UCSF Mount Zion Reviews Its Future as a Surgical Center for the Bay Area

UCSF Medical Center in Mount Zion – a hospital with a deep local history and community feel – has been renovated and reopened as UC San Francisco’s new Adult Orthopedic Surgery Services Center, providing patients with expanded access specialized orthopedic care.

Newly expanded inpatient surgery center coincides with revitalization of the Mount Sion campus and demonstrates the critical role the hospital plays in UC San Francisco’s current and future efforts to meet the health care needs of the Bay Area.

The specialty center, which complements other medical services available in Mount Zion, will be the first in the region to focus specifically on the care of patients with orthopedic conditions and will fill a significant healthcare need as the population grows. aging increases. The hub also complements the outpatient services of the UCSF Orthopedic Institute in Mission Bay and complex inpatient care Center of the spine on the heights of Parnassus.

Bryan Roque, RN, prepares an operating room in the Orthopedic Surgery Unit at UCSF’s Mount Zion Campus on Tuesday, October 5. Photo by Noah Berger

“Mount Zion has such a rich history of being a place of contact, where patients feel welcome and feel part of a community,” said Christopher Holland, Executive Director and Site Administrator for Mount Zion . “My goal is to make sure we maintain this at Mount Zion.”

In a way, said Rita Ogden, chief of staff to the chief operating officer of UCSF Health, the reopening of Mount Sion as an inpatient hospital has been a little silver lining in the COVID-19 pandemic.

When the new $ 1.5 billion UCSF Medical Center in Mission Bay opened in 2015, joining Mount Zion and UCSF Helen Diller Medical Center in Parnassus Heights, a third UCSF inpatient hospital in Mount Zion appeared to be failing. more be needed.

“No one expected Mission Bay to fill up so quickly,” Ogden said.

Respond to the pandemic

When COVID-19 began to spread in California in April 2020, Mount Zion kicked in. A seven-bed intensive care unit and two acute care units, with 28 and 18 beds respectively, opened on April 29, 2020, providing capacity in the event of a sharp increase. But San Francisco’s swift actions to “flatten the curve” and slow the pandemic meant that much of that capacity was not needed.

UCSF Mount Zion ICU staff in yellow scrubs treat COVID and non-COVID patients

Staff at UCSF Mount Zion 4West ICU treat COVID and non-COVID patients, as the intensive care population of the dedicated COVID ICU moves to a post-pandemic unit. Photo by Susan Merrell

With UCSF hospitals in Mission Bay and Parnassus Heights operating near full capacity and facing increasing demand, UCSF Health looked for where it could increase its capacity and saw the recently reopened rooms at Mount Zion as the opportunity. perfect.

This is where orthopedics came in. UCSF Orthopedic Surgery has long needed more space to grow and expand its services. Mount Zion provided the opportunity to meet this need and increase the capacity of other services at the same time. In addition, Mount Zion is used to providing high quality orthopedic services. Benjamin Ma, MD, vice president of adult clinical operations in the Department of Orthopedic Surgery and a member of the team leading the transition to Mount Zion, performed his first surgery on Mount Zion when he arrived at UCSF in 2003. “It means a lot to me in terms of my career,” he said.

“The opportunity arose because of COVID to settle crates far from the Parnassus campus,” Ma said. “Parnassus was so busy. It was always crowded. It was not sustainable. “

House dedicated to orthopedics and medicine

Orthopedics has moved most of its inpatient surgeries to Mount Sion, including hip, knee and shoulder replacements, traumatic surgeries, and hand, foot and ankle surgeries. Ma said. The complex spine surgery will remain at Parnassus.

The result of this transition serves patients on all UCSF campuses. Orthopedics now has a dedicated home on Mount Zion where it can continue to grow, and Parnassus surgical services have room to meet growing patient demand, including neurosurgery, which may also expand through to the newly freed space.

Mount Zion has such a rich history of being a place of contact, where patients feel welcome and feel part of a community. My goal is to make sure we maintain this at Mount Zion.

Christopher Holland, Executive Director and Site Administrator Mt. Zion

Specialized centers tend to offer a better patient experience and a better quality of care. Orthopedics will occupy a surgical unit at Mount Zion, Ma said, which will give patients better access and simplify the coordination of care. It will have a dedicated team of nurses, physiotherapists and others to ensure patients receive coordinated care and recover quickly.

“The care is more focused and more specialized,” said Ma. “This will improve patient outcomes and satisfaction. I know that Mount Zion patients and practitioners are happier. The hours are more predictable, the surgeries are more pleasant and we all work as a team. “

The medical team will also have additional capacity at a Mount Zion unit for patients who need hospitalization without surgery for conditions such as pneumonia or COVID-19.

“We have worked hard to expand our support services,” said Holland. Mount Zion added respiratory therapy, rehabilitation therapy, and dialysis, among other services, to return to a fully functioning hospital. Its cafeteria will soon be open longer to meet demand.

“The reopening of Mount Zion as an inpatient hospital has allowed UCSF Health to significantly increase its capacity,” said Holland. “Mount Zion plays a pivotal role in achieving UCSF Health’s 2025 vision as a leading complex care provider and destination for tertiary and quaternary care in the Bay Area.”

A century of innovation for its community

The UCSF acquired Mount Zion in 1990, more than a century after it was founded as a Jewish hospital in San Francisco. The story, including details of some of Mount Zion’s groundbreaking innovations, is commemorated in a display in the lobby, newly installed as part of the hospital renovations.

Over the years, the Mount Zion campus has grown to include several buildings flanking Divisadero Street, between Bush Street and Geary Boulevard, including the Helen Diller Family Comprehensive Cancer Center, the Osher Center for Integrative Medicine, and the Women’s health center, the only nationally designated center of excellence in women’s health in Northern California.

Under the leadership of UCSF, said Holland, Mount Zion maintains this tradition of advancing health care.

Dr Erdan Kayupov, left, and other surgeons perform knee replacement surgery

Dr Erdan Kayupov, left, performs knee replacement surgery in the Orthopedic Surgery Unit at UCSF’s Mt. Zion Campus on Tuesday, October 5, 2021 in San Francisco. Photo by Noah Berger

“By creating a culture of innovation at Mount Zion and letting our staff and providers take ownership of the improvement work, we can improve the patient experience and increase employee engagement,” said Holland. “We can do things differently and try something new. When it is successful, it can spread to other parts of the organization.

Some examples include looking at different telemetry options, including using a wearable patch, as well as using iPads in rooms so patients with COVID-19 can communicate with their families.

“If it works, we can see it everywhere,” Holland said. “Otherwise, we’ll try the next thing. Mount Sion is a place of innovation. We try things. We will research, adjust and continue to strive to find new ways to care for patients and improve the patient experience. Our goal is to do it first and do it the best.

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