Thank you for your interest in the FUSE Fellowship. We are excited to share 2017-18 fellowship projects.
Click on each project to learn more and apply for the project of greatest interest to you. You only need to submit one application, as within the on-line form you will have the opportunity to indicate other topics of interest, enabling us to consider you for multiple positions.
Before you apply, please note:
|Improving Patient Access to Healthcare Services|
|Department of Health Services|
|Los Angeles, CA|
“Improving Patient Access to Healthcare Services”
Los Angeles County Department of Health Services
Los Angeles, CA
The Los Angeles County Department of Health Services (DHS) is the second largest municipal healthcare system in the nation. It has an annual operating budget of over $4 billion and 670,000 unique patients a year, most of them low income. As a result, any changes to the county’s healthcare system can have a profound effect on the health and wellbeing of millions of people.
Most recently, the Affordable Care Act (ACA) has transformed the face of health coverage for L.A. County’s most vulnerable. Since 2014, an additional 1.2 million county residents have signed up for Medicaid, accounting for a third of all Medicaid expansion enrollees in California. Another 300,000 residents now receive subsidized healthcare under the ACA, while 145,000 people who qualify for neither programs now have coverage through My Health L.A., giving them access to primary care services at one of DHS’ 70 partner clinics. Regardless of potential future efforts to repeal and replace the Affordable Care Act, DHS is committed to providing the best possible care and acknowledges that any potential changes will require innovative adaptations by DHS to ensure that it is a Provider of Choice of LA County residents.
In response, DHS has been working to streamline and improve the quality of its patient services. In 2015 DHS rolled out an electronic health records system covering the entire network of 4 hospitals and 21 health centers. To continue this comprehensive reform, DHS is seeking to reorganize the way patients access healthcare within the system and transform the process into one that is not only efficient and high quality, but also compassionate, respectful, and focused on the needs and experience of the patients.
Historically DHS patients have struggled to gain access to outpatient services in particular, and patients have repeatedly reported a poor overall experience with the registration process. A lack of coordination and a broken patient intake service has also cost the county time and money. For example, until recently each of DHS’ dozens of hospitals and health centers have independently operated their own patient access services. In the past year, DHS has undergone a thorough restructuring of this system, and today all 500 staff who deal with patient intake and registration are now housed under the newly created Patient Access Unit (PAC).
Now that the dust has settled on restructuring, L.A. County DHS will partner with FUSE Corps to host an executive-level Fellow for one year to assist the Director and staff of the nascent Patient Access Unit develop a comprehensive registration, scheduling and financial screening work flow and continuous system evaluation protocol. The Fellow will assist in the process of standardizing and improving the patient experience to ensure that the agency best serves patients both in theory and in practice. The job is a challenging one, and the stakes are high: DHS is investing significant resources into creating a new “one-stop shop” approach for registering and scheduling patients, and it needs the right kind of evaluation and analysis to make sure those resources are deployed efficiently and effectively.
The following provides a general overview of the proposed fellowship project. This project summary and the potential deliverables that follow will be collaboratively revisited by the host agency, the Fellow, and FUSE staff during the first month of the project, after which a revised scope of work will be developed and agreed upon by the Fellow and the host agency.
Starting in October 2017, it is proposed that the fellow will lead an evaluation of these restructuring efforts thus far, identify areas of weakness, and develop the measuring system needed to ensure these changes have the desired overall result: getting people the care they need as quickly and as professionally as possible.
While it may be helpful for the fellow to have some experience or familiarity with health care systems, customer service, or the logistics of call centers, the most important qualities for this role include a sense of curiosity, a readiness to dig deep, an ability to evaluate large systems made up of many moving parts, as well as the willingness to make on-site visits to DHS’ vast network of care centers. The fellow should also be comfortable working with large data sets, which they will use to help determine baseline indicators and benchmarks for ongoing evaluations.
By the end of the year, the fellow will deliver a list of detailed recommendations for future and ongoing improvements to the new patient access structure and with staff begin implementation of the new patient access system.
Click the link below to upload a resume and complete the online application questions in lieu of a cover letter. The application process will allow you to indicate interest in more than one fellowship opportunity. You only need to submit one application. Interested candidates are encouraged to apply as soon as possible, as selections will be made on a rolling basis and specific opportunities may close quickly.
This role offers the opportunity to work full time for 12 months as an independent contractor of FUSE Corps with an annual stipend of $90,000 paid through monthly installments.
The FUSE Fellowship is an equal opportunity program with a core value of incorporating diverse perspectives. We strongly encourage candidates from all backgrounds to apply.