Whole Person Care – Los Angeles Clemens Hong MD MPH Director, Whole Person Care Medical Director, Community Health Improvement
Vision. To ensure the most vulnerable individuals living in Los Angeles County have the resources and support they need to thrive Mission . Build an integrated health system that delivers seamless, coordinated services to the highest risk LA County residents
WPC Overview. Part of the 1115 Medicaid Waiver $900m ($450m Federal funding) between 2016-2020 Builds countywide infrastructure to improve care to high- risk, high-need Medi-Cal beneficiaries that are “high-users” of mulWple public systems Focus on: CreaWng an integrated delivery system Care coordinaWon during high-risk Wmes Addressing social needs
Program Overview WPC Program AdministraWon – housed at DHS Regional CoordinaWng Centers in each SPA 5 target populaWons & 11 programs Funding Per member per month funding for most programs IncenWves for start-up, reporWng and performance Helps support efforts such as the Homelessness IniWaWve, Housing for Health, Office of Diversion and Reentry, High UWlizer Programs, many MHSA programs & Health Homes
Central Program Structure WPC Hub Countywide Program Training Performance Community Enabling IT Data/ Improvement Leadership InsWtute Engagement & Support AnalyWcs WPC Leadership • Data Sharing/ • Countywide • Central • Community • Care • Management IntegraWon CollaboraWve of Improvement engagement Management Team • Health Plans, Trainers Advisors to acWviWes Plaeorm - • Commibees & LANES, • DMH/DHS, support PI through Area Shared Care Workgroups Healthe Intent WERC acWviWes Health Officers Plan County Inputs • AnalyWc support • Develop • Central & • Community • Community • Finance for performance curriculum & regional analyWc Table to discuss Resource • Contracts & feedback & tools to support support WPC issues/ Plaeorm – Grants reporWng WPC gaps & problem searchable, • Human solve online plaeorm Resources with case • InformaWon management & Technology referral tracking • Data/AnalyWcs funcWonality • FaciliWes
Structure – Regional Coordina8ng Centers RCC Training/PI WPC RCC Director/ Support & Outreach & Community Analyst Learning Engagement Engagement Programs CollaboraWves Regional Home & Staging Center for each WPC program Regional Leadership and AnalyWc support Training & Performance Improvement acWviWes, including Case Conferences and Learning CollaboraWves Regional outreach & engagement – real-Wme engagement at the point of care Community engagement to support growth of regional resources/capacity to fill gaps & strengthen local delivery system
Programs WPC Homeless JusWce- Mental Health Medical High- SUD High-Risk High-Risk Involved High-Risk Risk SUD Engagement, Homeless Care Re-entry Enhanced Intensive Service NavigaWon and TransiWons of Care Support Service Care CoordinaWon Recipients Support Tenancy Support Community-based ResidenWal and Services Re-entry Bridging Care RecuperaWve Care Sobering Center Benefits Advocacy
Es8mated % of total Average Target Popula8on Program Budget/Year Budget Enrollees/Year Homeless Care Support ~2K $30.1m 23% Services Tenancy Support ~2K $9.7m 7% Homeless High Risk RecuperaWve Care ~1K $21.2 16% Sobering Center ~30K $8.2m 6% Benefits Advocacy ~10K $8.0m 6% JusWce Involved Re-entry ~9K $39.7m 30% High Risk Intensive Service ~1K $3.6m 3% Recipient Mental Health High Risk ResidenWal & Bridging ~1K $4.1m 3% Care Substance Use SUD-Engagement, ~4K $4.2m 3% Disorder High Risk NavigaWon, & Support TransiWons of Care ~3K $1.4m 1% Medical High Risk
Overarching Impacts • ~600 new jobs • ~50,000 served annually • Largest Reentry effort • ~9000 housed • Support County • Support at Wmes of prioriWes highest risk • Training & PI InsWtute • Improved experience • TransportaWon PaWent County Impact Impact CollaboraWon Sustainability • CollaboraWve • Leverage WPC governance structure infrastructure • New cross-county • Improve value (CQI) collaboraWon plaeorm • Partnerships & • Increased community integraWon partner engagement • Policy Advocacy
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