http://www.lahealthaction.org/index.php/library/index en vcalderon@lahealthaction.org Copyright 2012 2012-05-16T22:04:34-08:00 http://lahealthaction.org/index.php/library/full_entry/3943/ Memorandum to the Board of Supervisors providing a status update LAC+USC Medical Center's census trends and emergency department indicators to include the month of March 2012. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2012-05-01T23:54:57-08:00 http://lahealthaction.org/index.php/library/full_entry/3942/ Memorandum providing pursuits of County position on legislation related to funding for local ombudsman programs and creation of the Basic Health Program State option; a report on legislation of County interest regarding the definition of a safety net care provider for purpose of determining default enrollment into a Medi-Cal managed care provider; and the status of realignment budget trailer bill language. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Ambulatory Care 2012-05-01T23:21:41-08:00 http://lahealthaction.org/index.php/library/full_entry/3937/ Memorandum to the Board of Supervisors providing a status of the work that the CEO and DHS have engaged in with the MLK Board and its Interim Chief Executive Officer to address commitments in the Coordination Agreement of the New MLK, Jr. Hospital including a provision of a physical plant through a lease of hospital property and supplication of financial support to establish ongoing hospital operations. The scope of the Inpatient Tower Renovation Project will include renovating 194,000 square feet of the existing Tower Building to create a new 120-bed community hospital. The project also includes construction of a new ancillary building that will house the main entry and lobby to the hospital, campus cafeteria and hospital administration. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Martin Luther King, Jr.-Harbor Hospital 2012-04-24T18:21:07-08:00 http://lahealthaction.org/index.php/library/full_entry/3929/ Memorandum to the board of supervisors providing County positions on IHSS workers' compensation and the Safety Net Care Pool (SNCP) funding. The Assembly Budget Subcommittee No. 1 on Health and Human Services rejected the IHSS Trailer Bill language to define criteria for pre-approval of the exceptions to the 20 percent trigger reductions in IHSS hours and rejected the proposal to eliminate IHSS domestic and related services to persons living in shared living arrangements. The remaining IHSS issues were held open until the May Budget Revision. DHS and CEO recommend an oppose position on AB 2096, legislation which would allow non-designated public hospitals to submit claims to receive reimbursement from SNCP, because it is counter to existing Board policy to support legislation that promotes the fair and equitable distribution of SNCP dollars between public and private hospitals. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Health Professionals, Section 1115 Medicaid Waiver 2012-04-17T23:48:35-08:00 http://lahealthaction.org/index.php/library/full_entry/3926/ Memorandum to the Board of Supervisors providing some recent successes in the ongoing transformation of the DHS. Harbor-UCLA and LAC+USC Medical Centers received notification that they have received a "Baby Friendly" designation by a U.S. accrediting agency sponsored by the WHO and the United Nations Children's Fund (UNICEF). Second, due to administrators' newly assigned task of of dedicating at least one half-day per week to direct patient care or clinical support services the Ambulatory Care Network (ACN) has been able to add over 70 primary care sessions per week. Finally, the recent submission of the semi-annual report on progress toward achieving milestones for the DSRIP has made evident that L.A. County will soon receive over $160 million in incentive funding. This means L.A. County is on track to receive 100% of maximum funding by the end of the year which is a critical component of DHS' operating budget. Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Ambulatory Care, Health Professionals, Section 1115 Medicaid Waiver 2012-04-13T21:07:19-08:00 http://lahealthaction.org/index.php/library/full_entry/3921/ Report commissioned for the California Health Care Foundation addressing the impact of the economic environment and recent health care reform initiatives on physician-hospital integration activity in California. The report presents research findings as well as perspectives of leaders from hospitals, physician groups, health plans, and provider industry. Key topics covered include impact of the ACA, federal spurs to new integration mechanisms, integration joining together unexpected partners and implications for policy makers. Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Ambulatory Care, Health Professionals 2012-04-10T19:52:59-08:00 http://lahealthaction.org/index.php/library/full_entry/3918/ Memorandum to the Board of Supervisors providing a status update on LAC+USC Medical Center's census trends and emergency department indicators to include the month of February 2012. Health Care Delivery Systems, Hospitals 2012-04-03T23:21:01-08:00 http://lahealthaction.org/index.php/library/full_entry/3867/ Memorandum to the Board of Supervisors to award and authorize execution of an agreement to develop a comprehensive and strategic plan for redevelopment of the LAC+USC Medical Center. Proposed revisions will provide an integrated healthcare delivery model that brings together county-operated and non-profit organizations to provide community benefit elements such as a community-friendly campus to promote healthy lifestyles and maximize access, educational/job training opportunities and incorporate on-campus businesses to offer job opportunities in health care. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Health Professionals 2012-03-06T19:17:53-08:00 http://lahealthaction.org/index.php/library/full_entry/3861/ Memorandum to the Board of Supervisors providing a status update on LAC+USC Medical Center's census trends and emergency department indicators to include the month of January 2012. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2012-02-28T23:41:53-08:00 http://lahealthaction.org/index.php/library/full_entry/3827/ Memorandum from L.A. County DHS to the Board of Supervisors providing a status update on LAC+USC Medical Center's census trending and emergency department indicators with trends to include the month of December 2011. Health Care Delivery Systems, Hospitals 2012-01-24T17:27:02-08:00 http://lahealthaction.org/index.php/library/full_entry/3808/ Memorandum from L.A. County DHS to the Board of Supervisors providing a status update on the transition to the new LAC+USC Medical Center. This report is the interim report of Emergency Department (ED) and hospital admission volumes as well as specialty services with trends to include the month of November 2011. The number of hospital admissions this period was 2648 which reflects an 8% increase from October 2011. ED registration volume decreased by 5% during this period. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2011-12-13T23:49:24-08:00 http://lahealthaction.org/index.php/library/full_entry/3798/ Memorandum from L.A. County DHS to the Board of Supervisors providing a status update on the transition to the new LAC+USC Medical Center. This report is the full monthly operational report with trends to include the month of October 2011. The Average Daily Census (ADC) for the month of September was 575 out of 676 licensed beds, an estimated 83% utilization rate (85% occupancy). The Medical/Surgical units was 302 an estimated 96% utilization rate (98% occupancy) for October 2011. The Dangerously Overcrowded Level Comparison for this period was 5%, compared to 1.4% in September 2011. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2011-11-22T20:43:18-08:00 http://lahealthaction.org/index.php/library/full_entry/3766/ Memorandum from L.A. County DHS to the Board of Supervisors providing status updates on the implementation of the 1115 Medicaid Waiver Initiative. Memorandum contains updates on 1) contracts with Ryan White providers, 2) Healthy Way LA - Low Income Health Plan (LIHP) enrollment, 3) programmatic improvements, 4) enrollment of seniors and persons with disabilities (SPDs) in DHS, 5) improving primary care and specialist access and 6) delivery system reform incentive pool (DSRIP). Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Ambulatory Care, Section 1115 Medicaid Waiver 2011-11-16T19:36:23-08:00 http://lahealthaction.org/index.php/library/full_entry/3762/ Memorandum from L.A. County DHS to the Board of Supervisors providing a report of the Department of Health Services' Average Daily Census (ADC), Hospital-Based Outpatient Emergency Room (ER) visits, and Hospital-Based Outpatient Ambulatory Care (Amb Care) visits for the First Quarter ending September 30, 2011. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care 2011-11-15T18:15:46-08:00 http://lahealthaction.org/index.php/library/full_entry/3757/ Memorandum from L.A. County DHS to the Board of Supervisors providing a status update on the transition to the new LAC+USC Medical Center. This report is the bi-monthly report with trends to include the month of October 2011. Average Daily Census (ADC) for October was 575 out of 676 licensed beds, with an estimated 83% utilization rate (85% occupancy). There was a demonstrated increase in Emergency Department (ED) key indicators such as a 0.5% increase in hospital admissions from September 2011 and a 1.8% increase in ED registration volume. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2011-11-08T23:39:30-08:00 http://lahealthaction.org/index.php/library/full_entry/3717/ Report discussing the results from the National Scorecard on U.S. Health System Performance evaluating how well the U.S. health system is able to provide access to high-quality, efficiently delivered care. Evidence shows substantial erosion in access to such care in the period leading up to health reform, along with rising costs that are stressing families, businesses, and all levels of government. Variations in health care delivery, moreover, persist throughout the U.S., as opportunities are routinely missed to prevent disease, disability, hospitalization, and mortality. At the same time, the Scorecard finds notable gains in quality of care in those areas where the nation has made a commitment to accountability and undertaken targeted improvement efforts. Health Insurance and Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Health Professionals, Health Status and Issues, Health Behaviors 2011-10-19T17:33:23-08:00 http://lahealthaction.org/index.php/library/full_entry/3720/ Memorandum from L.A. County DPW to the Board of Supervisors providing data regarding local worker hiring efforts for the Harbor-UCLA Surgery/Emergency Replacement project and Martin Luther King, Jr. Medical Center Replacement Inpatient Tower project. As of October 4, 2011, 32.5% of the hours worked to date on the Harbor-UCLA Surgery/Emergency Replacement project have been by workers residing within a 15-mile radius of the hospital and 43% of the hours worked to date on Martin Luther King, Jr. Medical Center Replacement Inpatient Tower project have been by workers residing within a 5-mile radius of the hospital. An additional 31% of the hours worked have been by workers residing in the secondary preference area, zip codes County-wide with a high level of unemployment. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2011-10-18T18:24:48-08:00 http://lahealthaction.org/index.php/library/full_entry/3711/ Report providing data on quality of care by setting including hospitals, nursing homes, home health, and end-of-life care. Key findings show California hospitals have improved their performance on recommended process-of-care measures for surgical, heart attack, heart failure, and pneumonia inpatients. Health Care Delivery Systems, Hospitals 2011-10-11T21:01:47-08:00 http://lahealthaction.org/index.php/library/full_entry/3721/ Report reviewing county documents submitted to the state, discussions at ITUP workgroups and interviews of over 30 individuals involved in local implementation efforts to provide an overview of of local implementation of the Low Income Health Program (LIHP), Delivery System Reform Incentive Pool (DSRIP) and Mandatory Managed Care for Seniors and Persons with Disabilities (SPDs). Report also provides L.A. County specific updates regarding 1) Primary care; 2) County Clinics; 3) County capacity issues; 4) Outreach and enrollment; 4) Interface with Ryan White; 5) IT; 6) Mental health integration; 7) ER visits; 8) SPDs; 9) Collaboration and 10) System of choice. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Section 1115 Medicaid Waiver 2011-10-05T18:03:09-08:00 http://lahealthaction.org/index.php/library/full_entry/3693/ Memorandum from L.A. County DHS to the Board of Supervisors providing a status update on the transition to the new LAC+USC Medical Center. This report is the full monthly operational report of Emergency Department (ED) Indicators and Census Trending to include the month of August 2011. The Average Daily Census (ADC) for the month of August was 579 out of 671 licensed beds, an estimated 84% utilization rate (86% occupancy). The Emergency Department Dangerously Overcrowding Level Comparison was 17.7% for this period, reflecting a 79% decrease from August 2010. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care 2011-09-27T21:14:41-08:00