assault on a community
DESCRIPTION
Richard S. Baker, M.D. Charles R. Drew University of Medicine and Science Assistant Dean, Office of Research Program Director, Research Centers in Minority Institutions. Assault on a Community. Discussion Points. What is the purpose of a public hospital? - PowerPoint PPT PresentationTRANSCRIPT
Richard S. Baker, M.D.Charles R. Drew University of Medicine and Science
Assistant Dean, Office of ResearchProgram Director,
Research Centers in Minority Institutions
Assault on
a
Community
Discussion Points
• What is the purpose of a public hospital?
• The public hospital system in Los Angeles County (Department of Health Services)
• How important is KDMC in the County health system?
• Why is King a target for elimination?
• How is King hospital being set up for failure?
Function of Public Hospitals
• Special services for the entire community
• Specialty services for physician shortage areas
Special Services
• Burn unit
• Trauma unit
• Neonatal Intensive Care Unit (NICU)
Specialty Services
• Cardiology
• Ophthalmology
• Ear, nose, throat
• Neurosurgery
• Dermatology
Discussion Points
• What is the purpose of a public hospital?
• The public hospital system in Los Angeles County (Department of Health Services)
• How important is KDMC in the County health system?
• Why is King a target for elimination?
• How is King hospital being set up for failure?
L.A. County Health System
• Largest county in the U.S.
• Second largest public hospital system
• 5 hospitals
Discussion Points
• What is the purpose of a public hospital?
• The public hospital system in Los Angeles County (Department of Health Services)
• How important is KDMC in the County health system?
• Why is King a target for elimination?
• How is King hospital being set up for failure?
Five mile service areaDemand for services
Hospital
Total population
Service population
High Desert 49,985 10,765
Olive View 199,420 78,539
County/ USC 740,386 431,156
King/Drew 721,188 449,172
Harbor/UCLA 416,629 132,403
Five mile service areaPhysician density (specialists per 100,000)
Hospital Specialists Service Population
Physician per 100,000
High Desert 6 10,765 56
Olive View 46 78,539 59
County/USC 470 431,156 109
King/Drew 96 449,172 21
Harbor/UCLA 355 132,403 268
Number of hospitals per SPA
SPA (Service Planning Area)
# of hospitals Service Population
SPA 1-Antelope Valley
3 104,844
SPA 2-San Fernando Valley
28 635,639
SPA 3-San Gabriel Valley
26 581,696
SPA 4-Metro 27 612,548
SPA 5-West 8 141,881
SPA 6- South 5 547,388
SPA 7-East 23 521,313
SPA 8-South Bay/Harbor
21 548,106
Department of Health Services “speak” and Department of Health Services code words
• Decompression
• Consolidation/regionalization
• Efficiencies
• Utilization statistics
Discussion Points
• What is the purpose of a public hospital?
• The public hospital system in Los Angeles County (Department of Health Services)
• How important is KDMC in the County health system?
• Why is King a target for elimination?
• How is King hospital being set up for failure?
L.A. County Department of Health Services
• 2 federal (billion dollar) bailouts
• 2 DHS failures
• $500-$750 million dollar deficit
Original Rational Health Plan
• Reduce L.A. County/USC
• Reconfigure/reduce Harbor/UCLA
• Reconfigure/reduce High Desert
Discussion Points
• What is the purpose of a public hospital?
• The public hospital system in Los Angeles County (Department of Health Services)
• How important is KDMC in the County health system?
• Why is King a target for elimination?
• How is King hospital being set up for failure?
Department of Health Services “speak” and Department of Health Services code words
• Decompression
• Consolidation/regionalization
• Efficiencies
• Utilization statistics
Designed System Failure
• Systematic reduction in resources
• Institutional character assassination/media campaign
• Cronyism/conflict of interest
• “Race politics”