San FranciscoBoardof Supervisors
Asthma Task Force Monthly Meeting
October 22, 2007, 2-4pm
San FranciscoCity Hall, Room 278
MINUTES
Welcome and Introductions—sign in & request time keeper (5 mins)
Members present: Gloria Thornton, Anjali Nath, Vince Fabris (DBI), Neil Gendel, Nadia Thind, Rose Toney, Nan Madden, Karen Cohn, Marie Hoemke, Mary Higgins, Ben Heckman
Staff/Guests present: Kate Lorenzen (RAMP), Michelle Reyes (ATF member applicant), Gail Herrick (DPH), Dr. George Su (SFGH/UCSF), Stephanie Manfre (Breathe CA), Sarah Saavedra (DPH)
I. Presentation from Dr.GeorgeSu
Dr. Su from San Francisco General Hospital Adult High-Risk Asthma Clinic talked about a grant that Dr. Ofman received to attempt to restructure the SFGH Adult Medicine Clinic overall by hiring a new Nurse Practitioner. This nurse practitioner will be a liaison between the specialists and primary care doctors, and will help track and redirect high risk and high utilizing patients. The nurse practitioner will also help stratify patients, and provide outpatient follow-up provisions to make sure patients are following their care plan. In addition, this nurse practitioner will be able to track outcomes by going to these clinics and following these patients. The main goal of restructuring the Adult Medicine clinic with the assistance of this nurse practitioner is:
▪ to be more population- based and cost-effective care model
▪ to improve clinical outcomes, particularly in high risk populations, and
▪ to strengthen the San Francisco safety net as a coordinator system
II. Sustainability Planning Discussion
Anjali mentioned that the purpose of the meeting was to focus on the scope of work of the ATF.
Kate facilitated the meeting by going over the Workplan for the San Francisco Asthma Task Force 2005 – 2008 to see what has been accomplished and what still needs to be done. The results were as follow:
Primary Area of Focus: Schools
Policy Objective 1: By 2008, 50% of San Francisco Unified School District students with asthma will have an Asthma Emergency Care Plan on file at their school or child development site as measured by reports from an SIS system created to track students medical needs and by reports generated by the Child Development program in accordance with policy that SFATF helped pass during CAFA I grant period.
▪ 85% left to do
▪ May shift to include advocate for systems
Policy Objective 2: By 2008, 75% of SFUDSD schools and child development centers will have implemented key elements of the Tools for Schools Program (TfS) and will use Environmentally Preferred Products (EPP as measured by checklist and walkthrough tracking, and SFUSD Facilities Department, School Health Department, Child Development and School Site Council records in accordance with policy that SFATF helped pass during CAFA I.
▪ TFS done – transition to SFUSD
▪ Goal for June 2008 – EPP evaluated and cost of retaining it could be established
Policy Objective 3: By 2008, SFUSD will utilize High Performance Design Standards according to resolution passed for all new construction, renovation and modernization projects.
▪ Resolution has been passed
▪ Advocacy/Watchdog, 5% left to do
Policy Objective 4: By 2008, the entire SFUSD school bus fleet in use will comply with set, lower-emissions standards through the use of diesel retrofits or cleaner, alternative fuels, as measured by fleet records of SFUSD Transportation Department records.
▪ Done
Primary Area of Focus: Child Care
Policy Objective 5: By June 2008, at least 20 individuals will be trained as facilitators of the All About Asthma Child Care Curriculum.
▪ Will be done by June 2008
Policy Objective 6: By June 2008, at least 200 child care providers and parents will participate in the All About Asthma Training (via CityCollegecourses, providers networks, etc.)
Primary Area of Focus: Environmental
Policy Objective 7: By June 2008, SFHA will develop and demonstrate quality assurance and remediation protocols, including tenant education, which will be effective in controlling mold hazards at SFHA sites, and the Board of Supervisors will allocate city funding support to SFHA to improve housing habitability.
▪ Will be evaluated June 2008
▪ % to be determined
▪ Advocacy Split Objective
Policy Objective 8: Initiate 2-3 Healthy Housing legislative proposals for city adoption including working together with the Tobacco Free Coalition on related issues.
Policy Objective 9: Develop an Asthma-safe/Environmentally Healthy Housing Building Guidance and support materials targeted to San Francisco rental property owners to increase awareness of tenant rights and landlord responsibility and also inform related city legislation toward habitable housing.
Primary Area of Focus: Clinical
Policy Objective 10: By June 2008, increase participation in the SF Asthma Network by 50%
Policy Objective 11: By June 2008, 50% of SF Asthma Network participants will be supported by their supervisors to become Asthma Champions for their site and participate regularly in the Network via signed agreements.
▪ % of objective accomplished
▪ Rewrite for future
Policy Objective 12: By June 2008, develop one proposal to require asthma coursework for state medical and nursing licenses.
▪ Not done – carry into future – rewrite
Policy Objective 13: Enhance specialty care for asthma within the public health system (reduce wait time, support existing clinics, and establish new clinics).
▪ Rewrite for 100% enhance
A discussion was held about what else needs to be done aside from the work plan for the Asthma Task Force. Karen mentioned that the Healthy Housing Legislative proposal will not be getting into hearing until after June 2008. Karen also mentioned that there is a grant for the Lifeline Transportation Project for Bayview Hunter’s Point to hire an asthma mobility manager for a shuttle service that will assist asthma patients to get to South East Health Center and San Francisco General Hospital Asthma Clinic, and believes ATF can help support this new project.
Neil stated that ATF is currently working on healthy schools now and will continue through 2008.
