Access to Care

Program Information

Programs & Performance Measures
  Access To Care
 Maximizing Resources


Health Care for the Homeless (HCH)

The San Francisco Health Care for the Homeless program has operated since 1988 as a partnership between SFCCC, eight of our partner clinics, and the San Francisco Department of Public Health (SFDPH).  SFCCC administers a federal HCH grant and contracts with these partners for the provision of HCH services, including medical, nursing, dental, substance abuse, mental health, case management, and outreach services.  The program serves more than 15,000 homeless San Franciscans annually.  Our federal HCH grant is administered by the US Department of Health & Human Services.

Street Outreach Services (SOS)

Street Outreach Services (SOS) is the mobile outreach component of SFCCC’s Health Care for the Homeless (HCH) program.  Since 1988, SOS has provided high quality, non-judgmental health services directly to homeless people in places where they live and congregate.  Traveling in a medical van to sites throughout San Francisco, the SOS team of doctors, nurses, outreach workers, students, and volunteers creates “clinics without walls,” at locations where homeless people live and congregate, e.g., at soup kitchens, on city streets, in parks, and under freeways.  SOS provides urgent medical care, health education, and linkages to primary care and other needed services.  SOS also serves as a clinical rotation site for several health care training programs in the Bay Area, including medical residents and medical and nursing students.  Street Outreach Services (SOS) is funded by a combination of federal and private sources, and is operated by SFCCC in collaboration with our partner clinics and SFDPH.

Veterinary Street Outreach Services (VET SOS)

Veterinary Street Outreach Services (VET SOS) is a project of SFCCC’s Street Outreach Services (SOS) program.  VET SOS has two primary goals: to improve the health of companion animals of homeless San Franciscans, and to connect their human guardians to primary medical care and other needed services.  Many homeless people have companion animals that need vaccinations, spay/neuter services, and other types of veterinary care.  Based on an idea from a former SOS client, VET SOS began in 2001, when SOS partnered with a volunteer veterinarian to offer care to the companion animals of its clients.  Today, an entire team of volunteer veterinarians, veterinary technicians, students, and outreach workers, in partnership with local animal care organizations, provide a wide range of services through VET SOS.  VET SOS is funded by a combination of private sources and in-kind contributions, and is operated by SFCCC in collaboration with the San Francisco Society for the Prevention of Cruelty to Animals (SFSPCA), San Francisco Animal Care and Control, Pets Are Wonderful Support (PAWS), Pets Unlimited, and the San Francisco Veterinary Medical Association.

Ryan White HIV/AIDS Services

SFCCC has served as a Ryan White Early Intervention Services grantee since the inception of the federal Ryan White CARE Act in 1990.  Our HIV/AIDS program is operated in partnership with five SFCCC health clinics and two SFDPH clinics.  A continuum of services is provided, including primary medical care; medication adherence support; dental/oral health care; nutritional assessments and counseling; substance abuse and mental health assessments and referrals; case management; HIV counseling and testing; and Hepatitis education.  Our federal Ryan White grant is administered by the US Department of Health & Human Services.

Healthy San Francisco

Healthy San Francisco (HSF) is an innovative program that makes health care services accessible and affordable to uninsured San Francisco residents. HSF is a partnership between SFDPH; SFCCC and its partner clinics; other local health care providers; and the San Francisco Health Plan, which administers the program. SFCCC partner clinics serve as primary care medical homes for more than half of all HSF participants. SFCCC participates in HSF program evaluation and quality improvement activities, and facilitates training for clinic staff who enroll patients in HSF and help them navigate the program.

Quality Improvement

SFCCC’s Continuous Quality Improvement (CQI) program sponsors initiatives and activities that improve the quality of primary health care across the SFCCC network, including efforts to make care more patient-centered.  The program is overseen by the SFCCC Board of Directors and its QI Committee.  Areas of focus for our improvement efforts are recommended annually by SFCCC peer networks and our Consumer Advisory Panel. Our efforts to date have targeted diabetes, hypertension, reduction of strokes and heart attacks, depression, and pain management.  SFCCC and partner health clinics have also joined together with the California Primary Care Association, other regional health center networks, and private funders to implement outcomes-based and protocol-driven systematic approaches that improve the health outcomes of patients with life-threatening and debilitating chronic diseases.

To view our SFCCC Network Quality Performance Measures, please click here.

Consumer Advisory Panel (CAP)

SFCCC maintains an active Consumer Advisory Panel (CAP), which serves as a committee of the SFCCC Board of Directors.  Panel members are recruited from clinics that participate in SFCCC’s Health Care for the Homeless and Ryan White HIV programs, and make recommendations from the client perspective on the provision and improvement of clinical services.  CAP members also educate elected and appointed public officials, service providers, and the general public about health issues facing clinic consumers and other members of their communities.