Emergency Services and Trauma Care

The county emergency medical services system is facing increasingly challenging conditions such as overcrowding, which causes higher numbers of frustrated patients to leave without receiving care. In 2002, the average percent of time that the L.A. County DHS emergency rooms were on diversion climbed to 62 percent. Numerous studies document an increase in poorer outcomes among patients leaving without being seen, as well as longer transport times for diverted ambulances leading to higher rates of illness regardless of insurance status. The Frequent Users of Health Services Initiative is a five-year project funded by The California Endowment and the California HealthCare Foundation supporting six collaborative projects throughout the state focused on decreasing unnecessary use of emergency rooms and avoidable hospital stays.

Publications and Documents

Jun 01 2003
Brian Smedley, Adrienne Stith and Alan Nelson (Eds.), Institute of Medicine

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care

Mar 31 2003
Glenn Melnick, Anil Bamezai, Lois Green and Amar Nawathe, California HealthCare Foundation

Emergency Departments in the Health Care System: Use of Services in California Counties.

Jan 01 2003
National Health Foundation

Scenario III Impact on Inpatient and Emergency Services in Los Angeles County

Nov 01 2002
Glenn Melnick, Anil Bamezai, Lois Green and Amar Nawathe, California HealthCare Foundation

Emergency Departments in the Health Care System: Use of Services in California and the U.S.

Oct 01 2002
L.A. County Department of Health Services (DHS), Emergency Medical Services (EMS) Agency

Impact Evaluation Report on the Proposed Redesign of DHS's Emergency and Trauma Services

Sep 30 2002
Glenn Melnick, Anil Bamezai, Lois Green and Amar Nawathe, California HealthCare Foundation

California's Trauma Care: System Capacity and Demand

Sep 12 2002
L.A. County Department of Health Services (DHS) , Emergency Medical Services (EMS) Agency

Summary of the Public Hearing

Apr 01 2002
Glenn Melnick, Anil Bamezai, Lois Green and Amar Nawathe, California HealthCare Foundation

California's Emergency Departments: System Capacity and Demand

May 15 1997
National Health Foundation

The LA Model: Inpatient and Emergency Services Update


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