San Francisco General San Francisco General Hospital and Trauma CenterHospital and Trauma Center

FY 2007-08FY 2007-08

SFGH Mission Statement:SFGH Mission Statement:“ To provide quality healthcare “ To provide quality healthcare

and trauma services with and trauma services with compassion and respect.”compassion and respect.”

“We Save Lives”

A California Public HospitalA California Public Hospital

SFGH is one of 19 public hospitals in CASFGH is one of 19 public hospitals in CA Today, just 6% of hospitals that Today, just 6% of hospitals that

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

– Operate almost 60% of CA’s trauma centersOperate almost 60% of CA’s trauma centers– Operate almost 45% of the burn centersOperate almost 45% of the burn centers– Serve 2.5 million patients per yearServe 2.5 million patients per year

During the economic crisis, the need for During the economic crisis, the need for services is growingservices is growing

SFGH is for everyoneSFGH is for everyone

Only Trauma Center in San FranciscoOnly Trauma Center in San Francisco Care for 100,000 patients per yearCare for 100,000 patients per year Provides 20% of all inpatient care in SFProvides 20% of all inpatient care in SF Only Psychiatric Emergency & Only Psychiatric Emergency &

Rehabilitation Services Rehabilitation Services Referral Center for “Healthy San Referral Center for “Healthy San

Francisco,” the health access program Francisco,” the health access program for the uninsuredfor the uninsured

University of California, University of California, San Francisco (UCSF)San Francisco (UCSF)

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

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

Over 1,300 UCSF employees on Over 1,300 UCSF employees on campus.campus.

Clinical training at SFGHClinical training at SFGHUniversity of California, San FranciscoUniversity of California, San Francisco Schools of Nursing, Pharmacy, Dentistry, and MedicineSchools of Nursing, Pharmacy, Dentistry, and Medicine350 3rd or 4th Year Medical Students, 800 Residents, 60 Clinical Fellows350 3rd or 4th Year Medical Students, 800 Residents, 60 Clinical Fellows 32% of intern/resident training in 17 academic departments32% of intern/resident training in 17 academic departments35% medical student clinical training35% medical student clinical training

Approximately 200 clinical nursing placements for students from the California State University System, community colleges, private universities and colleges.

SFGH DIVERSITY OF PATIENTSSFGH DIVERSITY OF PATIENTSFY 2007-2008 N=98,680FY 2007-2008 N=98,680

Under 1813%

18-2411%

25-4434%

45-6433%

Over 649%

Male51%

Female49%

White24%

Afric-Amer19%

Hispanic29%

Nat Amer1%

Asian/PI20%

Oth/Unk7%

Age

Race

Sex

Dedicated interpreter staff at San Francisco General Hospital provide services in over

20 languages:

SpanishSpanish CantoneseCantonese MandarinMandarin RussianRussian VietnameseVietnamese TagalogTagalog CambodianCambodian

Thai Arabic Amharic (Ethiopia) Portuguese Polish Burmese

…and more

Payor SourcesPayor SourcesFY 2007-2008FY 2007-2008

Acute Inpatient Days(excludes 4A SNF & SFBHC)

Medicare26%

Other8%

Commercial4%

Uninsured26%

Medi-Cal34%

Outpatient VisitsClinics & Emergency Department

Medicare18%

Uninsured34%

Other18%

Medi-Cal28%

Commercial2%

Top 10 Discharge DiagnosesTop 10 Discharge Diagnoses FY 2007-2008 FY 2007-2008

NEWBORN DELIVERYNEWBORN DELIVERY PSYCHOSISPSYCHOSIS PNEUMONIAPNEUMONIA SCHIZOPHRENIA-AFFECTIVESCHIZOPHRENIA-AFFECTIVE CONGESTIVE HEART FAILURE CONGESTIVE HEART FAILURE HIV DISEASEHIV DISEASE PARANOID SCHIZOPHRENIAPARANOID SCHIZOPHRENIA DEPRESSIVE DISORDERDEPRESSIVE DISORDER ALCOHOL WITHDRAWAL ALCOHOL WITHDRAWAL OBSTRUCTIVE CHRONIC BRONCHITIS

SFGH ServicesSFGH ServicesFY 2007-2008FY 2007-2008

Outpatient: 529,098 visits

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

Skilled Nursing: average census 29/ LOS 31 days

Acute Care for the ElderlyAcute Care for the Elderly (ACE) (ACE)

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

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

Only ACE unit in CaliforniaOnly ACE unit in California Current 35 beds -- set to expandCurrent 35 beds -- set to expand

San Francisco Behavioral Health CenterSan Francisco Behavioral Health CenterFY 2007-2008FY 2007-2008

Mental Health Mental Health Skilled Nursing Facility Skilled Nursing Facility - Average daily census - Average daily census of 57of 57 Mental Health Mental Health Rehabilitation Center - Rehabilitation Center - Average daily census Average daily census of 44of 44 Outpatient Adult Outpatient Adult Rehabilitation Facility – Rehabilitation Facility – Current census 41Current census 41

Surgical ServicesSurgical Services Ten Ten

operating operating roomsrooms

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

1,118,100 surgical minutes

Baby Friendly HospitalBaby Friendly HospitalFY 2007-2008FY 2007-2008

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

Only Baby Friendly hospital Only Baby Friendly hospital in San Franciscoin San Francisco

1 of 63 hospitals in U.S.1 of 63 hospitals in U.S. 1,263 babies were born at 1,263 babies were born at

SFGHSFGH 1,908 women received 1,908 women received

prenatal care, 25% high-riskprenatal care, 25% high-risk

Trauma and EmergencyTrauma and EmergencyFY 2007-2008FY 2007-2008

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

Over 7,200 Over 7,200 Psychiatric Psychiatric Emergency Emergency encounters - 25% encounters - 25% are admittedare 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 SFGH Goals FY 2008-2009FY 2008-2009

Promote patient safetyPromote patient safety Enhance clinical careEnhance clinical care Promote staff retention & recruitmentPromote staff retention & recruitment Maintain hospital infrastructureMaintain hospital infrastructure Comply with all regulatory standards & Comply with all regulatory standards &

attain specialty certificationsattain specialty certifications Maintain services during Maintain services during hospital rebuildhospital rebuild

VIEW FROM POTRERO AVENUE

VIEW FROM 23RD STREET

VIEW OF PEDESTRIAN GARDEN

The Heart of the City