Los Angeles County Patient-Centered HIV Medical Home Project

Principal Investigator: Sonali Kulkarni, M.D., M.P.H.
Los Angeles County Department of Public Health, Division of HIV and STD Programs

Patient-Centered Medical Home Demonstration Project
Awarded: 2010

Project description: The main goal of the Los Angeles County Patient-Centered Medical Home (LAC-PCMH) demonstration project is to implement and evaluate a prototype for enhancing HIV medical homes and improving care coordination throughout the Ryan White Care system that includes the following: 1) a medical care coordination (MCC) model for persons living with HIV/AIDS (PLHWA) to facilitate access and retention in HIV care; 2) a population health registry tool (i2i) that interfaces with the electronic medical record to facilitate panel management, better achieve performance goals, and streamline reporting of clinical data. The prototype will be implemented at the Rand Schrader HIV Clinic at Los Angeles County-University of Southern California Medical Center, a public HIV clinic that serves a largely low-income, Latino population.

The specific aims of this demonstration project are:

  1. To implement medical care coordination (MCC) and a population health registry tool at the Rand Schrader PCMH to address patients' medical and non-medical needs, improve medication adherence, and improve health outcomes for high-acuity HIV positive patients.
  2. To evaluate the impact of the MCC program and the population health registry tool on quality of HIV care and health outcomes, as well as the acceptability of these enhancements to patients and clinical providers.

Contact: Wendy Garland, M.P.H.
Phone: 213-351-8095