The Los Angeles Hospital Leadership Group resolves local issues such as funding, regulation and coordination of health care services; establishes local public policy positions and represents the interests of the membership to the Los Angeles County Board of Supervisors, local elected officials and government agencies; assists the board of directors and CHA with statewide and federal issues, identifying concerns and opportunities at the local level; recommends HASC policy and program development.
Chair:
HASC LA Office, Board Room
515 South Figueroa Street, Suite 1300
Los Angeles, CA 90071
The Los Angeles Emergency Health Services Committee acts as a liaison with local EMS and DMH agencies and CHA; addresses issues related to patient access to emergency and trauma services; and recommends policies that assure development of effective, efficient EMS delivery systems throughout Los Angeles County.
HASC LA Office, Board Room
515 South Figueroa Street, Suite 1300
Los Angeles, CA 90071
The Behavioral Health Services Committee of Los Angeles identifies and addresses regulatory, public policy and reimbursement issues related to behavioral services providers’ ability to render quality care in a dynamic environment. They look for input from outside parties and report recommended actions through the Constituent Services Representative on the HASC Board.
HASC LA Office, Board Room
515 South Figueroa Street, Suite 1300
Los Angeles, CA 90071
In partnership with HASC, Homeless Health Care Los Angeles will offer a patient discharge workshop for new Southern California hospital workers and others who are interested in a refresher course. The class will run Thursday, Oct. 15 from 9 a.m. to 1:30 p.m. at HASC’s offices in downtown Los Angeles, 515 South Figueroa St.
Cedars-Sinai Health System last week announced its purchase of Marina Del Rey Hospital, a 145-bed acute-care facility that operates a 24-hour emergency department.
Cedars will retain all 660 employees but will convert the hospital to nonprofit status. Doing so “will result in an enhanced mission to serve the health care needs of the local community, including provision of community benefit programs,” a hospital statement related.
Rancho Los Amigos National Rehabilitation Center, a Downey hospital dedicated to rehabilitative medicine, is adding a Wellness & Aquatic Therapy Center and other facilities as part of a $418 million construction project.
With care for veterans a growing regional need, demand for rehabilitative and other programs at the hospital continue to rise. Speaking before an Aug. 19 kickoff event, Los Angeles County Supervisor Don Knabe called the new facility “the jewel of Los Angeles County’s health care system.”
Community members, staff and local officials dedicated a gleaming new Martin Luther King, Jr. Community Hospital on Aug. 7.
Raising funds to open the hospital wasn’t easy, but planners found a solution in a unique public, private and academic partnership, said Manuel Abascal, chairman of the hospital board.
“It hadn’t been done before, but we did it, and it works,” he said at the ceremony.
County District Attorney Jackie Lacey last week unveiled a plan that would divert non-violent mentally-ill offenders from the Los Angeles County Jail to mental health and substance-abuse treatment facilities.
HASC Regional Vice President Jaime Garcia, who represents the Los Angeles County area, attended the Aug. 4 board of supervisors session.
“HASC believes that a well-funded, robust outpatient treatment program that includes housing is required in order to effectively address the issue of homelessness,” Garcia said.
Emergency departments (EDs) serving adults throughout Los Angeles County are taking a united stand to adopt standardized ED clinical practices for the prescribing of high-risk opioid medications used to treat pain in order to reduce overdose and deaths, abuse, diversion, and overuse.
The Los Angeles County Board of Supervisors has authorized implementation of AB 1421, the Assisted Outpatient Treatment (AOT) Demonstration Project, known as Laura’s Law, in Los Angeles County. Mental Health Service Act (MHSA) revenue will fund AOT, which the Board adopted in July.
The Los Angeles County Health Officer is mandating that all health care personnel who work in acute care hospitals, long-term care facilities, and intermediate care facilities in Los Angeles County be vaccinated against influenza, or wear a protective mask, effect Nov. 1. The order will remain in place until March 31. Changes to the original order issued back in October 2013 by Public Health are not expected. This order does exclude acute care facilities in the cities of Long Beach and Pasadena, which are under separate health jurisdictions.
The Los Angeles County Board of Supervisors approved for the Department of Health Services (DHS) to execute contracts with 50 community clinic partners (representing 149 clinic sites) for primary care and dental care services effective Oct. 1, 2014. Inpatient hospitalization services will continue to be provided by DHS.
The Homeless Health Care Task Force develops solutions to the challenges associated with post acute health care for homeless individuals; works to improve coordination and communication links between hospital and service providers; bridges the gaps in the continuum of care post discharge; and addresses the need for additional training and educational resources for hospitals.
The Los Angeles County Department of Health Services is proposing to increase the Physician Services for Indigents Program (PSIP) Emergency Room reimbursement rate to 10.5 percent of the Official County Fee Schedule from the current 9 percent, based on the projected revenue available for the program and the projected claims. This rate increase will be effective for claims submitted for the Fiscal Year 2014-15 (July 1, 2014 to June 30, 2015 services).
The Los Angeles County Board of Supervisors approved expanding Laura’s Law, which allows for court-ordered outpatient treatment for people with serious mental illness.
The Board of Supervisors voted to expand the existing outpatient treatment program from 20 to 300 slots and create a team that will reach out to potential patients and manage the court filing process when necessary.
In an effort to have all emergency departments in Los Angeles County use the patient handout Safe Pain Medicine Prescribing in Emergency Departments, the Los Angeles County Prescription Drug Abuse Medical Task Force sent a shipment earlier this month of the following two documents:
The Los Angeles County Prescription Drug Abuse Medical Task Force, a coalition of stakeholders that includes the California American College of Emergency Physicians, LA County Medical Association, the Hospital Association of Southern California, LA County Department of Public Health, LA County Department of Health Services and Kaiser Permanente, has been meeting to establish in Los Angeles County emergency departments (EDs) Safe Pain Medicine Prescribing in Emergency Departments.
Howard A. Kahn, CEO of L.A. Care Health Plan, has announced that he plans to step down in January 2015.
During his tenure, Kahn oversaw the growth of L.A. Care from 700,000 members to 1.6 million. L.A. Care has the largest membership among Medicaid (Medi-Cal) health plans in the United States. Kahn has been with the organization for 13 years.
Most recently, L.A. Care expanded to serve the state marketplace, increased number of Medi-Cal recipients and the members eligible for both Medicare and Medi-Cal (dual eligibles).
HASC, in association with the Los Angeles County Emergency Medical Services Agency, will host a free webinar for hospitals titled Key Elements of Integrating Continuity with Strategy and Operations.
Scheduled for Thursday, March 6, 9 to 10 a.m., the webinar will focus on the following key points:
In Los Angeles County, about 300,000 Healthy Way LA members are expected to transition to full-scope Medi-Cal benefit coverage. LIHP/HWLA (matched) program ends on Dec. 31, 2013, pursuant to California’s 1115 Waiver.
Transitioning HWLA members will receive Medi-Cal coverage through the Medi-Cal managed care plan and can choose between a Medi-Cal plan and primary care provider. “No choice” members will be defaulted into the Medi-Cal managed care plan.
HASC is a founding member of the LA Coalition to Protect Public Health and Safety. This coalition is opposed to a ballot measure that seeks to create a new public health department that is separate from LA County Public Health.
The California State EMS Authority has approved both community paramedicine pilot projects (AlTrans and COMPARE) submitted by the Los Angeles County EMS Agency and developed by the UCLA Center for Prehospital Care. These proposals specifically focus on alternative patient destination and congestive heart failure – 30-day readmissions. All projects must be locally financed.
To lower the risk of transmission of influenza to patients in licensed acute care hospitals, skilled nursing facilities and intermediate care facilities in Los Angeles County, the Los Angeles County Department of Public Health has issued an order mandating that licensed facilities supplement their existing obligation to assist their health care personnel to obtain influenza vaccinations by requiring that those personnel who decline to be vaccinated wear a mask when they are in contact with patients during the annual influenza season, Nov.
The Los Angeles Hospital Leadership Group discussed at its Aug. 14 meeting community paramedicine, a new and evolving community health based program. A stakeholder group of representatives from San Bernardino convened a workgroup that also met regarding this topic. This program would expand the scope of practice and transport for paramedics who undergo enhanced training as it pertains to specific conditions yet to be determined. Basic Life Support (BLS) ambulance volume to a hospital ED will vary depending on the scope of the local pilot project.
Los Angeles County EMS Agency convened area fire chiefs and HASC to discuss community paramedic medicine and to identify possible next steps related to coordinating a pilot program. Community paramedic medicine seeks to identify alternative patient destinations for non-emergent cases that currently are transported to hospital EDs.
HASC Los Angeles Regional Vice President Jaime Garcia testified last week in opposition to the City of Los Angeles Public Health Protection Act, a measure that would require the Los Angeles City Council to establish its own Public Health Department.
The Los Angeles City Clerk certified a petition titled City of Los Angeles Public Health Protection Act that requires the Los Angeles City Council to establish its own Public Health Department. The City can create the department by way of an ordinance or place the issue before voters possibly in June 2014.
While working to launch the Affordable Care Act, Covered California seeks to develop a community-based approach to outreach, beginning with a series of regional town halls to provide an update to stakeholders and solicit feedback on efforts and plans. Covered California’s next town hall meeting will be held in Los Angeles.
Covered California board members and Executive Director Peter Lee will lead the discussion for the Los Angeles regional town hall. Topics to be addressed:
The Centers for Medicare and Medicaid Services released a Memorandum of Understanding (MOU) it has entered into with the California Department of Health Care Services on the Duals Demonstration Project that seeks to test a new model for providing more patient-centered, coordinated care to Medicare-Medicaid enrollees. Moving forward, the pilot program will be called Cal MediConnect.
HASC testified before a joint meeting of the Los Angeles City Council’s Energy & Environment and Ad Hoc on Waste Reduction and Recycling Committees regarding the proposed plan to implement a city-wide franchise system for trash removal.
The Los Angeles County Board of Supervisors voted 4 to 1 this week not to proceed with the proposed Clean Water, Clean Beaches Measure.
The BizFed Water Quality Parcel Tax Working Group, which includes several regional organizations and associations, including HASC, had requested the Los Angeles Board of Supervisors to indefinitely place on hold the measure, which would establish an annual fee to pay for clean water programs.
Hospitals interested in learning about available resources related to targeted violence may contact the Department of Mental Health/Emergency Outreach Bureau/School Threat Assessment Response Team (START) for training, consultation and assessment at (213) 739-5565; (213) 738-4924; or ACCESS 1-800-854-7771.
DMH also offers three- to four-hour training sessions on threat management, focusing on a team approach, for interested hospitals. To schedule an on-site training for staff, email Tony Beliz, Ph.D at tbeliz@dmh.lacounty.gov and Mikesha Taylor at mtaylor@dmh.lacounty.gov.
Several program updates were shared at the Feb. 6 meeting with representatives from Healthy Way LA (HWLA).
Deployment of new resources has recently resulted in about 1,000 claims for inpatient services being released for payment. The remaining balance of approximately 632 cases, which exceed the 30 days, will be resolved shortly.
Concurrent review is also a problem with a few hospitals. HWLA will reach out to individual UM managers at those specific facilities to discuss the individual cases and review the identified problem areas. Staff training will also be offered.
HASC requested that the Los Angeles Board of Supervisors delay taking action on the Clean Water, Clean Beaches Measure, which would establish an annual fee to pay for clean water programs. The measure, which is being proposed by the Los Angeles County Flood Control District, fails to address a variety of issues that include whether tax is permanent, lack of appeal process and it does not offer fee reductions for parcel owners who do on-site capture and treatment of water.
First 5 LA announced the release of the Baby Friendly Hospital Initiative Cycle 3 Request for Proposals to support the implementation of First 5 LA’s Best Start LA Baby-Friendly Hospital Initiative. The Baby-Friendly Hospital initiative seeks to improve initiation and duration of breastfeeding by improving breastfeeding policies in birthing hospitals as well as increase exclusive breastfeeding at discharge.
The California Emergency Medical Services Agency is currently seeking interested parties to enter into a public/private partnership to maintain the integrity of its Mobile Field Hospital (MFH) program, which provides up to 600 beds of acute care hospital surge capacity anywhere in the state within 72 hours.
EMSA’s MFH program was developed with an “all hazards” approach to California’s hospital surge needs during emergencies. The MFH program:
HASC hosted more than 45 hospital representatives in a meeting with Healthy Way LA, the low-income health plan established under the Medicaid 1115 waiver. The meeting sought to update private non-contracted hospitals in Los Angeles County on program changes as the program approaches its 17th month of operation.
The Los Angeles City Council voted 9 to 3 last week to direct staff to pursue an exclusive waste shed. A motion by Councilman Tom LaBonge calls for exempting hospitals.
HASC urges hospitals in the city of Los Angeles to contact their local City Council representative to request that hospitals be granted a full exemption under the Bureau of Sanitation’s exclusive waste shed plan. A sample letter of opposition that hospitals can customize, along with suggested talking points, is available from the HASC Los Angeles office.
Healthy Way Los Angeles (HWLA) enrollment is at 197,529 as of Aug. 30. Of this total, 66,220 are assigned to a DHS medical home and 72,277 are assigned to a community (clinic) partner home. There are also 59,032 auto-enrolled general relief clients who are being assigned to a medical home.
HWLA enrollment did decrease from July to August due to redetermination as well as issues associated with a software transition.
The Department of Health Services (DHS) has proposed a Physician Services for Indigents Program (PSIP) ER reimbursement rate reduction to 9 percent from the current 14 percent of the Official County Fee Schedule based on a projected shortfall in state funding and increased claim volume.
The Los Angeles County Emergency Medical Services Agency invites hospital CEOs and other C-suite representatives, as well as emergency/risk management staff and IT recovery planners to attend Integrating Business Continuity Planning Into Your Emergency Management Program on Thursday, Sept. 13 in Carson.
Healthy Way LA (HWLA), part of the California Health Care Coverage Initiative that seeks to expand health care coverage for eligible individuals who potentially will be eligible for Medi-Cal with the expansion of Medicaid coverage in 2014, continues its enrollment throughout the county.
The Department of Health Services has enrolled 200,924 low-income county residents into the program as of June 30, 2012. Of those, 77,215 are in DHS medical homes and 83,230 are in Community Partner (CP) clinic medical homes.
The Los Angeles County Board of Supervisors approved the 2012-13 ($24.529 billion) Recommended Budget that closed a projected $75.8 million budget gap with one-time budget solutions. The Board also approved a staff recommendation that AB 109 prison realignment funds estimated at $272.4 million be set aside until its Supplemental Budget discussion in October when the Board will align its final budget with the state approved budget.
The chief executive officer (CEO) for Los Angeles County released the $23.781 billion FY 2012-13 Recommended County Budget. This recommended budget represents a total 2.3 percent decline from the 2011-12 budget of $24.346 billion. A reduction in the Hospital Enterprise Fund is attributed to decreased state revenue collected from court fines/collections (Maddy).
At the department level, no countywide curtailment plan is being proposed in the recommended budgets submitted by Health Services, Public Health and Mental Health.
Two counties in the HASC region will serve as pilot sites for the state’s Dual Eligibles Demonstration, according to an announcement by the California Department of Health Care Services last week. Los Angeles and Orange Counties were selected as pilot sites, along with San Diego and San Mateo.
The San Fernando Valley Green Team presents Energy Efficiency for Hospitals and Medical Facilities, Friday, April 20 at the Sportsmen’s Lodge in Studio City.
L.A. Care Health Plan recently announced that it is now providing health insurance to more than 1 million low-income residents in Los Angeles County through a number of programs that include Medi-Cal, Healthy Families and Medicare Special Needs Plan.
More than 45,000 new Healthy Way LA (HWLA) patients have been enrolled into the program over the past five months, which represents more than a 70 percent increase from the total number of enrolled HWLA patients prior to July 1, 2011. HWLA is part of the California Health Care Coverage Initiative that seeks to expand health care coverage for individuals (0-133% FPL) in Los Angeles County.
Since Healthy Way LA (HWLA) began enrollment July 1, a total of 27,044 new patients have been enrolled during the first 14 weeks, with the highest enrollment during this time period at LAC+USC (2,759 patients).
Coinciding with the beginning of the flu season, the Los Angeles County Department of Public Health has published its first issue of Influenza Watch for the 2011-2012 season.
Jaime Garcia, HASC Los Angeles vice president, testified last week before the Ad-Hoc Committee on Waste Reduction and Recycling for the City of Los Angeles regarding the city’s Waste Shed Proposal. The issue will affect as many as 45 hospitals located within the Los Angeles city limits.
The governing board of the South Coast Air Quality Management District (SCAQMD) voted almost unanimously to return a proposed amendment to the stationary source committee. The proposed amendment would require all new emergency generators to have a particulate filtration device installed, and the installation of the particulate filtration devices was a major concern to the health care sector.
The Department of Health Services (DHS) has informed the Los Angeles County Board of Supervisors that, due to the FY 2009-2010 state budget funding reductions to the Physician Services for Indigents Program (PSIP), the continued increase in claim volume, and a slight increase in payment per claim, DHS is proposing a reduction in the PSIP reimbursement rate from 18 percent to 12 percent for all outstanding claims FY 2010-2011, and a reduction in the rate for FY 2011-2012 to 14 percent of the Official County Fee Schedule.
Hospital volunteers are being sought for CareNow, Inc.’s free clinic, scheduled to take place Oct. 20-23 at the Los Angeles Sports Arena. In addition to physician and nurse volunteers, the organization is looking for help in the following areas:
The Los Angeles County Board of Supervisors voted to accept the County’s allocation of the 2010 Urban Area Security Initiative (UASI) Grant from the Department of Homeland Security.
The Los Angeles County Department of Public Health (LACDPH) has issued a health alert to area hospitals. In an effort to detect potential acts of terrorism in the period leading up to and following the tenth anniversary of 9/11, the LACDPH is reminding emergency rooms and hospital health care providers to remain vigilant for potential cases of bioterrorism, chemical terrorism and nuclear/radiological terrorism.
HASC recently provided testimony at a stakeholder meeting hosted by the City of Los Angeles, Department of Public Works, Sanitation Bureau. The Bureau is currently considering a plan that would potentially change the current waste collection environment for commercial properties, including hospitals, within Los Angeles. The Bureau believes 200 million tons of recycled materials are still entering our landfills and hopes to use the new plan to divert 70 percent of this waste by 2013.
For the period April 1, 2011 to June 30, 2011, the Recuperative Care Program, which serves both Los Angeles and Orange Counties, resulted in estimated savings of $495,720 for Los Angeles County hospitals using the program.
The Los Angeles County Public Health – Environmental Health Division is a regulatory agency responsible for enforcing state and local laws for the protection of public health. The division regulates a variety of entities that include restaurants, retail and wholesale markets, mobile food vehicles, farmer markets among others.
Los Angeles County launched its Medicaid Coverage Expansion (MCE) under the 1115 Waiver on July 1. Healthy Way LA (HWLA) is the local initiative that will provide coverage to adults between the ages of 19 and 64 with an income up to 133 percent of the FPL, among other qualifying requirements. Enrollment in the program is being administered by the Los Angeles County Department of Health Services (DHS).
For the past two years, three free clinics have been conducted in greater Los Angeles to provide medical, dental and vision services to thousands of patients over the period of one week. The first two were produced in association with Remote Area Medical (RAM) and the third with Maria Shriver’s Women’s Conference. The local organizers of these events have formed CareNow, Inc., a new 501(c)(3) non-profit, to continue producing these events in Los Angeles.
Under the recently approved 1115 Waiver, Los Angeles County will launch its Low Income Health Program, called Healthy Way LA. This program, which is part of Medicaid expansion, is meant to provide insurance coverage to adults at 0-133 percent of the Federal Poverty Level.
The Los Angeles County Department of Mental Health (DMH) has announced that it will continue to provide Psychiatric Mobile Response Team (PMRT) response services to non-designated hospital emergency rooms for patients requiring a mental health consultation for purposes of 5150/5585 determination, based upon DMH’s currently available resources.
DMH had originally proposed to eliminate PMRT services as of July 1. Based upon a series of meetings HASC’s hospital workgroup held with DMH, DMH has reversed its decision.
The Los Angeles County Board of Supervisors voted this week to adopt recommended changes to the proposed $23.3 billion county budget for FY 2011-2012.
The $23.3 billion county budget is still subject to possible revisions until a state budget is enacted. In the meantime, the FY 2011-2012 budget will be $905 million and 101 positions less than the 2010-11 Final Adopted Budget. Estimated impact of expenditure reductions to health and social services programs for Los Angeles County as a result of state approved cuts is approximately $366.4 million for 2011-2012. The major cuts would reduce Medi-Cal, redirect Mental Health Services Act (MHSA) Funds, reduce the California Work Opportunities and Responsibility to Kids grants, and include program reductions to the In-Home Supportive Services program.
Since the 2011-12 Recommended Budget release in April, the following departments resolved their operating budget shortfall; below is the current status of these budgets:
Health Services – The department’s Recommended Budget included a placeholder of $312.7 million. The department was able to mitigate its placeholder by including $290.1 million of estimated revenue from the 1115 Waiver in FY 2011-12, as well as other adjustments.
Mental Health – Based upon revised revenue projections, the department was able to completely mitigate its placeholder reduction of $14.7 million due to federal funds and increased sales tax realignment revenue, among other issues.
Public Health – The April Recommended Budget contained a $14.3 million placeholder reduction. The county recommends the placeholder reduction be replaced with $7.5 million in ongoing solutions and $6.8 million in one-time solutions.
The San Gabriel Valley Economic Partnership’s Hospital Coalition presents the Health Care Reform Forum, Wednesday, June 8 at City of Hope’s Cooper Auditorium in Duarte.
FEMA P-767, Earthquake Mitigation for Hospitals, a free educational program offered by the Federal Emergency Management Agency (FEMA) and its sponsoring partners at the end of May, drew 113 participants from HASC member hospitals throughout the region. Workshops took place in Fontana for Riverside and San Bernardino Counties, in Santa Ana for Orange County, and in Glendale for the Los Angeles region.
HASC continues to meet with the Los Angeles County Department of Mental Health regarding its Psychiatric Mobile Response Team curtailment plan, which will severely impact hospitals.
The Los Angeles County Public Health – Environmental Health Division is a regulatory agency responsible for enforcing state and local laws for the protection of public health. The division regulates a variety of entities that include restaurants, retail and wholesale markets, mobile food vehicles, farmer markets among others.
The Los Angeles County Board of Supervisors approved the HASC nomination of Gerald Clute (CEO, California Medical Center) to replace Dennis Lee (CEO, Methodist Hospital) on the Los Angeles County EMS Commission. Since July 2009, Clute has served as president/chief executive officer at California Hospital Medical Center. In addition, he has more than 36 years of health care experience, 20 of those years in acute care hospital administration.
The registration deadline for FEMA P-767, Earthquake Mitigation for Hospitals is Friday, May 13. The free educational program, offered by the Federal Emergency Management Agency (FEMA) and its sponsoring partners, will take place in the Inland Area on Monday, May 23; in Orange County on Tuesday, May 24; and in Los Angeles on Wednesday, May 25.
Los Angeles County released its preliminary recommended budget of $23.303 billion for Fiscal Year 2011-12, which reflects a decrease of $941.8 million in total requirements. General county funds, including the General Fund and Hospital Enterprise Funds ($18.019 billion) reflect a net decrease of $488.7 million.
The Behavioral Health Services Committee of Los Angeles identifies and addresses regulatory, public policy and reimbursement issues related to behavioral services providers’ ability to render quality care in a dynamic environment. They look for input from outside parties and report recommended actions through the Constituent Services Representative on the HASC Board.
The Los Angeles Emergency Health Services Committee acts as a liaison with local EMS and DMH agencies and CHA; addresses issues related to patient access to emergency and trauma services; and recommends policies that assure development of effective, efficient EMS delivery systems throughout Los Angeles County.
The Los Angeles Hospital Leadership Group resolves local issues such as funding, regulation and coordination of health care services; establishes local public policy positions and represents the interests of the membership to the Los Angeles County Board of Supervisors, local elected officials and government agencies; assists the board of directors and CHA with statewide and federal issues, identifying concerns and opportunities at the local level; recommends HASC policy and program development.
HASC’s Los Angeles Region includes facilities ranging in size from a nonprofit, university affiliated community teaching hospital of 1,258 beds to a sole provider community hospital of 16 beds. The county has 76 hospital emergency departments and 15 fully accredited trauma centers serving the almost 10 million residents.
515 South Figueroa Street, Suite 1300
Los Angeles, CA 90071-3322
The Los Angeles County Department of Health Services (DHS) provided a status report on its efforts for implementing the 1115 Medicaid Waiver. The Centers for Medicare and Medicaid Services (CMS) approved the California Section 1115 Medicaid Demonstration, titled California’s Bridge to Reform, for a five-year period starting Nov. 1, 2010.
The Los Angeles Network for Enhanced Services (LANES), powered by Western Health Information Network (WHIN), is an initiative that seeks to improve health care delivery in Los Angeles County by ensuring that health information important to health care delivery is available when and where it is needed in a safe and secure manner. LANES, a public and private partnership, is currently comprised of the County of Los Angeles (Chief Executive Office); Healthy-e-LA; Community Clinic Association of Los Angeles County; L.A. Care Health Plan; and HASC.
