1. Richard S. Baker, M.D. Charles R. Drew University of Medicine and Science Assistant Dean, Office of Research Program Director, Research Centers in Minority Institutions Assault on a Community

2. Discussion Points What is the purpose of a public hospital? The public hospital system in Los Angeles County (Department of Health Services) How important is KDMC in the County health system? Why is King a target for elimination? How is King hospital being set up for failure?

3. Function of Public Hospitals Special services for the entire community Specialty services for physician shortage areas

4. Special Services Burn unit Trauma unit Neonatal Intensive Care Unit (NICU)

5. Specialty Services Cardiology Ophthalmology Ear, nose, throat Neurosurgery Dermatology

6. Discussion Points What is the purpose of a public hospital? The public hospital system in Los Angeles County (Department of Health Services) How important is KDMC in the County health system? Why is King a target for elimination? How is King hospital being set up for failure?

7. L.A. County Health System Largest county in the U.S. Second largest public hospital system 5 hospitals

10. Discussion Points What is the purpose of a public hospital? The public hospital system in Los Angeles County (Department of Health Services) How important is KDMC in the County health system? Why is King a target for elimination? How is King hospital being set up for failure?

11. Five mile service area Demand for services Hospital Total population Service population High Desert49,98510,765 Olive View199,42078,539 County/ USC740,386431,156 King/Drew721,188449,172 Harbor/UCLA416,629132,403

12. Five mile service area Physician density (specialists per 100,000) HospitalSpecialistsService Population Physician per 100,000 High Desert610,76556 Olive View4678,53959 County/USC470431,156109 King/Drew96449,17221 Harbor/UCLA355132,403268

15. Number of hospitals per SPA SPA (Service Planning Area) # of hospitalsService Population SPA 1-Antelope Valley 3104,844 SPA 2-San Fernando Valley 28635,639 SPA 3-San Gabriel Valley 26581,696 SPA 4-Metro 27612,548 SPA 5-West 8141,881 SPA 6- South 5547,388 SPA 7-East 23521,313 SPA 8-South Bay/Harbor 21548,106

16. Department of Health Services “speak” and Department of Health Services code words Decompression Consolidation/regionalization Efficiencies Utilization statistics

17. Discussion Points What is the purpose of a public hospital? The public hospital system in Los Angeles County (Department of Health Services) How important is KDMC in the County health system? Why is King a target for elimination? How is King hospital being set up for failure?

18. L.A. County Department of Health Services 2 federal (billion dollar) bailouts 2 DHS failures $500-$750 million dollar deficit

19. Original Rational Health Plan Reduce L.A. County/USC Reconfigure/reduce Harbor/UCLA Reconfigure/reduce High Desert

20. Discussion Points What is the purpose of a public hospital? The public hospital system in Los Angeles County (Department of Health Services) How important is KDMC in the County health system? Why is King a target for elimination? How is King hospital being set up for failure?

21. Department of Health Services “speak” and Department of Health Services code words Decompression Consolidation/regionalization Efficiencies Utilization statistics

22. Designed System Failure Systematic reduction in resources Institutional character assassination/media campaign Cronyism/conflict of interest “Race politics”