Methodology

Posted: July 3, 2018
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This project provides a descriptive profile of ambulatory care provided by safety net clinics in Los Angeles County before and after California’s implementation of the Affordable Care Act (ACA).  This project measures change in service volume and patients before and after the ACA, and measures the relative contribution of safety net clinics’ service volume toward an estimated total of all service volume attributable to low-income residents.

Results are shown at the level of Los Angeles County Service Planning Areas (SPAs), and, where applicable, at the clinic level. This report includes CCALAC member clinics and non-member clinics.

CCALAC clinics are defined as Federally-Qualified Health Centers and Look-A-Like entities (FQHCs), Data is presented by organization entity and service location within each SPA.  The CCALAC membership consists of 47 Community Clinics and Health Centers with 232 full-time and part-time sites.  Operating hours range from as low as six hours per month up to 24 hours per day. Some sites are operated in partnership with another entity outside the CCALAC membership. Sixty-eight percent of clinic sites listed in the OSHPD Primary Care Clinic Database within LA are CCALAC Members. Of the membership, 29 clinic organizations are 330-funded FQHCs, nine are FQHC look-alikes and nine are neither FQHCs nor FQHC look-alikes.

Total service volume attributable to low-income residents has been estimated by using population estimates by SPA combined with ambulatory use rates derived from the National Ambulatory Medical Care Survey.

Community level data is derived from the California Health Interview Survey, LA Health Survey, and the American Communities Survey.

View CCALAC’s 2018 Network Adequacy Report here.

This project was funded by L.A. Care Health Plan to benefit low-income and uninsured residents of Los Angeles County.