San Francisco General Hospital Medical Center 2004.

Transcription

1 San Francisco General Hospital Medical Center 2004.

2 SFGHMC Mission It is the Mission of San Francisco General Hospital to deliver humanistic, cost-effective, and culturally competent health services to the residents of the City and County of San Francisco by: Providing access for all residents by eliminating financial, linguistic, physical and operational barriers; Providing quality services that treat illness, promote and sustain wellness, and prevent the spread of disease, injury and disability; Participating and supporting training and research; and The commitment to community involvement and healthcare needs.

3 SFGHMC Vision To be the best public hospital in the country!

4 SFGHMC Value Is To Promote Access To Services, Quality Of Care, Patient Safety, Customer Satisfaction, Staff Morale, Resource Management, Effective Partnership, and Academic Excellence.

5 SAN FRANCISCO G ENERAL H OSPITAL M EDICAL CENTER UCSF Associate D Sue Carlisle, MD Dean s Office Cathryn Thurow, Director Doug Eckman, Ops Manager Donna Howell, Fiscal Manager Barne Briggs Library Medical Social Svcs. Penney Mitchell, Chief Financial O Valerie Inouye Health Information S Patient Financial Services Accounting Information Sys PatSkal Operations Mgr CEO Anne Chang, MPH HEALTH COMMISSION DEPARTMENT OF PUBLIC HEALTH CEO G ENE M ARIE O CONNELL, RN MS Legal & Complia Kathleen Murphy, JD MHA Human Resources Rod Auyang Data/Community Media Relations Anson Moon Chief, Medical Valerie Ng, MD Quality Managem Hiroshi Tokubo, JD Health at Home Kathryn Eng, MPH Medical StSvce Education & Training Infection Control Patient Education Resource Center DPH Facility Svcs. Communicatio Housekeeping ( campus) Bldg/Groun Maintenan Utilities/Life Food & Nutri Environmental Svcs. Health & Sa DPH Instit. Police DPH Biomed Engineering DPH Facility Pl Parking/Lease Materials M LinenMessger Support Services Kathy Jung Disaster Emergency Preparedness Liaiso SFFD EMS Div.; EMS Agency Medica Emergency Svcs./ Base Hospital Utilization Clinical Nut RehabSvce Trauma Progr PerioperatSvc Operating Ro PACU/Surgicen Oral Surg Infusion Center ISIS/Wound Clinic Surgical Cl Women s Opti GI Clin EKG Patient Care Services Susan Currin, RN, MS Nursin Operations Perinatal Se Birth Cen Neonatal I Peds/Orthope Unit Medical Fore Unit Critical Medical & Surg ICU CardiaCath Lab,Coronary Care Unit Respiratory Med-Surg/SN Stepdown Un Traumatic Brain Injury Unit Skilled Nursin Gen. Medic Cardiology Unit Gen. Surgi Trauma/Trans. Car AIDS/Oncology U General M MedicaBehav Un GeneraClin. Rese Cente Acute Dial 12/10/2004 Behavioral Health Se Sharon McCole Wicher, RN, MS Acute Psychiatry Psychiatric Emer Services San Francisco Beh Health Center Alex Anagnos RN, MS Substance AbuSvcs Rape Treatm Ctr/Trauma Recovery Ctr Child Adolesc. Se Abuse Resource Ctr Psychosocial Med Child/Adolescent S Case Manageme City-wide, Community Focus, ED Case Mgmt, Crisis Resolutio Bridge to Wel Radiology Nuclear Medi Clinical Laboratory Patholo Medical Speci Patient Ser Interpreter Services Patient Advocate Diagnostic & Med Specialties Services Roland Pickens, MHA SFGH Renal Cen - Outpatient Dialysis Occupationa Employee Health 1M Adul Medical Center 5M Women Health Center 6M Childre Health Center Ward 86 Posi Health Practice Ward 81/ Family Health Center 4J Urgent Care Liaiso Volunteer Svcs., SF Consortium PharmaceuticSvcs Sharon Kotabe, PharmD SFGH Pharmacy Inpati Outpatie Purchasing, Bi and Contracting DPH Pharmac Services Laguna Honda Jail Health Comm Behav. Health Ambulatory Care Liaiso Poison Control Center

6 SFGH DIVERSITY OF PATIENTS FY N=97,884 Age Over 65 8% Under 18 14% Sex % % Asian/PI 20% Oth/Unk 5% White 25% Female 48% Race Male 52% Nat Amer 0% Hispanic 29% Afric-Amer 21%

7 Who we served 8% were homeless, on the street, sometime during the year. 55% of SFGHMC patients reside in six neighborhoods

8 Percentage of neighborhood residents treated at SFGH 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% All SF Tenderloin South of Market Mission/ Potrero Hill Outer Mission Bayview/ Hunters Point Visitacion Valley

9 Revenue Sources General Fund 20% Other 12% Patient Revenue 52% Realignment/ Prop 99 16%

10 Sources of Patient Revenue FY Acute Inpatient Days Commercial 6% Uninsured 26% Medi-Cal 41% Outpatient Visits Uninsured 36% Medi-Cal 26% Other 6% Medicare 21% Commercial 15% Other 7% Medicare 16%

11 SFGHMC Staffing Total of 5,475 Employees: County Employees - 2,800 University Employees - 1,800 Interns, Residents, and Fellows - 875

12 Outpatient Clinic Services 82,463 patients 330,871 visits 66% Primary Care 34% Specialty or Diagnostic

13 Inpatient Acute Services 12,692 patients 17,114 admissions 104,811 patient days

14 Top Admission Diagnoses FY HYPERTENSION PSYCHOSIS NORMAL NEWBORN DELIVERY HIV DISEASE CONGESTIVE HEART FAILURE PNEUMONIA SCHIZO-AFFECTIVE SCHIZOPHRENIA CHEST PAIN SUBSTANCE ABUSE DIABETES

15 SKILLED NURSING UNIT Short term Medical - Surgical SNF Unit 4A Average daily census of 27.7 Average length of stay 22.7 days Mental Health SNF at SFBHC Unit 2N and 2S Average daily census of 54.4 Average length of stay 95.9 days

16 Perioperative Services Ten operating rooms 6,053 procedures performed - of which 48% were emergency 963,086 surgical minutes

17 Obstetric Services 1,221 babies were born at San Francisco General Hospital

18 Trauma and Emergency Over 52,000 Emergency Room visits - 16% are admitted Over 7,000 Psychiatric Emergency encounter - 36% are admitted 2,865 adults and children are treated for injuries requiring the trauma activation.

19 Clinical Accomplishments Opened the Avon Comprehensive Breast Center. Annually, will increase by 5,000 the numbers of mammograms to underserved women. Received transfer of the Mammovan from UCSF, and secured a grant from Avon Foundation to fund the operation of the van for two years Renovated the Cardiac Catheter Laboratory and furnished it with the latest equipment.

20 Clinical Accomplishments Fulfilled one of the recommendation of the Mayor s MHRF Blue Ribbon Committee by establishing and opening the Mental Health Rehabilitation Center. Submitted application for the Adult Residential Facility. Acquired an Ophthalmology Van to provide services to patients of the community clinics Expanded Urgent Care Clinic services from 38.5 hours a week to 74 hours a week Fully complied with new requirements regarding maximum intern hours

21 SFGH Goals: FY Improve staff retention and recruitment. Assess and re-design processes and resources to maintain operational efficiency. Maintain favorable variances to budget for both patient revenue and operating expenses. Improve access to outpatient and diagnostic services. Complete Level I Trauma Center verification and designation approval process.

22 SFGH Goals: FY Plan and design air medical access for SFGH. Plan for the replacement hospital. Participate in the transition to a single DPH information system. Ensure patient placement at the appropriate level of service within the continuum of care. Meet all regulatory standards and regulations.