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Rebuild San Francisco
General Hospital & Trauma Center

Resolution: 1-01

Supporting the Rebuilding of San Francisco General Hospital

WHEREAS, San Francisco General Hospital and Trauma Center, as one of the nation’s leading public hospitals, has continuously provided for over one hundred years a wide range of ambulatory and acute care services to generations of San Francisco residents; and,


WHEREAS, San Francisco General Hospital and Trauma Center has received national and international recognition for excellence in services, such as AIDS care, primary care, specialty care, women and children’s services, psychiatric services, trauma, clinical research and teaching; and,


WHEREAS, San Francisco General Hospital and Trauma Center, through its long-standing affiliation with the University of California at San Francisco, has been the nucleus for medical research in the areas of AIDS/HIV, lung biology, infectious diseases, neurology, and other healthcare concerns vital to the citizens of San Francisco; and,


WHEREAS, the highly regarded staff of San Francisco General Hospital provides an essential service through direct clinical care and through related medical research of diseases affecting the residents of San Francisco; and,


WHEREAS, San Francisco General Hospital and Trauma Center provides significant services for the Community Health Network, a citywide network of facilities organized to provide healthcare services spanning a continuum of care; and,


WHEREAS, California Senate Bill 1953 requires all California acute care hospitals to have performed all seismic improvements to existing buildings by the year 2008, and have available a seismically conforming building for acute patient care before the year 2030 or be revoked of their acute care license; and,


WHEREAS, California Senate Bill 1803 (Speier) allows hospitals to defer seismic improvements to existing hospital buildings by 2008, provided a conforming building is in place by 2013; and,


WHEREAS, San Francisco General Hospital and Trauma Center’s Main Building has been categorized as Structural Performance Category 1 (SPC 1), and currently does not comply with SB 1953 regulations; and,


WHEREAS, the definition of SPC 1 states "Buildings posing a significant risk of collapse and a danger to the public;" and,


WHEREAS, it is unlikely that any interim retrofit structural/non-structural work achieved in the existing building by the year 2008 deadline of SB 1953 regulations would meet the year 2030 deadline of having a seismically conforming building for acute patient care; and,


WHEREAS, the San Francisco Department of Public Health within its Strategic Planning recognizes the importance of San Francisco General Hospital and Trauma Center in providing services to the community and supports the continued future of its role; and,


WHEREAS, the San Francisco Health Commission supports the rebuilding of San Francisco General Hospital and Trauma Center so that a new conforming building will be in place by the year 2013 (Speier);


WHEREAS, the San Francisco Health Commission supports the creation of a Planning Committee to bring recommendations on how to rebuild San Francisco General Hospital and Trauma Center to the Health Commission, Board of Supervisors and the Mayor; and,


WHEREAS, the San Francisco General Hospital and Trauma Center Rebuild Planning Committee will be formed to make programmatic, technical and financial recommendations on the rebuilding of the Hospital and the use of the Campus; and,
WHEREAS, the San Francisco General Hospital and Trauma Center Rebuild Planning Committee and its sub-committees will be diverse and represent the perspective of the consumers, providers, advocates, community-based organizations, labor, business and other interested parties, now, therefore, be it,


RESOLVED, that the San Francisco Health Commission supports the rebuilding of San Francisco General Hospital and Trauma Center by the year 2013, and the formation of the San Francisco General Hospital Rebuild Planning Committee to develop a plan to respond to the physical plant issues at San Francisco General Hospital in a timely manner.


I hereby certify that the foregoing resolution was adopted by the Health Commission at its meeting of January 9, 2001.


Sandy Ouye Mori, Executive Secretary to the Health Commission

Resolution: 17-03

Supporting That San Francisco General Hospital & Trauma Center Meets Senate Bill 1953 Safety Standards By 2013, Encouraging Efforts To Identify Alternative Funding Sources, Supporting Further Discussions With UCSF On Co-Location and Encouraging Improved Community Outreach Strategies

WHEREAS, San Francisco General Hospital and Trauma Center, as one of the nation’s leading public hospitals, has continuously provided a wide range of ambulatory and acute care services to San Francisco residents for over one hundred years; and,


WHEREAS, San Francisco General Hospital and Trauma Center, through its long-standing affiliation with the University of California at San Francisco, has been the nucleus for medical research in the areas of AIDS/HIV, lung biology, infectious diseases, neurology, and other healthcare concerns vital to the citizens of San Francisco; and,


WHEREAS, the highly regarded staff of San Francisco General Hospital & Trauma Center provides an essential service through direct clinical care and through related medical research of diseases affecting the residents of San Francisco; and,


WHEREAS, California Senate Bill 1953 requires all California acute care hospitals to have performed all seismic improvements to existing buildings by the year 2008, and have available a seismically conforming building for acute patient care before the year 2030 or be revoked of their acute care license; and,


WHEREAS, California Senate Bill 1803 (Speier) allows hospitals to defer seismic improvements to existing hospital buildings by 2008, provided a conforming building is in place by 2013; and,


WHEREAS, San Francisco General Hospital and Trauma Center’s Main Building has been categorized as Structural Performance Category 1 (SPC 1), and currently does not comply with SB 1953 regulations; and,


WHEREAS, the San Francisco Health Commission supports meeting the seismic safety standards of Senate Bill 1953 so that a new conforming hospital building will be in place by the year 2013 (Speier); and,


WHEREAS, the San Francisco Health Commission supports the maintenance of San Francisco General Hospital and Trauma Center as a world-class academic hospital that attracts the finest medical staff and researchers; and,


WHEREAS, co-locating San Francisco General Hospital and Trauma Center Medical Center with the Medical Center of the University of California, San Francisco may provide benefits such as improved quality of care, enhancement of teaching and research, conservation of resources, improved rebuild financing, and greater public support; and,


WHEREAS, previous planning efforts have been made between the San Francisco Department of Public Health and the University of California to explore the possibility of co-location; and,


WHEREAS, the San Francisco Health Commission wishes to continue discussions with the State Legislature on the timeline of SB 1953 in order to ensure that comprehensive planning can take place, including further discussions about co-location opportunities; and,


WHEREAS, the San Francisco Department of Public Health within its Strategic Planning recognizes the importance of San Francisco General Hospital in providing services to the community and supports the continued future of its role as a community-based hospital; and,


WHEREAS, the cost of rebuilding San Francisco General Hospital and Trauma Center Medical Center exceeds the amount of a feasible general obligation bond; and,


WHEREAS, the San Francisco Health Commission has requested a review of San Francisco General Hospital and Trauma Center’s current and future bed capacity requirements; and,


WHEREAS, the San Francisco Health Commission has requested a review of previous assessments on retrofitting San Francisco General Hospital & Trauma Center’s acute care facilities; and,


WHEREAS, the San Francisco Health Commission supports the improvement of outreach strategies to continually inform the community of the rebuild planning process and to receive public input; now, therefore, be it,


RESOLVED, that the San Francisco Health Commission wants to ensure that San Francisco General Hospital and Trauma Center meets Senate Bill 1953 safety standards by 2013 so that it will not close in 2008; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission encourages efforts to seek alternative funding sources in order to supplement a general obligation bond; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission supports reconvening discussions with the University of California regarding the possibility of co-location opportunities between San Francisco General Hospital & Trauma Center and the Medical Center of the University of California, San Francisco, assuming that the University is interested in reopening this issue; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission wishes to continue discussions with the State Legislature on the timeline of SB 1953 in order to ensure that comprehensive planning can take place, including further discussions about co-location opportunities; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission requests a review of San Francisco General Hospital and Trauma Center’s current and future bed capacity requirements; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission requests a review of previous assessments on retrofitting San Francisco General Hospital & Trauma Center’s acute care facilities; and, be it


FURTHER RESOLVED, that the San Francisco Health Commission encourages the improvement of outreach strategies to continually inform the community on the rebuild planning process and to receive public input.


I hereby certify that the San Francisco Health Commission at its meeting of October 21, 2003 adopted the foregoing resolution.


Michele M. Olson, Executive Secretary to the Health Commission