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Health Commission approves minutes, hospital policies, medical‑staff actions and enters closed session

San Francisco Health Commission · June 23, 2020
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Summary

The commission unanimously approved meeting minutes, an advance sole‑source waiver authorization, three Laguna Honda policy revisions, three medical‑staff items (OB‑GYN SP change, anesthesia pain‑clinic ST, and nephrology privilege removal), voted to enter closed session and then adjourned.

At the start of the session the Health Commission approved the minutes of a prior meeting by roll call after confirming there was no public comment. The commission then considered and approved an annual advance approval request for potential chapter 21.42 sole‑source waiver usage for fiscal year 2021; staff indicated no commissioner conflicts on review.

Later in the meeting commissioners approved three Laguna Honda hospital‑wide policy revisions related to infection control and EPIC workflows and then approved three medical‑staff action items brought by the chief of staff: an OBGYN standardized‑procedure revision to allow certified nurse‑midwives to act as first assist on C‑sections with proctoring safeguards, a standardized procedure establishing anesthesia oversight for nurse practitioners in the pain clinic, and removal of a nephrology privilege (central‑line/tunneled catheter placement) with a stated commitment to revisit the privilege if needed. The commission approved all action items by motion and roll‑call votes recorded in the transcript.

Before adjournment the commission voted to move into closed session; after returning to open session they voted not to disclose closed‑session discussion and then unanimously adjourned.