California Pacific Medical Center

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California Pacific Medical Center
Sutter Health
California Pacific Medical Center Logo.jpg
Geography
Location2333 Buchanan Street, San Francisco, California, United States
Coordinates37°47′26″N 122°25′53″W / 37.790632°N 122.431272°W / 37.790632; -122.431272Coordinates: 37°47′26″N 122°25′53″W / 37.790632°N 122.431272°W / 37.790632; -122.431272
Organization
Care systemNon-Profit
FundingPrivate
Hospital typeAcademic Health Science Center
Affiliated universityUniversity of California, San Francisco; Dartmouth Medical School
Services
Emergency departmentBasic
Beds785
History
Founded1852
Links
Websitewww.cpmc.org
ListsHospitals in California

California Pacific Medical Center (CPMC) is the largest medical center of the Northern California-based Sutter Health health system, as a result of the merger of several of the longest established hospitals in San Francisco. It is a general medical/surgical hospital, academic medical center, and specialty hospital operating at multiple locations in San Francisco, California.[1][2][3]

Its primary campuses in San Francisco are the California Campus in Presidio Heights, the Pacific Campus in Pacific Heights, the Davies Campus in Lower Haight, and the Mission Bernal Campus in the Mission District. While it is a privately funded entity, CPMC has strong academic ties to the University of California, San Francisco (UCSF), Stanford University Medical Center as well as the Geisel School of Medicine of Dartmouth College.

Historic origins[edit]

The present-day California Pacific Medical Center had origins in over a century of combining several early San Francisco medical institutions,.[4][5] Included among them were:

  • The German Hospital[6][7] (founded in 1858, renamed Franklin Hospital during World War I, and now known as Davies Medical Center);
  • St. Luke's Hospital (1871; originally on Bernal Hill, moved to the Cesar Chavez (Army) Street location in the 1880s[8] - sharing the site with the Bancroft Library[9]);
  • The Pacific Dispensary for Women and Children[10][11] (1875), its name was shortened to Children's Hospital in 1877;
  • Cooper Medical College (1882), became Stanford Medical School in 1959,;[12]
  • Hahnemann Homeopathic Hospital[13] (1887; renamed Marshall Hale Memorial hospital in the 1970s, before being merged into Children's in the 1980s),
  • Lane Hospital of Cooper Medical College[14] (1895), became Presbyterian Hospital after the school moved to Stanford;
  • Garden Sullivan Hospital (1913),;[15] and
  • The Northern California Transplant Bank (1980).

Several of these institutions operated nursing schools (Pacific Dispensary, St. Luke's, Lane Hospitals),[16] as well as outreach clinics (e.g.: St. Luke's Neighborhood Clinic, founded in 1920) during portions of their history.

The growth of CPMC[edit]

In 1991 Presbyterian Hospital (at that time known as Pacific Presbyterian Medical Center) and Children's Hospital merged, medical staffs were combined, and a large joint physician group was established in 1993.[17] The new multiple-facility entity was named California Pacific Medical Center (CPMC). The new hospital began its life by refusing to recognize the California Nurses Association which had represented Registered Nurses at Children's Hospital since 1947.[18] The merged hospital also struggled to reduce costs, finally succeeding when a new management team took what opponents described as "a ruthless approach".[19] The two sites were renamed the California campus (Children's, which runs along California Street) and the Pacific campus (the Pacific Presbyterian site). Ralph K. Davies Medical Center became the third campus of CPMC in 1998 and St. Luke's Hospital became CPMC's fourth campus in 2007.[20] St. Luke's closed and a new Mission Bernal campus was opened by CPMC in August 2018.[21]

The new CPMC inherited from Presbyterian Hospital its membership in the California HealthCare System; members also included Marin General Hospital, Alta Bates Hospital in Oakland and Berkeley, and Mills-Peninsula Medical Center in San Mateo and Burlingame. This system joined with the Sutter Health System of Sacramento in 1996 to form Sutter/CHS, (later renamed Sutter Health). A major project of the new company was organizing capitalization for replacement of every hospital facility, to conform to new seismic legislation underway in the California Legislature.[22]

In 1997, the former Franklin Hospital (now known as Ralph K. Davies Medical Center) was acquired by CPMC.[23] This action was motivated - in part - by the subsequently-failed merger of area teaching giants Stanford Hospital and UCSF Medical Center.[24] The former St. Luke's Hospital officially affiliated with CPMC in January 2007, but the medical staffs remain separate. St. Luke's had joined Sutter as an independent affiliate in July 2001,[25] after initiating and pursuing anti-trust litigation against CPMC.[26][27]

Present organization[edit]

CPMC maintains separate hospital licenses for the California+Pacific+Davies segment, and for St. Luke's (which has a very different patient demographic).

The hospital facilities are now known as:[28]

  • Pacific Campus[29] (2333 Buchanan Street, San Francisco, originally Presbyterian Hospital)
  • California Campus[30] (3700 California Street - Children's Hospital)
  • Davies Campus[31] (Castro & Duboce Streets)
  • Mission Bernal Campus[32] (3555 Cesar Chavez Street) which replaced St. Luke's[33]
  • Van Ness Campus (1101 Van Ness Ave) which opened in 2019 with 274 beds[34]

In 2010, Sutter Health reorganized its many hospitals and medical foundations into regions. CPMC now shares a board of directors and tax ID with Novato Community Hospital, Sutter Medical Center of Santa Rosa, and Sutter Lakeside Hospital, as well as the Sutter-Pacific Medical Foundation.[35] Also in 2010, Sutter Health announced its intent to review and reduce costs for much of its non-patient-care overhead. During 2013 and 2014, Sutter reorganized many support services (accounting, human resources, medical records, payroll, purchasing, &c.), outsourcing significant components and centralizing much of the labor in Roseville (away from the more costly Bay Area).[36][37]

In 2013, CPMC and its West Bay region partners began to implement the Epic electronic health record, as a component of the $1+ billion adoption of this system across Sutter Health.[38]

In November 2014, Sutter Health announced further regional streamlining, where the present West Bay system (described above) will be combined with "East Bay" hospitals in Antioch, Berkeley, Castro Valley, and Oakland, as well as "Peninsula/Coast" hospitals in Burlingame. Menlo Park, San Mateo, and Santa Cruz.[39]

On June 5, 2015, surgeons at CPMC and University of California, San Francisco successfully completed 18 surgeries in the nation's first nine-way, two-day kidney transplant chain in a single city[40][41][42]

New hospitals[edit]

In 2013, CPMC began construction of a new $2.1 billion, 274-bed hospital on the site of the former Jack Tar Hotel at Van Ness and Geary (once dubbed "the box Disneyland came in"[43]). The new Van Ness Campus will replace both the California Campus and Pacific Campus for inpatient care[44]. Further, the new facility comes with several patient safety focused innovations, and is the first known structure in North America to use viscous wall dampers designed to absorb strong seismic activity[45]. Van Ness Campus officially opened on 02 March 2019.

Ground was also broken in September 2014 to build a 120-bed replacement hospital at St. Luke's, after years of dispute[46] over whether CPMC would continue to operate a hospital in the Mission District.[47][48]

As a part of the process for getting County permission to build the new facilities, CPMC has committed to maintaining or increasing its services to the city's poor.[35]

Research Institute[edit]

CPMC hosts the California Pacific Medical Center Research Institute, which conducts basic science and clinical studies into a range of topics.[citation needed] Michael Rowbotham, M.D. is Senior Scientist and Scientific Director of the research institute.[49][50] Research and other initiatives at CPMC's Center for Melanoma Research and Treatment have yielded five-year survival rates for metastatic melanoma that are double the national average . Clinical trials led by senior scientists David Minor, MD, and Mohammed Kashani-Sabet, MD, were key to FDA approval of nivolumab—a new breakthrough cancer therapy—for the treatment of melanoma.[51]

Medical Education[edit]

CPMC is a teaching site for residents in the UCSF General Surgery, Obstetrics and Gynecology, Orthopedic Surgery, and Pediatrics programs. CPMC itself hosts residencies in Internal Medicine, Ophthalmology, Radiation Oncology and Psychiatry. In addition to these residency programs, it offers ACGME accredited fellowship positions in Cardiology, Gastroenterology, Pulmonology/Critical Care, Endocrinology, Plastic Surgery of the Hand, and Transplant Hepatology. It also offers other accredited fellowships (non-ACGME) in MRI, Neurocritical care, Microsurgery, Oculoplastic Surgery, Retina Surgery, Transplant Nephrology, and Shoulder/Upper Extremity Surgery.[52]

Medical students from UCSF rotate through CPMC in their obstetrics/gynecology and surgery third year clerkships. In 2008, CPMC announced its new educational affiliation and partnership with Dartmouth Medical School to bring students to San Francisco for third- and fourth-year clerkships in the disciplines of Internal Medicine, Psychiatry, Obstetrics and Gynecology, Family Medicine, Pediatrics and Neurology.[53][54]

Quality[edit]

The LeapFrog Group scores for the campuses as of 2019 were:

Campus name Grade
Pacific Campus C[55]
California Campus C[56]
Mission Bernal Campus D[57]
Davies Campus C[58]

See also[edit]

References[edit]

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  2. ^ "Bay Area Pediatric Pulmonary Medical Corporation - BAPP - California Pacific Medical Center". Bappmc.com. Archived from the original on 2014-03-04. Retrieved 2014-03-04.
  3. ^ "Hospital co-pay confusion proves to be a headache for new parents | abc7news.com". Abclocal.go.com. 2013-04-02. Retrieved 2014-03-04.
  4. ^ "San Francisco History - Asylums and Hospitals, 1897". Sfgenealogy.com. Retrieved 4 October 2014.
  5. ^ "California Pacific Medical Center History Timeline". Cpmc.org. Retrieved 4 October 2014.
  6. ^ "Panorama from Market Street Hill, Showing German Hospital, St. Joseph's Home, and Buena Vista Heights, San Francisco, California". Flickr. Retrieved 4 October 2014.
  7. ^ "German Hospital". Germanamericanpioneers.org. Retrieved 4 October 2014.
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  14. ^ "Chapter 26.1:Lane Hospital 1895". Elane.stanford.edu. Archived from the original on 19 May 2014. Retrieved 4 October 2014.
  15. ^ Russell, Sabin; Writer, Chronicle Staff (21 September 1995). "California Pacific to Close Rehab Hospital, Clinic". Sfgate.com. Retrieved 7 February 2019.
  16. ^ "1868-1898 - Trained Nurses for San Francisco - A History of UCSF". History.library.ucsf.edu. Retrieved 7 February 2019.
  17. ^ "Taking Back the Power? Greater Freedom Through Winning HMOs' Trust". Managedcaremag.com. Retrieved 4 October 2014.
  18. ^ "CALIFORNIA PACIFIC MEDICAL CENTER v. NATIONAL LABOR RELATIONS BOARD". Caselaw.findlaw.com. Retrieved 4 October 2014.
  19. ^ "Cal Pacific's miracle cure". San Francisco Business Times. 1997-03-18. Retrieved 4 October 2014.
  20. ^ "California Pacific Medical Center (CPMC)". Planning Department. City and County of San Francisco. Retrieved 10 November 2018.
  21. ^ "CPMC History". Sutter Health. Retrieved 10 November 2018.
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  25. ^ "Attorney General Lockyer Approves Sutter Health Affiliation With St. Luke's Hospital Conditioned on Continuing Charitable Care to San Francisco Community". Oag.ca.gov. Retrieved 4 October 2014.
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  27. ^ "BAY AREA: St. Luke's to Join Sutter Health System". Californiahealthline.org. Retrieved 4 October 2014.
  28. ^ cb. "California Pacific Medical Center 415-600-6000 | San Francisco Hospital Sutter Health Network". Cpmc.org. Retrieved 2014-03-04.
  29. ^ "California Pacific Medical Center-Pacific Campus - 2333 Buchanan Street, San Francisco : Image". Flickr.com. Retrieved 7 February 2019.
  30. ^ "California Pacific Medical Center, California Campus - 3773 Sacramento Street, San Francisco (built 1940 : Image". Flickr.com. Retrieved 7 February 2019.
  31. ^ "Davies Medical Center (now California Pacific Medical Center Davies Campus) - Castro & Duboce Streets, San Francisco : Image". Flickr.com. Retrieved 7 February 2019.
  32. ^ "CPMC Mission Bernal - Sutter Health". Sutterhealth.org. Retrieved 7 February 2019.
  33. ^ "New Hospital Opens, Replacing St. Luke's in San Francisco". 2018-08-25. Retrieved 2019-05-27.
  34. ^ "Sutter opens 274-bed hospital in San Francisco". www.beckershospitalreview.com. Retrieved 2019-06-17.
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  40. ^ Andersen, Annie (5 June 2015). "9-way kidney transplant chain underway in San Francisco". Kron4.com. Retrieved 7 February 2019.
  41. ^ Marzullo, Katie (5 June 2015). "18 people involved in kidney transplant in San Francisco". ABC7 San Francisco. Retrieved 7 February 2019.
  42. ^ "Rare 9-way kidney swap a success, San Francisco doctors say". Ocregister.com. 6 June 2015. Retrieved 7 February 2019.
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  44. ^ "Frequently Asked Questions". Cpmc2020.org. Retrieved 7 February 2019.
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  48. ^ Mieszkowski, Katharine (29 July 2010). "In Mission, Aging Hospital Is Seen as a Bargaining Chip". Nytimes.com. Retrieved 7 February 2019.
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  53. ^ "Archived copy". Archived from the original on 2015-03-11. Retrieved 2015-03-13.CS1 maint: Archived copy as title (link)
  54. ^ "Geisel School of Medicine - Dartmouth Medical School Begins Bi-coastal Teaching Partnership With San Francisco's California Pacific Medical Center". Geiselmed.dartmouth.edu. Retrieved 7 February 2019.
  55. ^ "California Pacific Medical Center - Pacific Campus - CA - Hospital Safety Grade". www.hospitalsafetygrade.org. Retrieved 2019-06-17.
  56. ^ "California Pacific Medical Center - California Campus - CA - Hospital Safety Grade". www.hospitalsafetygrade.org. Retrieved 2019-06-17.
  57. ^ "California Pacific Medical Center – Mission Bernal Campus - CA - Hospital Safety Grade". www.hospitalsafetygrade.org. Retrieved 2019-06-17.
  58. ^ "California Pacific Medical Center - Davies Campus - CA - Hospital Safety Grade". www.hospitalsafetygrade.org. Retrieved 2019-06-17.

External links[edit]