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L.A. Practice
Transformation Network
(LA PTN)
Program Overview
November 9, 2015
Mary Franz Executive Director - HIT
L.A. Care Health Plan
1
Accreditation of Medi-Cal and L.A. Care Covered.
This presentation is incomplete without supporting oral commentary
L.A. Practice Transformation Network
Overview
• L.A. Care Health Plan award targets up to 3,100 clinicians,
serving 36,954 patients in L.A. County
• Only health plan awarded
• Over 90% participating clinicians serve Medi-Cal and
uninsured
• Focus on chronic conditions effecting L.A. County underserved
population
• Focuses on practices and practices’ patients independent of
payer
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3
L.A. Practice Transformation Network
L.A. Care Health Plan Practice Transformation Network
Health Centers with Other IPAs
L.A. PTN Structure
Direct Network
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L.A. Practice Transformation Network
L.A. PTN Clinical Goals: Diabetes
All-Cause Admissions for Patients with Diabetes and/or Depression
Year 1: Reduce by 1% Year 4: Reduce by 20%
Diabetes- Medical Attention for Nephropathy Monitoring
Year 1: Increase by 2% Year 4: Increase by 10%
Diabetes- Hgb A1c Control
Year 1: Increase by 2% Year 4: Increase by 10%
Diabetes- Hgb A1c Screening
Year 1: Increase by 2% Year 4: Increase by 10%
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L.A. Practice Transformation Network
L.A. PTN Clinical Goals: Depression
All-Cause Admissions for Patients with Diabetes and/or Depression
Year 1: Reduce by 1% Year 4: Reduce by 20%
Follow-Up After Hospitalization for Mental Illness
Year 1: Increase by 2% Year 4: Increase by 10%
Screening for Clinical Depression and Follow Up Plan
Year 1: Increase by 2% Year 4: Increase by 10%
L.A. PTN Program Design
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L.A. Practice Transformation Network
Phased approach with most interested practices first
Approaches tailored to unique needs of practices
On-the-ground coaches work directly with providers and staff
Use of L.A. Care technology to enable change
