Los Angeles County Department of Health Services

LADHS operates three academic teaching hospitals and one rehabilitation hospital:

1. Harbor-UCLA Medical Center (H-UCLA MC)
2. LAC+USC Medical Center (LAC+USC MC)
3. Olive View-UCLA Medical Center (OV-UCLA MC)
4. Rancho Los Amigos National Rehabilitation Center (RLANRC)

Harbor-UCLA Medical Center, LAC+USC Medical Center, and Olive View-UCLA Medical Center each provides inpatient, outpatient, and emergency services for men, women, and children. The Rancho Los Amigos National Rehabilitation Center provides physical therapy services to individuals around the country.

LADHS, through its Ambulatory Care Network (ACN), operates two outpatient care centers, which comprise an urgent care center as well as primary care and specialty care clinics:[16]

1. High Desert Multi-Service Regional Health Center (HD RHC)
2. Martin Luther King, Jr. Outpatient Center (MLK OC)

LADHS' Ambulatory Care Network operates a network of comprehensive health centers and health centers, which are community-based clinics that provide primary care to patients at their medical homes, throughout the county.[17]

These include six comprehensive health centers (CHCs):[16]

1. Long Beach Comprehensive Health Center
2. Edward R. Roybal Comprehensive Health Center
3. El Monte Comprehensive Health Center
4. H. Claude Hudson Comprehensive Health Center
5. Hubert H. Humphrey Comprehensive Health Center
6. Mid-Valley Comprehensive Health Center

LADHS also operates 10 health centers (HCs):[16]

1. Bellflower Health Center
2. Wilmington Health Center
3. Antelope Valley Health Center
4. South Valley Health Center
5. La Puente Health Center
6. Dollarhide Health Center
7. Glendale Health Center
8. San Fernando Health Center
9. Lake Los Angeles Health Center
10. Little Rock Health Center

Two hospitals in the DHS system, Harbor-UCLA Medical Center and the Rancho Los Amigos National Rehabilitation Center, were ranked "best" in the 2012-13 rankings of U.S. News & World Report's America's Best Hospitals:

• Harbor-UCLA Medical Center was ranked #26 in the Los Angeles metropolitan area and #45 in California.[18] The hospital's nephrology program was also ranked "high-performing".[18]
• Rancho Los Amigos National Rehabilitation Center was ranked #26 in the Los Angeles metropolitan area and #45 in California.[19] The hospital's rehabilitation program was also ranked "high-performing."[19]

Rancho Los Amigos National Rehabilitation Center has consistently been ranked as one of "America's Best Hospitals" since 1989.[20]

All four hospitals in the DHS system are currently accredited by the Joint Commission:

1. Harbor-UCLA Medical Center (H-UCLA MC)[21]
2. LAC+USC Medical Center (LAC+USC MC)[22]
3. Olive View-UCLA Medical Center (OV-UCLA MC)[23]
4. Rancho Los Amigos National Rehabilitation Center (RLANRC)[24]

Harbor-UCLA Medical Center has consistently received the Joint Commission's Medal of Honor for Organ Donation.[21] Most recently, it received a silver medal in 2012.[21]

Healthy Way LA (HWLA) was a free public health care program available to underinsured or uninsured, low-income residents of Los Angeles (LA) County. The program was a Low Income Health Program (LIHP) approved under the 1115 Waiver. HWLA helped narrow the large gap in access to health care among low-income populations by extending health care insurance to uninsured LA County residents living at 0 percent to 133 percent of the Federal Poverty Level (FPL). Individuals eligible for HWLA are assigned to a medical home within the LA County Department of Health Services (LADHS) or its partners, thus gaining access to continuous primary care, preventive and specialty services, mental health services, and other support systems. HWLA was one of the few sources of coordinated health care for disadvantaged adults without dependents in LA County.

As a part of the Affordable Care Act, Medicaid Expansion will phase out the Healthy Way LA program. As a result, 252,379 Healthy Way LA members will automatically be transitioned into Medi-Cal on January 1, 2014.

The Community Partners Program is a collaboration between the LADHS and private, community-based providers (Partners) to provide quality health services in a culturally and linguistically appropriate environment to low income and uninsured communities. This program is part of a Medicaid Demonstration Project designed to provide LADHS with federal fiscal relief to preserve vital community clinic capacity, to increase access to primary, dental, and specialty care services, and to develop Community Partners for the provision of these services. The Community Partner Program provides Primary, specialty, and dental care services are available to people of all ages who reside in Los Angeles County and whose net family income is at or below 133-1/3% of the Federal Poverty Level (or are General Relief (GR) Recipients), and who do not qualify for Medi-Cal or any other government or third-party assistance programs. Patients are strongly encouraged to make an appointment at one of the Partner sites to find out if they are eligible for Community Partners or other funded health care services.[33]

Housing for Health is a LADHS program that provides chronically homeless patients with housing. A chronically homeless person is defined as a homeless individual with at least one disabling condition that has been continuously homeless for one year or has had at least four episodes of homelessness in the past three years. Housing for Health began enrolling participants on March 1, 2007 and is funded by LA County Homeless Prevention Initiative.

The Housing for Health program reduced emergency room visits by 77%. Inpatient visits were also reduced by 77% and there was an 85% reduction the number of days of these visits. Participants in the Housing for Health program used an average of $32,000 less of DHS acute medical services.[34] DHS will operate a primary care clinic and a supportive housing development lab in the Star Apartments, which is a 100 unit apartment complex in Downtown Los Angeles’ Skid Row under construction for the chronically homeless by the Skid Row Housing Trust.