Knowledge Sharing & Collaboration
Post-Acute Care Project
Post-Acute Care Final Report
In 2011, California Pacific Medical Center (CPMC, part of Sutter Health) in San Francisco shared through its hospital rebuild discussions with the City that it expected to close its subacute skilled nursing facility unit (San Francisco’s only subacute unit located on CPMC’s St. Luke’s campus) by 2019, when the new St. Luke’s Hospital opens. Additionally, in 2014 and 2015, CPMC and St. Mary’s Medical Center (part of Dignity Health in San Francisco) each, respectively, closed a hospital-based skilled nursing unit. The San Francisco Health Commission held Proposition Q hearings following these closure announcements to review the impact on health care services in the community. Following the hearings on St. Mary’s Medical Center skilled nursing unit closure in the spring of 2015, the Health Commission encouraged the San Francisco Department of Public Health (SFDPH), with other city agencies, hospitals, and community-providers, to research the needs for short-term skilled nursing and post-acute care services in San Francisco, and submit a report with recommendations to the Health Commission.
In response to the Health Commission’s recommendation (Resolution 15-8), the San Francisco Post-Acute Care Project was launched in August 2015. The project design included the following core elements: a Project Team to oversee the project, clarified project terms, quantitative and qualitative data, a Post-Acute Care Advisory Committee to guide development of project recommendations, an environmental scan to research and identify alternative post-acute care models and settings, and a final report to the Health Commission summarizing key findings and recommendations. Project Team and Advisory Committee members comprised diverse representatives from SFDPH, the San Francisco Department of Aging and Adult Services, San Francisco hospitals, community organizations, advocacy groups, and other stakeholder organizations.