Health System: San Mateo Medical Center (6600B)

Overview

San Mateo Medical Center is a 448-bed public hospital and clinic system accredited by the Joint Commission. The Medical Center operates outpatient clinics throughout San Mateo County, an acute care hospital, and a skilled nursing facility.
More specifically, the Medical Center provides inpatient and outpatient medical care including Intensive Care, Surgery, Emergency Care, Infusion, Respiratory Therapy, and Domestic Violence Intervention.
The Medical Center also provides Diagnostic Imaging (e.g., x-rays, MRIs, mammograms, EEG/EKG procedures), Rehabilitation, and Laboratory and Pharmacy services. We have 62 Medical-Surgical beds, seven Intensive Care Unit beds, three Operating Rooms, and 15 Emergency Room beds at the Medical Center, providing care to 2,200 patients (13,700 inpatient days) annually with an average length of stay of 6.0 days each year. The Medical Center also provides 40,000 emergency visits and 2,300 hours of infusion procedures each year.
The Medical Center operates 12 clinics throughout the County that provide primary healthcare and preventive services. Included in the 12 clinics is the clinic in Pescadero opened in March 2014 through Measure K funding. Through these clinics, we treat 53,000 unique patients for a total of 236,000 clinic visits, including 50,000 pediatric visits, 22,000 OB/GYN visits, 14,000 senior care visits, and 20,000 dental visits.
The Medical Center also provides emergency psychiatric evaluation and crisis stabilization to mentally ill patients who come in voluntarily or involuntarily. For those patients who are very ill and need extended treatment, the program provides inpatient psychiatric treatment in a locked inpatient acute psychiatric unit. Other patients receive consultations by psychiatrists and psychologists at the medical wards, in long term care or through the Innovative Care Clinic. The Medical Center provides 3,000 psychiatric evaluations in the psychiatric emergency unit, and care for 300 patients on the inpatient psychiatric unit for a total of 10,000 inpatient psychiatric days each year.
For patients who have skilled nursing needs and require rehabilitative services in order to transition from acute care to the community, the Medical Center provides skilled nursing services and rehabilitation on a 24/7 basis. The Medical Center provides skilled rehabilitation, creative arts and recreation therapy, skilled nursing, end-of-life care, hospice care, maintenance and restorative nursing, wound care, and intravenous therapy.  We have 64 skilled nursing beds and provide care to 81 patients (11,000 inpatient days) annually.

Program Outcome Statement

We partner with patients to provide excellent care with compassion and respect.

Program Services

  • Inpatient and Outpatient Medical Care including Intensive Care, Surgery, Emergency Care, Infusion, Respiratory Therapy, and Domestic Violence Intervention
  • Emergency Psychiatric Evaluation and Crisis Stabilization
  • Inpatient Psychiatric Treatment
  • Skilled Nursing Services and Rehabilitation
  • Diagnostic Imaging, Rehabilitation, and Laboratory and Pharmacy Services

Likelihood to Recommend SMMC to Family and Friends as a Great Place to Receive Care Slightly Below Target

Cost Per Patient Per Month ExceedingTarget


Number of Patients Assigned to SMMC by HPSM Who Have Not Been Seen Exceeded Target
FY 2018-19 Mid-Year Story Behind Performance
Likelihood to Recommend SMMC to Family and Friends

With the team based care and the population health and specialty care redesign, we are making a lot of progress in meeting patient needs in outpatient area and our score is improving in that area. Unfortunately, our inpatient scores have declined slightly and we will be implementing daily visiting by managers to assist our staff in meeting their patient needs in this area of the Medical Center.  
Cost per Patient per Month

Our operating expenses are 2% better than target in FY2018-19. However the number of patients seen decreased slightly, resulting in resulting in 1% higher than target per patient per month.  The reduction in volume is primarily due to a low number of clinic visits. We are investigating its root causes and expect to bring up the clinic volume meeting the target at year end.

Number of Patients Assigned to SMMC by Health Plan of San Mateo (HPSM) Who Have Not Been Seen

SMMC anticipates meeting the target because we expect a decrease in the number of assigned members from HPSM.  Over the next few months, HPSM will be unassigning approximately 2,000 members who have other health coverage, most of whom have never been seen at SMMC.  Additionally, there had been a temporary increase in the number of ACE members due to a change in the enrollment process.  Before this change took place, the total number of ACE members assigned was about 1,000 less. 







Future Priorities
  • Focus on improving access to Specialty Care, through our Model Cell work and expanding our Care Team Transformation work in primary care, and supporting our community of problem solvers.
  • Provide high quality, coordinated, timely care to the patient population assigned to SMMC by HPSM and/or empaneled patients by care teams that deliver the right care, at the right time, and right place in order to avoid unnecessary ambulatory (primary and specialty care), emergency department visits, and acute admissions.

Author: Gina Wilson; Chief Financial Officer, Health System     Contact Email: gwilson@smcgov.org     Last Updated: 01-20-2019