According to data from physician surveys, California's medical doctors are unevenly distributed across the state, and new doctors aren't being trained in great enough numbers to address this imbalance.

California is piloting the use of community paramedicine to improve the effectiveness and efficiency of health care delivery. Specially trained paramedics are partnered with other providers to meet local health care needs. These one-pagers describe the six concepts being piloted throughout the state.

Research finds that system membership doesn't always lead to increased stability for California's rural hospitals.

In this issue brief, two Bay Area health care leaders describe the successes and challenges that came with adopting Lean methodologies in their hospitals.

The spring 2018 edition of CIN Connections offers actionable information on tackling provider burnout and promoting well-being.

Mental Health in California: For Too Many, Care Not There provides an overview of mental health in California: disease prevalence, suicide rates, supply and use of treatment providers, and mental health in the correctional system. This Almanac report also includes available data on spending and quality of care.

This paper outlines seven partnership models that are helping small community health centers (CHCs) improve care and thrive under value-based payment. It also provides a framework to assess which partnership models are right for different CHCs.

Many surgeries are performed in freestanding, or “same-day,” ambulatory surgery centers (ASCs), whose numbers have increased dramatically over the past 11 years. However, due to a legal decision that removed reporting requirements for ASCs in the state, little is known about the volume of procedures, type of procedures, and financial operation of the vast majority of these facilities. This report looks at the most recent data on the supply, use, quality, and finances of freestanding ASCs in California.