LA General is Poised to Energize Cal-aim and Create a Healthy LOS Angeles (and While We’re at It, Let’s Eradicate

Recommendations 1

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  82 RECOMMENDATION #7-4 The Board of Supervisors should direct the Hospitals and Health Care Delivery Commission to study and make recommendations regarding the proposed creation and operation of the Health Agency in order to further the coordination and integration of high quality health and social services, especially services for the homeless, across all County Departments; and the Board of Supervisors should review and respond to such recommendations. Recommendations Regarding the County’s Commitment to the CalAIM Program RECOMMENDATION #7-5 LA Care, DHS and LA General should create a working partnership to fully implement CalAIM in LA County, addressing, among other things (1) effective strategies to maximize ECM enrollment, (2) the expected increase in cost saving resulting from expanded ECM enrollment, and how to connect those cost savings to the funding of CalAIM activities, and (3) effective lobbying of the State for increased funding of CalAIM. RECOMMENDATION #7-6 LA General, in coordination with DHS, should seek ECM provider status from LA Care, and LA Care should expedite LA General’s ECM provider status. RECOMMENDATION #7-7 LA General and LA Care, in consultation with DHS, should work together to develop a written plan that maximizes LA General’s impact in qualifying eligible Medi-Cal beneficiaries for ECM. RECOMMENDATION #7-8 LA General, as an ECM provider, should work with LA Care to generate a study on the effective recruitment of ECM eligible beneficiaries for the purpose of increasing the current 30% success rate in enrolling ECM eligible beneficiaries. RECOMMENDATION #7-9 The Board of Supervisors should direct DHS to conduct a detailed study of the incremental costs of DHS’s current and anticipated participation in CalAIM as an ECM provider, and the resulting financial benefits to the County and the State. RECOMMENDATION #7-10 The Board of Supervisors should direct DHS to conduct a detailed study of the incremental costs of LA General’s anticipated participation in CalAIM as an ECM provider, and the resulting financial and operational benefits to both the County and the State. RECOMMENDATION #7-11 LA General and LA Care, in consultation with DHS, should work together to develop strategies to obtain and analyze available data, including data generated by LA General’s ECM patients, for the purpose of evaluating the impact of the CalAIM program on beneficiary well-being and cost reduction. RECOMMENDATION #7-12 DHS and LA Genera; should seek grants from PATH to fund LA General’s infrastructure and associated costs in connection with its participation as an ECM provider. Recommendation Regarding the Restorative Care Village RECOMMENDATION #7-13 The Board of Supervisors should direct the Hospitals and Health Delivery Commission to investigate the potential benefits and structural challenges of the LA County Restorative Care Villages, and make recommendations regarding their organization, management, coordination and operation for the purposes of maximizing high quality care for County patients, especially focusing on: (1) the importance of establishing centralized control and management over each Restorative Care Village, (2) the benefits of each Restorative Care Village effectively communicating and coordinating with its associated County Hospital, (3) the Restorative Care Village’s effective participation in CalAIM, especially in coordination with providers of Community Supports, and (4) the apparent lack of 84 a County-wide vision for the Restorative Care Villages; and the Board of Supervisors should review and respond to such recommendations. 85