California Pacific Medical Center

California Pacific Medical Center
Sutter Health
Geography
Location	2333 Buchanan Street, San Francisco, California, United States
Coordinates	37°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 system	Non-Profit
Funding	Private
Hospital type	Academic Health Science Center
Affiliated university	University of California, San Francisco; Dartmouth Medical School
Services
Emergency department	Basic
Beds	785
History
Founded	1852
Links
Website	www.cpmc.org
Lists	Hospitals in California

California Pacific Medical Center (CPMC) is the largest medical center of the Northern California-based Sutter Health health system and is the 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 St. Luke's 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) as well as the Geisel School of Medicine of Dartmouth College.

Historic origins

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 and renamed Franklin Hospital during World War I);
• St. Luke's Hospital (1871; originally located on Bernal Hill, it moved to the present Cesar Chavez (Army) Street location^[8] - sharing the site for years with the Bancroft Library^[9] - in the 1880s);
• 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 (eg: St. Luke's Neighborhood Clinic, founded in 1920) during portions of their history.

The growth of CPMC

In 1991 Presbyterian Hospital 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 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.^[20]

In 1997, the former Franklin Hospital (now known as Ralph K. Davies Medical Center) was acquired by CPMC.^[21] This action was motivated - in part - by the subsequently-failed merger of area teaching giants Stanford Hospital and UCSF Medical Center.^[22] 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,^[23] after initiating and pursuing anti-trust litigation against CPMC.^[24][25]

Present organization

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 Pacific Campus^[26] (2333 Buchanan Street, San Francisco, originally Presbyterian Hospital), California Campus^[27] (3700 California Street - Children's Hospital), Davies Campus^[28] (Castro & Duboce Streets), and St. Luke's Campus^[29] (3555 Cesar Chavez Street) of California Pacific Medical Center.^[30]

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.^[31] 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).^[32][33]

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.^[34]

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.^[35]

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^[36][37][38]

New hospitals

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"^[39]). This new facility will replace both the California and Pacific campus facilities for inpatient care.

Ground was also broken in September 2014 to build a 120-bed replacement hospital at St. Luke's, after years of dispute^[40] over whether CPMC would continue to operate a hospital in the Mission District.^[41][42]

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.^[31]

Research Institute

CPMC hosts the California Pacific Medical Center Research Institute, which conducts basic science and clinical studies into a range of topics. Michael Rowbotham, M.D. is Senior Scientist and Scientific Director of the research institute. ^[43][44] 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. ^[45]

Medical Education

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. ^[46]

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.^[47][48]

See also

• List of hospitals in California
• Brian Andrews, chairman of the Department of Neurosciences
• Marilyn Schlitz, Senior Scientist at the Research Institute of California Pacific Medical Center
• David Schanaker, DC, Integrative Chiropractor at the Marin and Santa Rosa Clinics.^[49]

References

External links

• Official website
• This hospital in the CA Healthcare Atlas A project by OSHPD
• Official Research Institute site
• California Campus, at Google Maps