San Francisco General Hospital

Last updated

Zuckerberg San Francisco General Hospital and Trauma Center
San Francisco Department of Public Health
Zuckerberg SF General Hospital and Trauma Center.svg
Zuckerberg San Francisco General Hospital.jpg
The main building of the San Francisco General Hospital. At right is the sculpture Mother with Children with Hearts by sculptor Tom Otterness.
San Francisco General Hospital
Geography
Location1001 Potrero Ave
San Francisco, California 94110, United States
Coordinates 37°45′20″N122°24′18″W / 37.75556°N 122.40500°W / 37.75556; -122.40500 (San Francisco General Hospital)
Organization
Care system Medicaid, Medicare, Public
Type Teaching
Affiliated university University of California, San Francisco
Services
Emergency department Level I trauma center
Beds403 General Acute Care
22 Acute Psychiatric
59 Skilled Nursing Mental Health
30 Skilled Nursing Med/Surg
History
Opened1850
Links
Website zuckerbergsanfranciscogeneral.org
Lists Hospitals in the United States

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.

Contents

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]

San Francisco General Hospital (seen against the backdrop of Potrero Hill and the Bay Bridge, and parts of the Mission District in the foreground) San Francisco General Hospital from Bernal Heights (2018).jpg
San Francisco General Hospital (seen against the backdrop of Potrero Hill and the Bay Bridge, and parts of the Mission District in the foreground)

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.[ citation needed ] The previously separate surgical and medical units were combined into one ICU.[ citation needed ]

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

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References

  1. ↑ "Our History". Zuckerberg San Francisco General. Retrieved December 19, 2022. [...] today, we are known as Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center.
  2. ↑ "San Francisco General Hospital & Trauma Center >> About Us". Archived from the original on July 31, 2012. Retrieved July 30, 2012.
  3. ↑ "UCSF Dept of Medicine - UCSF HIV, ID and Global Medicine - Welcome!". hiv.ucsf.edu.
  4. ↑ "Patients Finally Move Into New Facility at SF General | UCSF at SFGH". sfgh.ucsf.edu. Retrieved October 13, 2017.
  5. ↑ "Our History – Zuckerberg San Francisco General".
  6. ↑ "San Francisco General Hospital and Trauma Center Annual Report Fiscal Year 2013-2014" (PDF).
  7. ↑ "Billing & Insurance". Zuckerberg San Francisco General. Retrieved March 5, 2021.
  8. ↑ "Zuckerberg San Francisco General Hospital and Trauma Center (050228)". American Hospital Directory. Retrieved February 2, 2022.
  9. ↑ "Construction of Marine Hospital". Digital Public Library of America . Retrieved February 2, 2022.
  10. ↑ "U. S. Marine Hospital, Historic View, Spear & Harrison Streets, San Francisco, San Francisco County, CA". Library of Congress. Retrieved February 2, 2022.
  11. ↑ "Presidio of San Francisco, Old Station Hospital, Funston Avenue & Lincoln Boulevard, San Francisco, San Francisco County, CA". Library of Congress. Retrieved February 2, 2022.
  12. ↑ State Marine Hospital (San Francisco Calif.) (1853). Annual report of the Trustees of State Marine Hospital at San Francisco for 1852. George Kerr, State printer. OCLC   35733465 . Retrieved February 2, 2022.
  13. ↑ 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. Retrieved February 2, 2022.
  14. ↑ "S.F. Plague". Boston Evening Transcript . November 1, 1902. Retrieved February 2, 2022.
  15. ↑ "Annual report of the trustees of State Marine Hospital at San Francisco, California, for 1852 patient lists". ldsgenealogy.com. Retrieved February 2, 2022.
  16. 1 2 "1868-1898 - San Francisco's First Medical Institutions". A History of UCSF. Retrieved February 2, 2022.
  17. ↑ "Bd. of Health of the Marine Hosp. for State v. Pac. Mail S. S. Co., 1 Cal. 197". Casetext. Retrieved February 2, 2022.
  18. ↑ "UCSF Historic Partnership". UCSF Medical School. Archived from the original on August 9, 2012. Retrieved July 30, 2012.
  19. ↑ "San Francisco General Hospital Rebuild Program". Larry Seeman Associates. Retrieved February 2, 2022.
  20. 1 2 3 4 5 "zsfg timeline". UCSF Dept of Anesthesia. Retrieved February 2, 2022.
  21. ↑ "Transforming Care" (PDF). Archived from the original (PDF) on September 27, 2020.
  22. ↑ Michelson, Alan. "City and County of San Francisco, San Francisco General Hospital, Acute Care Center, Potrero Hill, San Francisco, CA". Pacific Coast Architecture Database . Retrieved February 2, 2022.
  23. 1 2 "SFGH: About Us". San Francisco Department of Public Health . Retrieved February 2, 2022.
  24. ↑ 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.
  25. ↑ "Cook County Honors World-Renowned Trauma Center, Nation's First, on its 50th Anniversary". cookcountyil.gov. September 9, 2016. Retrieved February 2, 2022.
  26. ↑ "History at ZSFG". The UCSF Division of Neurology at ZSFG. Retrieved July 19, 2023.
  27. ↑ "Rebuild San Francisco General Hospital & Trauma Center". sfdph.org . Archived from the original on April 16, 2009. Retrieved February 2, 2022.
  28. 1 2 "Rebuild San Francisco General Hospital & Trauma Center". sfdph.org . Archived from the original on November 1, 2014. Retrieved February 2, 2022.
  29. ↑ "San Francisco General Hospital Rebuild". senate.ucsf.edu. Retrieved February 2, 2022.
  30. ↑ "Proposition A - Hospital Bond". San Francisco Bay Area Planning and Urban Research Association . December 3, 2008.
  31. ↑ "San Francisco General Hospital Rebuilt Project". SF DPH. Archived from the original on April 5, 2007. Retrieved February 2, 2022.
  32. ↑ "San Francisco General Hospital". UCSF School of Medicine. Archived from the original on September 8, 2006. Retrieved February 2, 2022.
  33. ↑ "Condemning the Naming of the Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center". Archived from the original on December 4, 2020.
  34. ↑ Schleifer, Theodore (December 3, 2020). "Mark Zuckerberg gave $75 million to a San Francisco hospital. The city has condemned him anyway". Vox. Retrieved February 2, 2022.
  35. ↑ Colliver, Victoria. "Zuckerberg, wife give $75 million to SF hospital". SF Chronicle. Retrieved February 6, 2015.
  36. ↑ "SF General Hospital". McGinnis Chen Associates Inc. Retrieved February 2, 2022.
  37. ↑ "345 - SFGH Rebuild". Fong & Chan Architects. Retrieved February 2, 2022.
  38. ↑ "San Francisco general hospital and trauma center rebuild" (PDF). www.sfdph.org. Archived from the original (PDF) on October 7, 2014. Retrieved February 22, 2022.
  39. ↑ Kliff, Sarah (January 7, 2019). "A $20,243 bike crash: Zuckerberg hospital's aggressive tactics leave patients with big bills". Vox. Retrieved January 7, 2019.
  40. ↑ "Zuckerberg San Francisco General Hospital doesn't take private insurance, sticking patients with huge bills". Newsweek. January 7, 2019.
  41. ↑ Kliff, Sarah (April 16, 2019). "After Vox stories, Zuckerberg Hospital is overhauling its aggressive billing tactics". Vox.
  42. ↑ "Frida Kahlo, Diego Rivera & SFGH". UCSF. Archived from the original on July 4, 2015. Retrieved May 18, 2015.
  43. ↑ Hendricks, Tyche (June 9, 2008). "S.F.'s visual reminders of Kahlo, Rivera". San Francisco Chronicle. Retrieved May 18, 2015.
  44. ↑ Jones, Aphrodite (2003). Red Zone: The Behind-the-Scenes Story of the San Francisco Dog Mauling. New York: William Morrow. ISBN   0-06-053779-5.
  45. ↑ Rodriguez, Joe Fitzgerald (December 22, 2017). "911 audio reveals moments after Mayor Ed Lee's heart attack". San Francisco Examiner . Retrieved February 7, 2022.
  46. ↑ Leake, C. D. (December 1934). "California's Medical Story . Henry Harris". Isis. 22 (1): 312–315. doi:10.1086/346912.
  47. ↑ "Dr. Harris Writes Book on California's Medical History". Jewish Telegraphic Agency. July 21, 1932. Retrieved February 2, 2022.
  48. ↑ Bengtsson, Bengt-Ola S (November 2016). "Physicians of the Bear-Flag Republic". Journal of Medical Biography. 24 (4): 566–572. doi:10.1177/0967772015605741. PMID   26512067. S2CID   7619806.
  49. ↑ Gardner, FT (July 1939). "Early California Medical Journals". Annals of Medical History. 1 (4): 325–342. PMC   7939627 . PMID   33943426.
  50. ↑ "1868-1898 - San Francisco's First Medical Institutions - A History of UCSF". history.library.ucsf.edu. Retrieved February 2, 2022.
  51. ↑ Douglass, John; Thomas, Sally. "University of California History Digital Archives: San Francisco Historical Overview". www.lib.berkeley.edu. Retrieved February 2, 2022.
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