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.
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 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 County Department of Health Services recently
conducted a presentation designed to educate hospital staff
on the referral process for patients experiencing homelessness.
Presentation and additional resources are listed below.
Please contact Jessica Hernandez with any questions.
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.
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 — and a rural, critical access hospital of 12 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.