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Assault on a Community

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?

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Assault on a Community

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  1. Richard S. Baker, M.D.Charles R. Drew University of Medicine and ScienceAssistant Dean, Office of ResearchProgram Director, Research Centers in Minority Institutions Assault on a Community

  2. 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?

  3. Function of Public Hospitals • Special services for the entire community • Specialty services for physician shortage areas

  4. Special Services • Burn unit • Trauma unit • Neonatal Intensive Care Unit (NICU)

  5. Specialty Services • Cardiology • Ophthalmology • Ear, nose, throat • Neurosurgery • Dermatology

  6. 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?

  7. L.A. County Health System • Largest county in the U.S. • Second largest public hospital system • 5 hospitals

  8. 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?

  9. Five mile service areaDemand for services

  10. Five mile service areaPhysician density (specialists per 100,000)

  11. Number of hospitals per SPA

  12. Department of Health Services “speak” and Department of Health Services code words • Decompression • Consolidation/regionalization • Efficiencies • Utilization statistics

  13. 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?

  14. L.A. County Department of Health Services • 2 federal (billion dollar) bailouts • 2 DHS failures • $500-$750 million dollar deficit

  15. Original Rational Health Plan • Reduce L.A. County/USC • Reconfigure/reduce Harbor/UCLA • Reconfigure/reduce High Desert

  16. 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?

  17. Department of Health Services “speak” and Department of Health Services code words • Decompression • Consolidation/regionalization • Efficiencies • Utilization statistics

  18. Designed System Failure • Systematic reduction in resources • Institutional character assassination/media campaign • Cronyism/conflict of interest • “Race politics”

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