San Francisco's Skilled Nursing and Subacute Care Transfer Ordinance
San Francisco Ordinance 077-22 requires general acute care hospitals and hospital-based skilled nursing facilities in the City to annually report to the Department of Public Health (DPH) the number of, and certain demographic information regarding, patients transferred to a health facility outside of the City to receive skilled nursing care or subacute care. The Ordinance also requires facilities to report the number of patients who qualify for skilled nursing or subacute care but are not transferred to a health facility outside of the City.
The Ordinance requires DPH to provide an annual report to the Health Commission based on the reports submitted by the hospitals and hospital-based skilled nursing facilities.
Documents
DPH Annual Reports to the Health Commission
Data Report Requirements
Reporting health facilities are required to annually submit a report containing the following information:
- 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.
- 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.
- The following aggregate demographic information for each of the above categories of patient:
- Age
- Race/ethnicity
- Gender (as well as sexual orientation and gender identity, if normally collected by the reporting health facility)
- Patient Insurance Provider (by way of example but not limitation, Medi-Cal, Medicare, or the specific private insurance provider)
- Housing Status (by way of example, but not limitation, people experiencing homelessness, marginally housed, or permanently housed)
Request Public Records
Submit requests for the Department of Public Health.