SF General Hospital Foundation 2009

San Francisco General Hospital
Foundation News
SPRING 2009
VOL. 10
N o. 1
Seizing on the “Aha” Moment:
Wraparound Project
Helps Young Victims of Violence
W
hen trauma surgeon Rochelle Dicker was a
first-year resident at San Francisco General
Hospital and Trauma Center, she helped care
for a teenager who’d been admitted for a gunshot wound.
With the patient in the hospital for 10 days, Dicker got to
know him quite well. After the young man was well enough
to return home, she hardly expected to see him again. But
a month later, he was back—shot again. This time he not
only required an emergency operation, he needed to be on a
ventilator in the intensive care unit (ICU).
“I felt the injustice of him getting back on his feet and
then having it happen again,” recalls Dicker. “It felt like a
recurrence of cancer.”
strategies. Before this program began, we were seeing about
a third of the young people who were victims of violence
come back to the hospital to be treated for violent trauma
again,” she says. “It was crazy to pretend we could do
nothing about it. We based our program on the way we deal
with any disease, by first addressing the risk factors.
“Second, cultural competency is key to the Wraparound
Project’s success. Our case managers are African American
and Latino men who come from the communities that
experience the most violence.
“And third,” Dicker continues, “we deal with a window of
opportunity that arises when someone is victim of violence.
Her realization led to the
understanding that violence is
like a disease with risk factors
that can be prevented. And that
thinking led Dicker to establish
the Wraparound Project in 2006.
Designed to prevent recurrences of
violent trauma in the community,
the Wraparound Project reaches
clients while they are still in the
hospital, which is when they’re
often most open to change.
“Violence is such a way of life in
this community that a lot of young
people here don’t expect to live
into adulthood,” Dicker explains.
“But in a hospital bed, they get a
sense of reality and true mortality.
They realize, ‘I could have died,
but I didn’t. There must be a way to
change, but I have no idea how.’
Javier Antezana, Case Manager; Ricardo Garcia-Acosta, Case Manager; Michael Texada, Case
Manager; and Rochelle A. Dicker, MD, FACS, Assistant Professor of Surgery and Anesthesia
“What they need is someone to
guide them,” Dicker continues.
“And that’s what the Wraparound Project provides.”
Case managers go right to their clients’ bedsides or
sometimes even into the emergency department itself. They
establish long-term relationships, becoming mentors and
trusted adults for their clients. And they hook them up with
services that lead away from the vortex of violence.
According to Dicker, three basic principles guide the work
of the Wraparound Project:
“First, violence mimics an epidemic and there are risk
factors that can be addressed through risk reduction
They have an ‘aha moment’ when they’re most open to
change. We call that the teachable moment.”
Early indicators show that the Wraparound Project is
working. While Dicker says a five-year analysis would
truly assess the program’s effectiveness, the incidence of
repeat admissions for violent injury is considerably down
after three years in operation. Where there had been a 35
percent recidivism rate before the program began, now just
4 percent of violent trauma victims who’ve been through
Wraparound have returned to San Francisco General.
Continued on Page 2
San Francisco General Hospital Foundation News
Wraparound Project
Continued from Page 1
In addition to Dicker, the Wraparound Project is staffed by an
administrative assistant and three case managers who she says are
the backbone of the program.
“Our case managers all grew up in communities affected by
violence. They bring essential cultural competency to the table.
They’re tough when they need to be with clients, but they also have
an incredible amount of compassion,” says Dicker. “Because they
have first-hand experience with
urban violence, they can bring
an instant sense of trust and
understanding to the bedside.”
“We try to work with kids under 18 to have the most impact on
their lives. After 25, it’s more challenging. But with young kids and
young minds, you can still mold a positive outcome,” Antezana
explains.
Indeed, the outcome has been positive for the vast majority of
Wraparound Project clients. Now some of the program’s graduates
are in college. Some even want to go into medicine.
“Our clients say they’ve never felt this way about a hospital before,”
Antezana continues. “They
used to think, ‘We get healed,
we get kicked out.’ But after
going through this program,
they’ve left gangs, received
mental health services and have
gotten help with PTSD (posttraumatic stress disorder).”
with you, I could
“...ifhaveI wasn’t
been on the streets
and shot and killed.
“
Wraparound Project Client
“I could have ended up a lifelong criminal,” he explains. “But I
knew that way of life didn’t resonate with me. I wanted to change
the system.”
Antezana began his career a decade ago as an outreach worker at
various nonprofit organizations; he has been with the Wraparound
Project for two years. He says he found the program’s structure and
philosophy to be closely aligned with his own ideas and experience.
“That’s what brought me here,” he says. “I thought Dr. Dicker had
the right idea about a teachable moment. While I was working in
Juvenile Hall, I saw that kids were really receptive to the services
that were offered to them. It’s the same here at San Francisco
General.
“Traditionally this population receives information, but not
enough access to programs
that can help them. They need
someone to hold their hand
in the beginning and take
them through the process of
connecting and staying with
the services they need.”
“
Without help, especially with
anger, the cycle of violence
continues and escalates, Antezana explains.
“You’re attacked, you attack someone else,” he says. “We’re here
to help de-escalate that response. We help not just our clients, but
their families and friends, to stay calm and find other ways besides
violence to resolve things. We’ve even removed gang tattoos.”
In all, the Wraparound Project has directly helped about 70 clients
over three years. Dr. Dicker is quick to point out that the ripple
effects of those efforts are immeasurable.
“For every person who’s injured, there are at least 10 more family
members and neighbors who are affected by the violence,” she says.
“The Wraparound Project makes life sense and business sense.”
In fact, the cost of hospitalizing and treating a single victim of
violence can soar as high as $600,000. In 2006, the median cost of
treating a gunshot victim was
$75,000.
“
Javier Antezana is a Wraparound
Project case manager. Having
grown up in San Francisco’s
Mission District, he saw plenty
of violence in his younger days.
Now he works to break its cycle.
In fact, while most of the program’s participants are 14 to 18 years
old, some are as young as 10 and others as old as 30.
We give them the tools they
need to succeed in life.
“If we save even one life, we’ve
been cost effective,” says Dicker.
She adds that the Wraparound
Project has caught the attention
Javier Antezana, Wraparound Project Case Manager
of her surgeon colleagues, who
Generally, clients spend six
often work with the project’s
months with the Wraparound
case managers. Like Dicker,
Project. The case managers
they see the enormous value of their patients receiving mentoring
first assess them to determine their specific needs, establish goals
and important social services.
and connect them with mental health, continuing education, drug
rehabilitation, job training, employment and other services best
suited to help them.
“With certain kids, in the beginning they think that just staying
alive on a week-to-week basis is a success,” says Antezana. “They
say, ‘Javier, if I wasn’t with you, I could have been on the streets
and shot and killed.’”
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“The program has generated great interest from the medical
community,” she says. “It’s bringing out the best of social
consciousness in medical people.”
After six months, the clients and case managers meet to reflect on
their progress and reassess their goals.
She adds that programs like Wraparound should be “woven
into the fabric of trauma centers everywhere. It saves the lives of
young people who are just coming into the prime of their lives. It
succeeds because it provides opportunities that many of us take
for granted. A lot of our clients are truly diamonds in the rough.
They’ve never had mentorship or someone believing in them.”
“We decide whether we need to follow them for another six
months,” says Antezana. “We have a few clients who’ve been with
us a year and a half. They’re young and they really need the help.”
“We give them hope, just by letting them know that we’ll be here
for them the next day,” adds Antezana. “We give them the tools
they need to succeed in life.”
Donor Spotlight
San Francisco General Hospital Foundation News
Sisters in Philanthropy:
Chara Schreyer and Rose Roven
W
hen Chara Schreyer suffered complicated fractures to her right leg and hip in 2007,
she was rushed to San Francisco General Hospital and Trauma Center where, she
says, she received the highest level of care possible during her nearly three weeks
there. Her sister, Rose Roven, was with her at the time of the accident and “practically lived at
the hospital,” visiting Schreyer. Roven was equally impressed with what she saw at San Francisco
General.
“The care that Chara received was outstanding, from trauma and orthopaedic physicians to
nurses, physical therapists, occupational therapists, and everyone associated with her recovery,”
says Roven. “Everyone we met showed a profound commitment to the public and public health.”
Both Schreyer and Roven, long-time Bay Area philanthropists, channeled their gratitude in the
most meaningful way they knew of—by making generous donations that honor the people who
have helped them, their family and San Francisco’s most underserved communities.
Schreyer chose to honor her orthopaedic surgeon, Dr. Amir Matityahu, by endowing a chair
that will provide funding for support of clinical care, teaching, and research for the Division of
Orthopaedic Surgery at SFGH.
“The trauma team saved my life,” she says. “In addition to treating my injuries, they detected and
treated a blood clot that had developed in my leg. If it had gotten to my lungs, I might have died.
“After my surgery, I was given the option of moving to another facility,” she adds. “But I said I
couldn’t get better care anywhere else.”
Roven was equally impressed by the excellent care given by all the medical professionals who came
into contact with her sister. Roven who, along with Susan Cummins, is co-director of Marin
County’s Rotasa Foundation, wanted to show her appreciation.
Because the underserved often have difficulty accessing quality healthcare, Roven and Cummins
made a gift through the Rotasa Foundation to spur the growth of the Center for Vulnerable
Populations (CVP). The gift will be used as a five-year matching grant to fund the design and
remodeling of vacant space to house the Center’s Health Communication Program.
The goal of the CVP is to address the rising tide of chronic illness, such as diabetes, asthma,
cardiovascular disease, kidney disease and depression, in vulnerable communities. CVP believes
that health communication is a critical component in this effort. This generous gift will enable
the CVP to expand its existing infrastructure and become a model for others to replicate. The
program will reach more patients in more communities, and allow for collaboration with others
at SFGH to develop innovative solutions to the broad range of chronic illness affecting vulnerable
populations.
“We support organizations that address the well-being of people in our community that might
otherwise not be served. ” explains Roven. “San Francisco General Hospital’s mandate is to serve
public health care needs at the highest level without regard to means.”
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San Francisco General Hospital Foundation News
Thank You to
All Our Sponsors
For Making
the 2009
Heroes & Hearts
Luncheon a
Success!
❤
SUE & MARTIN
KOFFEL
The stanley s.
langendorf Foundation
the magic of
The mary wohlford foundation
macys.com
H e a r tt h r o b s
Charles Schwab & Co. INC. ❤ Phyllis & Bill Draper ❤ Franklin Templeton Investments
Samuel L. and Ann Vance Ginn Foundation ❤ Judy & Rich Guggenhime ❤ jacobs Engineering ❤ Tina & John Keker
Mary Jo & Dick Kovacevich ❤ Gretchen & Robert Lieff ❤ McKesson Corporation ❤ Nicola Miner & Robert Anderson
Gordon & Betty Moore Foundation ❤ pacific Gas and Electric Company ❤ jeanne & sanford Robertson
Ruth & john Stumpf ❤ Joyce & larry Stupski ❤ Ingrid Tauber & Frank Taforo ❤ Paul Touw
H e a r tB e a ts
DARIUS ANDERSON ❤ Pam & larry baer ❤ Nancy & Joachim Bechtle ❤ Mary & Tom Bersot ❤ Boedecker Foundation
Sue & Todd carter ❤ Sheri & George Clyde ❤ CSi Capital Management ❤ Dean’s Office, SFGH ❤ Gretchen de Baubigny
Department of Anesthesia, sfgh ❤ Department of emergency services, sfgh ❤ department of medicine, sfgh
department of psychiatry, sfgh ❤ department of surgery, sfgh ❤ department of neurosurgery, sfgh
department of orthopaedics, sfgh ❤ dagmar & ray dolby ❤ Elizabeth & John Fisher ❤ the fitzpatrick foundation ❤ Fong & Chan Architects
Elise & Tully Friedman ❤ Lynn C. Fritz Family Philanthropic Fund ❤ Ron Gidwitz ❤ Kaiser Permanente ❤ Gordon & Rees LLP
Sarah & william Hambrecht Foundation ❤ Judy & Robert Kretz ❤ Mayacama Golf Club ❤ Debbie & Jim Messemer
Christine & Mike Murray ❤ Bill Neukom ❤ Lisa & John Pritzker ❤ Kelly Jane & Alex Rosenblatt ❤ San Francisco 49ers
San Francisco Giants ❤ San Francisco International Airport ❤ Schiff Hardin LLP ❤ Siemens Medical Solutions
Tamara & Daniel K. Turner ❤ Beth S. Veniar, CPA ❤ Barbara & Stephan Vermut ❤ Vinson & Elkins LLP
IN - KIN D / M E D IA S PON S OR S
AMERICAN AIRLINES ❤ Bon AppéTIT Management Company ❤ Hartmann Studios
KGO Newstalk AM810 ❤ NBC Bay Area ❤ San Francisco Business Times ❤ SAN FRANCISCO CHRONICLE ❤ San Francisco Magazine
Add i t i o n a l T h a n k s
Wine Donated by Michael Mondavi, Folio Wine Partners
NBC Bay Area health Reporter Marianne Favro ❤ Mayor Gavin Newsom ❤ Steve Silver’s Beach blanket Babylon
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F i n d o u t h o w y o u c a n b e i n v o l v e d w i t h H e r o e s & H e a r ts 2 0 1 0 .
Em a i l K at i e M o e , k m o e @ sf g h f . n e t o r 4 1 5 - 2 0 6 - 5 9 2 8 f o r s p o n s o r s h i p i n f o r m at i o n .
San Francisco General Hospital Foundation News
2009 Heroes: Ed Marquez; Midge Wilson; Ilana Strubel;
Dolph Shapiro, MD, Marlis Tanner; Gene O’Connell;
Hal Yee, Jr., MD, PhD.
Nathan Nayman, Head of Local and State Relations, Visa Inc.
and Larry Baer, President, San Francisco Giants.
Yurie Pascarella and Charlotte Shultz.
Gene O’Connell, The Honorable Willie Brown, Rich Guggenhime,
The Honorable Frank Jordan, Mayor Gavin Newsom.
Co-Chair Rich Guggenhime with Judy Guggenhime,
Co-Founder of Heroes & Hearts and President of
SFGH Foundation.
Paul Otellini, President & CEO of Intel Corporation, his wife
Sandy, and Intel employees enjoy the luncheon.
5
San Francisco General Hospital Foundation News
Gene Marie O’Connell
Retires As Chief
Executive Officer, SFGH
G
ene Marie O’Connell retired as Chief Executive Officer of San Francisco
General Hospital and Trauma Center on March 20, 2009, ending a
remarkable 25-year career. Gene began working at SFGH as a per diem
nurse, and became CEO 11 years ago. She has led the hospital through many
challenges and accomplishments, including the successful passage of Proposition A
in November 2008. That ballot measure was overwhelmingly supported by voters
and authorized $887.4 million in general obligation bonds to fund the construction
of a new acute care hospital. That achievement capped more than a decade of leadership, for which Gene was honored at the 4th
annual Heroes & Hearts Luncheon with the San Francisco General Hospital Foundation’s “Spirit of the General” award.
Early in her tenure as CEO, Gene appreciated the importance of the hospital’s trauma services, achieving designation by the
American College of Surgeons, then more recently with the Joint Commission accreditation for stroke care. As a nurse leader,
she promoted the use of Nurse Practitioners in inpatient settings. Reflecting a hospital that serves the entire city, Gene also
initiated cultural diversity programs in both hospital employment and patient care. She actively pursued a broad-reaching
relationship with the philanthropic community that has helped bring resources into the hospital and raise its visibility among
foundations and civic leaders. Inside the hospital, Gene created an atmosphere of caring, compassion and professionalism that is
evident amongst her top team, middle managers, clinicians and support staff.
“My philosophy is that no one sits down until we all sit down,” she said.
With Gene at the helm, SFGH has received numerous awards including the 2008 American Medical Association Ethical Task
Force Programs Award for its patient-centered communications initiative; the 2007 Ambulatory Pediatric Association Health
Care Delivery Award; the 2006 Joint Commission Certificate of Appreciation in recognition of SFGH’s valuable contribution to
the Hospitals, Language and Culture Initiative; and the 2002 American Hospital Association’s Nova Award. Gene also helped
SFGH become the only hospital in San Francisco to receive the World Health Organizations’ Baby-Friendly certification.
Gene’s dedication to SFGH’s mission has moved our organization forward and contributed to the growth of many she touched,
including new CEO Sue Currin, long-time Chief Nursing Officer and recently appointed Chief Operating Officer. With the
news of Gene’s retirement, Dr. Mitch Katz, Director of the San Francisco Department of Public Health, named Sue Currin,
RN, MS as new CEO. This is an outstanding decision that will assure a smooth transition and continuity of the leadership,
teamwork and quality that all of us have worked so hard to achieve. Sue brings to this position a rich understanding of the
workings of the hospital, with an abiding commitment to improve the care of our patients.
Clothes Call
Clothes Call is a rehabilitation-focused program designed to teach work and
social skills to participants in Vocational Rehabilitation Services at SFGH.
The participants deliver a fresh change of clothes to any patient in need.
Since Clothes Call is not funded the program relies exclusively on donations.
Our patients need clean, gently used washable clothing and new
undergarments. If you have any questions about Clothes Call or wish to
donate, please contact Amelia Truman at (415) 206-5962.
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San Francisco General Hospital Foundation News
I n t e r l o c k i n g S t e e l H e a rt
by
Rebecca Fox
Rebecca Fox has been creating welded steel
sculpture for over a decade. Rebecca’s work
has produced an extensive following of
collectors, as her work has been included
in over 100 private collections throughout
the United States. This heart is currently on
public display at Mission Creek Park.
Rebecca Fox, MHS#1
You still have a chance to own
a one-of-a-kind Heart.
by
F u l l S i z e H e a rt
T e r e n c e K. S t e p h e n s
He received a B.F.A. from the University
of Utah and an A.A.S. from Utah Technical
College in graphic design. He has also studied
fine art in Avignon, France and Washington,
D.C. He served on the board for the Center
On Contemporary Art in Seattle and his
works have been shown in the Seattle Asian
Art Museum. He was commissioned for
several murals in San Francisco and Seattle.
His artwork includes figurative painting and
sculptures, landscapes, flowers, and portraits,
including pets (he has two chocolate Labrador
T E R E N CE K . S T E P H E N S, L O V E T H E A N I M A L
retrievers). His inspirations are travel and
everyday experiences. His heart is currently
on public display at Union Square.
Please call Katie Moe at 415-206-5928 or email [email protected] for more information.
Seeking Donations Of
PreMaxx Baby Carriers
In order to ensure the safety of the hospital’s most vulnerable patients during a disaster,
SFGH is seeking donations of a total of twelve (12) new PreMaxx baby carriers to
be used for emergency evacuation of infants from the Nursery. These carriers have
been used successfully during evacuation of Southern California hospitals during
the wildfire events last year, and are considered to be significantly better and more
safe than the apron carrying devices that SFGH currently have in use. The cost is
approximately $50 per carrier. If you are interested in making a donation, please
contact Fe Hortinela, Nurse Manager, Nursery and Pediatrics Clinic (415) 206-6378
or Lann Wilder, Emergency Management Coordinator (415) 206-3397.
7
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Ï
Rebuild Update
We at SFGH extend our sincere and
heartfelt thanks to the residents of San
Francisco for voting to approve the
General Hospital rebuild. A record 84
percent voted yes to the project and
for that we are grateful. Now we are
launching a six-year project to provide San
Franciscans with a seismically safe new
building for trauma, emergency, inpatient
and psychiatric care. The first step is to
ensure that the current hospital remain
operational during construction. That
entails rerouting underground utilities,
reconfiguring patient drop-offs, and
making changes to pedestrian and vehicle
traffic on campus. These activities will
begin in April and continue into the fall.
Special thanks to…
Kimpton Hotels & Restaurants home office
employees who donated six gift cards to the
SFGH Pediatric Department to assist three
families in need over the holidays.
Kaiser Permanente and their donation of
approximately 2,000 children’s books to
the SFGH Reach Out And Read (ROAR)
program.
SFGH Foundation would like to welcome
Constance Burnikel as our new Database
Administrator.
San Francisco General Hospital Foundation
Board Of Directors
Judy Guggenhime
President
Matt Carbone
Vice President
John Luce, MD
Vice President
Jonathan Tsao, AIA
Vice President
Michael Dowling
Treasurer
Helen Archer-Dusté
Secretary
Pamela Baer
Mary Bersot
Kirsten Bibbins-Domingo, PhD, MD
Lyman Casey
Susan Currin, RN, MS
Julia Mandeville Damasco
Tina Frank
Brandt Hooker
Lynn Jimenez-Catchings
Gretchen Lieff
James Messemer
Theodore Miclau, MD
Maggie Mui
William Schecter, MD
Ruth Ann Stumpf
Leon Tuan
Beth S. Veniar, CPA
Barbara Vermut
Jamie Whittington
Ex-officio Directors
A. Sue Carlisle, MD
Sue Currin, RN, MS
Michael Humphreys, MD
David Sanchez, PhD
Emeriti
George Clyde, Esq.
Gretchen de Baubigny
Genevieve di San Faustino
Lucinda Emmet
James C. Flood
Moses Grossman, MD
Sally N. Lovett
Paula Carien Schultz
Paul Volberding, MD
Advisory Council
Eunice Azzani
Nancy Bechtle
Neil L & Tina Diver
Mary Lu Everett
Daniel and Susan Federman
Jessica Galloway
Sydney Goldstein
Richard J. and Judith H.
Guggenhime
Charlene Harvey
Susan Desmond Hellman, MD,
MPH
Philip C. Hopewell, MD and
Eleanor Hopewell
Michael Humphreys, MD and
Sheila Humphreys
Mary Huss
Lucy Johns, MPH
Talmadge E. King, Jr., MD
William & Stephanie MacColl
Rosalie M. Marshall
Herbert H. Meyers
James and Lee Ann Monfredini
Ellen Newman
Gene Marie O’Connell
Jerry Pang
David Post
Elliot Rapaport, MD and
Vivian Rapaport
John & Laura Rende
Deborah Seymour
Charlotte Shultz
John B. and Lucretia T. Sias
Jo Schuman Silver
Patrick Smith
G. Craig and Maureen O’Brien Sullivan
Daniel G. Volkmann, Jr.
Christine Wachsmuth
Charles Zukow
Foundation Staff
Katherine Ripley-Williams
Executive Director
Ruta Abraham
Bookkeeper
Mary Casey
Director of Major Gifts
Constance Burnikel
Database Administrator
Sara E. Haynes, MPH
Director of Corporate &
Foundation Relations
Katie Moe
Director of Special Events &
Public Relations Manager
Janet Philpott
Executive Assistant
San Francisco General Hospital Foundation is dedicated to improving the care and comfort
of patients at San Francisco General Hospital and Trauma Center.