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Public Health director: Zuckerberg San Francisco General to open May 21; DPH outlines $2B‑plus budget

San Francisco Board of Supervisors Budget and Finance Committee · May 11, 2016
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Summary

Department of Public Health Director Barbara Garcia told the budget committee the department's budget is slightly more than $2 billion, that the new Zuckerberg San Francisco General will begin patient moves May 21 following state licensing, and that the department plans expanded behavioral‑health services and a 10‑year EHR investment.

SAN FRANCISCO — Barbara Garcia, director of the San Francisco Department of Public Health, briefed the Board of Supervisors Budget and Finance Committee on May 11 on the department's proposed budget for FY2016‑17 and FY2017‑18, staffing for the new hospital and planned behavioral‑health expansions.

Garcia said the department's budget is "a little bit over $2,000,000,000," with Zuckerberg San Francisco General Hospital accounting for nearly half of the total. She said revenue sources include Medi‑Cal and patient fees and that changes in federal or state rules could affect substance‑abuse revenue streams.

On readiness and timing, Garcia said the state issued the hospital license about two weeks earlier and that "May 21, we'll be moving our patients into our new hospital." She said DPH has added about 119 full‑time equivalent positions and expects a roughly $32,400,000 increase in annual operating costs to staff and operate the new facility.

Garcia described expanded behavioral‑health investments, including a federal demonstration that recognizes medical treatment for substance abuse and is expected to bring about $6,900,000 in revenues; consolidating transgender services into an integrated program (roughly $4,000,000); state realignment funds of about $3,000,000 for children's mental health programs; and a plan to add 10 locked beds to a mental‑health rehab center to address increased psychiatric emergency admissions.

During questions, "Supervisor E." asked whether DPH provides mental‑health services for law enforcement and fire personnel; Garcia said DPH's mental‑health administration has provided crisis training and will coordinate trauma‑informed services with the police department and fire, and referenced Captain Kate Chaplin as a partner in that work.

Garcia also described a proposed 10‑year unified electronic health record (EHR) investment of about $180,000,000 and said DPH is negotiating with UCSF on the EHR implementation.

Public comment on item 1 was opened and none was offered. Supervisor Katie Tang moved to continue the item to the call of the chair; Supervisor Norman Yee seconded, and the motion was adopted without objection.