2003-04 Annual Report - San Francisco Department of Public Health
2003-04 Annual Report - San Francisco Department of Public Health
2003-04 Annual Report - San Francisco Department of Public Health
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SFGHMC MissionIt is the Mission <strong>of</strong> <strong>San</strong> <strong>Francisco</strong> General Hospital to deliverhumanistic, cost-effective, and culturally competent healthservices to the residents <strong>of</strong> the City and County <strong>of</strong> <strong>San</strong><strong>Francisco</strong> by: Providing access for all residents by eliminatingfinancial, linguistic, physical and operational barriers; Providing quality services that treat illness, promote andsustain wellness, and prevent the spread <strong>of</strong> disease,injury and disability; Participating and supporting training and research; and The commitment to community involvement andhealthcare needs.
SFGHMC ValueIs To Promote Access To Services,Quality Of Care, Patient Safety, CustomerSatisfaction, Staff Morale, Resource Management,Effective Partnership, and Academic Excellence.
SAN FRANCISCO G ENERAL H OSPITAL M EDICAL C ENTERUCSF Associate DSue Carlisle, MDDean’s OfficeCathryn Thurow, DirectorDoug Eckman, Ops ManagerDonna Howell, Fiscal ManagerBarneBriggsLibraryMedical Social Svcs.Penney Mitchell,Chief Financial OValerie Inouye<strong>Health</strong> Information SPatient Financial ServicesAccountingInformation SysPatSkalOperations MgrCEOAnne Chang, MPHHEALTH COMMISSIONDEPARTMENT OF PUBLIC HEALTHCEOG ENE M ARIE O’CONNELL , RN MSLegal & CompliaKathleen Murphy,JD MHAHuman ResourcesRod AuyangData/CommunityMedia RelationsAnson MoonChief, MedicalValerie Ng, MDQuality ManagemHiroshi Tokubo, JD<strong>Health</strong> at HomeKathryn Eng, MPHMedical StSvceEducation & TrainingInfection ControlPatient EducationResource CenterDPH Facility Svcs.CommunicatioHousekeeping (campus)Bldg/GrounMaintenanUtilities/LifeFood & NutriEnvironmental Svcs.<strong>Health</strong> & SaDPH Instit. PoliceDPH BiomedEngineeringDPH Facility PlParking/LeaseMaterials MLinenMessgerSupport ServicesKathy JungDisasterEmergencyPreparednessLiaisoSFFD EMS Div.;EMS AgencyMedicaEmergency Svcs./Base HospitalUtilizationClinical NutRehabSvceTrauma ProgrPerioperatSvcOperating RoPACU/SurgicenOral SurgInfusion CenterISIS/Wound ClinicSurgical ClWomen’s OptiGI ClinEKGPatient Care ServicesSusan Currin, RN, MSNursinOperationsPerinatal SeBirth CenNeonatal IPeds/OrthopeUnitMedical ForeUnitCriticalMedical & SurgICUCardiaCathLab,Coronary CareUnitRespiratoryMed-Surg/SNStepdown UnTraumatic Brain InjuryUnitSkilled NursinGen. MedicCardiology UnitGen. SurgiTrauma/Trans. CarAIDS/Oncology UGeneral MMedicaBehav UnGeneraClin. ReseCenteAcute Dial12/10/20<strong>04</strong>Behavioral <strong>Health</strong> SeSharon McCole Wicher, RN, MSAcute PsychiatryPsychiatric EmerServices<strong>San</strong> <strong>Francisco</strong> Beh<strong>Health</strong> CenterAlex Anagnos RN, MSSubstance AbuSvcsRape TreatmCtr/Trauma Recovery CtrChild Adolesc. SeAbuse Resource CtrPsychosocial MedChild/Adolescent SCase ManagemeCity-wide, CommunityFocus, ED Case Mgmt,Crisis ResolutioBridge to WelRadiologyNuclear MediClinical LaboratoryPatholoMedical SpeciPatient Ser• InterpreterServices• PatientAdvocateDiagnostic & MedSpecialties ServicesRoland Pickens, MHASFGH Renal Cen- Outpatient DialysisOccupationaEmployee <strong>Health</strong>1M AdulMedical Center5M Women’<strong>Health</strong> Center6M Childre<strong>Health</strong> CenterWard 86 Posi<strong>Health</strong> PracticeWard 81/Family <strong>Health</strong>Center4J Urgent CareLiaisoVolunteer Svcs.,SF ConsortiumPharmaceuticSvcsSharon Kotabe, PharmDSFGH PharmacyInpatiOutpatiePurchasing, Biand ContractingDPH PharmacServices♦ Laguna Honda♦ Jail <strong>Health</strong>♦ Comm Behav.<strong>Health</strong>♦ Ambulatory CareLiaisoPoison Control Center
SFGH DIVERSITY OF PATIENTSFY <strong>2003</strong>-20<strong>04</strong> N=97,884AgeOver 658%Under 1814%Sex35-6550%18-3428%Asian/PI20%Oth/Unk5%White25%Female48%RaceMale52%Nat Amer0%Hispanic29%Afric-Amer21%
Who we served8% were homeless, on the street,sometime during the year.55% <strong>of</strong> SFGHMC patients reside insix neighborhoods…
Percentage <strong>of</strong> neighborhoodresidents treated at SFGH100%90%80%70%60%50%40%30%20%10%0%All SF Tenderloin South <strong>of</strong>MarketMission/Potrero HillOuterMissionBayview/Hunters PointVisitacionValley
Revenue SourcesGeneral Fund20%Other12%PatientRevenue52%Realignment/Prop 9916%
Sources <strong>of</strong> Patient RevenueFY <strong>2003</strong>-20<strong>04</strong>Acute Inpatient DaysCommercial6%Uninsured26%Medi-Cal41%Outpatient VisitsUninsured36%Medi-Cal26%Other6%Medicare21%Commercial15%Other7%Medicare16%
SFGHMC StaffingTotal <strong>of</strong> 5,475 Employees:County Employees - 2,800University Employees - 1,800Interns, Residents, and Fellows - 875
Outpatient Clinic Services 82,463 patients 330,871 visits66% PrimaryCare34% Specialty orDiagnostic
Inpatient Acute Services 12,692 patients 17,114 admissions 1<strong>04</strong>,811 patientdays
Top Admission DiagnosesFY <strong>2003</strong>-20<strong>04</strong>HYPERTENSIONPSYCHOSISNORMAL NEWBORN DELIVERYHIV DISEASECONGESTIVE HEART FAILUREPNEUMONIASCHIZO-AFFECTIVE SCHIZOPHRENIACHEST PAINSUBSTANCE ABUSEDIABETES
SKILLED NURSING UNITShort term Medical -Surgical SNF Unit 4AAverage daily census <strong>of</strong>27.7Average length <strong>of</strong> stay –22.7 daysMental <strong>Health</strong> SNF atSFBHC Unit 2N and 2SAverage daily census <strong>of</strong>54.4Average length <strong>of</strong> stay –95.9 days
Perioperative Services Tenoperatingrooms 6,053proceduresperformed -<strong>of</strong> which48% wereemergency 963,086 surgical minutes
Obstetric Services 1,221 babieswere born at <strong>San</strong><strong>Francisco</strong>General Hospital
Trauma and Emergency Over 52,000EmergencyRoom visits -16% areadmitted Over 7,000PsychiatricEmergencyencounter - 36%are admitted 2,865 adults and children are treated for injuriesrequiring the trauma activation.
Clinical Accomplishments<strong>2003</strong>-20<strong>04</strong> Opened the Avon Comprehensive Breast Center.<strong>Annual</strong>ly, will increase by 5,000 the numbers <strong>of</strong>mammograms to underserved women. Received transfer <strong>of</strong> the Mammovan from UCSF, andsecured a grant from Avon Foundation to fund theoperation <strong>of</strong> the van for two years Renovated the Cardiac Catheter Laboratory andfurnished it with the latest equipment.
Clinical Accomplishments<strong>2003</strong>-20<strong>04</strong> Fulfilled one <strong>of</strong> the recommendation <strong>of</strong> the Mayor’sMHRF Blue Ribbon Committee by establishing andopening the Mental <strong>Health</strong> Rehabilitation Center.Submitted application for the Adult Residential Facility. Acquired an Ophthalmology Van to provide services topatients <strong>of</strong> the community clinics Expanded Urgent Care Clinic services from 38.5 hoursa week to 74 hours a week Fully complied with new requirements regardingmaximum intern hours
SFGH Goals: FY 20<strong>04</strong>-2005 Improve staff retention and recruitment. Assess and re-design processes and resources tomaintain operational efficiency. Maintain favorable variances to budget for both patientrevenue and operating expenses. Improve access to outpatient and diagnostic services. Complete Level I Trauma Center verification anddesignation approval process.
SFGH Goals: FY 20<strong>04</strong>-2005Plan and design air medical access for SFGH.Plan for the replacement hospital.Participate in the transition to a single DPHinformation system.Ensure patient placement at the appropriate level<strong>of</strong> service within the continuum <strong>of</strong> care.Meet all regulatory standards and regulations.
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