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Extracted from Consolidated Report
This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.
Los Angeles County Grand Jury
• 2011-2012
The Patient Protection and Affordable Care Act
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Recommendations 5
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R1Page 371The Los Angeles County Chief Executive Officer should initiate a meeting with the Department of Health Services (DHS) and the Department of Community and Senior Services (CSS) and other community based services for seniors, to examine services in light of the Patient Protection Affordable Care Act (ACA), and propose an overall strategy to the Board of Supervisors to enhance collaboration and cooperation between the many county entities that serve seniors. While the focus of the ACA is related to health issues, the goal of comprehensive health care for seniors involves the range of services represented in the Seamless Senior Services Initiative (S3). There is an opportunity at this time as the DHS is planning for implementation of the ACA to make LA County a national leader in senior health care.
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R2Page 371The Los Angeles County Board of Supervisors should take advantage of the California Dual Eligible Pilot Project for those dually eligible for Medicare and Medi- Cal. The CEO office, DHS and all other related departments should take necessary steps to support inclusion of Los Angeles County by the State of California in the initial project.
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R3Page 371The Director of the Los Angeles County Department of Health Services should: • Take advantage of the opportunity to initiate change in delivery of care, and the integration of the “medical home” concept across department programs and services for seniors. • Seek opportunities for team building to address implementation of the ACA initiatives in an “aging in place” modality. • Develop a strategy for the Board of Supervisors that extends the “aging in place” model for seniors in LA County. • Participate in a Dual Eligible Pilot to the fullest extent possible • Develop a comprehensive evaluation of the challenges and cost/benefits of the pilot at one and three years into implementation for the purposes of examining the merits of and ways to expand the program to the general population.
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R4Page 371The Los Angeles County Chief Executive Officer should promote the integration of information technology systems related to senior services, including the SENIOR CARE 342 2011-2012 LOS ANGELES COUNTY CIVIL GRAND JURY FINAL REPORT Enterprise Health Record (EHR), and the Enterprise Master Person Index (EMPI) in consultation with CSS, DMH, PHS, IHSS services.
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R5Page 371The Los Angeles County Director of Community and Senior Services should create and distribute written and web-based materials that provide a comprehensive list of resources available for older adults and their families as well as a compendium of who provides the services and how to access them. These recommendations are based on an investigation that concludes that Los Angeles County is currently providing many valuable services for seniors and is in an excellent position to take advantage of the mandates of the ACA to improve delivery of services. The key will be in assuring increased cooperation across appropriate departments.