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Los Angeles County Health Agency

From Wikipedia, the free encyclopedia

Los Angeles County Health Agency
Agency overview
FormedNovember 5, 2015; 8 years ago (2015-11-05)
JurisdictionLos Angeles County
Employees31,887
Annual budgetUS$6.942 billion
Agency executive
  • Earl Fred Leaf, Director (2019)
Child agencies
Websiteceo.lacounty.gov/alliance-for-health-integration/ healthagency.lacounty.gov at the Wayback Machine (archived September 16, 2019)

The Los Angeles County Health Agency (sometimes stylized as Health Agency of Los Angeles) is a Los Angeles County agency, tasked in 2015 by the Los Angeles County Board of Supervisors with coordinating integration efforts of the Los Angeles County Department of Health Services, the Los Angeles County Department of Mental Health, and the Los Angeles County Department of Public Health. The health departments that compose the agency are among the United States' largest.[1] The agency was established to coordinate and streamline the county's physical health, behavioral health, and public health care services, programs, and policies under a single integrated system of care.[2][3] The Health Agency was led by Mitchell H. Katz from 2015 to 2017.[4] Fred Leaf began serving as interim director in December 2017 and was appointed director beginning January 22, 2019.[5][6]

On February 18, 2020, the Los Angeles County Board of Supervisors directed the three health departments to continue integration efforts through the Los Angeles County Alliance for Health Integration.[7][8][9] The staffing and infrastructure costs of the Alliance were pooled with 50% from the Department of Health Services, 35% from the Department of Mental Health, and 15% from the Department of Public Health with the chair of the Alliance rotating annually between the three health department directors.[10] On March 1, 2023, the seven Alliance for Health Integration staff were transferred to the Department of Mental Health.[11]

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Transcription

Budget and Employees

In FY 2015–16, the three departments comprising the Los Angeles County Health Agency had a combined annual budget of US$6,942,989,000, constituting about 25% of the county's total annual budget.[12][13] The County Health Agency employs 31,887 employees.[14]

History

From 1972 to 1978, the Los Angeles County Department of Health (now the Department of Health Services) provided the full continuum of physical, mental and public health services and functions.[15][16] However, in 1978, the county established the Department of Mental Health to provide behavioral health services, amid concerns that funding for mental health services was being diverted to the county's hospitals.[12][17] In 2006, the Department of Public Health was separated from the Department of Health Services, during a major budget deficit.[17][12]

On January 13, 2015, the Los Angeles County Board of Supervisors publicly directed the Chief Executive Office to assess the feasibility of consolidating the county's three health departments into a single unified health agency.[18] This was preceded by correspondence between the Board and Mitchell Katz, the then current director of Health Services, who had submitted a confidential proposal to integrate the three departments on January 2, 2015. [19][20]

On October 6, 2015, the Board adopted an ordinance to create the Health Agency, effective November 5, 2015.[21] The proposal was criticized by community advocates, providers, and labor unions, who have argued that physical health services would be prioritized above mental and public health services, and potential conflicts of interest.[22][23][17] The Health Agency is led by the Health Agency Director, who oversees, manages, coordinates, monitors and evaluates the Agency's programs and services.[24]

During the COVID-19 pandemic the department was criticized for its handling of nursing homes.[25]

See also

References

  1. ^ "LA County Health Agency" (PDF). Integration Advisory Board. November 23, 2015. Retrieved 31 October 2016.
  2. ^ "Health Integration". County of Los Angeles. 2015. Retrieved 31 October 2016.
  3. ^ "Chapter 2.73 - LOS ANGELES COUNTY HEALTH AGENCY". Los Angeles County Code. Municode. Retrieved 31 October 2016.
  4. ^ Alexander Li (July 7, 2017). Los Angeles County Health Agency 2016-2017 Annual Report (PDF) (Report). Los Angeles County. Retrieved 27 August 2023.
  5. ^ "Leadership | County of Los Angeles Alliance for Health Integration".
  6. ^ "Change of Employment Status and Establish the Salary for Interim Director, Los Angeles County Health Agency (UC)" (PDF). Los Angeles County. 21 Jan 2019. Retrieved 27 August 2023.
  7. ^ King, Melissa; Sakota, JuHyun (December 1, 2021). Los Angeles City and County Health Service Coordination for People Experiencing Homelessness Rapid Response Landscape Analysis (PDF) (Report). City of Los Angeles. Retrieved 27 August 2023.
  8. ^ Christina R. Ghaly, MD (March 9, 2021). Implementing the Los Angeles County Alliance For Health Integration (first report) (PDF) (Report). Los Angeles County. Retrieved 27 August 2023.
  9. ^ Los Angeles County Board of Supervisors (18 Feb 2020). "Implementing the Los Angeles County Alliance for Health Integration" (PDF). lacounty.gov. Retrieved 27 Aug 2023.
  10. ^ Los Angeles County Department of Health Services (Feb 12, 2020). "Los Angeles County Alliance for Health Integration: A Proposal with Sample Objectives and Metrics" (PDF). lacounty.gov. Retrieved 27 Aug 2023.
  11. ^ Jaclyn Baucum (March 23, 2023). Alliance For Health Integration Annual Board Report Back (final report) (PDF) (Report). Los Angeles County. Retrieved 27 August 2023.
  12. ^ a b c Abram, Susan (10 August 2015). "L.A. County board to consider consolidating three health departments". Los Angeles Daily News. Retrieved 31 October 2016.
  13. ^ "County of Los Angeles 2015-16 Final Budget" (PDF). County of Los Angeles. Retrieved 30 October 2016.
  14. ^ "County of Los Angeles Annual Report 2015-16" (PDF). County of Los Angeles. Retrieved 30 October 2016.
  15. ^ Li, Alexander (April 20, 2016). "Los Angeles County Health Agency" (PDF). County of Los Angeles. Retrieved 31 October 2016.
  16. ^ "Motion by Mayor Michael D. Antonovich" (PDF). County of Los Angeles Board of Supervisors. 13 January 2015. Retrieved 31 October 2016.
  17. ^ a b c Sewell, Abby (11 August 2015). "L.A. County supervisors move to consolidate three health agencies". Los Angeles Times. Retrieved 31 October 2016.
  18. ^ "Final Report on Possible Creation of a Health Agency (Item No. 2, Agenda of January 13, 2015 and Item No. 2, Agenda of March 3, 2015)" (PDF). County of Los Angeles Chief Executive Office. 30 June 2015. Retrieved 31 October 2016.
  19. ^ Katz, Mitchell (22 January 2015). "Mitch Katz memo on health department consolidation". Los Angeles Times. Retrieved 31 October 2016.
  20. ^ Sewell, Abby (22 January 2015). "L.A. County health director outlined planned department merger in memo". Los Angeles Times. Retrieved 31 October 2016.
  21. ^ "Ordinances for Adoption" (PDF). Statement Of Proceedings. Los Angeles County Board of Supervisors. October 6, 2015. Retrieved 31 October 2016.
  22. ^ Sewell, Abby (29 September 2015). "L.A. County forms health 'super agency,' but some fear it will be unwieldy". Los Angeles Times. Retrieved 31 October 2016.
  23. ^ Sewell, Abby (29 September 2015). "L.A. County merging three health-related departments into mega agency". Los Angeles Times. Retrieved 31 October 2016.
  24. ^ "Approve the Introduction and Schedule for Adoption an Ordinance to Create a Health Agency and Establish an Ordinance Position for the Health Agency Director" (PDF). County of Los Angeles Chief Executive Office. 29 September 2015. Retrieved 31 October 2016.
  25. ^ Dolan, Jack (2020-05-28). "California requires universal testing at nursing homes, overruling L.A. County". Los Angeles Times. Retrieved 2020-05-28.

External links

This page was last edited on 27 September 2023, at 12:16
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