Patient Program At San Francisco General Receives Top Honor From California Public Hospital Group

December 03, 1998

A program at San Francisco General Hospital Medical Center designed to reduce the number of emergency department visits by "high-user" patients has received a top award from the California Association of Public Hospitals and Health Systems (CAPH).

The award was presented yesterday during the CAPH two-day annual conference (December 2-4) that is taking place in San Francisco.

The CAPH "management excellence award" honors the Emergency Department Case Management Program at SFGHMC. Now three years old, the program has shown early success in reducing the number of emergency visits, saving costs, and supporting patients through social services.

The program is directed by Robert Okin, MD, chief of psychiatric services at SFGHMC and UCSF professor of psychiatry, and Alicia Boccellari, PhD, director of SFGHMC psycho-social medicine and UCSF associate professor of psychology. Kathy O'Brien, LCSW, is program coordinator, and James Oh, MD, is medical director. In presenting the award CAPH officials noted that the approach is a "winning strategy from both a quality of services and financial viewpoint."

The program set out to solve the problem of emergency department (ED) high-users against difficult odds, according to Okin. Some of these individuals visit the hospital ED as many as 50 times a year, and a majority have overwhelming medical and social needs, including homelessness, unemployment, lack of medical, insurance, histories of substance abuse and psychiatric problems, and varying degrees of brain damage.

The focus of the SFGHMC program is intensive one-on-one management of each individual in the ED high-user group. Case managers work to establish a personal relationship, providing assistance with appointments, entitlement paperwork for housing and financial aid, medical care, substance and mental health treatment, and other support services, provided both in the hospital and in the community.

Preliminary analysis of 45 patients in the program show reductions in five key areas: ED visits decreased by 21 percent, hospitalizations by 30 percent, homelessness by 44 percent, substance abuse by 38 percent, and cost to the health delivery system by 55 percent.

SFGHMC is affiliated with UC San Francisco and is part of the Community Health Network of San Francisco, the City's integrated care delivery system that also includes Laguna Honda Hospital and Rehabilitation Center, 18 community health centers, and home health and jail health services.

University of California - San Francisco

Related Substance Abuse Articles from Brightsurf:

College students with disabilities at greater risk for substance abuse
College students with physical and cognitive disabilities use illicit drugs more, and have a higher prevalence of drug use disorder, than their non-disabled peers, according to a Rutgers study.

An AI algorithm to help identify homeless youth at risk of substance abuse
While many programs and initiatives have been implemented to address the prevalence of substance abuse among homeless youth in the United States, they don't always include data-driven insights about environmental and psychological factors that could contribute to an individual's likelihood of developing a substance use disorder.

How Tweets may influence substance abuse in youth
In a new study from the University of Pennsylvania School of Nursing (Penn Nursing), researchers characterized the content of 23 million drug-related tweets by youths to identify their beliefs and behaviors related to drug use and better understand the potential mechanisms driving substance use behavior.

Time in host country -- a risk factor for substance abuse in migrants
Refugees and other migrants who move to Sweden are initially less likely to be diagnosed with alcohol or drug addiction than the native population but over time their rates of substance abuse begin to mirror that of the Swedish born population.

Children of incarcerated parents have more substance abuse, anxiety
Children of incarcerated parents are six times more likely to develop a substance use disorder in adulthood and nearly twice as likely to have diagnosable anxiety compared to children whose parents were not incarcerated, according to new research from the Center for Child and Family Policy at Duke University.

Reducing care needs of teens with substance-abuse disorders
Screenings, interventions, and referrals can help adolescent teens overcome substance abuse in the short-term.

Pain and substance abuse interact in a vicious cycle
Pain and substance use interact in a vicious cycle that can ultimately worsen and maintain both chronic pain and addiction, according to a research team including faculty at Binghamton University, State University of New York.

Gap in substance abuse data could have long-term implications, study finds
A policy of redacting Medicare claims that included diagnosis or procedure codes related to substance abuse was in effect from 2013-2017, just as the Affordable Care Act and the opioid epidemic were drastically changing the healthcare landscape.

AI tool promotes positive peer groups to tackle substance abuse
When it comes to fighting substance abuse, research suggests the company you keep can make the difference between recovery and relapse.

Investigators highlight potential of exercise in addressing substance abuse in teens
Exercise has numerous, well-documented health benefits. Could it also play a role in preventing and reducing substance misuse and abuse in adolescents?

Read More: Substance Abuse News and Substance Abuse Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to