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Health Commission reviews Jewish Home expansion plan and recommends incentives for services to older adults

San Francisco Health Commission · November 4, 2014
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Summary

Staff recommended the Health Commission find Jewish Home's project consistent with the Healthcare Services Master Plan and eligible for incentives, citing major service expansions (primary care, dental, behavioral health) and a new "Square" community hub; commissioners asked for site details, neighborhood outreach and clarity on incentives and returns in one year.

Department of Public Health staff presented a Healthcare Services Master Plan consistency review for the Jewish Home'proposed expansion, recommending the commission find the project "consistent and recommended for incentives." The application covers additions to the skilled nursing campus, expanded acute psychiatric capacity and a proposed 30,000+ square foot community hub called the "Square," intended to provide primary care, dental, behavioral health and transportation services for older adults citywide.

Colleen Chavla, deputy director for policy and planning, said Jewish Home is a long'standing provider (more than 140 years) with a 355'bed skilled nursing facility and that roughly two'thirds of its skilled nursing beds are long'term Medi'Cal recipients. Staff analysis concluded the project would more than double primary care visits (from about 5,000 to 12,000 annually), double dental visits (to roughly 1,400), add about 750 behavioral health visits and support groups, and create transportation coordination to reach low'income areas.

Daniel Ruth, identified as president and CEO of Jewish Home, told commissioners the project had previously engaged neighbors and was refined after setbacks related to AB 97; he said the Square is not a day hospital but a membership/community model with programming to support aging in place. Chavla said projects recommended for incentives typically receive priority processing and other case'specific incentives from the planning department.

Commissioners asked about the project address (identified as 302 Silver), coordination with city clinics and Laguna Honda, demographic and payer mix for short'term versus long'term residents, and the specific incentives likely to be offered; staff said incentives vary by project but commonly include priority processing and fee installment plans. Staff also proposed asking Jewish Home to return within a year of opening to report progress on targets described in the application.

No final commission vote on consistency was held at this meeting; it was an informational and Q&A session and will return for a decision at the December meeting.