Los Angeles County Grand Jury
• 2024-2025
• Agency Response
Los Angeles County Hospitals and Healthcare Deliverycommission
⚠️ Aviso de traducción: Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Note: Missing finding numbers detected: F3, F4, F7, F8, F13, F14, F15, F16, F17, F18, F19, F20
Findings and Recommendations 9 findings
F1
- LAHSA'scoordination ofhousing, socialandhealth servicesforthe homeless (and those at riskofbecoming homeless) InLosAngeles Countyhas been siloed, fragmented anddisjointed,generating limitedresults ata high cost Response to Finding 1: The Commission does nothave sufficient information toagree or disagree withthis finding.
Related Recommendations (1)
R1
Increase Communication (Option B) Enhance the communication teams within each health department by designating one or two communication professionals who would be responsible for creating and maintaining regular, structured communication both within and across departments, ensuring collaborative efforts are effectively communicated to stakeholders. The role of these professionals would include: • Creating intra-departmental newsletters and other communications; • Producing an inter-departmental communication vehicle that would spotlight various collaborative priorities and projects; • Establishing a public-facing communication medium to help inform partner organizations and the public on coordinated efforts; • Developing structures, networks, and information-gathering practices to share information on current collaboration; and • Discerning how to simply communicate efforts in ways that are understandable and useful to a variety of audiences.
F2
- LAHSA'sbudgetIn2024 was $875million, withmore than $300million ofthatcoming fromLA County. Response to Finding 2: The Commissiondoes nothave sufficientinformation to agree or disagree with this finding. Finding Z-LA Countyhas decidedto withdrawIts contributions to LAHSAand redeploythem toprovide homelessservicesdirectly(referredtoherein as the Homeless Funds). LOS ANGELES COUNTY HOSPITALSAND HEALTHCAREDELIVERYCOMMISSION Page3 Response to Finding 3:TheCommission agrees thatthe County has decidedto withdrawfundsfrom LAHSA and redeployfundsto provide services directly.
Related Recommendations (1)
R2
Create Collaborative Forum (Option C) Create a new collaborative forum where the three health department directors and key staff come together monthly, facilitated by a contracted outside expert in meeting facilitation. The forum's design would support ongoing strategic planning, and allow health departments to present updates, discuss emerging challenges, and negotiate priorities with each other. This collaborative pathway would establish a formal process for discovery,
F5
- The currentlyproposedtimeline forthe Homeless ServicesDepartment initiativesis as follows:(1)merging the operation ofCEO-HIandDHS-HFHby April 28, 2025, (2) creating the Homeless ServicesDepartmentas ofJuly1, 2025, (3) Phase Iimplementation wouldthen include the "integration ofthe CEO-HIandDHS- HFH core housing andsupportive services,"(4) Phase IIwould include "integration ofCounty-fundedprogramsandservices administeredbyLAHSA"into the Homeless Services Department, (5) Phase Hi would "include the integration of programs andservicesadministeredbyotherCountydepartments as applicable," [emphasisadded]and (6) County-sourcedLAHSA funds andrelatedstaffwould be transferredto the Homeless DepartmentbyJuly1, 2026. Response to Finding 5: The Commission does not have sufficient information to agree ordisagree with this finding.
No recommendations for this finding
F6
- The County'sproposalfor the "full"integration ofCounty services for the homeless into one Homeless Services Departmentwillhave twomajorexceptions that willlikelyundermine the County's comprehensive approach to homelessness, possiblyleadingto the same "siloed,fragmented anddisjointedservices"thatplaguedLAHSA. Response to Finding 6: The Commissiondoes not have sufficientinformation to agree ordisagree with finding.
No recommendations for this finding
F9
- There Is no evidence thatLACountyhas anyplans to use the homeless Funds to expandthe County's CalAIMservices (eitherECM or CommunitySupports), IncludingInconnection withthe CountyHospitals' Interactions withthe homeless, especiallyregarding the significant opportunities forIncreasedECMenrollmentbythe CountyHospitals (although the Countydoes acknowledge the Importance ofCalAIMfunding withrespectto currentDHS-HFHfunctions). Response to Finding 9: The Commission does not have sufficient information to agree ordisagree with finding. Section 11. Findings Regarding the Coordination of Los Angeies County's Heaith Reiated Departments
No recommendations for this finding
F10
- The CountyDepartments ofHealth Services, PublicHealth andMental Health have stronglypreferred voluntary, non-blnding consultationsratherthan centralizeddecision-making regarding theiroperations, whichhas createdmajor challengesforthe ongoingeffortstocoordinate andIntegrate the County'shealth andsocialservices. Response to Finding 10: The Commission does not have sufficient information to agree or disagree withfinding.
No recommendations for this finding
F11
- The CountyDepartmentsare Inclinedto coordinate theirroles as ECM providers solelyon a voluntary basis. Includingthe enrollmentofMedl-Cal beneficiaries,assignmentofLead Care Managers andaccessing Community Supports networks. Response to Finding 11: The Commission does not have sufficient information to agree or disagree withfinding.
No recommendations for this finding
F12
- M County Iscreating a Restorative Care Village on the LA General campus, which promises togivepatients, especially the homeless, expanded LOS ANGELES COUNTY HOSPITALSAND HEALTHCARE DELIVERYCOMMISSION Page5 access to a broadcontinuum ofsocialandhealth services; however, the various providersparticipatingin the Restorative Care Village are notsubjectto any centralizedmanagementorcontrol, andtherefore there is littleifanycoordination, much less integration, ofthe various Restorative Care Villageservices. (There do, however, appearto be tentativeplans to create an advisory "Care Coordination Committee"with representatives from DHS, DMHandDPHto provide voluntary guidance regarding effective coordination.) Response to Finding 12: The Commission agrees Inpart, that LACounty Is creating a Restorative Care Village on the LAGeneral Campus, but lacks sufficient Information to opine on the restofthe statement. Finding Although there are "Restorative Care Villages"located(orbeingbuilt) on the campusesofeach ofthe CountyHospitals as wellas MLKCommunity Hospital, there appears to be no County-wide strategicplan regarding the potential andpurpose ofthe Restorative Care Villages andlittleifanycommunication among the Restorative Care Villages orthe entitiesassociated with them. Response to Finding 13: The Commission agrees Inpartthat Restorative Care Villages are located or are being builton the campuses ofeach ofthe County Hospitals and MLK Community Hospital. The Commission does not have sufficient Informationto agree ordisagree with the rest of the finding. Section ill. Findings Regarding CaiAIM
No recommendations for this finding
F21
- ProvidingAccessand Transforming Health (PATH) hasprovidedand continuesto provide substantialfunding forparticipantsin the CalAIMinitiatives, especiallyfor infrastructure andstart-up costs. Response to Finding 21: The Commission agrees in partthat PATH has provided funding to CalAIM participants and does not have sufficient information to agree or disagree with the restof the finding. On behalfof the Hospitals and Health Care Delivery Commission, these responses were vetted and approved during a special meeting held on May 13, 2025. LOS ANGELES COUNTY HOSPITALSAND HEALTHCARE DELIVERYCOMMISSION Page7 Sincerely, David Marshall, JD, DNP, RN Chair go: Executive Office, Board of Supervisors Department of Health Services BOARDOF HildaL.Soils HollyJ. Mitchell LindseyP.Horvath JaniceHahn Kathryn Barger SUPERVISORS FirstDistrict Second District Third District Fourth District Fifth District Chief COUNTY OF LOS NGELES Kenneth Hahn HallofAdministration Executive 500WestTempleStreet, Room 713, LosAngeles, CA90012 (213) 974-1101 ceo.lacounty.gov Office. CHIEF EXECUTIVEOFFICER FesiaA. Davenport July 15, 2025 To: Supervisor Kathryn Barger, Chair Supervisor Hilda L Soils Supervisor Holly J. Mitchell Supervisor Lindsey P. Horvath Supervisor Janice Hahn From: Fesia A. Davenport Chief Executive Officer RESPONSES TO THE 2024-2025 LOS ANGELES COUNTY CIVIL GRAND JURY INTERIM REPORT Attached are the responses to the 2024-2025 Civil Grand Jury (CGJ) Interim Report. We are responding to specific recommendations dealing with the following section: • LA General is Poised to Energize Cal-AIM and Create a Healthy Los Angeles (and While We're at it. Let's Eradicate Homelessness) 'T Mean Man, This is it" The Attachment represents LosAngeles County's (County) combined responses to the
No recommendations for this finding