101962-101966

HEALTH AND SAFETY CODE
SECTION 101962-101966




101962.  The board may, by ordinance, develop a master plan for
health care in the county.



101963.  The board may assemble a task force to develop a master
plan for health care that is based on a long-range planning and
policy analysis for the county department of health services, and
report the plan to the board according to a schedule adopted by the
board.



101964.  The task force may do all of the following:
   (a) Evaluate the strategic priorities for Los Angeles County as
they relate to the financing, operation, clinical focus, and
administration of the health care delivery system for low-income
people in Los Angeles County.
   (b) Take into account the possible impact of this planning and
policy analysis for the Los Angeles community.
   (c) Integrate into the analysis the unique history, relationships,
and other cultural and environmental issues that would make a
difference between a plan that is technically correct but not likely
to be implemented and one that is essentially a workplan to take a
highly regarded, vitally important health system successfully through
the next decade when there will be mounting pressures and
challenges.


101965.  In developing the plan under Section 101963, the task force
shall address all of the following issues:
   (a) The following factors regarding the current health of the
population of the county:
   (1) The population served.
   (2) The health status of each population.
   (3)  Key health conditions that need to be addressed.
   (b) The following factors regarding the economic climate and its
impact on health care:
   (1) The characteristics of the regional economy.
   (2) Health care and the regional economy.
   (c) Expenditures on health care provided to low-income persons,
including all of the following aspects, as related to Los Angeles
County:
   (1) The Medi-Cal program and the federal State Children's Health
Insurance Program.
   (2) The federal Medicare Program.
   (3) Other tax-supported programs.
   (4) Other public support of health care programs.
   (5) Charity care.
   (d) Health care providers serving low-income patients, including
both of the following:
   (1) The public system.
   (2) The private system.
   (e) Effectiveness of all of the following aspects of the public
health care system:
   (1) Systemwide priorities.
   (2) The public health and communicable disease.
   (3) Preventive care.
   (4) Primary care.
   (5) Specialty care.
   (6) Emergency and trauma care.
   (7) Inpatient care.
   (8) Pharmacies.
   (9) Gaps in the current system of care.
   (10) Disease management.
   (f) The following aspects of partnerships with academic medical
institutions:
   (1) History.
   (2) Faculty contract.
   (3) Medical staff leadership.
   (4) Long-term planning issues.
   (g) The following issues in system financing:
   (1) Adequate leveraging of local resources.
   (2) Maintenance of adequate revenue, local taxes, and taxpayer
equity.
   (3) Out-of-county care.
   (4) Operational effectiveness.
   (5) Financial management and information technology.
   (6) Contracts for medical staff.
   (7) Additional service opportunities.
   (h) The health care workforce, as follows:
   (1) Demographics.
   (2) Trends.
   (3) Critical shortage areas.
   (4) Training and development.
   (i) Physical plant and facility challenges for the system,
specifically a master plan for capital investment.
   (j) Potential provider partnerships with all of the following:
   (1) Private hospitals.
   (2) Children's hospitals.
   (3)  Federal Department of Veterans Affairs hospitals.
   (4) Academic medical centers.
   (5) Community primary care.
   (6) Other health care agencies.
   (k) System governance, including, but not limited to:
   (1) The background of system governance.
   (2) The role of local government.
   (3) The role of the Los Angeles County Department of Health
Services.
   (4) The role of county health-related commissions.
   (5) The role of the state government.
   (6) The role of the federal government.



101966.  The task force may make recommendations on the following to
the board pursuant to the planning and policy analysis conducted
under this part:
   (a) Priorities for clinical operations.
   (b) Systemwide issues.
   (c) The spectrum of care delivery.
   (d) Gaps in the current system.
   (e) Disease management.
   (f) Medical staff relationships.
   (g) Physical plant issues.
   (h) Priorities for health care financing.
   (i) System financial strategies.
   (j) Financial management.
   (k) Priorities for partnership development and expansion.
   (l) Priorities for an effective health system administration.