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Los Angeles County Department of Health Services (abbreviated DHS and LADHS) is a public health care system in Los Angeles County. LADHS is the second largest municipal health system in the United States, after the New York City Health and Hospitals Corporation. DHS operates four public hospitals, two Multi-Service Ambulatory Care Centers, 16 local health clinics and works with over 200 community partners. DHS provided health services to over 800,000 patients in Los Angeles County during fiscal year 2011-2012. DHS' administrative headquarters is located on Figueroa Street (at Temple Street) in Downtown Los Angeles. LADHS operates four hospitals three teaching hospitals and one rehabilitation hospital. Harbor-UCLA Medical Center, LAC+USC Medical Center, and Olive View-UCLA Medical Center each provides inpatient, outpatient, and emergency services for men, women, and children. DHS hospitals are affiliated with the University of Southern California School of Medicine and UCLA School of Medicine to provide education and conduct research along with health services. The Rancho Los Amigos National Rehabilitation Center provides physical therapy services to individuals around the country. In addition, DHS operates an Ambulatory Care Network consisting of DHS outpatient clinics (Multi-Service Ambulatory Care Centers, Comprehensive Health Centers, and Health Centers), the Community Partners program, the Division of Managed Care, and the Division of Research and Innovation. The Ambulatory Care Network was created to provide primary care, outpatient specialty care, and ambulatory surgery. For Fiscal Year 2012-2013, LADHS had an annual budget of . The County funds less than 17% () of LADHS' total annual budget.〔 ==History== Municipal governments, under Section 17000 of California's Welfare and Institutions Code, are responsible as safety net health care providers. In the 1860s, Los Angeles County appointed a County Physician, and a small hospital for the poor in Los Angeles was established.〔 Other institutions were acquired or established, including Rancho Los Amigos Poor Farm (now Rancho Los Amigos National Rehabilitation Center) in 1890, the General Hospital (now LAC+USC Medical Center) in 1932, two military hospitals, including the Harbor General Hospital (now Harbor-UCLA Medical Center, after World War II, Olive View Sanatorium (now Olive View-UCLA Medical Center) in 1970, and the Martin Luther King Medical Center (now Martin Luther King, Jr. Multi-Service Ambulatory Care Center) in 1972, in response to the Watts Riots〔 In the 1960s, the Los Angeles City Health Department merged into the LA County Health Department. In 1972, the Los Angeles County's departments of hospitals, public health and mental health, along with the Los Angeles County Veterinarian's Office were merged into the Department of Health Services, to consolidate and integrate health services.〔 On May 30, 2006, the Los Angeles County Board of Supervisors tentatively approved the establishment of Los Angeles County Department of Public Health (DPH) as a separate department, primarily to buffer DPH from DHS' recurring budget shortfalls and to separate public health functions, including enforcement of laws, from DHS. DPH was formally established on July 7, 2006.〔 The department was formally separated on July 6, 2006. On January 3, 2011, Mitchell H. Katz, a physician, was appointed Director of Health Services for DHS. Katz served 13 years as director of public health for the San Francisco Department of Public Health, where he designed and implemented the "Healthy San Francisco" program covering all San Franciscans with health care.〔 From 2008 to 2011, John F. Schunhoff, Ph.D. served as an interim director following Bruce Chernoff's resignation in May 2008. In 2011, DHS began enrolling hundreds of thousands of uninsured LA County residents in a publicly funded health program called Healthy Way LA (HWLA) and began a major overhaul of its health care system to increase emphasis on primary care instead of acute care. These reforms are set to take place before the Patient Protection and Affordable Care Act takes effect in 2014.〔 Healthy Way L.A. provides a primary care provider team to members and expanded access to primary, preventative and specialty services, as well as access to hospital-based inpatient and outpatient services.〔(【引用サイトリンク】title=Healthy Way LA: Providing Health Care Coverage for Low-Income Uninsured Adults )〕 It is a county implementation of the state Low Income Health Program (LIHP). In the 2010-2011 fiscal year, DHS reported a budget surplus of $13.2 million. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Los Angeles County Department of Health Services」の詳細全文を読む スポンサード リンク
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