her wellness reporting but i just want to point out 83 retirees at the retiree meeting were engaged in wellness activities and exercise at the last meeting. That she has them. Championing training and retraining throughout the city and that weve completed the recruitment for the Diabetes Prevention project and we have 156 participants and this is, again, a First Research project with kaiser looking at how to prevent diabetes and people are really excited about it. So, we will let her shine on what she wants to point out to you. I willi would be remiss if i did not point out the are expecting all of you to be 18 in getting fit on route 66. I pointedi said, i do not know what route 66 was having never driven across the country. Sorry. What . I know theres a song about 66 per one now going to get fit on route 66 clicks the mother road. So youre all expected to sign up. Maybe you can be will get a couple of the commissioners to compete get more active on route 66 did is taking the place of what weve had for several years to shape up walking challenge. In terms of my specific activities, i attended both the health positions aco meetings and will point out from the first time in a long time brown and tones numbers have improved. So, that is exciting. I mentioned earlier i spent a lot of time working on the open enrollment materials and like last year, we will be sending out a quests which have a letter in them that says this is what your current coverage is and theres a booklet with all the new changes. And because there are so many pages of benefits in order to get to those you do have to go online or you can call the office and we will mail you a hard copy booklet were saying being unders of thousands of dollars not to mention trees, by not printing and mailing booklets. Killing all those booklets are about five dollars each. So, those booklets will be mailed out again midlate september. We begin open enrollment on the first floor to my first of october. The retiredretirees and anyone who is going to turn 65 will get retiree booklet with all the information in it intending to mail to retirees. All of our information is available on smart phones and we are working to meet all the key deadlines. I participated in a meeting with you, chairman scott and commissioner breslin and browning and United Healthcare to make sure the be no disruption for the brown and tony hhs retirees as we move to the new city plan. We have spent a significant amount of time with best doctors to get exactly what is available and to make sure we market that well. I participated in the puc Public Employees Council Meeting and people are very excited about the best doctors benefit. We met with kaiser permanent date and we do this we jamie. Commissioner scott has attended some. I will they produce and credible utilization reports. These are details that they can get because theyre integrated system get we can get these from our other vendors. But i just want to point out that we started out by talking about in the kaiser system, for us, the average age is 47. 6 number which is 5. 7 years older than the kaiser regional average. Thats the average scriber age but when you add into the families the average age is 37. 4. Again, three years older than the regional average. Our average family size is two. The regional averages 1. 9. But what really hits you, and i think this is reflective all of our members is that 23. 6 of our members have chronic conditions and that uses 61. 4 of our premium dollars. 23. 6 percent of our people spend 61. 4 of our dollars. They go through the different, by prevalence, they go through the different chronic conditions. I think obesity, diabetes, and depression are ones that we all are flagged on them but i was going to pass thisi have two of these i believe. Yes, i have two of these and i was going to pass them around if people wanted to flip through them during the meeting or if you want to take it home and bring it back, but its a tome of information that really provides guidance to our Wellness Department that really tells us where we need to work. I also met with kaiser about setting up is there an executive summary in the document . I just gave it to you binding written . No. That was series telling you she has an executive summary. No, there isnt but i cannot kaiser to do that in the future that might be helpful in a mighty a summary of the highlights in that way could be not only shared with the board but with the system out large. Okay a mighty avengers. Right a summary means no more than five pages. Thank you. I met with kaiser and we arethey are setting up workshops at hhs which we held on september 15 from 121, 5156 15 pm on advance Care Planning. Then, two weeks later, they will have a counselor of able all afternoon to help people finish completing their dance care directive and no also have a notary available if people want to get it notarized and ready to go. So, thats very exciting. To shield them at the same time, is rolling out advance Care Planning Information Program here in without members but also throughout the country and to be sending out around thanksgiving time a six page click on what an advance directive is and how you talk about it and what should be in it and who should sign it, and so we are we will have reached all of our membership one way or another in terms of advance Care Planning. Kaiser, of course, has monthly times you can go and get that information. I met yesterday to the Business Leaders and health with the speaker was steve pamela with deposition kind of a father of pellet of kid. I know its a issue commissioner breslin is. Where is the pellet of care benefit in our evidence of coverage and it reallyit is in kaisers and the impact had people change plans because they wanted Palliative Care but steve just said there are not enough pellet of care practitioners. That california trains about six positions a year in that specialty between uc irvine, ucsf and uc davis. So what they are working on is trying to get curriculum out to primary care practitioners to do some of apple when you do get sick and need serious symptom management, you need a specialist. So, it is something he said that you are the consumer of demand. We will push that demand and we also need to get better medicare reimbursement for it. So i promise to work on both of those. Again, issues that affect members that were working on in different ways. The finance department put in incredible amount of time and at our last meeting we had just got the report documented Budget Analyst Office did attempt to take one of our positions and assigned to a attrition savior we were successful getting that position reinstated and am grateful to supervisor farrell and the other members of the finance committee. The executive team met with dr. Where to review the salt results of the engagement study, which is a illustrative and we meeting again to talk about activities we can take. I spoke at the quarterly retirees meeting and we had a meeting with aetna to go over life and disability results and i thought there was some interestingi said i think you should present this to the boar