AEGiS-SFE: Grant aids early exit for Laguna Honda patients San Francisco ExaminerImportant note: Information in this article was accurate in 2005. The state of the art may have changed since the publication date.
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Grant aids early exit for Laguna Honda patients

San Francisco Examiner - February 11, 2005
Adriel Hampton, ahampton@examiner.com


Laguna Honda Hospital will use a $50,000 grant to begin training staff to transition its more able patients back into the community in preparation for the hospital's move into new facilities over the next six years.

The new grant will allow the hospital to develop new strategies for patient release and to increase rehab-focused beds before a move in 2007 into a 60-bed rehab unit in one of the first new hospital buildings. Laguna Honda now has a 20-bed rehab unit with four more beds in two other wards. The grant, approved Monday by the Board of Supervisors, allows for the hospital to expand rehab principles to another full 28-bed ward.

The growing focus on rehab strategies comes as the hospital struggles for funding and adjusts to a greater number of patients who are able to leave San Francisco General Hospital but still require long-term care.

Some staff and concerned community members have complained that Laguna Honda is de-emphasizing its older patients and replacing them with younger, more violent people who have psychiatric problems in addition to other health care problems.

In the grant application to the California HealthCare Foundation, Laguna Honda officials wrote that 22 percent of the hospital's residents are under 55 years old and need a new type of care to avoid institutionalization.

The new program will emphasize care plans for uninsured, low-income and homeless people, including low-income minorities, the mentally ill, substance abusers and people with HIV/AIDS.

Mivic Hirose, co-director of nursing at the hospital, emphasized that hospital admissions policy focuses on patients with a need for skilled nursing services and that the new care approach signals no new policy shift.

Patients released into the community will make way for more new admissions, she said.


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