Roles & Duties


Guiding the development of an integrated network of home, community-based, and institutional long term care services for older adults and adults with disabilities.

Spring 2016


  • The LTCCC is an advisory body to the Mayor’s Office. The LTCCC oversees all implementation activities and system improvements identified in the Living with Dignity Strategic Plan and the LTCCC Policy Agenda for each calendar year.
  • The LTCCC evaluates all issues related to long term care (LTC) and supportive services, including how different service delivery systems interact. It makes policy recommendations about how to improve service coordination and system interaction.
  • The LTCCC is part of The SCAN Foundation’s Community of Constituents initiative, building a statewide movement to transform the system of care so that all Californians can age with dignity, choice and independence. The SCAN Foundation’s Community of Constituents website is provided below:


A. To recognize that the need for long-term services and supports (LTSS) will continue to grow in San Francisco.

B. To expand efforts that assist the many San Franciscans who provide care and support for older adults and adults with disabilities.

C. To shape services that are caregiver and family-focused, responsive to consumer needs, and are culturally and linguistically appropriate.

D. To advance the provision of health promotion and risk prevention services, as well as care and support in the most appropriate, least restrictive setting, with the greatest level of independence that is consumer-directed and most cost beneficial.

E. To continually seek to improve the quality of services, taking into account consumer satisfaction and high service standards.

F. To recognize that quality of life as well as efficiency and cost effectiveness are important to consumers.

G. To view LTSS as a collection of inter-related services (such as physical health, mental health, home and community-based care, caregiver services, housing, and transportation, among others) provided through a coordinated delivery system focused on the individual consumer.

H. To protect and promote the LTSS needs of the community.

I. To work to assure an adequate safety net of home and community-based services.


The LTCCC has 40 membership slots and membership categories were created to ensure representation from a variety of consumers, advocates, and service providers (non-profit and public), including:

  • Service Providers: well elder providers, health systems & hospitals, long term care & supportive services, HIV/AIDS services & systems, developmental disabilities services & systems, behavioral health services & systems, and other disability
  • Consumers: adults with disabilities, older adults, and transitional age youth
  • Advocates: housing, labor, organizations, and at large

The Mayor appoints people to fill 32 slots, which represent service provider organizations, and consumers and advocates. The additional 8 slots represent City and County departments including:

  • Department of Aging and Adult Services
  • Department of Public Health (two slots)
  • Department of Human Services Agency
  • Mayor’s Office on Disability
  • Mayor’s Office of Housing
  • San Francisco Housing Authority
  • Municipal Railway


A. The LTCCC periodically creates workgroups to investigate topics and issues identified in an annual LTCCC Policy Agenda.

B. Workgroups are responsible for advising the LTCCC, and they are required to present regular updates and reports on their progress.

C. All LTCCC members should participate in at least 1 Workgroup, although many choose to participate in more than 1, depending on their professional experience, interests, and availability.

D. Workgroup membership may include county and community partners who are not members of the LTCCC but are recruited by the LTCCC.

E. Each Workgroup will elect its own chair. The leadership shall report regularly to the LTCCC on the progress of the plan’s implementation.

Current workgroups include:

  • Aging & Disability Friendly SF
  • Communications (meets on an as needed basis)
  • Dementia Care Excellence Oversight
  • Finance & Policy
  • HIV & Aging § Housing
  • Nominations Committee (meets on an as needed basis)
  • Palliative Care Task Force
  • Steering Committee

Examples of previous workgroups are as follows: 

  • Behavioral Health Access
  • Hospital Discharge Planning
  • Case Management Collaboration
  • Neighborhood Partnerships o African American o Asian Pacific Islander o Latino o LGBT
  • Community Placement
  • Alternatives to Probate Conservatorship
  • IHSS Workforce Improvement
  • Quality Standards

Recent Major Initiatives:

  • Community Partnership for Older Adults – RWJ Foundation (2002-2009)
  • Developing Strategy for Excellence in Dementia Care (2007-2009)
  • Developing Long Term Care Integration Strategic Plan (2011-2013)

Modes of Communication:

  • Policy Memos to Mayor’s Office
  • Meetings with Mayor’s Office staff
  • Meetings with members of the Board of Supervisors
  • Monthly updates with DAAS Commission