Partners & Projects:

Los Angeles County Hospital + USC Medical Center COPE Health Solutions and community clinics
  • Challenge: Provide same levels of service to a central LA community despite fewer beds and reduce preventable hospitalizations.

  • Objectives: Help uninsured frequent users of the hospital to better manage chronic conditions through a community clinic system where quality care can be provided at a lower cost.

  • Process: LAC, USC and community clinics (including some FQHC facilities) collaborated; the hospital agreed to provide patient records and specialty care as needed. Community intermediaries contacted frequent user vulnerable patients for appointments at the community clinic closest to their home.

  • Lesson: When partners can adjust their business practices, at-risk patients can benefit from care management with intermediary services to modify behaviors and lower health care costs.

Our Message
  Overview:

When a hospital downsized its facilities, 125 indigent patients that used the hospital as their “medical home,” were migrated to community clinics to serve their chronic care needs and free up hospital resources.

WorldDoc Foundation designed and implemented a client tracking system to support the project through the pilot phase.

With community care managers to liaison with patients, participants experienced a 37% decrease in hospital visits and a 39% decrease in patient bed days, at an average savings of almost $10,000 per patient.