2010/2011 ANNUAL REPORT SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH

Finance + Planning Committee ▪ December 6, 2011

Message from the Director

Addresses change in SFDPH leadership

Highlights SFDPH’s Integrated Delivery System Planning efforts

Notes changes to the SFDPH Annual Report

Message from the San Francisco Health Commission President

Welcomes Barbara A. Garcia as SFDPH Director

Highlights Health Commission efforts to respond to health system trends

Recognizes SFDPH services and innovations

New!

San Francisco Health Commission

Overview of Health Commission structure

Commissioner bios Fiscal Year 10/11

Resolutions

The mission of the San Francisco Department of Public Health is to protect and promote the health of all San Franciscans.

SFDPH Fiscal Year Highlights

Integrated Delivery System Planning Pushed by Health

Reform + 1115 Waiver

IDS goals + points of integration

IDS planning structure Timeline

New!

IDS Definition

SFDPH’s integrated delivery system (IDS) is a comprehensive system of care that is clinically and financially accountable to provide coordinated health services to the diverse and

vulnerable individuals it serves and to improve the health of their

communities.

SFDPH Fiscal Year Highlights

Laguna Honda Hospital Replacement Project Opened December 2010 California’s largest ever

hospital move, described as “flawless”

LEED-certified Therapeutic design,

“bringing outdoors in” Resident “neighborhoods” Resident amenities

New!

Fiscal Year Achievements by SFDPH Division

San Francisco General Hospital + Trauma Center SFGH Rebuild

Laguna Honda Hospital Three-star CMS rating

Jail Health Hep B San Francisco

New approach!

Fiscal Year Achievements by SFDPH Division New approach!

Community Health Programs Housing and Urban

Health opened 75 new DAH units

Population Health + Prevention Public Health Emergency

Preparedness and Response (PHEPR) Section created

Fiscal Year 10/11 by the Numbers

Patient Demographics + Service Information

Summary of health care services

Information organized by service provider

SFDPH Budget

Revenue by Source Expenditure by

Program/Type

Visit Type Number/Percentage of Visits

Primary Care 331,255 Specialty Care 211,241 Dental Care 13,306 Urgent Care 21,739 Emergency Visits 62,672 Medical Visits 54,694 Percent Admitted 16% Psychiatric Visits 6,978 Percent Admitted 17% Encounters Requiring Trauma Center Services Activations

4,102

Diagnostic Visits 122,795 Acute Inpatient 101,891 Actual Days at SFGH 100,123 Actual Days at LHH 1,768 Home Health Care Visits 20,017 Skilled Nursing Care 318,855 Actual Days at SFGH 10,794 Actual Days at BHC 37,401 Actual Days at LHH 270,660

SFDPH Services Provided in FY 10/11

SFDPH Organization

Organizational Chart SFDPH Service Sites +

Affiliated Partners SFDPH Contractors

Additional Resources

SFDPH Webpage Health Matters in San Francisco/Community Vital

Signs Healthy San Francisco San Francisco General Hospital Foundation San Francisco Public Health Foundation

New!

Questions?