The partnership with Los Angeles County Department of Health Services (LAC DHS) evaluates the impact of the Care Connections Program (CCP), a LAC DHS initiative which aimed to build a community health worker (CHW) integrated care management program for the complex patients empaneled to LAC-DHS primary care practices. The CHWs worked with DHS primary care teams and practices to coordinate care and address the bio psychosocial needs of some of the hardest-to-engage LAC patients. CHWs worked on multidisciplinary teams within the existing LAC DHS patient-centered medical home staffing framework in eight LAC-DHS primary care practices in South and East Los Angeles. With the eventual goal of implementing CCP across the entire LAC-DHS system, LAC funded 25 CHWs in year and implemented the CHW using a randomized control trial.
View the profile
of a CCP health worker
Study:
RCT of embedding CHWs in LAC DHS primary care clinics (n= 1291 patients) with several goals:
Improve patient-reported outcomes
Increase primary care visits
Decrease hospital / ED visits
Link patients to community resources
Study design & evaluation:
Patient surveys and focus groups
CHW Focus groups, Key informant interviews
Analysis of administrative data
Project profile videos from community health workers and primary care physicians involved in the project: