Test test captions Copyright National cable satellite corp. 2008 as i described in my testimony, we know that Nursing Homes with a higher proportion of black and latin residents have higher death rates, however theres not universal reporting of the race and ethnicity of those individuals within Nursing Homes who have been affected by covid. That presents for us a significant challenge when it comes to targeting resources in order to prevent the transmission of covid. Because, you know, when covid19 enters a nursing home its because someone has brought it in and what its telling us that if those Nursing Homes are following the same safety procedures of restricts visitors, ensuge that providers have clean ppe every time theyre coming in, then we shouldnt see these disparities. However we do. And the likelihood these disparities in rates of covid infections within Nursing Homes are going to occur are going to be even higher in communities with a higher burden of covid19. And so what were
Karshmer its really about post acute care and Skilled Nursing systems in place to really help reduce readmission rate. I hear stories about like un . n . n cultural competency. When patients being placed into community Skilled Nursing facilities that theywrn . n felt discriminated. They just felt uncomfortable because of where they were placed. I dont have an answer. Those other stories i hear is different from something within San Francisco and we have checks and balances in place to assure that we have best and most culturally competent provider to staff these settings. Were placing people outside, im not sure whats in place. nn . n . When we talk about the babyx÷n . n . Boomer generation we all get older. What will be our first presenceu÷n . n . n . To get care at home or get care in a hospital setting. These are really things that we have toan . n . Find out before wezn . n can actually haveyn . n . A more indepth conversation, i think. Commissioner pa pating mentioned were looki
The motion to accept the minutes are in order. Commissioner pating you want to make that make a motion to approve. That will be with his comments. Is there a second . Second. Are there further additions or corrections to the minutes . Were ready for approval. Those in favor say aye. Aye. The minutes have been adopted. Our next item please. Item three is directors report. Im looking for my questions under the director report. I will not be discussing any items. The directors report is before you. I guess ill ask only on the humming bird place and exactly how does it function. People go themselves or they are referred by agencies or officers or what . Were looking for referrals that can be the Homeless Outreach team from psych inpatient. Its a true driven model. We do have over the much of the staff appears. Its a day program. The Navigation Center just open end. We had two individuals we thought there were 50 people that day. Two individuals who we thought might do better in a more calm
Involvement in the program. I have four questions and ill ask them one at a time. The census of your sniff unit has a capacity of 32 can you explain the low utilization . If you look at the census, the census actually and the patients have dropped primarily in the last couple of years. It probably is a multifactorial kind of reason. A part of that is the changes in some of the practice of our physician. Started about two years ago our program they have expanded the number of hospice. Our hospice started to follow patients in facility. Thats one of the reasons where attending physicians and patients were receptive. They go to a Skilled Nursing facility where they can be followed by the same group of physicians. Another thing is that one of our long standing physicians at st. Marys actually have become very active in one of the local sniffs and medical directors, they provide great rehabilitation services. Our orthopedic has been very satisfied in the patient and the patients came back w
Rehabilitative care. Many hospitals across the United States pulled Skilled Nursing units within the four walls in their hospital. That has been the experience at st. Marys as well. The expenses for the required Hospital Based Services to the Skilled Nursing unit is about 2 million on a direct cost bases. Thats not charges. Thats not including the overhead. As i said the leadership did a valued based decision which is where multiple stakeholders are called into the room to have a very deep thoughtful discussion based on values not necessarily on finances but on the values of the hospital and what the closure means to the hospital in the community and it was a unanimous decision that this was a necessary step it take. So the plans are under way to close the unit on the 21st of june. The unit is budgeted on a historical average. Its capped because of the budget. In private healthcare most budgets are set based on historical averages. This unit is running average daily census about 70 pat