Analyzing St. Anthony Medical Clinic Efficiency and Productivity

Dates: 2012

State: California

Client(s): St. Anthony Medical Clinic

Services: Health Care & Public Health Planning, Health Systems Transformation

Technical Expertise: Primary Care, Safety Net

St. Anthony Foundation’s Medical Clinic, located in San Francisco’s Tenderloin neighborhood, provides medical and behavioral health services to approximately 3000 individuals, 90% of whom earn less than $10,000 a year and 25% of whom are homeless. Operating as a free clinic for over 50 years, St. Anthony Medical Clinic (SAMC) is currently undergoing a fundamental shift in its care model and its business model as part of its strategic plan to become a federally qualified health center (FQHC).

As part of this transformation, St. Anthony Foundation engaged JSI to conduct an operational assessment and benchmarking analysis that focuses on clinic efficiency and productivity. Between April and September 2012, JSI conducted the following activities:

  • A two-day site visit to observe clinic operations and to conduct 30-minute interviews with all SAMC staff and providers,
  • A review of 4 years of available SAMC financial, operational and quality data,
  • A benchmarking analysis of SAMC quality of care, costs, provider productivity and staffing support ratios relative to national and state FQHCs using the Bureau of Primary Health Care’s Uniform Data System (UDS), which collects patient, visit and financial data for all the FQHC and FQHC look-alike health centers in the country,
  • A synthesis of qualitative and quantitative findings, recommendations and strategic questions emerging from the analysis,
  • Delivery of findings to SAMC and St. Anthony Foundation leaders and Board members.

JSI’s recommendations reflected the company’s deep familiarity with FQHCs, their track record with writing FQHC new access point applications, and their experience editing and reviewing UDS data for FQHCs nationwide. Using this lens of experience, JSI also listened carefully to the on-the-ground experiences and suggestions from SAMC providers and staff.

St. Anthony Foundation and St. Anthony Medical Clinic leaders are using JSI findings and recommendations to inform an action plan for increasing access to care for Tenderloin residents and to guide next steps in their strategic plan to pursue becoming an FQHC.