Camino de Salud (Healthy Road) Network

COPE Health Solutions

Purpose:

To create an innovative community care management system that links primary and specialty care to patients in their neighborhoods and monitors them through a Web-based system

Target Population:

LAC+USC (Los Angeles County and the University of Southern California) Healthcare Network Service Area patients

Program Goals:

• To improve the overall health and well-being of LAC+USC Healthcare patients and maximize the availability of medical center resources
• To decrease unnecessary/inappropriate utilization of high-cost and intensive emergency department and inpatient services at LAC+USC Medical Center
• To improve communication and coordination of services between LAC+USC Medical Center and local nonprofit primary care clinics
  

Years in Operation:

2004 - present

Funding:

COPE Health Solutions

Structure and Operations:

• Clinic to Hospital Communication with Centralized Care Management System: LAC+USC Healthcare Network enables the community clinics to access the Affinity electronic medical records system that makes case notes, records, lab results, and more available to partnering clinics.
• Primary Care Home in the Patient's Neighborhood: Clinics and partners provide accessible, multidisciplinary primary care in a community setting. Care includes both basic medical care and social support services, and is culturally and linguistically appropriate. Clinics serve as "medical homes."
• Care Coordination Between the Hospitals and Clinics: Coordinating patient care between the hospital and the clinics allows for a sharing of high-cost intensive resources. As part of the overall LAC+USC Healthcare Network strategy, re-orientation and re-positioning of specialty care and diagnostic resources based on geographic locations will improve patient access. The Camino de Salud Network Integrated Community Health Specialist and/or Comprehensive Prenatal Services Program provides patients with help navigating the health care system and accessing appropriate social resources. Positive health and lifestyle behaviors are reinforced.

More Information:

http://copehealthsolutions.org/services/hsi/index.html

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