Lakeside Community Healthcare Alan Del Castillo, DO Lakeside - - PowerPoint PPT Presentation

Lakeside Community Healthcare

Alan Del Castillo, DO

Lakeside Community Healthcare

• Sites of service comprising 41 care clinics

throughout Los Angeles and Ventura Counties

• 120 multispecialty employed physicians
• 61 Primary Care providers
• Heritage Provider Network
• Population Health Management
• In 3 states
• In CA has ~600,000 member lives
• Accountable Care Organization

Lakeside Community Healthcare

Clinics:

• Primary Care
• Endocrinology
• Rheumatology
• Cardiology
• High Risk/High Acuity
• Oncology/Infusion
• Urgent Care (4 sites)
• Gastroenterology
• Podiatry
• Dermatology
• Urology
• Nephrology
• Diabetes
• CHF
• Medication

Management/Anticoag

Lakeside Community Healthcare

Lakeside Community Healthcare

Available services:

• Pharmacy
• Case management
• Social Work
• Behavioral Health/Telepsych
• Health Education
• Certified Diabetic Educators
• Quality Management

Building a Foundation

Establishing Leadership

• Physician Leadership Council

Mission Statement:

“We strive to be an exceptional health care system. We continually innovate and improve the delivery of care. We put the whole patient first by providing quality, compassionate, and accessible care with dignity in every life we touch. The health and well-being of the communities we serve is our reward and our compass.”

Building a Foundation

Establishing Leadership

• Primary Care provider input as to areas of improvement and

workflows which are currently providing improved healthcare delivery toward achieving our mission

Establishing Leadership

• Quality Committee
• Develop Policy and Procedures which are

instituted throughout the delivery system

• Develop Population Health Metrics which are

able to be validated through the EMR

• Develop Operational Metrics for patient care
• Develop Metrics for Patient Experience

Building a Foundation

Building a Foundation

Improving the delivery of care

• Defining “The primary care team who is working for the

patient”

• Reminder call, STAR Coordinator, Receptionist, Medical

Assistant, Provider, Checkout/Referral Coordinator

• Vital Care Clinic, Chronic Kidney Disease Clinic, Diabetes

Clinic

• RN Triage/case manager, Pharmacist Medication review

Improving the Delivery of Care

Innovate/Improve the delivery of care

• Patient management through continual assessment of

Health Metrics through measurable outcomes

• Management of High Risk patients through a Vital Care

Team

• Managing Chronic conditions which are not within Health

metric goals by Specialty clinics

Improving the Delivery of Care

Insuring continuity of care with specialists

• Creating specialty referral guidelines
• Referral coordinator tracking
• Authorizations/Appointments
• Ensuring consultation note received

Improving the Delivery of Care

Ensuring Continuity of Care with Hospitalization

• Daily admission/discharge summary
• Inpatient Case Management discharge handoff
• Monthly Clinic Quality Meeting to discuss patients and

disease populations frequenting hospital for care delivery

Improving the Delivery of Care

Prompt Access to Care

• Creating “protected time” for patient care categories
• Creating scheduling system for healthy patients where

they decide when they need to be seen within a provider’s timeframe

• Patients that require closer monitoring will be seen as

needed to maintain their health

Empowering the Patient

Prompt access to care

• Creating scheduling system for healthy patients based on

their feeling of need to be seen

• Creation of daily desktop time to address patients needs

telephonically/electronically

Empowering the Patient

Patient Satisfaction

• Patient Liaison
• Management and Technology Consultants Patient Surveys

Toward the Future

Population Health Management

• Care outside the acute care setting
• Management by increased mid level providers
• Lower costs and more Comprehensive Care
• Care at the right place, the right time and at the right cost