San Francisco General Hospital Explained

Zuckerberg San Francisco General Hospital and Trauma Center
Org/Group:San Francisco Department of Public Health
Width:285
Location:1001 Potrero Ave
San Francisco, California 94110
Coordinates:37.7556°N -122.405°W
Country:United States
Healthcare:Medicaid, Medicare, Public
Type:Teaching
Emergency:I
Affiliation:University of California, San Francisco
Beds:403 General Acute Care
22 Acute Psychiatric
59 Skilled Nursing Mental Health
30 Skilled Nursing Med/Surg
Founded:1850
Website:zuckerbergsanfranciscogeneral.org

The Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center[1] (ZSFG) is a public hospital in San Francisco, California, under the purview of the city's Department of Public Health. It serves as the only Level I trauma center for the 1.5 million residents of San Francisco and northern San Mateo County.[2] It is the largest acute inpatient and rehabilitation hospital for psychiatric patients in the city. Additionally, it is the only acute hospital in San Francisco that provides 24-hour psychiatric emergency services.

In addition to the approximately 3,500 San Francisco municipal employees, the University of California, San Francisco (UCSF) provides approximately 1,500 employees (including physicians, nurses and ancillary personnel), and the SFGH serves as one of the teaching hospitals for the UCSF School of Medicine. The hospital, especially its Ward 86,[3] was instrumental in treating and identifying early cases of AIDS. A new San Francisco General Hospital acute care building was completed in 2016 for a total approximate cost of $1.02 billion. A $75 million donation by Facebook founder Mark Zuckerberg and his wife Priscilla Chan[4] covered approximately 7.35% of the overall cost. In recognition, the hospital was renamed after the couple.[5]

The hospital is a safety net hospital additionally serving poor, elderly people, uninsured working families, and immigrants. As of 2014, 92 percent of the patient population at SFGH either receives publicly funded health insurance (Medicare or Medi-Cal) or is uninsured.[6]

SFGH is rare in that its emergency rooms do not have agreements in place with private health care insurance providers. Until 2019, privately insured patients were often billed the balance of their care, which could be sizable. This practice was changed after media attention regarding the hospital's billing practices.[7]

SFGH provided $74,620,877 of services with unrecovered payments in year ending 2020-06-30.[8]

History

In 1850, a California state bill appropriated $50,000 to build a State Marine Hospital in San Francisco.[9]

In 1851, the United States Congress established the U.S. Marine Hospital, San Francisco at Rincon Point[10] and relocated to the Presidio of San Francisco in 1875.[11] [12] [13] [14] [15]

In 1855, the State Marine Hospital building was transitioned to the City and County Hospital of San Francisco, funded by every vessel that entered the port, paying inspection fees, to a public health officer.[16] [17]

By 1857, the City and County Hospital had located to the former North Beach School, at the southwest corner of Francisco and Stockton Streets.[16] San Francisco opened its first permanent hospital in 1857.[18]

A hospital has been at Potrero Avenue since 1872,[19] when the city of San Francisco built a 400-bed hospital on Potrero, an all wood hospital, one of four emergency hospitals eventually built by 1904, Central, Harbor, Park and Potrero.[20]

Expansions to the site have been made in 1909 (Mission Emergency Hospital),[20] 1915 (four main, distanced, ward buildings),[20] 1924 (psychiatric ward),[21] 1976 (Acute Care Hospital),[20] and 2016.[22]

"SFGH and the University of California, San Francisco School of Medicine (UCSF) have been partners in public health since 1872..."[23] [24]

In 1966, SFGH was designated as the city's trauma center,[20] the second trauma center established in the U.S. after Cook County Hospital.[25]

In 1977, a new inpatient facility consisting of clinic space, rooms for patients, a new born unit, and surgery facilities was established.[26]

Chan Zuckerberg building

In November 2008, San Francisco voters approved an $887.4 million general obligation bond for the General Hospital rebuild, work began in 2009, and was expected to be finished in 2015.[23] [27] [28] [29] [30] [31] [32]

In 2015, Facebook founder and CEO, Mark Zuckerberg, and his wife Priscilla Chan gave $75 million[33] [34] to help fund equipment and technology for the new hospital.[35] In 2016, the new hospital building was completed. It is the first hospital building in San Francisco to be constructed with a base-isolated foundation, 30 inches in any direction[36] [37] for protection against earthquakes. Publicised improvements included expanding the Emergency Department from 27 to 58 beds, and Operating Rooms from 10 to 13.[28] [38] The number of general admission beds, the number of intensive care unit (ICU) beds increased. The previously separate surgical and medical units were combined into one ICU.

Billing practices

Through early 2019, SFGH did not participate in any private health insurance networks and practiced balance billing. A Vox analysis (derived from a database of more than a thousand emergency room bills) characterized the hospital's billing practices as "aggressive" and "surprising": one privately insured patient arriving at the hospital after a bicycle accident was billed more than $20,000 for diagnostic scans and treatment for a broken arm;[39] the bill was 12 times the Medicare billing rate.[40] After media attention, SFGH changed its billing policy so that privately insured patients would be billed at rates consistent with their insurers' network rates, with an income-based maximum.[41]

Artwork

The hospital owns and displays two paintings by Frida Kahlo and Diego Rivera, donated to the hospital by Dr. Leo Eloesser. Eloesser interned at SFGH and was Kahlo's physician.[42] [43]

Notable deaths

See also

Further reading

External links

Notes and References

  1. Web site: Our History . 2022-12-19 . Zuckerberg San Francisco General . en-US . "[...] today, we are known as Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center.".
  2. Web site: San Francisco General Hospital & Trauma Center >> About Us. dead. https://web.archive.org/web/20120731024720/http://www.sfdph.org/dph/comupg/oservices/medSvs/SFGH/default.asp. July 31, 2012. July 30, 2012.
  3. Web site: UCSF Dept of Medicine - UCSF HIV, ID and Global Medicine - Welcome!. hiv.ucsf.edu.
  4. Web site: Patients Finally Move Into New Facility at SF General UCSF at SFGH. sfgh.ucsf.edu. 2017-10-13.
  5. Web site: Our History – Zuckerberg San Francisco General.
  6. Web site: San Francisco General Hospital and Trauma Center Annual Report Fiscal Year 2013-2014.
  7. Web site: Billing & Insurance. 2021-03-05. Zuckerberg San Francisco General. en-US.
  8. Web site: Zuckerberg San Francisco General Hospital and Trauma Center (050228) . American Hospital Directory . 2 February 2022.
  9. Web site: Construction of Marine Hospital . . 2 February 2022.
  10. Web site: U. S. Marine Hospital, Historic View, Spear & Harrison Streets, San Francisco, San Francisco County, CA . Library of Congress. 2 February 2022.
  11. Web site: Presidio of San Francisco, Old Station Hospital, Funston Avenue & Lincoln Boulevard, San Francisco, San Francisco County, CA . Library of Congress. 2 February 2022.
  12. Book: State Marine Hospital (San Francisco Calif.) . Annual report of the Trustees of State Marine Hospital at San Francisco for 1852. . George Kerr, State printer . 2 February 2022 . English . 1853. 35733465 .
  13. Web site: State Marine Hospital Board of Trustees . Annual report of the trustees of State Marine Hospital at San Francisco, California for 1852 : patient lists . Dallas Public Library . Pomona Valley Genealogical Society . 2 February 2022 . en.
  14. News: S.F. Plague . 2 February 2022 . . 1902-11-01.
  15. Web site: Annual report of the trustees of State Marine Hospital at San Francisco, California, for 1852 patient lists . ldsgenealogy.com . 2 February 2022.
  16. Web site: 1868-1898 - San Francisco's First Medical Institutions . A History of UCSF . 2 February 2022.
  17. Web site: Bd. of Health of the Marine Hosp. for State v. Pac. Mail S. S. Co., 1 Cal. 197 . Casetext . 2 February 2022.
  18. Web site: UCSF Historic Partnership. UCSF Medical School. dead. https://web.archive.org/web/20120809083453/http://medschool2.ucsf.edu/sfgh/historic-partnership. 2012-08-09. 2012-07-30.
  19. Web site: San Francisco General Hospital Rebuild Program . Larry Seeman Associates . 2 February 2022.
  20. Web site: zsfg timeline . UCSF Dept of Anesthesia . 2 February 2022.
  21. https://zuckerbergsanfranciscogeneral.org/wp-content/uploads/2017/05/SF-General-Final-Chronicle-Tab-HIST.pdf
  22. Web site: Michelson . Alan . City and County of San Francisco, San Francisco General Hospital, Acute Care Center, Potrero Hill, San Francisco, CA . . 2 February 2022.
  23. Web site: SFGH: About Us . . 2 February 2022.
  24. Book: Wilson . John L. . Stanford University School of Medicine and the Predecessor Schools: An Historical Perspective: Part III. Founding of First Medical School and Successions 1858-. Chapter 21. Chapter XXI. Revival of Medical Department University of the Pacific 1870 . Stanford University Medical History Center . en.
  25. Web site: Cook County Honors World-Renowned Trauma Center, Nation's First, on its 50th Anniversary . cookcountyil.gov . 2 February 2022 . 2016-09-09.
  26. Web site: History at ZSFG . 2023-07-19 . The UCSF Division of Neurology at ZSFG . en.
  27. Web site: Rebuild San Francisco General Hospital & Trauma Center . . 2 February 2022 . https://web.archive.org/web/20090416033927/https://www.sfdph.org/dph/rebuildsfgh/ . 16 April 2009.
  28. Web site: Rebuild San Francisco General Hospital & Trauma Center . . 2 February 2022 . https://web.archive.org/web/20141101060737/https://www.sfdph.org/dph/rebuildsfgh/ . 1 November 2014.
  29. Web site: San Francisco General Hospital Rebuild . senate.ucsf.edu . 2 February 2022.
  30. Web site: Proposition A - Hospital Bond . . en . 3 December 2008.
  31. Web site: San Francisco General Hospital Rebuilt Project . SF DPH . 2 February 2022 . https://web.archive.org/web/20070405062213/http://www.dph.sf.ca.us/SFGHRebuild/default.htm . 5 April 2007.
  32. Web site: San Francisco General Hospital . UCSF School of Medicine . 2 February 2022 . https://web.archive.org/web/20060908134136/http://medschool.ucsf.edu/sfgh/ . 8 September 2006.
  33. https://sfgov.legistar.com/View.ashx?M=F&ID=8686925&GUID=AB36CE6D-F162-413C-98F9-B217EEB5FFC1
  34. News: Schleifer . Theodore . Mark Zuckerberg gave $75 million to a San Francisco hospital. The city has condemned him anyway. . 2 February 2022 . Vox . 3 December 2020 . en.
  35. News: Colliver. Victoria. Zuckerberg, wife give $75 million to SF hospital. 6 February 2015. SF Chronicle.
  36. Web site: SF General Hospital . McGinnis Chen Associates Inc . 2 February 2022.
  37. Web site: 345 - SFGH Rebuild . Fong & Chan Architects . 2 February 2022.
  38. Web site: Archived copy . www.sfdph.org . 22 February 2022 . https://web.archive.org/web/20141007072213/http://www.sfdph.org/dph/RebuildSFGH/files/NewHospitalFactSheet.pdf . 7 October 2014 . dead.
  39. Web site: A $20,243 bike crash: Zuckerberg hospital's aggressive tactics leave patients with big bills. Kliff. Sarah. 2019-01-07. Vox. 2019-01-07.
  40. Web site: Zuckerberg San Francisco General Hospital doesn't take private insurance, sticking patients with huge bills. January 7, 2019. Newsweek.
  41. Web site: After Vox stories, Zuckerberg Hospital is overhauling its aggressive billing tactics. Sarah. Kliff. April 16, 2019. Vox.
  42. Web site: Frida Kahlo, Diego Rivera & SFGH. UCSF. 2015-05-18. dead. https://web.archive.org/web/20150704023808/http://sfgh.ucsf.edu/frida-kahlo-diego-rivera-sfgh. 2015-07-04.
  43. News: S.F.'s visual reminders of Kahlo, Rivera. Hendricks. Tyche. 2008-06-09. 2015-05-18. San Francisco Chronicle.
  44. Book: Jones, Aphrodite . Red Zone: The Behind-the-Scenes Story of the San Francisco Dog Mauling . New York . William Morrow . 2003 . 0-06-053779-5.
  45. News: 911 audio reveals moments after Mayor Ed Lee's heart attack. San Francisco Examiner. December 22, 2017. February 7, 2022. Rodriguez. Joe Fitzgerald.
  46. Leake . C. D. . California's Medical Story . Henry Harris . Isis . December 1934 . 22 . 1 . 312–315 . 10.1086/346912 .
  47. News: Dr. Harris Writes Book on California's Medical History . 2 February 2022 . Jewish Telegraphic Agency . 21 July 1932.
  48. Bengtsson . Bengt-Ola S . Physicians of the Bear-Flag Republic . Journal of Medical Biography . November 2016 . 24 . 4 . 566–572 . 10.1177/0967772015605741. 26512067 . 7619806 .
  49. Gardner . FT . Early California Medical Journals. . Annals of Medical History . July 1939 . 1 . 4 . 325–342 . 33943426. 7939627 .
  50. Web site: 1868-1898 - San Francisco's First Medical Institutions - A History of UCSF . history.library.ucsf.edu . 2 February 2022.
  51. Web site: Douglass . John . Thomas . Sally . University of California History Digital Archives: San Francisco Historical Overview . www.lib.berkeley.edu . 2 February 2022 . en.

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