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ER staff describe crisis as DPH reports $96.5 million year‑end favorable balance; commission hears contract plans and reserve details

San Francisco Department of Public Health Commission · December 3, 2019
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Two emergency‑department employees told commissioners about repeated 16‑hour shifts, widespread staff anxiety and patient crowding; CFO Greg Wagner reported a $96.5 million favorable year‑end balance (netted to ~$82.5M after carryforward and reserve moves) and described contract plans including registry staffing and a $1.5M HealthSpace USA database contract.

Two emergency‑department staff addressed the commission during public comment, saying chronic understaffing and overcrowding in psychiatric emergency services are harming patients and staff.

"Yesterday was a really, really hard shift for a psychiatric nurse ... She was mandated for the second time this week, 30 minutes before her shift ended, mandated to work a 16 hour shift," said Krista Duran, who urged the commission to address staffing, ratios and access to behavioral‑health care.

Julie, an ED nurse of 20 years, told commissioners staff are having a "moral crisis" and that preliminary survey data show high rates of anxiety and PTSD symptoms among respondents;…

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