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Shaping Coordinated Care in the Safety Net:

Shaping Coordinated Care in the Safety Net:. Evolving and Adapting to “Thrive” Innovation in Los Angeles. Evolving and Adapting to “Thrive”. Know your patient base and data sources- where are your patients when they’re not with you?

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Shaping Coordinated Care in the Safety Net:

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  1. Shaping Coordinated Care in the Safety Net: Evolving and Adapting to “Thrive” Innovation in Los Angeles

  2. Evolving and Adapting to “Thrive” • Know your patient base and data sources- where are your patients when they’re not with you? • Design business to thrive on less money, possibly without DSH/PPS – population health capabilities • Choose partners strategically- key providers in community who can deliver on change and overcome challenges • Commit to partnering with private physicians as providers and leaders • Engage key leaders in organizations to effect process and systems change through and between organizations • Leverage competencies, funds, and resources across partners • Rapidly course correct as needed, while staying “on mission” in a shifting environment

  3. Innovation in Los Angeles Regional Accountable Care Network

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  5. Governance structure

  6. Clinical Leadership Council • Regional Board: 3-7 Influential Providers

  7. TRANSFORMATION THROUGH INTEGRATION AND THE PCMH Standard Work/ LEAN 1115 Waiver -SPD -Dual eligible Patient Portal Operational-Clinics -Med Refill -Advanced Access -Pre Visit/ Post Visit -Cycle time PCMH July 2011 Medical Management Disease Management Care Management Clinics: PCP, HIV Senior Services: PACE, ADHC, IPA Health Coverage Initiative Clinical Integration Engine (Unity) IPA/RegionalPODs Operational-Enterprise -Call Management -Auth/Referral -Patient Outreach -Integrate Medical Mngt Safety Net ACN Behavioral Health Health Care Reform Market Forces Patient Centered Care Improved Quality and Outcomes Reduced Disparities

  8. My ACO Building Blocks • Narrow network, strong PCP base • Physician-led • Stated core values • Clear focus • Transparency • Explicit shared savings model • Strategic Partners • World-class technology

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