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City report: most skilled nursing transfers remain in San Francisco; subacute data are limited
Summary
A DPH report required by local ordinance found most San Francisco residents discharged to skilled nursing facilities were placed in-city and that Medicare is the most common payer; officials cautioned the subacute dataset is inconsistent across hospitals and recommended data and EHR coding improvements.
San Francisco Department of Public Health staff presented the 2023 Skilled Nursing and Subacute Transfer report to the Health Commission, saying the data show most residents who require skilled nursing were placed in San Francisco facilities but flagged significant limitations for subacute reporting.
"Most hospital encounters who were transferred to a skilled nursing facility... were adults over the age of 65," Claire Altman, senior health program planner, told the commission, and added that Medicare is the most common payer among these transfers.
Key findings: The…
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