Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1001 POTRERO AVENUE, SAN FRANCISCO, CA 94110
Phone
(415) 206-8000
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
Birthing Friendly
Yes
1 /5
CMS Overall Rating
p0
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 6 of 7 measures reported
1
4
1
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
3
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
6
3
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
10 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 42 discharges
1.0944 p92
Heart Failure 244 discharges
1.0335 p71
Pneumonia 207 discharges
1.1626 p98
COPD 116 discharges
1.0557 p88
Hip/Knee Replacement
1.1926 p88
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is above the national median, suggesting a positive payment adjustment.

33.1 p63
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
12.5 p89
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
3.3 p5
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
4.8 p17
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
12.5 p83
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1926
Value-Based Purchasing
33.1 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.4979

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 3.40 No Different Than the National Rate 44
Hybrid_HWM 3.40 No Different Than the National Rate 882
MORT_30_AMI 12.90 No Different Than the National Rate 48
MORT_30_CABG
MORT_30_COPD 6.20 No Different Than the National Rate 91
MORT_30_HF 7.40 Better Than the National Rate 206
MORT_30_PN 14.10 No Different Than the National Rate 191
MORT_30_STK 12.10 No Different Than the National Rate 192
PSI_03 0.79 No Different Than the National Rate 4,129
PSI_04 195.34 No Different Than the National Rate 76
PSI_06 0.29 No Different Than the National Rate 4,709
PSI_08 0.39 No Different Than the National Rate 4,644
PSI_09 2.85 No Different Than the National Rate 861
PSI_10 1.59 No Different Than the National Rate 234
PSI_11 8.95 No Different Than the National Rate 261
PSI_12 4.34 No Different Than the National Rate 795
PSI_13 6.00 No Different Than the National Rate 242
PSI_14 1.66 No Different Than the National Rate 167
PSI_15 0.90 No Different Than the National Rate 667
PSI_90 1.12 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 73%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 21%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 80%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 70%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23%
H_COMP_2_A_P: Doctors "always" communicated well 75%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 19%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 81%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 75%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 68%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 25%
H_COMP_5_A_P: Staff "always" explained 56%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23%
H_COMP_5_U_P: Staff "usually" explained 21%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 67%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13%
H_MED_FOR_U_P: Staff "usually" explained new medications 20%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 45%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 32%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23%
H_COMP_6_N_P: No, staff "did not" give patients this information 16%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 84%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 17%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 15%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 85%
H_CLEAN_HSP_A_P: Room was "always" clean 70%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 7%
H_CLEAN_HSP_U_P: Room was "usually" clean 23%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 54%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13%
H_QUIET_HSP_U_P: "Usually" quiet at night 33%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 7%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 70%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 70%
H_RECMND_PY: "YES", patients would probably recommend the hospital 24%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.286 No Different than National Benchmark
HAI_1_CIUPPER 1.292 No Different than National Benchmark
HAI_1_DOPC 10262.000 No Different than National Benchmark
HAI_1_ELIGCASES 10.714 No Different than National Benchmark
HAI_1_NUMERATOR 7.000 No Different than National Benchmark
HAI_1_SIR 0.653 No Different than National Benchmark
HAI_2_CILOWER 0.476 No Different than National Benchmark
HAI_2_CIUPPER 1.321 No Different than National Benchmark
HAI_2_DOPC 13256.000 No Different than National Benchmark
HAI_2_ELIGCASES 18.314 No Different than National Benchmark
HAI_2_NUMERATOR 15.000 No Different than National Benchmark
HAI_2_SIR 0.819 No Different than National Benchmark
HAI_3_CILOWER 0.857 No Different than National Benchmark
HAI_3_CIUPPER 3.226 No Different than National Benchmark
HAI_3_DOPC 158.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.120 No Different than National Benchmark
HAI_3_NUMERATOR 9.000 No Different than National Benchmark
HAI_3_SIR 1.758 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 20.000
HAI_4_ELIGCASES 0.155
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.374 No Different than National Benchmark
HAI_5_CIUPPER 1.918 No Different than National Benchmark
HAI_5_DOPC 89365.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.505 No Different than National Benchmark
HAI_5_NUMERATOR 6.000 No Different than National Benchmark
HAI_5_SIR 0.922 No Different than National Benchmark
HAI_6_CILOWER 0.375 Better than the National Benchmark
HAI_6_CIUPPER 0.869 Better than the National Benchmark
HAI_6_DOPC 83409.000 Better than the National Benchmark
HAI_6_ELIGCASES 37.684 Better than the National Benchmark
HAI_6_NUMERATOR 22.000 Better than the National Benchmark
HAI_6_SIR 0.584 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 79.0 Healthcare Personnel Vaccination
OP_18a 311.0 Emergency Department
OP_18b 309.0 Emergency Department
OP_18c 300.0 Emergency Department
OP_18d Emergency Department
OP_22 7.0 Emergency Department
OP_23 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 15.0 Electronic Clinical Quality Measure
SEP_1 37.0 Sepsis Care
SEP_SH_3HR 62.0 Sepsis Care
SEP_SH_6HR 68.0 Sepsis Care
SEV_SEP_3HR 63.0 Sepsis Care
SEV_SEP_6HR 86.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 89.0 Electronic Clinical Quality Measure
VTE_2 97.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI Number of Cases Too Small
EDAC_30_HF 33.40 More Days Than Average per 100 Discharges
EDAC_30_PN 50.80 More Days Than Average per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 13.60 No Different Than the National Rate
OP_35_ADM 11.30 No Different Than the National Rate
OP_35_ED 6.80 No Different Than the National Rate
OP_36 1.20 No Different than expected
READM_30_AMI 14.70 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 19.20 No Different Than the National Rate
READM_30_HF 20.30 No Different Than the National Rate
READM_30_HIP_KNEE 5.70 No Different Than the National Rate
READM_30_PN 18.60 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.91

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.28 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.83 metrics.current_ratio
Cost Report Employees per Bed 10.18 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $-278,713,473 metrics.fund_balance
Cost Report Net Income ($) $-95,943,251 metrics.net_income
Cost Report Net Patient Revenue ($) $998,937,979 metrics.net_patient_revenue
Cost Report Operating Margin (%) -42.7% metrics.operating_margin
Cost Report Total Assets ($) $1,001,159,758 metrics.total_assets
Cost Report Total Costs ($) $1,171,210,925 metrics.total_costs
Cost Report Total Liabilities ($) $1,279,873,231 metrics.total_liabilities
Cost Report Total Margin (%) -7.2% metrics.total_margin
Cost Report Uncompensated Care (%) 9.8% metrics.uncompensated_care_pct
General Information Address 1001 POTRERO AVENUE Address
General Information City/Town SAN FRANCISCO City/Town
General Information Count of Facility MORT Measures 6 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 9 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 Count of MORT Measures Better
General Information Count of MORT Measures No Different 4 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 1 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 6 Count of READM Measures No Different
General Information Count of READM Measures Worse 3 Count of READM Measures Worse
General Information Count of Safety Measures Better 3 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish SAN FRANCISCO County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 050228 Facility ID
General Information Facility Name ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR Facility Name
General Information Hospital overall rating 1 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Local Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State CA State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (415) 206-8000 Telephone Number
General Information ZIP Code 94110 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 1.02 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.47 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.41 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.44 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.75 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.50 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 0.91 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.09 0.9995 p92 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.8% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 42 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 11 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.1% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.06 0.9969 p88 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 116 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 27 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.7% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.03 0.9983 p71 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.7% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 244 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 52 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.19 0.9916 p88 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.3% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.3% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.16 0.9955 p98 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.7% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 207 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 48 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.2% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 12.50 5.00 p89 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 12.50 2.50 p83 efficiency_score
Value-Based Purchasing Person & Community Engagement 4.75 8.75 p17 person_community_score
Value-Based Purchasing Safety 3.33 10.00 p5 safety_score
Value-Based Purchasing Total Performance Score 33.08 29.50 p63 total_performance_score
Methodology

Full methodology →