San Francisco General Hospital and Trauma Center FY 2007-08

SFGH Mission Statement: “ To provide quality healthcare and trauma services with compassion and respect.” “ We Save Lives”

“ We Save Lives”

A California Public Hospital SFGH is one of 19 public hospitals in CA Today, just 6% of hospitals that Provide nearly half of the hospital care to the state’s uninsured Operate almost 60% of CA’s trauma centers Operate almost 45% of the burn centers Serve 2.5 million patients per year During the economic crisis, the need for services is growing

SFGH is one of 19 public hospitals in CA

Today, just 6% of hospitals that

Provide nearly half of the hospital care to the state’s uninsured

Operate almost 60% of CA’s trauma centers

Operate almost 45% of the burn centers

Serve 2.5 million patients per year

During the economic crisis, the need for services is growing

SFGH is for everyone Only Trauma Center in San Francisco Care for 100,000 patients per year Provides 20% of all inpatient care in SF Only Psychiatric Emergency & Rehabilitation Services Referral Center for “Healthy San Francisco,” the health access program for the uninsured

Only Trauma Center in San Francisco

Care for 100,000 patients per year

Provides 20% of all inpatient care in SF

Only Psychiatric Emergency & Rehabilitation Services

Referral Center for “Healthy San Francisco,” the health access program for the uninsured

University of California, San Francisco (UCSF) SFGH has partnered with UCSF for over 130 years through our teaching and research affiliation. Over 160 UCSF Principal Investigators conduct research at SFGH with an annual budget of $143M Over 1,300 UCSF employees on campus.

SFGH has partnered with UCSF for over 130 years through our teaching and research affiliation.

Over 160 UCSF Principal Investigators conduct research at SFGH with an annual budget of $143M

Over 1,300 UCSF employees on campus.

Clinical training at SFGH University of California, San Francisco Schools of Nursing, Pharmacy, Dentistry, and Medicine 350 3rd or 4th Year Medical Students, 800 Residents, 60 Clinical Fellows 32% of intern/resident training in 17 academic departments 35% medical student clinical training Approximately 200 clinical nursing placements for students from the California State University System, community colleges, private universities and colleges.

University of California, San Francisco

Schools of Nursing, Pharmacy, Dentistry, and Medicine

350 3rd or 4th Year Medical Students, 800 Residents, 60 Clinical Fellows

32% of intern/resident training in 17 academic departments

35% medical student clinical training

SFGH DIVERSITY OF PATIENTS FY 2007-2008 N=98,680 Age Race Sex

Dedicated interpreter staff at San Francisco General Hospital provide services in over 20 languages: Spanish Cantonese Mandarin Russian Vietnamese Tagalog Cambodian Thai Arabic Amharic (Ethiopia) Portuguese Polish Burmese … and more

Spanish

Cantonese

Mandarin

Russian

Vietnamese

Tagalog

Cambodian

Thai

Arabic

Amharic (Ethiopia)

Portuguese

Polish

Burmese

… and more

Payor Sources FY 2007-2008

Top 10 Discharge Diagnoses FY 2007-2008 NEWBORN DELIVERY PSYCHOSIS PNEUMONIA SCHIZOPHRENIA-AFFECTIVE CONGESTIVE HEART FAILURE HIV DISEASE PARANOID SCHIZOPHRENIA DEPRESSIVE DISORDER ALCOHOL WITHDRAWAL OBSTRUCTIVE CHRONIC BRONCHITIS

NEWBORN DELIVERY

PSYCHOSIS

PNEUMONIA

SCHIZOPHRENIA-AFFECTIVE

CONGESTIVE HEART FAILURE

HIV DISEASE

PARANOID SCHIZOPHRENIA

DEPRESSIVE DISORDER

ALCOHOL WITHDRAWAL

OBSTRUCTIVE CHRONIC BRONCHITIS

SFGH Services FY 2007-2008 Outpatient: 529,098 visits Inpatient: 16,031 admissions/113,095 patient days Skilled Nursing: average census 29/ LOS 31 days

Outpatient: 529,098 visits

Inpatient: 16,031 admissions/113,095 patient days

Skilled Nursing: average census 29/ LOS 31 days

Acute Care for the Elderly (ACE) Special dedicated unit for post-op, medical, surgical and rehab patients Trained inter-disciplinary team emphasizes socialization, exercise, discharge planning, reducing pharmaceutical dependence Only ACE unit in California Current 35 beds -- set to expand

Special dedicated unit for post-op, medical, surgical and rehab patients

Trained inter-disciplinary team emphasizes socialization, exercise, discharge planning, reducing pharmaceutical dependence

Only ACE unit in California

Current 35 beds -- set to expand

San Francisco Behavioral Health Center FY 2007-2008 Mental Health Skilled Nursing Facility - Average daily census of 57 Mental Health Rehabilitation Center - Average daily census of 44 Outpatient Adult Rehabilitation Facility – Current census 41

Mental Health Skilled Nursing Facility - Average daily census of 57

Mental Health Rehabilitation Center - Average daily census of 44

Outpatient Adult Rehabilitation Facility – Current census 41

Surgical Services Ten operating rooms 6,872 procedures performed - of which 48% were emergency 1,118,100 surgical minutes

Ten operating rooms

6,872 procedures performed - of which 48% were emergency

1,118,100 surgical minutes

Baby Friendly Hospital FY 2007-2008 SFGH named by World Health Organization as Baby Friendly in May 2007 Only Baby Friendly hospital in San Francisco 1 of 63 hospitals in U.S. 1,263 babies were born at SFGH 1,908 women received prenatal care, 25% high-risk

SFGH named by World Health Organization as Baby Friendly in May 2007

Only Baby Friendly hospital in San Francisco

1 of 63 hospitals in U.S.

1,263 babies were born at SFGH

1,908 women received prenatal care, 25% high-risk

Trauma and Emergency FY 2007-2008 Over 51,000 Emergency Room visits – 18% are admitted Over 7,200 Psychiatric Emergency encounters - 25% are admitted Receives 29% of all ambulance traffic in San Francisco 3,317 adults and children are treated for injuries requiring the trauma activation.

Over 51,000 Emergency Room visits – 18% are admitted

Over 7,200 Psychiatric Emergency encounters - 25% are admitted

Receives 29% of all ambulance traffic in San Francisco

3,317 adults and children are treated for injuries requiring the trauma activation.

SFGH Goals FY 2008-2009 Promote patient safety Enhance clinical care Promote staff retention & recruitment Maintain hospital infrastructure Comply with all regulatory standards & attain specialty certifications Maintain services during hospital rebuild

Promote patient safety

Enhance clinical care

Promote staff retention & recruitment

Maintain hospital infrastructure

Comply with all regulatory standards & attain specialty certifications

Maintain services during hospital rebuild

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