REPORT CONTENTS: HOSPITAL HEALTHCARE UPDATE REPORT Presented to the JCC-ZSFG on December 12, 217 By Susan Ehrlich, ZSFG Chief Executive Officer 1. DEPARTMENT OF EMERGENCY MEDICINE DESIGNATED AS A WHO COLLABORATING CENTRE FOR EMERGENCY AND TRAUMA CARE 1 2. PSYCHIATRIC EMERGENCY SERVICES CMS RECERTIFICATION SURVEY 1 3. FOOD AND NUTRITION SERVICES ASSIST NORTH BAY FIRES IN NAPA AND SONOMA COUNTY 2 4. PATIENT FLOW REPORTS 3 5. SALARY VARIANCE TO BUDGET BY PAY PERIOD REPORT 3 1 UCSF DEPT OF EMERGENCY MEDICINE DESIGNATED AS WORLD HEALTH ORGANISATION (WHO) COLLABORATING CENTER The UCSF Department of Emergency Medicine s was recently designation as a WHO Collaborating Centre for Emergency and Trauma Care, the only one in the Americas, and only the second in the world! This is an incredible achievement for our department and University, and promotes health equity on a global scale. To be designated a WHO collaborating center, an organization must have done at least two years of work with the WHO and show a sustained commitment to the field, according to Renee Hsia, MD, MSc, and Andrea Tenner, MD, MPH, faculty in the UCSF Department of Emergency Medicine and leads in gaining the designation for UCSF. Attaining designation as a collaborating center is a multi-step process that successfully concludes with review and approval by the WHO Director-General. The designation as a WHO Collaborating Centre provides a formalized relationship between the UCSF Department of Emergency Medicine and the WHO by allowing more streamlined engagement, improving funding opportunities and developing a more formal framework for joint activities. In addition to Hsia and Tenner, the leadership group includes Catherine Juillard, MD, MPH, director of the Center for Global Surgical Studies, Kimberly Baltzell, MS, PhD, director of the School of Nursing Center for Global Health, and Amy Lockwood, MS, MBA, and Jane Coyne, MMM, from the Center for Global Health Delivery & Diplomacy in the Institute for Global Health Sciences. ZSFG is also deeply grateful to Dr. Peter Sokolove and Dr. Chris Colwell for supporting this work and help making this happen. We appreciate them for all they do. This designation demonstrates ZSFG s dedication to serving the most vulnerable not only here in our city, but globally as well. 1 P a g e
2 PSYCHIATRIC EMERGENCY SERVICES CMS RECERTIFICATION SURVEY On October 25, 217, four surveyors arrived on campus to conduct the annual CMS Recertification Survey for Psychiatric Emergency Services. The surveyors observed the triage process, chart reviews, discharge planning, medication management process, and restraint and seclusion protocols. There were minor recommendations during the exit conference; these findings will require supervisor review and a formal report will follow. The Psychiatric Emergency Services leadership team, staff, and providers did a great job answering questions and providing documents to ensure a smooth and successful survey. Congratulations to the team on a job well done. 3 FOOD AND NUTRITION SERVICES ASSIST NORTH BAY FIRES IN NAPA AND SONOMA COUNTY The horrific North Bay fires in Napa and Sonoma County prompted many of us to do whatever we could to help. Like many others, Food and Nutrition Services (FNS) Team came up with a creative solution based on one of their regulatory requirements. FNS is required to keep enough food and supplies on hand to feed our patients and visitors in the event of an emergency. As the products get close to their expiration date, FNS works with local food pantries to donate. The North Bay fires promoted the FNS team to donate the food, juice and water to the relief efforts. The employees were able to organize and deliver $3,341 worth of food and juice to the victims. We are fortunate to work with our resourceful FNS team who continue to support and serve our patients and larger community in need. Many thanks to the FNS team! 2 P a g e
4 PATIENT FLOW REPORT FOR OCTOBER 217 Attached please find a series of charts depicting changes in the average daily census. MEDICAL/SURGICAL was 215.35 which is 6% of budgeted staffed beds level and 85% of physical capacity of the hospital. 16.46% of the Medical/Surgical days were lower level of care days: 7% administrative and 9.47% decertified/non-reimbursed days. ACUTE PSYCHIATRY for Psychiatry beds, excluding 7L, was 4.35, which is 91.7% of budgeted staffed beds and 6.2% of physical capacity (7A, 7B, 7C). for 7L was 4.65, which is 66.4% of budgeted staffed beds (n=7) and 38.8% of physical capacity (n=12). Latest Utilization Review data from the INVISION System shows 77% non-acute days (68% lower level of care and 9% non-reimbursed). 4A SKILLED NURSING UNIT ADC for our skilled nursing unit was 29.32, which is 5% of our budgeted staffed beds and 98% of physical capacity. 5 SALARY VARIANCE TO BUDGET BY PAY PERIOD REPORT FOR FISCAL YEAR 217-218 For Pay Period ending November 17, 217, Zuckerberg San Francisco General recorded a 2.84% variance between Actual and Budgeted salary cost actuals were $433,397 over budget. For variance to budget year-to-date, ZSFG has a negative variance of $5,8,298/3.5%. 3 P a g e
Medical/Surgical 25 24 23 22 2 2 19 18 17 16 15 14 13 12 1 9 8 7 6 5 4 3 2 FY 217-218 Decert Days Admin Days Acute Days Medical/Surgical 25 24 FY 211-214 23 22 2 2 19 FY 217-218 18 17 16 15 FY 213-214 FY 214-215 FY 215-216 FY 216-217 FY 217-218 4 P a g e
65 6 Acute Psychiatry Includes Units 7A, 7B, 7C Excludes 7L 55 5 45 4 35 3 25 2 15 5 FY 216-217 Admin ADC Decert ADC Acu te ADC 8 7 FY 211-214 Acute Psychiatry Includes Units 7A, 7B, 7C Excludes 7L 6 5 4 3 2 FY 217-218 FY 213-214 FY 214-215 FY 215-216 FY 216-217 FY 217-218 5 P a g e
3 4A Skilled Nursing 25 2 15 5 Ave rage Bed Holds Skilled Nursing Days 4A Skilled Nursing 4 35 3 25 2 15 5 FY 213-214 FY 214-215 FY 215-216 FY 216-217 FY 217-218 6 P a g e
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