About By The Bay Health
Hospice overview and quality summary
By The Bay Health is a for-profit hospice care provider in San Francisco, CA, serving patients and families in San Francisco County and the surrounding area. Medicare certified since 1987, By The Bay Health has provided 39 years of end-of-life and palliative care to the community.
By The Bay Health serves an average of 117 patients per day, covering 56 ZIP codes across its service area. 70% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned By The Bay Health a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 15 physicians are affiliated with this hospice.
When choosing hospice care in San Francisco, CA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Average
CMS CAHPS Hospice Star Rating
By The Bay Health has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in San Francisco, CA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
90% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
87% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
70% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
77% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
69% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
72% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
76% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
82% of caregivers gave a top rating for would recommend, consistent with the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
99.7%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.7%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.9%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.3%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.5%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
By The Bay Health's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
31.0% of By The Bay Health's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
84.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
69.3%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
6.4%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
40.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.7%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.3%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$19,611
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
By The Bay Health's patient population is primarily composed of individuals with cancer (39%), followed by other conditions (28%), dementia (11%), cardiovascular disease (10%), stroke (8%), respiratory disease (4%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
By The Bay Health delivers 70% of its care in patients' homes, with 25% in assisted living settings, 4% in nursing facility settings, 1% in hospital settings. The hospice serves an average of 117 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Hospital
Doctors at By The Bay Health
15 affiliated physicians
Dr. Rebecca Conant, MD
Geriatric Medicine
Dr. Jaime Rosenthal, MD
Geriatric Medicine
Dr. Kenneth Rosenfeld, MD
Hospice/palliative Care
Dr. Stacy Han, MD
Geriatric Medicine
Dr. Daniel Gordon, NP
Nurse Practitioner
Dr. Aditi Patel, DO
Internal Medicine
Dr. Jacklyn Katz, MD
Geriatric Medicine
Dr. Monica Cheng, MD
Geriatric Medicine
Dr. Daniel Pound, MD
Family Practice
Dr. Josette Rivera, MD
Geriatric Medicine
Dr. Robert Zimbroff, MD
Geriatric Medicine
Dr. Carolyn Welty, MD
Geriatric Medicine
Patient Reviews
Reviews and ratings from patients
Loading reviews...
Manage This Hospice Profile
Claim your profile to update information, respond to reviews, and showcase your hospice to patients and families.
Claim & Manage ProfileOther Hospice Providers Nearby
Hospice care in CA
Grs Hospice, Inc.
For-Profit · < 1 mi away
1390 Market Street, Suite 200, San Francisco, CA 94102
(415) 651-3632
Health Link Hospice
For-Profit · < 1 mi away
868 Brannan Street, Suite 308, San Francisco, CA 94103
(415) 513-1222
Ang Hospice, Inc.
For-Profit · < 1 mi away
95 3rd Street, Ste 254, San Francisco, CA 94103
(415) 263-9823
Sutter Visiting Nurse Association And Hospice
Non-Profit · 2 mi away
2800 Leavenworth Street, Suite 350b, San Francisco, CA 94133
(415) 749-4201
Self-help Home Care & Hospice
For-Profit · 2 mi away
731 Sansome Street, Suite 100, San Francisco, CA 94111
(415) 677-7628
Bright Hospice Care Inc.
For-Profit · 2 mi away
505 Montgomery Street, Suite 1059, San Francisco, CA 94111
(415) 651-3872
Frequently Asked Questions
About By The Bay Health
What is the CMS rating for By The Bay Health?
By The Bay Health has a 3-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does By The Bay Health primarily treat?
By The Bay Health's patient population includes cancer (39%), other conditions (28%), dementia (11%), cardiovascular disease (10%), stroke (8%), respiratory disease (4%). This reflects the hospice's experience managing these conditions.
Where does By The Bay Health provide care?
By The Bay Health provides care in patient's home (70%), assisted living (25%), nursing facility (4%), hospital (1%).
How large is By The Bay Health?
By The Bay Health serves an average of 117 patients per day and covers 56 ZIP codes in its service area.
How many doctors are affiliated with By The Bay Health?
15 physicians are affiliated with By The Bay Health.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·