In 2022, President of UCLA Health and CEO of UCLA Hospital System Johnese Spisso chartered and convened the Ambulatory Strategic Planning & Oversight Committee with the purpose of establishing an integrated and coordinated approach to strategic planning and development related to ambulatory care services in the community.

Under the leadership of Committee Chair Eve Glazier, MD, the committee is developing the tenets of strategic planning that include systemic review processes to evaluate clinical, financial, and operational considerations.

The committee seeks to ensure that new ambulatory initiatives map to UCLA Health’s missions and overall health system strategic objectives pertaining to financial viability, sustainability of an integrated care delivery system, population health management, and advancement of health equity. After an extensive situational analysis of Los Angeles and the surrounding markets, which included an internal assessment, market assessment and review of global trends, four overarching strategic goals have been developed and endorsed. The goals are interconnected, synergistic and mutually inclusive. They include: 

Goal 1: Ambulatory network development aimed at rightsizing primary care, specialty care and ancillary care in each market to move from an ambulatory footprint to a network that allows for patient-centric experience with convenience and access for our patients. 

 Goal 2: Increase the number of unique patients to 1 million in 5 years aimed at growing additional volume to remain financially viable as reimbursement declines and competitors become more aggressive. 

 Goal 3: Increase the Medicare Advantage covered lives to 44,000 in 5 years, aimed at investing heavily into risk-based capabilities to meet the needs of the growing senior population, specifically those participating in Medicare Advantage. 

Goal 4: Advance provision of equitable, diverse, and inclusive care aimed at representing diverse groups in the market, and to provide culturally respectful, linguistically aligned and affirming care. 

The committee is currently in the process of developing Patient Journey Maps which illustrate and expose network gaps across geographies, service offerings, population health and care coordination, equity, diversity and inclusion. The intention is to create a streamlined, consistent and patient centric process. Additionally, a primary care stakeholder workgroup and specialty care workgroups are convening to develop tactics and action plan items for implementation. Stakeholder workgroups bring together individuals that have insight, expertise and operational responsibility for services  including physicians, senior admin, service line directors and clinic directors, strategy and business development, and marketing and outreach teams.