Whole Person Care Los Angeles Clemens Hong MD MPH Director, Whole - - PowerPoint PPT Presentation
Whole Person Care Los Angeles Clemens Hong MD MPH Director, Whole Person Care Medical Director, Community Health Improvement Vision. To ensure the most vulnerable individuals living in Los Angeles County have the resources and support
Clemens Hong MD MPH Director, Whole Person Care Medical Director, Community Health Improvement
To ensure the most vulnerable individuals living in Los Angeles County have the resources and support they need to thrive
Build an integrated health system that delivers seamless, coordinated services to the highest risk LA County residents
Part of the 1115 Medicaid Waiver $900m ($450m Federal funding) between 2016-2020 Builds countywide infrastructure to improve care to high-
risk, high-need Medi-Cal beneficiaries that are “high-users”
Focus on: CreaWng an integrated delivery system Care coordinaWon during high-risk Wmes Addressing social needs
WPC Program AdministraWon – housed at DHS Regional CoordinaWng Centers in each SPA 5 target populaWons & 11 programs Funding
Per member per month funding for most programs IncenWves for start-up, reporWng and performance
Helps support efforts such as the Homelessness IniWaWve,
Housing for Health, Office of Diversion and Reentry, High UWlizer Programs, many MHSA programs & Health Homes
WPC Hub
Program Leadership Countywide Data/ AnalyWcs Training InsWtute Performance Improvement Community Engagement Enabling IT & Support
Central Program Structure
WPC Leadership
Team
Workgroups County Inputs
Grants
Resources
Technology
IntegraWon
LANES, Healthe Intent
for performance feedback & reporWng
CollaboraWve of Trainers
WERC
curriculum & tools to support WPC
Improvement Advisors to support PI acWviWes
regional analyWc support
engagement acWviWes through Area Health Officers
Table to discuss WPC issues/ gaps & problem solve
Management Plaeorm - Shared Care Plan
Resource Plaeorm – searchable,
with case management & referral tracking funcWonality
RCC
WPC Programs RCC Director/ Analyst Training/PI Support & Learning CollaboraWves Outreach & Engagement Community Engagement
Regional Home & Staging Center for each WPC program Regional Leadership and AnalyWc support Training & Performance Improvement acWviWes, including
Case Conferences and Learning CollaboraWves
Regional outreach & engagement – real-Wme engagement at
the point of care
Community engagement to support growth of regional
resources/capacity to fill gaps & strengthen local delivery system Structure – Regional Coordina8ng Centers
WPC Homeless High-Risk JusWce- Involved Mental Health High-Risk SUD High-Risk Medical High- Risk
Homeless Care Support Service Benefits Advocacy RecuperaWve Care Sobering Center Tenancy Support Services
Programs
Re-entry Enhanced Care CoordinaWon Community-based Re-entry Intensive Service Recipients ResidenWal and Bridging Care SUD Engagement, NavigaWon and Support TransiWons of Care
Target Popula8on Program Es8mated Average Enrollees/Year Budget/Year % of total Budget Homeless High Risk Homeless Care Support Services ~2K $30.1m 23% Tenancy Support ~2K $9.7m 7% RecuperaWve Care ~1K $21.2 16% Sobering Center ~30K $8.2m 6% Benefits Advocacy ~10K $8.0m 6% JusWce Involved High Risk Re-entry ~9K $39.7m 30% Mental Health High Risk Intensive Service Recipient ~1K $3.6m 3% ResidenWal & Bridging Care ~1K $4.1m 3% Substance Use Disorder High Risk SUD-Engagement, NavigaWon, & Support ~4K $4.2m 3% Medical High Risk TransiWons of Care ~3K $1.4m 1%
PaWent Impact County Impact Sustainability CollaboraWon
infrastructure
integraWon
prioriWes
highest risk
governance structure
collaboraWon plaeorm
partner engagement
Overarching Impacts