Management Audit of SF General Hospital

Table of Contents
Executive Summary
Introduction
Financial Management
1.	Revenue Projections in the San Francisco General Hospital Annual Budget
2.	Setting Annual Patient Rates
3.	Capturing Charges for Services
4.	Basing Self-Pay Charges on a Patient's Ability to Pay
Patient Financial Services
5.	Monitoring Billing and Collections
6.	Billing Exceptions
7.	Management of Third Party Payer Payment Denials
8.	Monitoring Uncompensated Care Recovery Services
Materials Management
9.	Monitoring of Materials and Supplies Costs
10.	Managing Purchasing, Receiving and Inventory of Materials and Supplies
11.	Materials Management and the Automated OmniCell System
Pharmacy
12.	Controlling Rising Pharmacy Costs
13.	Purchasing and Receiving in the Pharmacy
Utilization Review
14.	Managing San Francisco General Hospital Utilization
Nursing
15.	Expenditures on Nurse Staffing
16.	Increases in Reported Work Related Injuries Among Nursing Staff

17.	Written Response of the Director of Health
18.	Additional Responses of the Budget Analyst to the Written Response of the Director of Health to our Final Draft Report

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