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Health Commission: $2B department budget, EPIC EHR and major capital work top priorities amid tighter city guidance
Summary
Department of Public Health leaders presented a multiyear budget outlook showing a little more than $2 billion in total spending, mayor—s instructions to restrain general fund growth, a projected $36 million structural gap on current trends, and large planned investments in an EPIC electronic health record and seismic capital projects.
The San Francisco Health Commission on Dec. 19 heard a detailed finance briefing that positioned the Department of Public Health to live within the mayor—s budget instructions while preparing for two major multiyear programs: an EPIC electronic health record rollout and a city capital program that includes seismic work on hospital and clinic buildings.
"Our total budget is a little over $2,000,000,000," said Mr. Wagner, the department—s finance lead, giving commissioners the numerical context for a plan that aims to both restrain growth and preserve services. He described mayoral guidance that asks departments to limit general fund support growth by 2.5% in the first year and another 2.5% in the second year and to avoid adding ongoing FTEs.
Why it matters: the department draws a large share of discretionary local tax dollars and is carrying high fixed costs, including salaries, pensions and health benefits. Wagner—s five-year projection shows employee costs as the single largest upward pressure; without action, the…
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