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Health Commission adopts 2019 Community Health Needs Assessment with edits to clarify uninsured counts and data gaps
Summary
The San Francisco Health Commission adopted the 2019 Community Health Needs Assessment after staff corrected a statistical wording about uninsured residents, added language on data gaps for transgender and other populations, and inserted a letter from Director Grant Colfax.
The San Francisco Health Commission voted to adopt the 2019 Community Health Needs Assessment (CHNA) after staff incorporated edits requested at the May 7 meeting.
Epidemiologist Michelle Karian and Dr. Thomas Aragon told commissioners the document now includes a letter from Director Grant Colfax and corrects a prior misstatement: the executive summary and report text now state that San Francisco saw about 10,000 fewer uninsured residents in 2017 than in 2015, from an estimated 31,500 uninsured residents, of whom roughly 15,300 have access to care through Healthy San Francisco or Healthy Kids (about 2% of residents remain without coverage or program access). Karian said the change clarifies that the 10,000 figure refers to fewer uninsured, not to insured plus program participants.
The revised resolution also adds explicit language that available data do not permit analysis for all groups known to experience health inequities, naming Native Americans, people who identify as LGBTQ, transgender persons and persons with disabilities as examples of populations with limited representation in the datasets. Commissioners asked staff to continue closing those data gaps in future assessments.
Commissioner Chung praised the edit and recommended the report use "LGBTQ, transgender" phrasing for clarity; Commissioner Chao thanked staff for incorporating comments into the resolution. A motion to adopt the resolution was moved and seconded and carried by the commission.
The commission received no public comments on the item. The CHNA adoption sets the department—s stated priorities and identifies data limitations the Department of Public Health will track going forward.
