annual report to the health commission - sf, dph 1… · annual report to the health commission ......

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Title

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FY 2014-2015Annual Report to the Health

Commission

The Laguna Honda Community

Laguna Honda Hospital and Rehabilitation Center

San Francisco Health Network

Department of Public Health

December 15, 2015

Vision Statement, 2000Laguna Honda Hospital Replacement Program

“To provide housing and community-style living, with thehighest level of independence for Laguna Honda’shundreds of residents by constructing the mosttechnologically advanced, efficient, flexible, humane andnatural facility in the world.”

In 2000

Service to San Franciscans

“To provide housingand community-style living, with the

highest level of independencefor Laguna Honda’s hundredsof residents by constructingthe most technologicallyadvanced, efficient, flexible,humane and natural facility inthe world.”


1578

1410

11841105 1140

12571192 1218

1290

0

200

400

600

800

1000

1200

1400

1600

1800

#o

fR

esid

ents

Fiscal Year

Unique Individuals Served Per Fiscal Year

BedCapacity:915

BedCapacity:1125

BedCapacity:780

Service to SanFranciscans

Patient Flow

“To provide housing andcommunity-style living, with

the highest levelof independencefor Laguna Honda’s hundredsof residents by constructingthe most technologicallyadvanced, efficient, flexible,humane and natural facility inthe world.”


285325

380428

452

549

141162 160 160

209247

0

100

200

300

400

500

600

CY2009 CY2010 CY2011 CY2012 CY2013 CY2014#

of

Res

iden

ts

Calendar Year

Admissions and Community Discharges

Admissions Community Discharges

IT Infrastructure

“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient, flexible,

humane and natural

facility in the world.”


6

5

9

6

4 4

3

00

1

2

3

4

5

6

7

8

9

10

1st Qtr2014

2nd Qtr2014

3rd Qtr2014

4th Qtr2014

1st Qtr2015

2nd Qtr2015

3rd Qtr2015

4th Qtr2015(thru

Nov '15)

#o

fIn

cid

ents

Quarter

Unplanned IT Downtimes

Workforce Talent

“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologically

advanced, efficient,

flexible, humane andnatural facility in the world.”


91

50

77

37

67

151128

117

228

0

50

100

150

200

250

FY12-13 FY13-14 FY14-15#

of

HR

Act

ivit

y

Fiscal Year

Hiring and Separations

Separations New Hires Total HR Activity

Hiring Increased by 66%Turnover Rate: 5.71%Avg. Vacancy Rate: 5.50%

Wellness Center

“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient,

flexible, humane and

natural facility in the world.”


Workplace Safety


humane and natural

facility in the world.”


273

254

235

210

220

230

240

250

260

270

280

CY2012 CY2013 CY2014

#o

fre

cord

able

inju

ries

Calendar Year

Recordable Injuries

Quality of Life


humane and naturalfacility in the world.”


12.4% 11.9% 11.3% 11.0%

15.1% 14.7% 14.3% 14.1%

19.5% 19.3% 19.0% 18.6%

0%

5%

10%

15%

20%

25%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15

Perc

ent

of

Res

iden

ts

Three Quarter Periods

Received Antipsychotic Medication (Long Stay)

LH Avg CA Avg Nat'l Avg

“To be an innovative world-class center of excellence inlong-term care and rehabilitation.”

Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center

In 2009

Centers of ExcellenceService Lines

“To be an innovativeworld-class center ofexcellence in long-term careand rehabilitation.”


AcuteRehab

SNF Rehab General SNF

BehavioralHealth

Dementia/Memory

Care

PalliativeCare

PositiveCare

Respite Wellness

Workforce Transformation

“To be an innovative

world-classcenter ofexcellence in long-

term care and rehabilitation.”


4 Rating(Excellent)

29%

3 Rating(Good)

43%

2 Rating (Fair16%

1 Rating(Poor)

8%

No Response4%

Employee Overall Job Satisfaction (n=962)

4 Rating (Excellent) 3 Rating (Good)2 Rating (Fair 1 Rating (Poor)No Response

Care Experience





Excellent,65%

Good, 32%

Fair, 1% Poor, 2%

Likelihood to Recommend

Excellent Good Fair Poor

Resident Satisfaction





Excellent (4),67%

Good (3),29%

Fair (2), 2%Poor (1), 2%

Overall Resident Satisfaction

Excellent (4) Good (3) Fair (2) Poor (1)

CMS Quality Measures

“To be an innovative world-class center of excellence in

long-term careand rehabilitation.”


3.1% 3.2% 3.2% 3.3%

5.8% 5.7%6.0% 6.2%

7.1% 7.0% 7.2% 7.4%

0%

1%

2%

3%

4%

5%

6%

7%

8%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15

Perc

ent

of

Res

iden

ts

3 Quarter Period

Lose Too Much Weight(Long Stay)


Quality of Care



Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center 2.6% 2.7% 2.7% 2.9%

6.1% 6.0% 6.1% 6.1%

6.0% 5.9% 5.9% 5.9%

0%

1%

2%

3%

4%

5%

6%

7%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15

Perc

ent

of

Res

iden

ts

3 Quarter Period

High-Risk Residents With Pressure Ulcers(Long Stay)


Care Outcomes




2.6% 2.8%2.3%

2.0%

4.6% 4.4% 4.2% 4.0%

5.7% 5.7% 5.5% 5.3%

0%

1%

2%

3%

4%

5%

6%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15

Perc

ent

of

Res

iden

ts

3 Quarter Period

Urinary Tract Infection(Long Stay)


Post-Acute Care

“To be an innovative world-class center of excellence inlong-term care and

rehabilitation.”


0.0% 0.0% 0.0% 0.0%

0.7% 0.7%0.6%

0.7%

1.0%0.9% 0.9%

1.0%

0.0%

0.2%

0.4%

0.6%

0.8%

1.0%

1.2%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15

Perc

ent

of

Res

iden

ts

3 Quarter Period

New/Worsened Pressure Ulcers(Short Stay)


Post-Acute Care

“To be an innovative world-class center of excellence inlong-term care and

rehabilitation.”


2.0%

0.7%

0.4% 0.3%

1.7%

1.8% 1.8% 1.7%

2.4% 2.4% 2.3% 2.3%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15Pe

rcen

to

fR

esid

ents

3 Quarter Period

Newly Received Antipsychotic Medication(Short Stay)


FY14-15 Finance Review

Laguna Honda: 1.4M Surplus

Health at Home: .8M Surplus

Major Variances 14-15 GF Favorable / (Unfavorable)

Net Patient Revenues $3.0

Salary and Fringe Benefits $0.4

Major Variances 14-15 GF Favorable / (Unfavorable)

Salary and Fringe Benefits $0.8

From 1866 to 2016 –A Leader in Post-Acute Care

1866 – Gold RushPioneers

1868 - Smallpox

1870 – Almshouse1906 – Relief

Home

1910 - ClarendonHall Built

1926 – LagunaHonda Hospital

and RehabilitationCenter

1963 – HospitalAccreditation

2010 – The NewLaguna Honda

2016 – 150 yearsof Service

Thank you from the Laguna Honda Community!

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