The California Improvement Network (CIN) and the Center for Care Innovations (CCI) hosted a one-day regional convening at UCLA on improving care for patients with complex care needs.

While much is known about how to care for patients with a single chronic condition, less is known about how to care for individuals with multiple physical and behavioral conditions. These patients have complex care needs, which range from medical to social. This convening gathered leaders from across the country who are making strides in improving the quality and cost-effectiveness of care for this population.

Guest speakers addressed a variety of topics:

National landscape and emerging best care models

• Pranav Kothari, lead developer, Renaissance Health

Selecting and risk-stratifying high-risk patients for complex care management programs

• Clemens Hong, instructor in medicine, Massachusetts General Hospital

Lessons from regional leaders in complex care delivery

• Rishi Manchanda, primary care physician, VA Greater Los Angeles Health Care System
• Desmond Lew, medical director of utilization management, AltaMed Health Services
• Shameka Coles, director of medical management, AltaMed Health Services

Trauma-informed care

• Rachel Davis, senior program officer, Center for Health Care Strategies, Complex Care Innovation Lab
• Laurie Lockert, manager of the health resilience program, CareOregon

Patient engagement and outreach

• Laurie Lockert, manager of the health resilience program, CareOregon

Effective community partnerships: The East Baltimore story

• Linda Dunbar, vice president of care management, Johns Hopkins University, Bloomberg School of Public Health
• Leon Purnell, director, Men and Family Center
• Rev. Debra Hickman, CEO, Sisters Together and Reaching (STAR)

This convening was geared toward small teams (two to four people) who are leading efforts to improve care for patients with complex care needs in Southern California.