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The Department shall make a report on an annual basis to the Health Commission on the information obtained from the hospitals for use including but not limited to future planning on the Department's provision of care to the community.
(Added by Ord. 163-01, File No. 010142, App. 7/20/2001)
(a) The Board of Supervisors encourages the San Francisco Department of Pubic Health to modify the San Francisco General Hospital Medical Center's policies and procedures to require that providers obtain written informed consent from and provide pre-test counseling to patients consistent with State and Federal law, before administering an HIV antibody test to such patients.
(b) Written informed patient consent may consist of documentation by the provider in the patient's medical record if such consent satisfies State and Federal law.
(Added by Ord. 144-06, File No. 060702, App. 6/22/2006)
San Francisco has a shortage of subacute skilled nursing care beds in the City, which often necessitates transferring patients from general acute care hospitals in the City to subacute skilled nursing care facilities outside of the City. Some City residents who receive subacute skilled nursing care at facilities outside of the City, and their families, face hardships associated with traveling to, and receiving care at, these facilities. As the City strives to increase the number of subacute skilled nursing care beds in San Francisco, it is necessary to understand the full scope of the need for both subacute and general skilled nursing care beds based on the number of patients who qualify for either subacute or general skilled nursing care in an acute care hospital or hospital-based skilled nursing facility and are either transferred outside of the City or remain in the City in an acute care hospital or hospital-based skilled nursing facility. Accordingly, Section 140.2 requires public and private general acute care hospitals and hospital-based skilled nursing facilities in the City to report the number of and aggregated demographic information regarding qualified subacute and general skilled nursing care patients to the Department of Public Health.
(Added by Ord. 77-22, File No. 220410, App. 5/13/2022, Eff. 6/13/2022)
“City” means the City and County of San Francisco.
“Department” means the Department of Public Health.
“Director” means the Director of Health or the Director’s designee.
“Out-of-County Health Facility” means a health facility located outside of the City, whether public or private, licensed as a general acute care hospital or skilled nursing facility, as those two terms are defined by Section 1250 of the California Health and Safety Code, as amended from time to time, and providing Skilled Nursing Care.
“Reporting Health Facility” means every health facility in the City, whether public or private, licensed as a general acute care hospital or hospital-based skilled nursing facility, as those two terms are defined by Section 1250 of the California Health and Safety Code, as amended from time to time.
“Skilled Nursing Care” means general skilled nursing care including but not limited to adult subacute care as defined by Section 14132.25 of the California Welfare and Institutions Code, as amended from time to time, which is a level of care designed for patients who have an acute illness, injury, or exacerbation of a disease process, and pediatric subacute care, which is a level of care for patients under 21 years of age who use a medical technology that compensates for the loss of a vital bodily function.
(Added by Ord. 77-22, File No. 220410, App. 5/13/2022, Eff. 6/13/2022)
(a) Reporting Health Facilities owned by the City or private entities shall disclose to the Department the following information in the form of a report to be submitted annually to the Department by January 31 for the preceding calendar year, except that the submission deadline for calendar year 2021 shall be October 1, 2022. The Department shall request such information from Reporting Health Facilities owned by non-City public entities. The report shall present patient information in aggregate, de-identified form consistent with state and federal laws governing the confidentiality of medical information.
(1) The total number of patients who were City residents and the total number of patients who were not City residents, transferred by the Reporting Health Facility to an Out-of-County Health Facility for the purpose of receiving Skilled Nursing Care.
(2) The total number of patients who were City residents and the total number of patients who were not City residents, who qualified for Skilled Nursing Care while admitted to the Reporting Health Facility but were not transferred by the Reporting Health Facility to an Out-of-County Health Facility.
(3) The following aggregate demographic information for each category of patient: age, race/ethnicity, gender (as well as sexual orientation and gender identity, if normally collected by the Reporting Health Facility), patient’s insurance provider (by way of example but not limitation, Medi-Cal, Medicare, or the specific private insurance provider), and housing status (by way of example but not limitation, people experiencing homelessness, marginally housed, or permanently housed).
(b) The Director may issue rules or guidelines regarding the information required by this Section 140.2 including the format by which Reporting Health Facilities will transmit the report.
(c) The Department shall make a report on an annual basis to the Health Commission based on the annual reports submitted by the Reporting Health Facilities to the Department. The Department’s report to the Health Commission shall include not only statistical information but also such future plans and/or recommendations, as the Department deems appropriate, for provision of Skilled Nursing Care in the City.
(Added by Ord. 77-22, File No. 220410, App. 5/13/2022, Eff. 6/13/2022)
In enacting and implementing Sections 140–140.2, the City is assuming an undertaking only to promote the general welfare. It is not assuming, nor is it imposing on its officers and employees, an obligation for breach of which it is liable in money damages to any person who claims that such breach proximately caused injury.
(Added by Ord. 77-22, File No. 220410, App. 5/13/2022, Eff. 6/13/2022)