ZSFG Occupancy Rate

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Department of Public Health

Goal: 85% occupancy rate
Goal Status: NOT MEETING TARGET

Fiscal Year 2016-17 Average to Date: 100% occupancy rate

This is a measure of the year-to-date occupancy rate at the Priscilla Chan and Mark Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) and represents the number of admitted patients who are occupying beds as of midnight each night when the census is taken. ZSFG is a licensed general acute care hospital and is the only designated level one trauma center for San Francisco and northern San Mateo County. The new ZSFG opened for patient care in the spring of 2016.

ZSFG is a part of the San Francisco Health Network (SFHN). The SFHN is a comprehensive system of care, overseen by the Department of Public Health (DPH), which includes primary and specialty care, dentistry, emergency and trauma treatment, skilled nursing and rehabilitation, and behavioral health. SFHN is made up of the Zuckerberg San Francisco General, Laguna Honda Hospital and Rehabilitation Center, as well as numerous DPH-run primary care clinics throughout the city.

ZSFG OCCUPANCY RATE CONSISTENTLY EXCEEDS TARGET

How Zuckerberg San Francisco General is Performing

ZSFG admits and discharges patients as necessary. While there is no universally agreed upon optimal occupancy rate, some studies conclude that 85 percent is a reasonable target. A low occupancy rate is an indicator of excess capacity. A high occupancy rate can be an indicator of a hospital with both high demand and high productivity. A high occupancy rate can also be an indicator of a hospital that is at risk for bed shortages.

As the only designated level one trauma center for San Francisco and northern San Mateo County and the safety net hospital for the San Francisco community, demand for ZSFG services is high. ZSFG’s occupancy rate is consistently above the target of 85 percent and hovers at the top of the target range of 75 to 95 percent. ZSFG is currently working on a LEAN transformation effort to further improve process efficiencies and patient flow. One improvement idea is to redefine the roles, responsibilities, and competencies of a “Flex Nurse”. By clearly outlining the role, the average time from the issuance of a discharge order to actual discharge reduced by 32 minutes. In addition to this education and training, the inpatient team has designed a Flexible Acuity Model to meet patient needs in medical-surgical nursing and intensive care units at the right level of care, developing new workflows to better meet the needs of ZSFG patients.

How Performance is Measured

This measure represents the number of admitted patients who are occupying beds as of midnight each night when the census is taken, or the average daily population divided by the total number of staffed beds at ZSFG. ZSFG currently has 281 budgeted beds. Beginning in FY 2015-16, ZSFG no longer operates the Behavioral Health Center, which decreased the number of budgeted beds and the calculation of average daily population. The average daily population is tracked by ZSFG’s computer system and is continuously updated, within 10 days of the following month.

The number displayed on the scorecard page represents a fiscal year average of the values in the chart above.

Additional Information

Data

Please visit DataSF for the scorecard data.