Lakeside Community Healthcare Alan Del Castillo, DO
Lakeside Community Healthcare • Sites of service comprising 41 care clinics throughout Los Angeles and Ventura Counties • 120 multispecialty employed physicians • 61 Primary Care providers • Heritage Provider Network • Population Health Management • In 3 states • In CA has ~600,000 member lives • Accountable Care Organization
Lakeside Community Healthcare
Lakeside Community Healthcare Clinics: Dermatology Primary Care Urology Endocrinology Nephrology Rheumatology Diabetes Cardiology CHF High Risk/High Acuity Medication Oncology/Infusion Management/Anticoag Urgent Care (4 sites) Gastroenterology Podiatry
Lakeside Community Healthcare Available services: • Pharmacy • Case management • Social Work • Behavioral Health/Telepsych • Health Education • Certified Diabetic Educators • Quality Management
Building a Foundation Establishing Leadership • Physician Leadership Council Mission Statement: “We strive to be an exceptional health care system. We continually innovate and improve the delivery of care. We put the whole patient first by providing quality, compassionate, and accessible care with dignity in every life we touch. The health and well-being of the communities we serve is our reward and our compass.”
Building a Foundation Establishing Leadership • Primary Care provider input as to areas of improvement and workflows which are currently providing improved healthcare delivery toward achieving our mission
Building a Foundation Establishing Leadership • Quality Committee Develop Policy and Procedures which are instituted throughout the delivery system Develop Population Health Metrics which are able to be validated through the EMR Develop Operational Metrics for patient care Develop Metrics for Patient Experience
Building a Foundation Improving the delivery of care • Defining “The primary care team who is working for the patient” Reminder call, STAR Coordinator, Receptionist, Medical Assistant, Provider, Checkout/Referral Coordinator Vital Care Clinic, Chronic Kidney Disease Clinic, Diabetes Clinic RN Triage/case manager, Pharmacist Medication review
Improving the Delivery of Care Innovate/Improve the delivery of care Patient management through continual assessment of Health Metrics through measurable outcomes Management of High Risk patients through a Vital Care Team Managing Chronic conditions which are not within Health metric goals by Specialty clinics
Improving the Delivery of Care Insuring continuity of care with specialists • Creating specialty referral guidelines • Referral coordinator tracking Authorizations/Appointments Ensuring consultation note received
Improving the Delivery of Care Ensuring Continuity of Care with Hospitalization Daily admission/discharge summary Inpatient Case Management discharge handoff Monthly Clinic Quality Meeting to discuss patients and disease populations frequenting hospital for care delivery
Improving the Delivery of Care Prompt Access to Care Creating “protected time” for patient care categories Creating scheduling system for healthy patients where they decide when they need to be seen within a provider’s timeframe Patients that require closer monitoring will be seen as needed to maintain their health
Empowering the Patient Prompt access to care Creating scheduling system for healthy patients based on their feeling of need to be seen Creation of daily desktop time to address patients needs telephonically/electronically
Empowering the Patient Patient Satisfaction Patient Liaison Management and Technology Consultants Patient Surveys
Toward the Future Population Health Management Care outside the acute care setting Management by increased mid level providers Lower costs and more Comprehensive Care Care at the right place, the right time and at the right cost
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