The City and County of San Francisco and FUSE are working together to help the Department of Public Health (DPH) connect physical health, behavioral health, and social services into a more seamless system of care. This matters most for residents with complex needs, including Medi-Cal enrollees, uninsured residents, and people experiencing homelessness, many of whom face chronic conditions and structural barriers to access. The San Francisco Health Network has launched a strategic plan focused on population health management, accountability, data, and financial sustainability, reflecting a broader shift toward value-based care. Because DPH’s services were historically built in silos across many divisions and sites, the department now wants to translate its strategic priorities into clear, shared implementation pathways.
Starting in Fall 2026, FUSE Executive Fellow Christine Garofoli will meet with leaders and staff across the Health Network, behavioral health, primary care, population health, and data teams, and will review the strategic plan, workflows, metrics, and best practices from comparable health systems. The Garofoli will then build a phased implementation roadmap, define roles and handoffs across divisions, align care pathways, and develop tools for care coordination and data-informed decisions. Throughout, Garofoli will pilot approaches with DPH staff, gather feedback, and cultivate internal champions to sustain the work. By Fall 2027, deliverables will include a population health management roadmap, an integrated care coordination framework, metrics and dashboards, a best practices and integration strategy report, and a sustainability plan, with Year Two priorities set based on that progress.
