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DPH presents first reports under Ordinance 077-22, highlights data gaps and plans to expand subacute capacity
Summary
DPH presented the first 2021'22 reports produced under local Ordinance 077-22, showing disparate hospital methodologies that prevent easy aggregation; DPH said Chinese Hospital is pursuing certification and was awarded $5 million to create or renovate subacute capacity while DPH pursues partnerships and financial approaches to sustain beds.
The San Francisco Department of Public Health told the Health Commission on Tuesday that a newly enacted local ordinance requiring hospital reporting of skilled nursing and subacute transfers produced useful facility-level data but exposed major methodological differences that limit comparison across hospitals.
Claire Altman, senior health program planner, said Ordinance 077-22 compels general acute-care hospitals and hospital-based skilled nursing facilities to report the number of San Francisco residents (and nonresidents) who qualified for skilled nursing or subacute care and were either transferred out of county or remained in acute care. The reports for 2021 and 2022 showed substantial variation in how hospitals record transfers: some use discharge disposition codes, some rely on referral-management systems and several required…
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