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County of los Angeles<br />

Quality and Productivity Commission<br />

2012 AnnuAl RePoRt<br />

<strong>QP</strong> C<br />

INVESTING<br />

IN A<br />

Quality Future<br />

http://qpc.co.la.ca.us


County of Los Angeles Quality and Productivity Commissioners 2012<br />

William A. Sullivan, Esq.<br />

Chair<br />

Patricia Johnson<br />

1st Vice-Chair<br />

Rodney C. Gibson<br />

2nd Vice-Chair<br />

Jaclyn Tilley Hill<br />

Chair Emeritus<br />

Jacki Bacharach<br />

Viggo Butler<br />

Marshal Chuang<br />

Ron Galperin<br />

Evelyn Gutierrez<br />

Nancy G. Harris<br />

Algird G. Leiga<br />

Huasha Liu<br />

Edward T. McIntyre<br />

Gerald Nadler, Ph.D.<br />

Bud Treece<br />

William C. Waddell, DBA Joseph P. Wetzler Victoria Pipkin-Lane<br />

Executive Director<br />

Mary Savinar<br />

Program Manager<br />

Laura Perez<br />

Program Support


Table of Contents<br />

Message from the Chair..................................................................................................................................2<br />

Message from the Executive Director............................................................................................................3<br />

Mission Statement and Strategic Goals.........................................................................................................4<br />

Commission Programs and Projects..............................................................................................................7<br />

Productivity Investment Fund Projects and Final Report .....................................................7–19<br />

Department Visits .......................................................................................................................12–18<br />

n Alternate Public Defender<br />

n Parks & Recreation<br />

n Child Support Services<br />

n Public Defender<br />

n Children & Family Services<br />

n Public Health<br />

n Community Development Commission/<br />

n Public Library<br />

Housing Authority<br />

n Registrar-Recorder/County Clerk<br />

n Community and Senior Services<br />

n Sheriff<br />

n Coroner<br />

n Fire Department<br />

Productivity and Quality Awards “Investing in a Quality Future” .....................................19–31<br />

n Grand Eagle Award Winners<br />

n Top Ten Awards<br />

n Commission Technology Awards<br />

n Commission Special Awards<br />

n Chair Leadership Award<br />

Quality and Productivity Managers’ Network.........................................................................32–34<br />

n Productivity Manager of the Year<br />

n Message from the Chair of the Productivity Managers’ Network<br />

Commissioners’ Leadership Conference X: “Leadership Tomorrow”.............................35–36<br />

Shared Practices................................................................................................................................37<br />

Strategic Foresight Working Group................................................................................................38<br />

Executive Staff..............................................................................................................................................39<br />

Quality and Productivity Annual Report 2012<br />

1


Message from the Chair<br />

As I complete my second term as Chair of the Quality and Productivity<br />

Commission (Commission), I reflect back on a year filled with many<br />

challenges and several achievements. The Board of Supervisors and<br />

County departments were forced to make tough budget decisions, managing<br />

limited resources against an ever-increasing demand for public services. While<br />

the County was able to avoid employee layoffs and furloughs, many staff positions<br />

remained vacant due to a lack of funding.<br />

William A. Sullivan,<br />

Chair<br />

In this budget conscious environment, the Commission worked effectively with<br />

Department Heads and Productivity Managers to jump start innovative projects,<br />

initiatives and programs designed to enhance the quality of County services and<br />

improve employee productivity. The Commission’s Productivity Investment Fund<br />

provided financing for the projects, all of which are included in the annual “Best<br />

and Shared Practices Report” posted to the website.<br />

The Commissioners’ Leadership Conference, held in May, was a huge success with more than 175 Department<br />

Heads, Commissioners, senior executives and managers in attendance. Guest speakers included Moidin Mohiuddin,<br />

Ph.D., Associate Director, IBM, and Ulmont Smith, Vice President, Intel, who captured the attention of the audience<br />

with cutting edge information on the employee of the future and the workplace in 2020. In addition, Supervisor Zev<br />

Yaroslavsky, Supervisor Michael D. Antonovich, CEO William T Fujioka, DHR Director Lisa Garrett, CIO Richard<br />

Sanchez, and Public Affairs Director David Sommers gave informative presentations on the future of the County.<br />

A major highlight of the year was our 26th annual Productivity and Quality Awards (PQA) program. “Investing in a<br />

Quality Future” was the theme. Renowned local broadcaster Patrick Healy, news reporter for NBC4, returned as<br />

our master of ceremonies and was enthusiastically welcomed back by the County family. The PQA recognized 69<br />

exceptional projects which resulted in estimated annual benefits to the County exceeding $169.8 million. It was<br />

a very successful event and I want to thank Commission staff and Productivity Managers for their hard work in<br />

organizing and coordinating the luncheon ceremony.<br />

On a more somber note, we lost Commissioner Raymond Hemann, who passed away on March 31, 2012. He was<br />

appointed to the Commission on June 21, 2011, and quickly made an impact in the area of strategic foresight.<br />

He will be missed. On October 2, 2012, businessman Marshal Chuang was appointed to replace Commissioner<br />

Hemann. Commissioner Chuang is currently President of JMC Motors, Inc., an auto consultant business, and<br />

President of M&L Sales, Inc., a preschool kindergarten. We look forward to working with Commissioner Chuang in<br />

the year ahead.<br />

Finally, I want to thank my fellow Commissioners and support staff for all their assistance throughout the year.<br />

William A. Sullivan<br />

Chair<br />

2 Quality and Productivity Annual Report 2012


Message from the Executive Director<br />

Greetings! I was honored and thrilled to be appointed Executive Director<br />

of the Quality and Productivity Commission in 2011. My seven years as<br />

Productivity Manager for the Chief Executive Office taught me a lot about<br />

the Commission and its outstanding programs and activities to promote quality,<br />

productivity and efficiency across County Departments.<br />

We had a great year of achievement, starting off with release of the Commission’s<br />

“Single Web Access Report for Los Angeles County” in April. At the direction of<br />

Supervisor Michael D. Antonovich, the Commission conducted a six-month study<br />

of the County’s Portal, its redesign, migration of Departments onto the system,<br />

and enhancements to eGovernment.<br />

Victoria Pipkin-Lane,<br />

Executive Director<br />

Among its recommendations for a modern, cross-platform system, the report<br />

called for:<br />

1) Establishing a policy that all Departments will become a part of the County Portal 2.0 in a timely manner;<br />

2) Developing mobile applications for a more efficient interface with the public seeking a permit, inspection or<br />

appointment; and<br />

3) One entity to oversee Web development with responsibility for budgets and timely deployment of new<br />

technologies<br />

We revised the Productivity Investment Fund forms and guidelines, and enhanced procedures for the Department<br />

Visits to ensure alignment with the Commission’s Strategic Plan. Commissioner Jaclyn Tilley Hill, Chair Emeritus,<br />

worked with the Productivity Managers Network (PMN) to launch a PMN Alumni Network, which will be a valuable<br />

resource for all members. We also started a quarterly Best and Shared Practices Bulletin to highlight Department<br />

initiatives, such as the Alternate Public Defender’s “eWorkflow” program.<br />

In December, the Commission elected a new Chair, Commissioner Edward T. McIntyre, who took the reins<br />

from Commissioner William Sullivan, Esq. Now, with a full year completed I look forward to the future with great<br />

expectations.<br />

Chief Executive Officer Bill Fujioka continues to support the Commission’s budget, which we use to help Department’s<br />

launch innovative programs, test pilot projects and compile important data, as well as develop initiatives, which are<br />

certain to enhance employee productivity, improve County services and make them more efficient.<br />

In short, the Commission and the County’s best days still lie ahead of us.<br />

Let’s get to work making more <strong>QP</strong>C history!<br />

Victoria Pipkin-Lane<br />

Executive Director<br />

Quality and Productivity Annual Report 2012<br />

3


Mission Statement and Strategic Goals<br />

Mission<br />

To provide advice, innovative ideas, assistance and<br />

support to the County’s elected officials, managers<br />

and employees to promote the effectiveness,<br />

efficiency and quality of County public services.<br />

Strategic Goals<br />

1. It is the objective of the Commission to keep the<br />

Board of Supervisors and the Chief Executive<br />

Officer (CEO) informed of Commission<br />

activities, grant and loan approvals, and total<br />

savings gained from quality and productivity<br />

projects.<br />

c Reviewed eighteen Productivity Investment<br />

Fund proposals totaling $2,746,013<br />

c Awarded nine Productivity Investment Fund<br />

projects totaling $1,754,198<br />

2. It is the objective of the Commission to foster<br />

productivity and quality improvement through<br />

department visits.<br />

c Conducted 13 department visits with follow-up<br />

action items<br />

c Shared interdepartmental challenges and<br />

areas of common interest<br />

c Promoted best practices<br />

c Solicited department PQA applications and<br />

PIF proposals<br />

3. It is the objective of the Commission to<br />

strengthen the County’s fiscal capacity by<br />

recognizing department projects that may result<br />

in cost avoidance, cost savings, or revenue<br />

generation. These projects may reduce costs,<br />

raise levels of efficiency, or increase quality and<br />

achieve greater productivity. Each achievement<br />

must be measured and reported as a quality or<br />

productivity accomplishment and cumulatively<br />

over time.<br />

c Showcased the 26th Annual Productivity and<br />

Quality Awards program demonstrating an<br />

estimated cost avoidance of $73,698,659,<br />

estimated cost savings of $42,902,197 and<br />

estimated revenue generation of $53,224,082<br />

for a total estimated benefit of $169,824,938<br />

c Estimated PQA benefits cumulative total is<br />

$4.2 billion dollars over 26 years<br />

c Recognized Productivity and Quality award<br />

winners at the awards ceremony and at the<br />

November Board meeting<br />

4. It is the objective of the Commission to work<br />

closely with the Productivity Managers’ Network<br />

to assist in developing and administering<br />

programs at the department level, and to<br />

support the County’s Strategic Plan.<br />

c Conducted five Quality and Productivity<br />

Network Manager (<strong>QP</strong>MN) general membership<br />

and training sessions<br />

C February 15 – West Hollywood Library<br />

C May 9 – Hollywood Bowl Museum<br />

C October 1 – Hall of Administration<br />

(Training/Orientation)<br />

C November 14 – LAC+USC Medical<br />

Center<br />

C December 6 – Kenneth Hahn Hall of<br />

Administration<br />

5. It is the objective of the Commission to share<br />

information, department practices, and ideas<br />

with County Commissioners and County<br />

Managers.<br />

c Sponsored the 10th Annual Commissioners’<br />

Leadership Conference, “Leadership<br />

Tomorrow,” providing a forum for County<br />

Commissioners to network with colleagues,<br />

4 Quality and Productivity Annual Report 2012


Mission Statement and Strategic Goals<br />

develop leadership strategies, as well as<br />

support and promote the countywide Strategic<br />

Plan<br />

6. It is the objective of the Commission to<br />

distinguish department practices that solve<br />

complex problems, create financial benefits,<br />

and provide quality service.<br />

c Distributed the fourth annual “Shared Practices<br />

Report” to the Supervisors, department heads,<br />

and County managers<br />

c Conducted a “Shared Practices” survey to<br />

identify those practices that have served as a<br />

model for other departments<br />

7. It is the objective of the Commission to publish<br />

an electronic newsletter and annual report that<br />

provide County departments with quality and<br />

productivity achievements. The newsletter<br />

and annual report also list loans and grants to<br />

departments that support various projects.<br />

c Published two comprehensive e-newsletters<br />

highlighting programs and activities and<br />

spotlighting Productivity Managers’ Network<br />

c Published a 2011 Annual Report and distributed<br />

it to more than 500 County employees and<br />

residents<br />

c Distributed publications to Board offices,<br />

department heads, productivity managers,<br />

County commissions, committees, and<br />

advisory boards<br />

8. It is the objective of the Commission to keep the<br />

Board of Supervisors and the Chief Executive<br />

Officer (CEO) informed of Commission<br />

activities, grant and loan approvals, and total<br />

savings gained from quality and productivity<br />

projects.<br />

c Published summaries of department visits,<br />

Productivity Investment Funds awards<br />

and Productivity and Quality awards in the<br />

Commission e-Newsletter, Quality Matters, and<br />

annual report distributed to the Board offices,<br />

the CEO, department heads, and productivity<br />

managers<br />

c Provided periodic updates of Commission<br />

activities to the Board of Supervisors and<br />

Board Deputies<br />

9. It is the objective of the Commission to maintain<br />

strong supportive committees that will provide<br />

information, policy recommendations, and<br />

solutions to enable the Commission to better<br />

serve County departments.<br />

c Department Visit Committee<br />

C Visited with 13 department heads and<br />

staff<br />

C Shared interdepartmental challenges<br />

or areas of common interest<br />

c Productivity Investment Board<br />

C Held five quarterly meetings<br />

C Reviewed 18 Productivity Investment<br />

Fund applications<br />

C Recommended funding for nine<br />

Productivity Investment Fund projects<br />

c Promotion Committee<br />

C Publicized the 26th annual PQA event<br />

with a press release, web streaming,<br />

a video clip on the County Channel,<br />

program and video on <strong>QP</strong>C website,<br />

and an article in the County’s Digest<br />

C Promoted the 10th Annual<br />

Commissioners’Leadership<br />

Conference with web-streaming and<br />

article in the County Digest and on<br />

the <strong>QP</strong>C website<br />

C Published articles in the Quality and<br />

Productivity Commission e-newsletter<br />

Quality Matters promoting the<br />

Commissioners’ Leadership<br />

Conference, the Productivity and<br />

Quality Awards Program, Productivity<br />

Investment Fund, and Shared<br />

Practices<br />

c Strategic Foresight Working Group<br />

C Researched potential partnerships<br />

to expand the Commission’s reach<br />

and opportunities to enhance quality<br />

and productivity<br />

c Commissioners’ Leadership Conference<br />

Committee<br />

C Successfully planned and implemented<br />

the 2012 Commissioners’ Leadership<br />

Conference<br />

Quality and Productivity Annual Report 2012<br />

5


Commissioners in Action<br />

County of Los Angeles Quality and Productivity Commission<br />

6 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

Productivity Investment Fund Projects<br />

Fund activities during the calendar year 2012:<br />

Loans Approved $ 543,000<br />

Grants Approved $1,211,198<br />

Total Funds Awarded: $1,754,198<br />

PUBLIC Health –<br />

Healthy Communities Website<br />

($80,000 Grant)<br />

The funds will be used to create<br />

a website which tracks over 100<br />

health related indicators by Healthy Communities<br />

Institute (HCI). HCI is a one-stop shared resource tool<br />

which pulls health data from various sources. It will<br />

streamline PH’s data collection process and provide<br />

staff with increased accessibility to data.<br />

SHERIFF – Emergency High<br />

Frequency Radio and Antennas,<br />

CREW<br />

($85,895 Grant)<br />

Funds will pilot use of new radio<br />

and antenna systems designed for military use when<br />

normal communications are inoperative. Technology<br />

will be utilized by the Communication Resources<br />

and Emergency Workaround group in the Sheriff’s<br />

Department.<br />

HEALTH SERVICES<br />

– Censitrac ®Surgical<br />

Instrument Management Solutions<br />

($78,315 Grant)<br />

Funds will be used to purchase<br />

software to add accuracy, accountability, and cost<br />

avoidance to the instrument reprocessing area that<br />

supports the Ambulatory Surgery Center and Care<br />

Clinics.<br />

HEALTH SERVICES<br />

(OLIVE VIEW) –<br />

Landscaping for Outdoor<br />

Psychiatric Recreation Yard<br />

($44,488 Grant)<br />

Olive View’s Outdoor Recreation Yard was destroyed<br />

in the Sayre Fire. Funds will be used to restore the<br />

yard back to its “original condition” prior to the fire.<br />

The department is now able to provide services to<br />

mental health in-patients at a pre-fire level.<br />

BEACHES AND HARBORS<br />

– Automated Fuel Management<br />

System<br />

($308,000 Loan)<br />

The funds will be used to install<br />

eight new Fuel Island Controller Units at seven<br />

existing fueling locations, thus creating an automated<br />

networked system to track fuel use at all DBH fuel<br />

pumping stations.<br />

REGISTRAR-RECORDER –<br />

VSAP Voting System Design Phase<br />

($235,000 Grant, $235,000 Loan)<br />

Funds will be used to develop a<br />

design brief that would lay the foundation for system<br />

engineering, prototyping, and development at a new<br />

voting system using an open, transparent, data driven<br />

process that fully engages the public.<br />

FIRE DEPARTMENT –<br />

Videography Equipment for<br />

Improving Quality of On-line<br />

Training Content<br />

($155,000 Grant)<br />

The department is transitioning its “in-service training”<br />

from a class format to an on-line system. The money<br />

will be used to upgrade the videography equipment to<br />

support the new system.<br />

CONSUMER AFFAIRS –<br />

Advanced Telephone System for<br />

Improved Customer Service<br />

($32,500 Grant)<br />

The grant will fund a new telephone<br />

system to improve customer service. It will be more<br />

user-friendly, more reliable, and will enable redesign of<br />

menu trees and re-record messages.<br />

Quality and Productivity Annual Report 2012<br />

7


Commission Programs and Projects<br />

HUMAN RESOURCES – Executive<br />

Leadership Development Program<br />

($500,000 Grant)<br />

The funds will be used for a pilot<br />

program to assess and enhance the<br />

leadership competencies of the County’s current and<br />

emerging leaders. The program will launch the new<br />

Leadership Development Institute.<br />

“Final Reports for 2012”<br />

ALTERNATE PUBLIC<br />

DEFENDER – APD EDMS<br />

($431,618 Grant)<br />

This project had two goals: create<br />

an electronic document storage and retrieval system<br />

(CASE360) for all APD closed files; and link APD’s<br />

Case Management System (CMS) to the Information<br />

Systems Advisory Body (ISAB) Cloverleaf Proactive<br />

Information Exchange (PIX) for the exchange of data<br />

between the Court’s Trial Court information system<br />

and APD’s CMS.<br />

Results of the Project<br />

CASE360 has generated substantial efficiencies by<br />

cutting down on APD’s annual storage and retrieval<br />

costs. All new files are scanned into the system and<br />

any old files brought from storage are scanned in,<br />

eliminating the need to physically retrieve them ever<br />

again. This system also allows for convenient, efficient<br />

viewing of all files related to a particular case. CMS/<br />

PIX have allowed APD staff to save tens of thousands<br />

of keystrokes each year. The time saved is used to<br />

complete tasks more directly related to the efficient<br />

preparation of cases, which helps move cases through<br />

the court system in a timelier manner and has reduced<br />

the need for additional support staff.<br />

Accounting of Fund Expenditures:<br />

Total Loan: $431,618<br />

Total Withdrawn: $431,000<br />

Total Repaid:<br />

$N/A<br />

Total Program Cost: $433,221<br />

ARTS COMMISSION –<br />

Cultivate/Create Initiative<br />

($75,000 Grant)<br />

The overarching goal of Cultivate/<br />

Create was to increase the capacity of small and<br />

midsize arts organizations to generate renewable<br />

sources of income and to develop individual donor<br />

programs as well as to support artists and artistic<br />

creativity through the commissioning of new work.<br />

Nine arts organizations received $10,000 grants to<br />

commission new works of art, as well as technical<br />

assistance workshops, coaching and peer learning<br />

sessions to help them engage and sustain relationships<br />

with individual donors, and enhance their capacity to<br />

generate renewable sources of income.<br />

Results of the Project<br />

Through this initiative, over $273,000 was raised,<br />

equaling 174% more than the minimum required match<br />

of $100,000, and nearly 100 artists were employed to<br />

commission new works of art which were presented<br />

to the benefit of Los Angeles County residents in the<br />

spring and summer of 2012.<br />

Accounting of Fund Expenditures:<br />

Total Grant/Loan: $75,000<br />

Total Withdrawn: $75,000<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $165,000<br />

HEALTH SERVICES<br />

AMBULATORY CARE<br />

NETWORK/HIGH DESERT<br />

HEALTH SYSTEMS – Mid-Valley<br />

Retinal Camera System<br />

($37,500 Grant)<br />

The Retinal Camera Telemedicine System is a screening<br />

process that increases access to Ophthalmology<br />

services. Early diagnosis identifies those in need of<br />

immediate treatment in a timely manner and promotes<br />

positive outcomes. This system takes an image of<br />

the retina, allowing the Ophthalmologist to evaluate<br />

eye disease without a face-to-face patient visit. This<br />

process is useful for diagnosing a range of maladies,<br />

8 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

Accounting of Fund Expenditures:<br />

Total Grant/Loan: $37,500<br />

Total Withdrawn: $37,500<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $40,882.78<br />

MENTAL HEALTH – Art SMART<br />

($124,300 Grant)<br />

The Art SMART project was<br />

developed to provide workshops<br />

in fine arts, music, dance, and drama to youth in the<br />

Los Angeles County Probation Camps. This was an<br />

expansion of services that were present in the Juvenile<br />

Halls. It involved a contract with California Institute<br />

of the Arts (Cal ARTS) to provide experienced artisteducators<br />

to lead weekly 2-hour workshops for ten<br />

weeks each quarter at chosen sites, with staff support<br />

by Probation and Mental Health, and collaboration<br />

from the Los Angeles County Office of Education.<br />

Results of the Project:<br />

The efficacy study taking place alongside the classes<br />

found a number of positive outcomes among youth<br />

who participated.<br />

• Youth who participate in at least one Art SMART<br />

class reported improvement in their ability to cope<br />

during their stay in the facility<br />

• Youth who participate in Art SMART classes<br />

reported improved social skills in their relationships<br />

with other youths, as well as instructors<br />

• DMH/Probation survey results reveal that staff/<br />

probation have witnessed behavioral benefits to<br />

clients receiving classes<br />

Accounting of Fund Expenditures:<br />

Total Grant/Loan: $124,300<br />

Total Withdrawn: $123,300<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $123,300<br />

MUSEUM OF ART – Improving<br />

Audience Access with Wireless<br />

Phones<br />

(Pilot Program - $282,170 Grant)<br />

The Museum of Art designed and built a smart phone<br />

appplication to provide audience and visitors easy,<br />

personal access to information about the museum<br />

experience. Visitors can access general information<br />

about the museum, discover special exhibitions, event<br />

highlights, retrieve information about parking, tours,<br />

and restaurants. Users can also make reservations<br />

at restaurants, get tickets, and access membership<br />

information.<br />

Results of the Project<br />

The Museum capitalized on the general availability<br />

and acceptance of mobile technologies to provide<br />

visitors with self-guided, personalized access to<br />

information and services without having to rely entirely<br />

on traditional visitor service centers, printed materials,<br />

web or traditional advertising methodologies.<br />

Accounting of Fund Expenditures:<br />

Total Grant/Loan: $282,170<br />

Total Withdrawn: $282,170<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $492,468<br />

PUBLIC DEFENDER –<br />

Pitchess Motions Go Green<br />

($55,000 Grant)<br />

Pitchess Motions Go Green (ePitchess) converts a<br />

burdensome and costly manual system of serving and<br />

accepting Pitchess (legal) motions into a streamlined,<br />

efficient, eco-friendly electronic process. Since January<br />

2010, hard copy police reports and electronically<br />

generated Pitchess motions have been delivered to<br />

the Los Angeles County Sheriff’s Department (LASD).<br />

This process was expanded in March 2011 to serve<br />

motions to the Los Angeles Police Department.<br />

Results of the Project<br />

From inception of the project in January 2010 through<br />

September 30, 2012, the Public Defender served 1,601<br />

Quality and Productivity Annual Report 2012<br />

9


Commission Programs and Projects<br />

Pitchess motions electronically, 1,024 to LASD and 577<br />

to LAPD. The Public Defender achieves cost avoidance<br />

and savings through reallocation of investigator hours<br />

to more substantive tasks, elimination of thousands<br />

of miles for delivery purposes, and reduction of<br />

consumables, including paper and toner.<br />

Accounting of Fund Expenditures:<br />

Total Grant/Loan: $55,000<br />

Total Withdrawn: $54,945<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $54,945<br />

PUBLIC HEALTH – CHOI Data<br />

System Rebuild<br />

($250,000 Grant)<br />

This project focused on rebuilding the original<br />

Children’s Health Outreach Initiatives (CHOI) data<br />

system to make it more user-friendly, and increase<br />

robustness and efficiency. CHOI helped increase<br />

enrollment and retention rates in health care coverage<br />

programs.<br />

Results of the Project<br />

The system allows the user to track clients and provides<br />

a tickler system to enable the user to follow-up at<br />

scheduled intervals. As a result of this rebuild project,<br />

contracted staff can generate numerous reports<br />

required by DPH, and internal staff management<br />

reports. Some of the reports include: Enrollment<br />

verification statistics, utilization data, renewal and<br />

retention numbers and percentages, cleaning reports,<br />

and scope of work percentages for staff workload<br />

management.<br />

Accounting of Fund Expenditures<br />

Total Grant/Loan: $250,000<br />

Total Withdrawn: $250,000<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $250,000<br />

PUBLIC SOCIAL SERVICES<br />

– Food Stamp/Medi-Cal Mobile<br />

Outreach Project<br />

($212,000 Grant, $163,000 Loan)<br />

The Health & Nutrition Mobile Office (Mobile Office)<br />

is deployed to various venues and events to allow<br />

the department to reach out and bring CalFresh and<br />

Medi-Cal application and enrollment services to<br />

the community throughout Los Angeles County. In<br />

addition, when a department district office encounters<br />

a power outage or is required to evacuate the building<br />

for an extended period of time, the Mobile Office is<br />

deployed to that area to assist the district office in<br />

providing services to the public.<br />

Results of the Project<br />

The Health & Nutrition Mobile Office became<br />

operational on September 29, 2010, and as of<br />

December 31, 2012, has participated in 347 outreach<br />

activities, which generated the following results:<br />

• 3,224 CalFresh and 478 Medi-Cal applications<br />

were taken and processed at the Mobile Office<br />

• 922 CalFresh and 356 Medi-Cal applications<br />

were distributed by the Mobile Office staff to<br />

those individuals and families who were unable to<br />

complete the process or who preferred to submit<br />

their applications at a later date<br />

Accounting of Fund Expenditures<br />

Total Grant/Loan: $375,350<br />

Total Withdrawn: $375,350<br />

Total Repaid: $168,110<br />

Total Program Cost: $375,350<br />

REGISTRAR-RECORDER/<br />

COUNTY CLERK – Six Sigma<br />

Efficiency Training<br />

($60,000 Grant)<br />

In April 2011, 44 employees were trained in the process<br />

improvement methodology known as Lean Six Sigma<br />

(LSS) and utilized consultant services to improve<br />

several core processes. The Quality Assurance Unit<br />

10 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

is assigned to act as an “internal consultant”, leading<br />

an in-house training program to train all employees<br />

at some level of LSS with the goal of creating further<br />

efficiencies.<br />

Results of the Project<br />

Implementation resulted in faster process times and<br />

reduced defects in certain processes. Although cost<br />

savings cannot be always calculated for creating<br />

faster, more streamlined processes, a greater capacity<br />

to do more with the same or fewer resources was<br />

achieved. One measurable example of the Lean Six<br />

Sigma process involves Vital Records requests from<br />

the public. The system reduced the processing time<br />

for these requests from 17 days to 1 day.<br />

money, and cutting salary costs of managing these<br />

timetables. Inmates and staff are also more secure<br />

as video visits eliminate the need to move inmates for<br />

traditional face to face meetings.<br />

Accounting of Fund Expenditures<br />

Total Grant/Loan: $300,000<br />

Total Withdrawn: $300,000<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $300,000<br />

Accounting of Fund Expenditures<br />

Total Grant/Loan: $60,000<br />

Total Withdrawn:<br />

N/A<br />

Total Repaid:<br />

N/A<br />

Total Program Cost: $60,000<br />

SHERIFF – Video Arraignment<br />

& Video Visiting Pilot<br />

($300,000 Grant)<br />

The Video Visiting Pilot will allow for remote visitations<br />

of inmates utilizing 15 public facing and 15 intimate<br />

facing video units. Public facing units are provided at<br />

Lakewood and San Dimas Sheriff’s Stations, Century<br />

Regional Detention Center, Twin Towers Correctional<br />

Facility, Men’s Central Jail, and the Pitchess Detention<br />

Center. There is a portable video unit for inmates<br />

housed at the Los Angeles County Medical Center<br />

prison ward. Five additional video units have been<br />

ordered, one of which will be installed in the booking<br />

area of Century Station to allow for video conferencing<br />

of arrest approvals with Compton Station.<br />

Results of the Project<br />

Exceptional efficiency has been achieved by allowing<br />

visitors to schedule video visits through an automated<br />

system. The system notifies visitors if meetings will<br />

be cancelled or rescheduled, saving visitor’s time and<br />

Quality and Productivity Annual Report 2012<br />

11


Commission Programs and Projects<br />

Department Visits<br />

Jacki Bacharach<br />

Commissioner<br />

Under the leadership<br />

of Commissioner<br />

Jacki Bacharach,<br />

Chair of the Department<br />

Visit Committee, the<br />

Commission visited with 13<br />

County department heads.<br />

The role of the Committee<br />

is to gain an understanding<br />

of department operations<br />

and challenges, then<br />

offer solutions to assist toward realizing enhanced<br />

productivity and quality service.<br />

Activities of the Committee:<br />

c Continued to gather trends from site visits<br />

c Distributed department visit summary reports to<br />

the Chief Executive Officer, Department Heads<br />

and Network Managers<br />

c Visited the following Departments during the 2012<br />

calendar year<br />

Alternate Public Defender<br />

Janice Fukai, Director<br />

(Visited March 23, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

New cases resulting from AB109 State Realignment of<br />

parolees has created a working alliance between the<br />

Alternate Public Defender and the Justice Department<br />

to handle the new caseload. Meanwhile, Court layoffs<br />

have forced APD to rework its staffing model and<br />

workload distribution. Numerous IT and technological<br />

advances, including WDI and video training on the<br />

desktop, have been implemented to counter staffing<br />

shortages, streamline workflow, and provide training<br />

to new staff.<br />

Actions taken to improve quality and productivity:<br />

c Successful implementation of the document<br />

management system (DMS) Case360, storing<br />

more than 2 million pages of closed files which<br />

has reduced costs<br />

c<br />

c<br />

c<br />

c<br />

c<br />

c<br />

Collaboration with the District Attorney, Public<br />

Defender and Internal Services Department to<br />

install the Remote Access Pilot Project (WiFi) in<br />

the downtown Criminal Courthouse<br />

Sharing the WiFi project data with L.A. Superior<br />

Court, which installed the system in all criminal<br />

courthouses<br />

Use of the Workload Difficulty Index and<br />

Electronic Work Requests (EWR) to ensure<br />

efficient workflow and work distribution among<br />

staff<br />

Development of user-friendly software programs,<br />

which have enhanced the department’s ability to<br />

serve its clients<br />

Widespread use of Inmate Video Conferencing<br />

(26,000 sessions resulting in a savings of 10,000<br />

staff hours and reducing 1.2 million commute<br />

miles)<br />

Implementation of eSubpoena (more than 500) to<br />

reduce staff travel<br />

Best practices that could be shared with other<br />

departments:<br />

c Embrace and manage change<br />

c Innovate incrementally<br />

c Collaborate with departments<br />

c Invest in IT strategies and do not allow them to<br />

stagnate<br />

c APD Case360 and CMS for Public Defender<br />

Child Support Services<br />

Stephen J. Golightly, Director<br />

(Visited April 30, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The primary aim of the Community and Senior Services<br />

Department is to increase support collections in a<br />

number of different types of cases. Innovative new<br />

programs and extended outreach were employed<br />

to meet these goals. CSS also sought to bring new<br />

efficacy to its internal operations. Certain cases over<br />

three years old were resolved without court order, data<br />

cleanup and maintenance was carried out, and a new<br />

12 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

Actions taken to improve quality and productivity:<br />

c Implement software programs that allow for<br />

online submission of child support forms<br />

c Major reduction in Call Center wait times from 26<br />

minutes to less than three minutes<br />

c Shepherd an imaging project in which 200,000<br />

cases were scanned, allowing staff easy access<br />

to case files.<br />

c Collaborate with the Department of Community<br />

and Senior Services on Workforce Investment<br />

Program opportunities for unemployed parents<br />

c Effective use of video conferencing for staff<br />

training and to disseminate information to all<br />

satellite offices<br />

c Reduce staff travel time by filing judgments,<br />

orders and summons electronically<br />

c Tracking staff performance through C-STATS<br />

c Ongoing communication with staff through the<br />

Weekly Director’s Message<br />

Best practices that could be shared with other<br />

departments:<br />

c CSTATS<br />

c Director’s Weekly Message<br />

c Quarterly Meeting with Best Practices Summit<br />

Attendees<br />

c Child Support Officer Olympics<br />

c Call Center Customer Service Training<br />

c Use of Video Conference Technology<br />

c Host National Forum to discuss trends & share<br />

best practices – “Changing Face of Child<br />

Support”<br />

Children & Family Services<br />

Philip L. Browning, Director<br />

(Visited July 26, 2012)<br />

for more such improvements as manageable case and<br />

workloads for social workers, more flexible funding,<br />

and better communication and teamwork with other<br />

County departments.<br />

Actions taken to improve quality and productivity:<br />

c Collaboration with the Departments of Health<br />

Services and Mental Health on an Enterprise<br />

Master Person Index (EMPI) to identify common<br />

clients<br />

c Full implementation of the Electronic Suspected<br />

Child Abuse Report System, in collaboration with<br />

law enforcement agencies in the County<br />

c Effective use of savings from the Title IV-E<br />

Waiver to reduce the foster care population by 20<br />

percent<br />

c Innovative deployment of executive staff<br />

members to spend time working at the 24-hour<br />

Command Post and participating in drive-alongs<br />

c Co-location of staff with other County<br />

Departments (Sheriff, Health Services, Mental<br />

Health, Public Health) for joint case planning and<br />

to improve outcomes for children who are victims<br />

of abuse and neglect<br />

c Use of an Automated Early Education and<br />

HeadStart Referral System to expedite enrollment<br />

of children<br />

c Establishment of Ask, Seek, Knock (ASK)<br />

Resource Centers in conjunction with community<br />

partners to provide free prevention services<br />

Best practices that could be shared with other<br />

departments:<br />

c Inter-departmental cooperation and collaboration<br />

c Co-locate staff whenever possible as an effective<br />

means of sharing resources and performing joint<br />

case planning<br />

Major quality and productivity<br />

challenges and opportunities:<br />

While the Department of Children and Family Services<br />

(DCFS) maintains a diligent focus on achieving better<br />

outcomes, continued success in servicing children<br />

and their families and achieving positive outcomes is<br />

reliant on several key factors. DCFS continues to strive<br />

Quality and Productivity Annual Report 2012<br />

13


Commission Programs and Projects<br />

Community Development<br />

Commission/Housing Authority<br />

Sean Rogan, Executive Director<br />

(Visited June 21, 2012)<br />

c<br />

of conducting business, such as expanding<br />

automated processes<br />

Assessing the quality of services to ensure that<br />

the delivery method is effective and efficient<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The greatest challenge to the department’s commitment<br />

to quality and productivity is massive budget cuts<br />

and budget freezes. On July 1, 2012, the department<br />

was forced to reduce staff by 44 filled positions and<br />

32 vacant positions. Numerous programs have also<br />

suffered without proper monetary financing. Several<br />

sources of Federal funding have helped stymie the<br />

drastic reduction in resources, but even these funds<br />

leave programs monetarily short of where they were<br />

just a few years ago.<br />

Actions taken to improve quality and productivity:<br />

c Developing an online grants management system,<br />

which is accessible to all 48 cities served by the<br />

CDC<br />

c Implementing of the Job Order Contacting (JOC)<br />

procurement process, which resulted in savings<br />

of between 60 and 80 percent on capital fund<br />

rehabilitation projects<br />

c Incorporating green technology in building<br />

construction, including water conservation,<br />

renewable energy, native landscaping, recycled<br />

materials, and high efficiency mechanical<br />

equipment<br />

c Revitalizing commercial corridors in<br />

unincorporated areas of the County through<br />

renovations to facades, adding public parking,<br />

and improvements to pedestrian amenities such<br />

as street trees, bus shelters, trash receptacles<br />

and sidewalk repair and replacement<br />

c Using Green Route Software to maximize<br />

efficiency in the inspection process by<br />

automating such tasks as inspection scheduling,<br />

creating inspection itineraries and mapping, and<br />

generating notices and reports<br />

Best practices that could be shared with other<br />

departments:<br />

c Seeking grants<br />

c Finding more efficient and streamlined ways<br />

Community and Senior<br />

Services<br />

Cynthia D. Banks, Director<br />

(Visited March 26, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The scope of the Department of Community and<br />

Senior Services projects tends to involve multiple<br />

County departments. With each department subject to<br />

different regulations, and each funding source having<br />

its own complex requirements, it can be challenging<br />

to coordinate every aspect necessary to ensure a<br />

program delivers quality results.<br />

Actions taken to improve quality and productivity:<br />

c Continued implementation of “best and shared<br />

practices” identified in the Commission’s annual<br />

report<br />

c Use of technology, such as an electronic statistics<br />

program, to measure performance and program<br />

efficiency<br />

c Collaboration with the City of Los Angeles’ Area<br />

Agency on Aging to promote programs and<br />

services<br />

c Ongoing training of personnel to keep pace with<br />

staff retirements<br />

c Proactive audit of internal department policies<br />

and procedures<br />

Best practices that could be shared with other<br />

departments:<br />

c Contract Management System<br />

c WebEx digital meeting tools and services save<br />

time, gas, and the environment<br />

c Employee interviews to determine department<br />

areas in need of improvement<br />

14 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

Coroner<br />

Lakshmanan Sathyavagiswaran, Director<br />

(Visited June 14, 2012)<br />

standardization within departments and larger<br />

organizations<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The Coroner had three key areas of challenge to<br />

overcome: quality assurance, measurement, and<br />

implementation of recent changes to Quality Assurance<br />

policy.<br />

The Coroner will work in accordance with several<br />

national and international standards organizations,<br />

and its own Quality Assurance Committee will serve<br />

a more active role, to address quality assurance issues.<br />

Updates to the department computer system will help<br />

standardize and quantize measurements of quality.<br />

Actions taken to improve quality and productivity:<br />

c Participating in national forums such as the<br />

Scientific Working Groups for Forensic Toxicology<br />

and Medicolegal Death Investigations<br />

c Developing a Pathology Assistant Training<br />

Program in collaboration with Rosalind Franklin<br />

University<br />

c Obtaining accreditations from both the National<br />

Association of Medical Examiners and Institute<br />

for Medical Quality<br />

c Partnering with other counties and agencies to<br />

develop an information-sharing and cost-sharing<br />

Regional Mass Fatality Management plan<br />

c Utilizing social media to promote the Department’s<br />

programs and services<br />

c Anticipating the need for an Emergency<br />

Management Director and laying the groundwork<br />

to create that position<br />

Best practices that could be shared with other<br />

departments:<br />

c Partnering with a local university to create an<br />

internship program<br />

c Continuing education for employee<br />

c Accreditation<br />

c Investigating and experimenting with new<br />

technology and resources<br />

c Creating or participating in professional working<br />

groups to promote employee efficacy and create<br />

Fire Department<br />

Daryl L. Osby, Fire Chief<br />

(Visited March 14, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The Department’s top challenge continues to be its<br />

financial sustainability to support its emergency service<br />

delivery. Budget cuts have forced the department to<br />

streamline, discover, and implement new efficiencies.<br />

Actions taken to improve quality and productivity:<br />

c Installing infrared technology on helicopters<br />

c Implementation agreement with the U.S. Forest<br />

Service to define unified command procedures,<br />

including night flying of helicopters and the use of<br />

Super Scoopers<br />

c Establishing a department Strategic Plan with 12<br />

goals<br />

c Implementing internal efficiency initiatives to<br />

reduce risks<br />

c Partnering with the private sector to create a<br />

Fire Foundation to restore programs eliminated<br />

because of budget cuts<br />

Best practices that could be shared with other<br />

departments:<br />

c The collaborative development of a Strategic Plan<br />

among departments in concert with the County’s<br />

Strategic Plan<br />

Parks and Recreation<br />

Russ Guiney, Director<br />

(Visited May 21, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The department’s greatest challenge has been<br />

maintaining patron satisfaction while reducing staff<br />

hours. One initiative to cope with budgetary restraints<br />

and improve efficiency has been the Los Angeles<br />

Quality and Productivity Annual Report 2012<br />

15


Commission Programs and Projects<br />

County Activity Registration and Reservation System<br />

an electronic system that allows patrons to reserve<br />

and/or register for Department services and programs<br />

online.<br />

Actions taken to improve quality and productivity:<br />

c Cleaning up 33 County Parks and the Arboretum,<br />

which suffered more than $10 million in damages<br />

from windstorms last year<br />

c Maximizing $200,000 in funding from Productivity<br />

Investment Fund to pilot a sustainable green pilot<br />

program at Obregon Park in East Los Angeles,<br />

resulting in estimated annual energy savings of<br />

$10,500<br />

c Developing a “Sustainable Park Concept”<br />

program encompassing energy, water and<br />

programming that could be used by other County<br />

departments, and monitoring savings achieved in<br />

each area<br />

c Generating an additional $1 million in revenue<br />

by entering into long-term leases for private<br />

management of the nineteen golf courses, and<br />

developing a centralized golf reservation system<br />

on the Internet<br />

c Continuing the Countywide Fitness Challenge<br />

in cooperation with the Department of Human<br />

Resources and health providers (such as Kaiser<br />

Permanente and Anthem Blue Cross) to improve<br />

employee health and well-being<br />

Best practices that could be shared with other<br />

departments:<br />

c Use new technologies to eliminate waste, cut<br />

down on inefficiencies, and become more selfsufficient<br />

c Apply principles of reduction and reuse to<br />

department resources<br />

allows for electronic management of case files. Office<br />

communications have been upgraded, utilizing the<br />

latest in video conferencing, WiFi, and other internet<br />

technologies. A revitalized staff education program<br />

seeks to inform employees on new legal subjects and<br />

reinforce old principles.<br />

Actions taken to improve quality and productivity:<br />

c Implementing the Public Defender Electronic<br />

Document Management System, an automated<br />

repository and retrieval system containing more<br />

than 411,400 scanned files<br />

c Increasing employee productivity by expanding<br />

Video Conferencing to include a desktop<br />

program, utilizing “Go to Meeting” and “Go to<br />

Webinar” programs<br />

c Developing a new and more user-friendly Public<br />

Defender website and a new Portal to increase<br />

communication within the department<br />

c Partnering with other justice agencies on Wi-Fi<br />

connectivity at the Clara Shortridge Foltz Criminal<br />

Justice Center and expanding the ePitchess<br />

Program to deliver motions electronically to 14 of<br />

the busiest courthouses in the County<br />

c Maintaining funding for the award-winning Client<br />

Assessment Recommendation Evaluation (CARE)<br />

project where teams assess and identify the<br />

mental health and special education needs of<br />

juveniles and make recommendations to the<br />

juvenile courts<br />

Best practices that could be shared with other<br />

departments:<br />

c Improve systems of standardized indexing of files<br />

c Customize and standardized archives<br />

c Expand use of common digital file storage and<br />

access systems<br />

Public Defender<br />

Ronald Brown, Director<br />

(Visited June 27, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The Public Defender has sought to overcome challenges<br />

by implementing a new case management system that<br />

Public Health<br />

Jonathan E. Fielding, Director<br />

(Visited February 29, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

The field of healthcare is rapidly evolving with many new<br />

issues that affect the environment, disparities in health<br />

16 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

care and access, limited resources and cultural and/or<br />

ethnic diversity. The Department must continue to be<br />

flexible and adaptable in its response to these issues.<br />

With the field of healthcare rapidly evolving, a demand<br />

for more and higher quality services, and working<br />

with a culturally and ethnically diverse population,<br />

the Department’s challenges are complicated by the<br />

inability to hire new staff. The Department is working<br />

to do more with less. Information systems are being<br />

updated and work is underway to develop a onestop<br />

portal for staff and external partners to access<br />

healthcare information.<br />

Actions taken to improve quality and productivity:<br />

c Implementing the Mommy and Baby (LAMB)<br />

surveillance project on pre-natal health care and<br />

outcomes, providing valuable data for multiple<br />

agencies and task forces, and receiving national<br />

recognition<br />

c Developing the Performance Improvement<br />

Learning Collaborative, providing a framework for<br />

performance improvement<br />

c Training all Public Health employees as first<br />

responders, including terrorism response,<br />

and coordinating response preparedness with<br />

Federal, State, and local agencies<br />

Best practices that could be shared with other<br />

departments:<br />

c Performance Improvement Learning Collaborative<br />

c Employee training<br />

Public Library<br />

Margaret Donnellan Todd, Director<br />

(Visited July 11, 2012)<br />

Major quality and productivity<br />

challenges and opportunities:<br />

Reductions in funding have affected the Library’s<br />

ability to provide resources, hire staff, and maintain<br />

traditional hours of operation. The proliferation of<br />

electronic media has forced the Library to extensively<br />

retool the services and technologies it offers. For<br />

example, the Library is partnering with Job Scout<br />

to provide computer and job skills training. These<br />

challenges have provided ample opportunities to refine<br />

the services provided and create new efficiencies.<br />

Actions taken to improve quality and productivity:<br />

c Expansion of self-check machines<br />

c Development of free mobile applications for iOS,<br />

Android and Blackberry devices, which allow<br />

customers to request materials on the go<br />

c Creation of a partnership with Job Scout, an online<br />

learning service that teaches basic Internet skills<br />

c Collaboration with the Department of Mental<br />

Health on providing public access computer<br />

services in clinics and providing caregivers with<br />

literacy and parenting skills training policies<br />

c Implementation of “An Even Better You” program<br />

that focuses on building confidence and selfesteem<br />

in at-risk youth<br />

Best practices that could be shared with other<br />

departments:<br />

c Analyze and recognize customer trends to<br />

identify services and practices that are necessary<br />

and those that are obsolete<br />

c Refine services and practices to keep them<br />

relevant to customers and to the times<br />

Registrar-Recorder/County<br />

Clerk<br />

Dean C. Logan, Director<br />

(Visited May 2, 2012)<br />

Major quality and productivity challenges and<br />

opportunities and actions taken:<br />

The key challenge facing the Registrar-Recorder/<br />

County Clerk is to streamline and refine internal<br />

processes in order to maintain quality and efficiency.<br />

As an extremely paper based department, a major<br />

focus for meeting these challenges has been to<br />

digitize and automate many processes, including<br />

filing, registrations, document storage, and mailing<br />

processes. A succession plan was put into effect<br />

to combat potential staff shortages and gaps, while<br />

several new efficiencies were added to the Los Angeles<br />

County voting process.<br />

Actions taken to improve quality and productivity:<br />

c Partnership with California State University-<br />

Quality and Productivity Annual Report 2012<br />

17


Commission Programs and Projects<br />

c<br />

c<br />

c<br />

c<br />

c<br />

Northridge on undergraduate and graduate<br />

classes at the Norwalk headquarters<br />

Tracking and responding to social media (Twitter,<br />

Facebook, YouTube) conversations about the<br />

department, providing election information in real<br />

time and correcting misinformation<br />

Full implementation of the “Lean Six Sigma”<br />

project - improving vital records processing by<br />

cutting the online process from 17 days down to<br />

one, and reducing the mail opening function by<br />

utilizing two employees instead of six<br />

Adoption of principles for the Voter Systems<br />

Assessment Project (VSAP), a strategy to develop<br />

a new voting system for Los Angeles County<br />

Use of Plain Language in all department<br />

documents<br />

Staff development of automation initiatives to<br />

improve employee productivity, such as the<br />

eSample Ballot and online campaign finance<br />

disclosure filing forms<br />

Best practices that could be shared with other<br />

departments:<br />

c Ensure jobs will not be eliminated through<br />

process improvements<br />

c Staff development does not always require<br />

training funds. Sometimes it just requires a<br />

convenient and targeted opportunity.<br />

Sheriff<br />

The Honorable Leroy Baca, Sheriff<br />

(Visited April 2, 2012)<br />

vacant patrol, custody, and court positions, saving on<br />

overtime expenditures.<br />

Actions taken to improve quality and productivity:<br />

c Adjustments in the jails due to the increased<br />

prisoner population as a result of AB 109<br />

(Realignment)<br />

c Smooth absorption of the Office of Public Safety<br />

(700 employees)<br />

c Saving $40 million in procurement costs by<br />

purchasing three used helicopters for patrol and<br />

rescue<br />

c Operating within the department’s budget by<br />

moving between 1,300 and 1,400 staff members<br />

into vacant positions one day per month<br />

c Refurbishment of the Biscaluiz Center and<br />

renovation of the Hall of Justice<br />

c Ongoing reduction in crime by working with<br />

community partners and increasing inmate<br />

education programs<br />

c Progress on the Los Angeles Regional<br />

Interoperable Communications System<br />

(LACRICS) with California Department of<br />

Transportation ($121 million) and U.S. Homeland<br />

Security ($141 million) funding<br />

Best practices that could be shared with other<br />

departments:<br />

c Integration of social media into practices and<br />

procedures to reach and inform as many people<br />

as possible<br />

Major quality and productivity<br />

challenges and opportunities:<br />

Budget reductions have led to the challenge of<br />

maintaining programs and providing services with<br />

the same number or fewer staff. AB109 and AB117<br />

pose new problems for the Department, transferring<br />

responsibilities from the state to the local level, adding<br />

even more responsibility to an already full agenda.<br />

A Budget Best Practices Committee was formed<br />

to examine Department operations and implement<br />

efficiencies. The Cadre of Administrative Support<br />

Personnel program used sworn personnel to fill<br />

18 Quality and Productivity Annual Report 2012


Commission Programs and Projects<br />

Productivity and Quality Awards<br />

The Quality and Productivity Commission is<br />

committed to promoting and sharing best<br />

practices in the County.<br />

An important part of this commitment is the annual<br />

Productivity and Quality Awards program<br />

(PQA). Each year, County departments submit<br />

their best projects to compete for a Top Award. The<br />

Commission honors the department heads, managers<br />

and employees who pay a key role in designing and<br />

implementing the best creative projects at the PQA<br />

awards luncheon.<br />

The County of Los Angeles Quality and Productivity<br />

Commission’s 26th Annual Productivity and Quality<br />

Awards Program, “Investing In A Quality Future,” was<br />

held on October 17th at the Grand Hall of the Dorothy<br />

Chandler Pavilion. Supervisor Michael Antonovich,<br />

Chief Executive Officer William T Fujioka, and the<br />

Quality and Productivity Commission joined together<br />

to honor award winners. Over 500 County employees<br />

attended the event. Patrick Healy, news reporter for<br />

NBC4, was this year’s emcee. He has hosted the event<br />

a number of times before, and was enthusiastically<br />

welcomed back.<br />

The 69 exceptional projects demonstrate new and<br />

better ways of serving the public in Los Angeles<br />

County. This year, the departments reported an<br />

estimated total of over $169.8 million in cost benefits.<br />

Service excellence and cost efficiencies continue to<br />

grow through the dedication and hard work of our<br />

County managers and employees. Their efforts help<br />

ensure the delivery of needed services.<br />

Quality and Productivity Annual Report 2012<br />

19


Grand Eagle Awards Winners<br />

The Commission’s top three awards, the “Gold,” “Silver,” and “Bronze”<br />

Eagle Awards are selected from the Top Ten winners. Selection criteria<br />

include innovation, teamwork, collaboration, service enhancement,<br />

cost savings, cost avoidance or revenue generation. These best practices<br />

serve as examples of creative solutions to universal problems.<br />

Gold Eagle Award Winner<br />

“Data Mining Solution for Child Care Welfare Fraud”<br />

Department of Public Social Services with Chief Executive Office,<br />

Chief Information Office, Office of County Counsel, and Office of District Attorney<br />

Los Angeles County faced an ever increasing<br />

threat of fraud in the California Work Opportunity<br />

and Responsibility to Kids (CalWORKs) Stage 1<br />

Child Care Program from both participants and child<br />

care providers. To assist in program integrity efforts<br />

in the CalWORKs Stage 1 Child Care Program, Los<br />

Angeles County turned to analytics solutions from<br />

SAS Institute Inc. to identify potential fraud, enhance<br />

investigations, and prevent improper payments. By<br />

doing so, they’ve helped the most vulnerable members<br />

of the community while protecting millions in taxpayer<br />

dollars.<br />

Los Angeles County conducted a Data mining pilot<br />

which achieved an 85% accuracy rate in detecting<br />

collusive fraud rings. Estimates of cost avoidance<br />

were calculated in three areas, totaling $6.8 million.<br />

The Data Mining Solution for child care welfare fraud<br />

detection was implemented on May 9, 2011, to assist<br />

Los Angeles County’s Department of Public Social<br />

Services Welfare Fraud Prevention and Investigations<br />

Section in the detection of welfare fraud relating to<br />

child care.<br />

20 Quality and Productivity Annual Report 2012


Grand Eagle Awards Winners<br />

Silver Eagle Award Winner<br />

“Vital Records Mail Processing”<br />

Department of Registrar-Recorder/County Clerk<br />

One of the responsibilities of the Vital Records<br />

Mail Processing staff is to process and mail<br />

birth certificates to customers as requested.<br />

Although policy stated that this procedure could take<br />

up to 30 days to complete, the staff, in partnership with<br />

the Lean Six Sigma (LSS) process improvement team,<br />

believed that the processing time could be reduced<br />

with a few practical changes.<br />

Sigma methodology, the staff was able to reduce the<br />

processing time for mail-in birth records from 17 days<br />

to one day.<br />

By implementing the new work rotation, the team was<br />

able to eliminate over 30 necessary steps and handoffs,<br />

resulting in faster processing time, enhanced customer<br />

service, and allowed some staff to be reassigned to<br />

other critical areas within the Department.<br />

To meet the County’s goal to provide efficient customer<br />

service, the team took an in-depth look into the existing<br />

operation. They were able to identify various areas<br />

where the reduction in handoffs and transportation<br />

of the document, along with the streamlining of<br />

workflow, could help to eliminate unnecessary steps<br />

in order to respond to customer needs in a more<br />

expedited manner. Through the use of the Lean Six<br />

Bronze Eagle Award Winner<br />

“The Contractor Alert Reporting Database (CARD)”<br />

Office of Auditor-Controller with Office of County<br />

Counsel, Internal Services Department, Chief Executive<br />

Office, Department of Public Social Services, Department<br />

of Children and Family Services, Department of<br />

Health Services, Department of Mental Health and<br />

Department of Public Health<br />

Los Angeles County has over 7,500 active<br />

contracts, at a total cost of $15.5 billion.<br />

However, the County did not have a centralized<br />

database that all departments could share to identify<br />

poorly performing contractors. As a result, one County<br />

department may award contracts to contractors and<br />

not be aware that the contractors have had fiscal<br />

solvency issues or performance issues with other<br />

County departments. The Board of Supervisors<br />

directed a Task Force with representatives from the<br />

Auditor-Controller, the Chief Executive Office, County<br />

Counsel, and Internal Services Department to develop<br />

a countywide method to share contractor information<br />

and track poorly performing contractors.<br />

The Task Force developed and implemented the<br />

Contractor Alert Reporting Database (CARD). CARD<br />

allows departments to report poorly performing<br />

contractors in a centralized online database. It further<br />

allows departments to share performance information<br />

of potential contractors. Lastly, CARD encourages<br />

contractors to correct areas of non-compliance,<br />

including repaying the County for inappropriate<br />

billings. During 2011-12, three contractors repaid the<br />

County $450,000 in questioned costs to avoid being<br />

placed in CARD.<br />

Quality and Productivity Annual Report 2012<br />

21


Top Ten Awards Winners<br />

“Child Support Services Case Management Tool”<br />

Child Support Services Department<br />

In October 2008, the Los Angeles County Child<br />

Support Department transitioned onto California’s<br />

statewide child support automation system (CSE).<br />

This system automatically performs many routine child<br />

support enforcement activities, such as employment<br />

searches and database matches. Even so, many<br />

critical steps to establish paternity and enforce<br />

support rely on employee-directed action. In CSE,<br />

caseworkers must manually review individual cases to<br />

determine what action is needed.<br />

performance not only met, but exceeded goals for<br />

current support and arrears established by the State of<br />

California. Families benefit from this tool by receiving<br />

more support than they have in the past.<br />

To address this problem, a complex software<br />

application was developed and named the Case<br />

Management Tool (CMT). The CMT organized cases<br />

in CSE by office locations, team, and worker. As a<br />

direct result of implementing the CMT, for the first time<br />

in the department’s history, the Department’s annual<br />

“Outpatient Pharmacy Barcode Verification<br />

System”<br />

Department of Health Services with Internal<br />

Services Department<br />

Prior to implementation of the Barcode Scanning<br />

project, technicians relied on manually<br />

matching medications to patients picking up<br />

their prescriptions, a common process in most retail<br />

pharmacies. When a patient presented to the pharmacy<br />

for their medication, the patient handed in a claim slip.<br />

The claim slip was scanned and the technician located<br />

the bag of medication. The technician visually verified<br />

the bag label and the medication was handed to the<br />

patient. If an incorrect medication happened, through<br />

human error, to be provided to the patient, the chance<br />

of harm existed. Given that most outpatient pharmacy<br />

medications are dispensed for 30-90 days, the error<br />

might result in a patient taking the wrong medication<br />

for days, weeks, or months.<br />

collaboratively implemented a computerized solution<br />

to modify DHS’ outpatient pharmacy information,<br />

PSCAS (Pharmacy Stock Control Audit System)<br />

that requires barcode verification at the outpatient<br />

pharmacy window.<br />

The barcode scanning project successfully prevented<br />

handout pharmacy medication errors during the first<br />

year of implementation, playing an important role in<br />

the department’s commitment to ensure that patients<br />

receive the highest level of patient care and safety.<br />

To reduce the possibility of human error and prevent the<br />

incidence of medication handout errors, DHS and ISD<br />

22 Quality and Productivity Annual Report 2012


Top Ten Awards Winners<br />

“E-mHub System Connecting DHS Medical Hubs<br />

and DCFS”<br />

Department of Health Services with Department of<br />

Children and Family Services, Chief Executive Office,<br />

Chief Information Office, Internal Services Department,<br />

Department of Public Health, and Office of County<br />

Counsel<br />

The Department of Health Services (DHS)<br />

operates six Medical Hub clinics that<br />

serve children referred by the Department<br />

of Children and Family Services (DCFS). Close<br />

collaboration between the DHS clinics and DCFS<br />

is essential to ensure that children’s health care<br />

needs are coordinated. However, communication<br />

was cumbersome and paper-based processes often<br />

created delays in medical exam results reaching the<br />

currently assigned DCFS social worker.<br />

appointment status alerts and medical exam results,<br />

viewing access for Public Health Nurses, and record<br />

sharing between the Medical Hub locations. E-mHub<br />

was implemented in February 2011 and has greatly<br />

improved continuity of care for children served,<br />

increased efficiency of Medical Hub operations,<br />

strengthened communications between the two<br />

departments, and improved coordination of services<br />

for the vulnerable children. It also provides a template<br />

for overcoming legal and regulatory barriers associated<br />

with information sharing across departments.<br />

The E-mHub information system was customdeveloped<br />

and implemented at the Medical Hub<br />

clinics to improve information sharing. The webbased<br />

system allows electronic submission of<br />

referrals from DCFS to the Medical Hubs, automated<br />

“Increasing Patient Pharmaceutical Access – PAP<br />

Programs”<br />

Department of Health Services<br />

As the economic recovery continues to struggle<br />

along with an expanding indigent/uninsured<br />

population, the Department of Health<br />

Services (DHS) has continued to be challenged for<br />

innovative solutions to manage and control escalating<br />

pharmaceutical costs. The complexity of managing<br />

multiple chronic diseases has become a mainstay of<br />

modern medical care.<br />

afford these expensive medications. To obtain these<br />

much needed medications, eligible patients must be<br />

enrolled, meet certain financial criteria, and individual<br />

applications submitted. To date, multi-year savings of<br />

more than $25 million are documented and a projected<br />

annual savings of over $9 million for FY2012/13. Also<br />

DHS has accessed patient assistance programs for<br />

over 22,000 patients.<br />

Faced with the challenges of limited funds and the<br />

growing indigent population, DHS partnered with drug<br />

distributor (Cardinal Health) to pursue Patient Assistance<br />

Program (PAP) reimbursement in DHS facilities. PAPs<br />

are programs offered by pharmaceutical companies,<br />

in which “free” drugs are provided to uninsured and<br />

needy patients, who otherwise would not be able to<br />

Quality and Productivity Annual Report 2012<br />

23


Top Ten Awards Winners<br />

“LAC+USC Medical Center Street to Home Project”<br />

Department of Health Services with Department of<br />

Department of Mental Health with Board of Supervisors<br />

First District, Chief Executive Office, Department<br />

of Health Services, Department of Public Health,<br />

Department of Public Social Services, Office of County<br />

Counsel and Sheriff’s Department<br />

T<br />

he project’s primary goal is to provide<br />

outreach, engagement and eventual placement<br />

in supported, permanent housing for a target<br />

population of unsheltered, chronically homeless and<br />

vulnerable individuals living on and around the campus<br />

of the LAC+USC Medical Center. This is part of a<br />

greater strategy to promote change related to the helpseeking<br />

behaviors of high utilizing individuals of Los<br />

Angeles County public hospital resources, primarily<br />

Emergency Departments.<br />

Care Center. There, they receive integrated treatment<br />

of physical health, mental health and substance abuse<br />

issues. They are also linked to ongoing primary and<br />

mental health care. Team members assist clients with<br />

housing and in the development of essential community<br />

support intended to foster reintegration, improve<br />

housing retention, and enhance recovery. Overall,<br />

the population of unsheltered homeless individuals<br />

living on the LAC+USC campus has decreased<br />

and a culture of change has been introduced to this<br />

population and the hospital staff.<br />

The program was designed to enhance and improve<br />

cost effective services previously delivered in<br />

LAC+USC Emergency Departments by redirecting 40<br />

homeless individuals for care at the Exodus Urgent<br />

“Enhancements to the GR SSIMAP Advocacy<br />

Program”<br />

Department of Public Social Services with Department<br />

of Health Services, Department of Mental Health and<br />

Sheriff’s Department<br />

In response to the rising General Relief (GR)<br />

caseload and to strengthen the advocacy services<br />

which assist physically and mentally-disabled<br />

GR participants to apply for Supplemental Security<br />

Income (SSI), the Department of Public Social Services<br />

(DPSS) and the Board of Supervisors identified the<br />

need to enhance the General Relief Supplemental<br />

Security Income and Medi-Cal Advocacy Program (GR<br />

SSIMAP) in ways that will decrease the GR population<br />

by transitioning more participants to SSI.<br />

documentation, provide a more in-depth partnership<br />

with SSI, and to increase outreach and trainings. As a<br />

result of these efforts, in Fiscal Year 2010-11, there were<br />

8,380 SSI approvals which exceeded the established<br />

target of 6,400. In addition, individuals who are<br />

approved for SSI achieve great self-sufficiency due to<br />

an increase in a grant amount from $221 (GR) to $830<br />

(SSI) and with each SSI approval, there is a reduction<br />

in the GR program cost.<br />

This need was addressed with the February 9, 2010,<br />

approval of the GR Restructuring Plan by the Board<br />

showcasing SSI advocacy enhancements as one of<br />

its core features. The enhancements were designed<br />

to strengthen the medical and mental health-related<br />

24 Quality and Productivity Annual Report 2012


Top Ten Awards Winners<br />

“My Jury Duty Portal”<br />

Los Angeles Superior Court<br />

The Los Angeles Superior Court commenced<br />

the My Jury Duty Portal (MJDP) project in in<br />

January 2010 and completed it in August, 2011.<br />

It operates as a unique and customized Web Portal,<br />

functioning as a “one-stop shop” for jurors. MJDP<br />

provides a single point of contact to obtain services<br />

and the information needed to complete jury service in<br />

Los Angeles County.<br />

To date, the Court has received almost 1,000,000<br />

hits and 25,500 responses to the online customer<br />

satisfaction survey. The majority of survey responders<br />

(95%) indicated overwhelming juror appreciation. The<br />

chat session feature is one of the most appreciated<br />

aspects of the project.<br />

The project has two primary goals:<br />

1. To increase customer service and satisfaction<br />

2. To increase cost savings and productivity<br />

MJDP more than meets these goals: it has become<br />

one of the most praised services offered by the Court.<br />

“Whenever you are asked if you can do a job,<br />

tell ‘em, ‘Certainly I can!’ Then get busy and<br />

find out how to do it. ”<br />

Theodore Roosevelt<br />

Quality and Productivity Annual Report 2012<br />

25


Commission Special Winners<br />

Best Application of Technology<br />

“The Works” – iPhone App<br />

Department of Public Works<br />

The Works is an iPhone application developed<br />

by the Los Angeles County Public Works<br />

Department, which provides the public an<br />

intuitive and convenient way to request services<br />

or report issues related to graffiti, potholes, illegal<br />

dumping, or street sweeping.<br />

Keeping current with consumer trends and the<br />

County’s strategic direction, The Works has launched<br />

Public Works into a new medium, providing an entirely<br />

new and consumer relevant delivery channel to serve<br />

the public. The Works is available for free on the Apple<br />

AppStore. In the first two months of release, there were<br />

900 downloads from the AppStore, with over 250 items<br />

reported through The Works.<br />

The Works leverages cutting edge technologies<br />

to streamline and enhance public works services.<br />

Using an iPhone, the public simply confirms their<br />

location, selects the issue, and submits the request.<br />

The Works captures the location through the builtin<br />

Global Positioning System (GPS). Images can be<br />

included to better illustrate the issue. Requests are<br />

automatically routed to the responsible business unit<br />

for a timely resolution. If the request is outside of the<br />

County service area, The Works provides the contact<br />

information of the appropriate agency.<br />

Best Service Improvement<br />

“My Waterworks Account Manager (MYWAM)”<br />

Department of Public Works<br />

My Waterworks Account Manager (MyWAM)<br />

is an online account management tool that<br />

enables water customers to directly access<br />

their account information, pay their bills via credit card<br />

or eCheck (without convenience fees) using two easy<br />

methods: Quick Pay and Auto Pay.<br />

• User-friendly graphical user interface and efficient<br />

navigation;<br />

• Better customer service tools for resolving issues<br />

and communicating with customers; and<br />

• Flexibility in bill content and presentment,<br />

significantly enhanced on-demand reporting tools,<br />

and interfaces to existing County system<br />

Customers and Public Works now save time and<br />

money through reduced phone calls, in-person visits,<br />

and electronic bills. In the preceding twelve months,<br />

MyWAM has processed over 77,800 electronic payment<br />

transactions, amounting to over $8 million in total<br />

payments. Running on the back-end is the new stateof-the-art<br />

billing and customer information system that<br />

replaced an old mainframe, the new system provides:<br />

• Greater flexibility in developing rate structures to<br />

encourage water conservation;<br />

26 Quality and Productivity Annual Report 2012


Commission Special Winners<br />

Best Teamwork<br />

“Los Angeles County Veterans Court”<br />

Office of Public Defender with Office of Alternate Public<br />

Defender, Office of District Attorney, Los Angeles<br />

Superior Court, Department of Veterans Affairs - VA<br />

Greater LA Healthcare System, and Public Counsel<br />

program combines intensive judicial supervision<br />

with federal and local treatment services. Utilizing a<br />

multi-agency and multi-disciplinary team approach,<br />

the Court aims to reduce recidivism and reintegrate<br />

veteran offenders back into their communities by<br />

providing access to intensive treatment services and<br />

case management while minimizing incarceration.<br />

Approximately 18% of all California’s veterans<br />

live in Los Angeles County. As a result, there<br />

is a growing trend of veterans facing charges<br />

stemming from substance abuse and mental illness.<br />

Research has shown that traditional services do not<br />

always meet the needs of veterans adequately. They<br />

respond more favorably to a treatment court process<br />

with those who have common past experiences and<br />

needs.<br />

The Veterans Court was established in September 2010<br />

as a collaborative pilot program to respond to the needs<br />

of veterans with addiction, mental illness, co-occurring<br />

or other military related disorders. The 18-month<br />

Commissioners’ Memorial Award<br />

“Supervisorial Redistricting Public Access Plan”<br />

Chief Executive Office with Department of Regional<br />

Planning, Internal Services Department, Office of<br />

County Counsel, Board of Supervisors Executive<br />

Office, Department of Registrar-Recorder/County<br />

Clerk, and Chief Information Office<br />

The process of redistricting has historically been<br />

a complex and time-consuming endeavor,<br />

conducted by a few “experts,” who had<br />

access to Census data and mapping software as well<br />

as knowledge of redistricting principles. The Board<br />

of Supervisors adopted the framework of a Public<br />

Access Plan that expressed the County’s commitment<br />

to promote public participation in the redistricting<br />

process, ensure the widest practicable participation<br />

by the public, and provide for dissemination of<br />

pertinent redistricting information through innovative<br />

technologies.<br />

collaboration of seven departments developed and<br />

implemented a Public Access Plan that met various<br />

constituent interest levels ranging from the basic<br />

principles of redistricting, to offering free, dynamic<br />

redistricting software, which included analytical tools<br />

and the ability to submit redistricting plans electronically<br />

for County consideration. Compared to the 2000<br />

effort, when public participation was sparse and only<br />

two plans were submitted, the collaboration resulted<br />

in more public participation and the submission of 19<br />

redistricting plans.<br />

The challenge was to develop and implement a multifaceted<br />

Public Access Plan in a large, diverse County<br />

of almost 10 million people with a limited budget. A<br />

Quality and Productivity Annual Report 2012<br />

27


Commission Special Winners<br />

County Image Enhancement Award<br />

“Coroner Forensic Training for Marines Program”<br />

Department of Coroner<br />

While Lt. Fred Corral was on duty at the U.S.<br />

Marine Corps (USMC), the family of a fallen<br />

hero asked him to escort the serviceman’s<br />

remains back home. Lt. Corral complied with orders,<br />

although he had received no prior training for the task.<br />

also provided in other areas, including notifications<br />

and identification.<br />

The Marines have expressed gratitude for the invaluable<br />

training they received in the program. This program<br />

has offered Marines a unique training opportunity so<br />

that fallen heroes will be escorted with a heightened<br />

level of respect, integrity, and compassion that each of<br />

these men and women so richly deserve.<br />

Years later, while working at the Department of Coroner<br />

and with the advent of the USMC’s Personnel Retrieval<br />

Processing-PRP Company, Lt. Corral developed the<br />

idea for a program to provide forensic training for the<br />

Marines. The Personnel Retrieval Processing (PRP)<br />

Marines Program trains and prepares Marines for<br />

deceased personnel processing. In January 2009,<br />

the first group of Marines began the comprehensive<br />

four week program which involves working alongside<br />

Decedent Services Unit by responding to hospital<br />

and field calls, processing decedents, and collecting<br />

evidence and personnel effects. Additional training is<br />

Mega Million Dollar Award<br />

“Mental Health Services Act Housing Program”<br />

Department of Mental with Community Development<br />

Commission/Housing Authority<br />

As part of the overall effort by the County of<br />

Los Angeles to address homelessness, the<br />

Department of Mental Health has worked to<br />

develop Permanent Supportive Housing for individuals<br />

with mental illness who are homeless. Mental health<br />

intervention in the absence of safe and stable housing<br />

is often ineffective, placing clients at high risk for<br />

incarceration, hospitalization and/or death on the<br />

streets.<br />

date, 305 apartments have been developed for their<br />

clients and their families and an additional 424 are in<br />

various stages of development. In most cases, these<br />

newly constructed buildings have replaced abandoned<br />

and blighted properties creating buildings that become<br />

the pride of the community. The apartments will remain<br />

allocated to the Department’s clients for at least 20<br />

years. It is estimated that about 2,287 jobs have been<br />

created to develop and build 14 of the 33 projects.<br />

To address the scarcity of permanent affordable<br />

housing for individuals with mental illness, the<br />

Department maximized its investment of $115 million<br />

in Mental Health Services Act funding into a $551<br />

million pool through leveraging local, state and federal<br />

funding. Working with the Chief Executive Office,<br />

Board offices and stakeholders, they engaged 21<br />

private housing developers for 33 new projects. To<br />

28 Quality and Productivity Annual Report 2012


Commission Special Winners<br />

Performance Measurement Award<br />

“Coordinated Services Action Teams”<br />

Department of Children and Family Services with Department<br />

of Mental Health<br />

The Coordinated Services Action Teams (Teams)<br />

are regionally based clinical management<br />

teams established to help Children’s Social<br />

Workers (CSWs) identify families’ strengths and needs,<br />

and match those with available community based<br />

services. The Teams work with CSWs to coordinate<br />

different types of assistance for families with a goal of<br />

reducing service duplication.<br />

Implementation of the partnership between<br />

Department of Children and Family Services and the<br />

Department of Mental Health began in May 2009. The<br />

mental health screening process, a key part of the<br />

program, was redesigned in October 2010. It identifies<br />

whether children need mental health services, as well<br />

as the levels of need. The program was implemented<br />

countywide in September 2011. This program has<br />

resulted in a large number of foster children receiving<br />

mental health services.<br />

CSWs receive support from clinical management<br />

teams to navigate the complexities of child welfare,<br />

health, mental health, education, the regional center,<br />

and social services agencies. They also manage<br />

access to services. The Teams are trained and have<br />

experience to provide office-based expertise to speed<br />

up and ensure service linkage.<br />

Personal Best Award<br />

“Chagas Disease: First Center of Excellence”<br />

Department of Health Services/Olive View-UCLA<br />

Sheba Meymandi, MD<br />

Chagas Disease (Chagas) is a deadly parasitic<br />

illness that has long been the leading cause<br />

of heart failure in Latin America and is now<br />

increasingly recognized among immigrant communities<br />

in the United States. The CDC estimates that there are<br />

over 300,000 cases in the United States, but very few<br />

cases are diagnosed and even less are treated.<br />

patients. Her efforts, driven by her passion, and funded<br />

by non-County funds, have led to a fully integrated<br />

Center including testing, diagnosis, treatment, education<br />

and research. She has collaborated with numerous<br />

organizations and academic institution to truly champion<br />

this disease and the patients it affects. Both the treatment<br />

and raising awareness are not easy. It is Dr. Meymandi’s<br />

goal to educate the community about this disease and<br />

to promote early detection and treatment to prevent the<br />

development of heart failure and early death.<br />

There are many barriers to diagnosis and treatment,<br />

including lack of awareness among healthcare providers<br />

and lack of access to care among the affected individuals.<br />

In response, Olive View-UCLA Medical Center opened<br />

the first and only “Center of Excellence for Chagas” in<br />

the United States devoted to studying and treating the<br />

disease.<br />

Sheba Meymandi, MD, a cardiologist at Olive View,<br />

spearheaded the program to provide care for Chagas<br />

Quality and Productivity Annual Report 2012<br />

29


Commission Special Winners<br />

Plain Language Award<br />

“Safe Shoe Campaign”<br />

Department of Public Social Services<br />

In Fiscal Year 2009-10, the Department of Public<br />

Social Services spent nearly a million dollars and<br />

lost thousands of work hours due to trip, slip, and<br />

fall injuries. Research determined that inappropriate<br />

footwear was a significant contributing factor to this<br />

leading cause of workplace injuries. When an employee<br />

is injured, it negatively impacts the Department,<br />

employee, and employee’s family. The injured worker<br />

may experience a reduction in his/her pay and the<br />

ability to care for his/her family.<br />

of appropriate and inappropriate footwear along with<br />

a companion poster highlighting the potential negative<br />

impact trip, slip, and fall injuries have on our employees,<br />

their families, departmental operations, and the budget.<br />

The posters are displayed in a visible location as a<br />

consistent message to employees about shoe safety.<br />

In an effort to reduce the trip, slip and fall accidents in<br />

the workplace, the Department launched a Safe Shoe<br />

Campaign to increase employee awareness about the<br />

importance of wearing appropriate footwear while at<br />

work. The Safe Shoe Campaign poster depicts pictures<br />

“Amateurs sit and wait for inspiration,<br />

the rest of us just get up and go to work. ”<br />

Stephen King<br />

30 Quality and Productivity Annual Report 2012


2012 Commission Chair Leadership Award<br />

Dr. Jonathan Fielding, MD, MPH<br />

Director, Department of Public Health<br />

Learning Collaborative and implemented the highly<br />

successful “Mommy and Baby” surveillance project.<br />

Dr. Fielding embraces new technologies, fosters a<br />

productive and creative workforce, and diligently<br />

carries out the mission of his department – to protect<br />

health, prevent disease and promote health and wellbeing.<br />

He leads a staff of more than 4,000 employees<br />

with a budget that exceeds $750 million dollars. He<br />

is held in high esteem by colleagues and health care<br />

professionals across the nation.<br />

Each year the Commission recognizes a<br />

leader within the County. This individual is a<br />

Department Head, who leads by example and<br />

carries out the mission and vision of our organization.<br />

This year’s recipient is Dr. Jonathan Fielding, Director,<br />

Department of Public Health.<br />

Under Dr. Fielding’s leadership, the Department trained<br />

all employees as “first responders,” including terrorism<br />

response, developed the Performance Improvement<br />

He chairs a national committee on Health Promotion<br />

and Disease Prevention and is Vice-Chair of the Los<br />

Angeles First 5 Commission. First 5 grants over $100<br />

million to programs designed to improve the health<br />

and development of children, ages 0 to 5 years. He is<br />

Chair of the U.S. Community Preventive Services Task<br />

Force, which makes recommendations to the federal<br />

government on programs and policies to improve<br />

public health.<br />

It was an honor for the Commission to present the 2012<br />

“Chair Leadership Award” to Dr. Fielding.<br />

“I am greatly humbled and your award serves to remind<br />

me there is still so much to do to make access to healthcare<br />

a reality for many. I see this award as a mandate to work<br />

further on the social and physical environments that will<br />

improve the determinants of health and result in a better<br />

informed and healthier Los Angeles County ”<br />

Dr. Jonathan Fielding, MD, MPH<br />

Director, Department of Public Health<br />

Quality and Productivity Annual Report 2012<br />

31


Productivity Manager Header of the Year<br />

Stephanie Maxberry<br />

Community and Senior Services<br />

Selection of the “Productivity Manager of the Year” is based on participation in<br />

the Commission’s programs, promotion of quality and productivity within the<br />

individual’s department and across the County, and demonstrated leadership<br />

within the Quality and Productivity Managers Network.<br />

The Commission selected Productivity Manager Stephanie Maxberry from Community<br />

and Senior Services as the 2012 Productivity Manager of the Year.<br />

Stephanie has all the qualities of the Productivity Manager of the Year and many<br />

more. She is personable, enthusiastic and always displays a positive attitude. She first<br />

joined the Network while serving with the County’s former Department of Ombudsman, which is now a part of the<br />

Department of Community and Senior Services.<br />

Additionally, Stephanie has served as Co-Chair, 1st and 2nd Vice-Chairs of the Network, and is a valuable member<br />

of the Productivity Investment Board’s Advisory Committee. In all, she has more than 25 years of outstanding<br />

County service. Her experience and knowledge made her an invaluable asset to the Network.<br />

32 Quality and Productivity Annual Report 2012


Quality and Productivity HeaderManagers’ Network<br />

The The Quality and Productivity Managers’<br />

Network is made up of employees from each<br />

County department who are appointed as<br />

Quality and Productivity Managers by their department<br />

heads. The Network is led by an Executive Committee<br />

composed of a Chair or Co-Chairs, Vice-Chairs,<br />

and Committee Chairs. The Executive Committee is<br />

elected by the membership.<br />

Members serve voluntarily on the following committees:<br />

Productivity and Quality Awards, Productivity<br />

Investment Fund, Department Visit, Plain Language,<br />

Promotion, Executive Committee, and Education and<br />

Training.<br />

2012 Executive Committee<br />

Jennifer Coultas, Chair<br />

Child Support<br />

Stephanie Maxberry, 1st Vice-Chair<br />

Community and Senior Services<br />

Kirk Shelton, 2nd Vice Chair<br />

Consumer Affairs<br />

Elizabeth Mendez<br />

Training and Education Chair<br />

Department of Parks and Recreation<br />

Elisa Vasquez, PQA Co-Chair<br />

Community Development Commission<br />

Emma Ayala, PQA Co-Chair<br />

Department of Public Works<br />

Charlene Abe, PIB Advisory Committee<br />

Chief Executive Office<br />

Quality and Productivity Annual Report 2012<br />

33


Quality and Productivity HeaderManagers’ Network<br />

Message from the Chair of the Quality and Productivity Managers’ Network<br />

Jennifer Coultas<br />

<strong>QP</strong>MN Chair<br />

It has been an honor to<br />

work with the Quality and<br />

Productivity Managers’<br />

Network (Network) in 2012. I<br />

want to extend my special<br />

thanks to the Network Managers<br />

for their enthusiasm, support,<br />

and dedication to improving<br />

productivity through innovation<br />

and collaboration.<br />

The Network, working hand-in-hand with the<br />

Commission, is dedicated to finding ways to increase<br />

efficiency while ensuring the continued delivery<br />

of quality services to the residents of Los Angeles<br />

County. The Productivity Managers met several<br />

times in 2012 and were hosted by the Sheriff’s<br />

Department, Beaches and Harbors, Arts Commission,<br />

and Registrar-Recorder. We focused on leadership<br />

development as well as other topics, including:<br />

submission of investment fund projects, shared<br />

practices, productivity awards applications, efficiency<br />

projects, and quality improvement. We learned to<br />

increase efficiencies within our departments with new<br />

tools such as Six Sigma and WebEx.<br />

The 26th Annual Productivity and Quality Awards<br />

ceremony was a highly successful Commission and<br />

Network partnership. Elisa Vasquez and Emma Ayala<br />

co-chaired this stellar event. The theme, “Investing in<br />

a Quality Future,” recognized innovative projects that<br />

continue to raise the bar in excellence and improve<br />

services to Los Angeles County residents.<br />

The Managers’ Network elected another solid slate<br />

of energetic Executive Committee members for 2013.<br />

Congratulations to our newly elected officers:<br />

n Chair – Jennifer Coultas<br />

n Special Executive Advisor – Stephanie S.<br />

Maxberry<br />

n 1st Vice Chair – Kirk Shelton<br />

n 2nd Vice-Chair – Elisa Vasquez<br />

n Chair, Productivity Investment Board Advisory<br />

Committee – Amy Clarke<br />

n PQA Chair – Emma Ayala<br />

n Training and Education Co-Chairs – Elizabeth<br />

Mendez and Gerardo Pinedo<br />

I want to acknowledge the continuing support of<br />

the Quality and Productivity Commission, under the<br />

leadership of its Commission Chair, William Sullivan,<br />

and Network Advisor, Commissioner Jaclyn Tilley<br />

Hill. I also wish to provide a special thank you to the<br />

always helpful Commission staff, Victoria Pipkin-Lane,<br />

Mary Savinar, Laura Perez, Ryan Stanley, and Andrew<br />

McClure.<br />

The Network will continue to work in partnership with<br />

the Quality and Productivity Commission to fulfill the<br />

County’s strategic goals in 2013.<br />

Jennifer Coultas<br />

Chair, Quality and Productivity Managers’ Network<br />

34 Quality and Productivity Annual Report 2012


Quality and Productivity Managers’ Network<br />

Commissioners’ Leadership Conference: “Leadership Tomorrow”<br />

The Quality and Productivity Commission hosted<br />

the 10th Annual Commissioners’ Leadership<br />

Conference, “Leadership Tomorrow,” at the<br />

Music Center on May 23, 2012.<br />

This year’s leadership conference highlighted<br />

how selected departments used new ideas and<br />

technologies to identify ways to improve efficiency and<br />

make better business decisions to serve the people<br />

of Los Angeles County. Each of the presentations by<br />

the department heads identifies a successful way to<br />

make their departments more effective in delivering<br />

customer service.<br />

Commissioners, department heads and managers,<br />

were welcomed by Commission Chair William<br />

Sullivan, Committee Chair Algird Leiga, and<br />

Supervisor Michael D. Antonovich. They were<br />

followed by the speakers below:<br />

n<br />

Moidin Mohiuddin from the IBM Almaden<br />

Research Center spoke about the continued<br />

integration of technology into the workforce and<br />

the need to rethink the workforce model to meet<br />

the expectations of future employees, taking into<br />

consideration cloud sourcing, social networks,<br />

and analytics.<br />

Adapting to ubiquitous computing sources and<br />

harnessing relevant data is essential to maintaining<br />

quality services.<br />

n<br />

n<br />

Lisa Garrett, Director of Human Resources,<br />

spoke on the challenges of adapting to an ever<br />

evolving workforce. Our challenge is to anticipate<br />

the impact of attrition and develop succession<br />

plans. Part of this challenge is to provide training<br />

and development of managers supervising mobile<br />

staff.<br />

Ulmont S. Smith, Vice President and General<br />

Manager of Intel’s Advanced Technical<br />

Sales, spoke on the challenges presented by<br />

the sheer mass of information in our world. The<br />

coming technological changes in computing will<br />

bring information in unprecedented quantities.<br />

n<br />

n<br />

Richard Sanchez, Chief Information Officer,<br />

elaborated on the technological changes sweeping<br />

the county and the new “mobile” workforce. He<br />

asked Conference attendees to consider the work<br />

environment where staff are mobile and can access<br />

analyzed information, using tablet technology,<br />

to assist in making informed decisions through<br />

various social media sources. This scenario is<br />

taking form and will be a common occurrence in<br />

the next few years.<br />

Our Chief Executive Officer, William T Fujioka<br />

shared his vision and the State of the County in<br />

2020. The CEO called for visionary leadership to<br />

Quality and Productivity Annual Report 2012<br />

35


Commission Programs Header and Projects<br />

n<br />

ensure a productive and efficient workforce in<br />

2020. The leaders of today need to design a road<br />

map to assist our employees to work smarter and<br />

faster tomorrow.<br />

David Sommers, Acting Director of Public<br />

Affairs, explained the next steps in leadership,<br />

vision, and technology. Building on CEO Fujioka’s<br />

idea of the County in 2020, David foresaw a future<br />

built on heavy use of social media to achieve<br />

County goals, based on the County’s current<br />

projects utilizing social media.<br />

The Quality and Productivity Commission thanks<br />

the department heads, managers, and County<br />

commissions for their continuing efforts to effectively<br />

use “Leadership Tomorrow,” in their quest to provide<br />

efficient and high quality services for the residents of<br />

the County of Los Angeles.<br />

36 Quality and Productivity Annual Report 2012


Shared Header Practices<br />

The Shared Practices Report highlights practices<br />

used by departments to solve complex<br />

problems, create cost benefits, and provide<br />

quality services to our residents. The Quality and<br />

Productivity Commission recognizes these innovative<br />

practices through the Productivity Investment Fund,<br />

Department Visits, and Productivity and Quality<br />

Awards.<br />

The creative ideas and practices used by one<br />

department can serve as a guide for others. The ideas<br />

in the report highlight useful tools that we call shared<br />

practices. Examples of these practices include:<br />

Sharing these practices will help departments develop<br />

a knowledge base on what others are doing to solve<br />

problems that may be similar to theirs. We believe that<br />

sharing these practices will help generate new ideas<br />

to improve productivity and enhance the quality of<br />

County services.<br />

The report is posted on the Quality and Productivity<br />

website at: http//qpc.co.la.ca.us.<br />

• Using available technology in new ways<br />

• Leveraging private sector business practices<br />

• Collaborating to deliver improved services<br />

• Creating new ways to deliver services<br />

• Telling our story<br />

Quality and Productivity Annual Report 2012<br />

37


Strategic Foresight Header Working Group<br />

Algird Leiga, Chair<br />

The Strategic Foresight<br />

Working Group (SFWG),<br />

under the leadership of<br />

Algird Leiga, looks at futurist<br />

predictions to identify game<br />

changing events that could<br />

alter the way the County does<br />

business. The idea is to identify<br />

potential changes early enough<br />

so the business of the County can<br />

evolve without major disruptions.<br />

Compiled by Commissioner Evelyn Gutierrez, the<br />

following information provides highlights of workforce<br />

and workplace challenges to come:<br />

Workforce 2020<br />

c Baby Boomers (1946 – 1964): 74 to 56 years old,<br />

44% of the workforce<br />

c Generation X (1965-1979): 55 to 41 years old, 41%<br />

of the workforce<br />

c Absent an unpredicted increase in future “new<br />

hires”, Workforce 2020’s median age will be 41 to<br />

65 years old. The average retirement age will be<br />

65.<br />

Future Skills Shift for Employees<br />

c Focus will be on teamwork, shifting away from the<br />

“individual”<br />

c Flexibility will be required to adjust to an ever<br />

changing workplace<br />

c Technology literacy, computer skills, and social<br />

media skills will be required<br />

c Continuous learning will be essential for new<br />

assignments and personal growth<br />

Workplace 2020<br />

c Traditional office space and departmental offices<br />

will be restructured to provide one-stop services<br />

c Virtual services provided through new technology<br />

(on-line services, WiFi, mobile hand held units) and<br />

social media service platforms<br />

c Departmental offices in the community will provide<br />

full-service options through shared office space,<br />

public-private partnerships, non-traditional service<br />

partners, and self-service centers, (kiosks and<br />

City-County informational resources)<br />

Recommendations<br />

c Funding for continuous Workforce Training will be<br />

critical<br />

c Conducting experience sharing, mentorship and<br />

on-the-job training will be essential<br />

c Re-designing the Workplace and office sharing will<br />

provide future efficiencies<br />

c Promoting new technology, mobile services<br />

and one-stop services will meet the future needs<br />

of culturally diverse communities<br />

c Exploring public-private service partnerships will<br />

leverage service resources<br />

The SFWG uses information gathered throughout the year to identify ideas that will increase efficiency<br />

and improve services. The goal is to keep County departments apprised of changes or innovative ideas<br />

that may assist them with challenges in their respective departments.<br />

The Committee is also looking at opportunities to bring educational tools to assist Productivity Managers<br />

in their administrative roles.<br />

38 Quality and Productivity Annual Report 2012


Executive HeaderStaff<br />

Office of the Commission<br />

The Quality and Productivity Executive Staff provide<br />

central support and coordination through the Chief<br />

Executive Office for the many activities of the<br />

Commission. Executive Director, Victoria Pipkin-<br />

Lane, Program Manager, Mary Savinar, and Program<br />

Specialist, Laura Perez, carry out day-to-day<br />

operations, coordinate activities, and respond to the<br />

requirements and direction of the Commission.<br />

As part of a continuing tripartite relationship between<br />

the Board of Supervisors, the Chief Executive Office,<br />

and the Quality and Productivity Commission, the<br />

Chief Executive Office furnishes the Commission with<br />

a fully-staffed office on the fifth floor of the Kenneth<br />

Hahn Hall of Administration. Conference rooms are<br />

also made available for Commission and Network<br />

business. Commissioners visiting the Civic Center on<br />

Commission business frequently use the office as a<br />

stopping-off place before, after, or between meetings.<br />

Victoria Pipkin-Lane<br />

Executive Director<br />

vpipkin@ceo.lacounty.gov<br />

(213) 974-1361<br />

Mary Savinar<br />

Program Manager<br />

msavinar@ceo.lacounty.gov<br />

(213) 974-1390<br />

Laura Perez<br />

Program Support<br />

lperez@ceo.lacouty.gov<br />

(213) 893-0322<br />

Chief Executive Office, Budget and Fiscal Services Staff<br />

The Chief Executive Office, Budget and Fiscal Services<br />

provides support to the Commission by managing<br />

the Productivity Board loan/grant tracking system.<br />

The tracking system allows the Commission to input,<br />

track, revise, and report on loans and grants issued<br />

to County departments. They also maintain financial<br />

reports, withdrawals, and payment schedules and<br />

fund balance projection.<br />

Rick Hong<br />

rhong@ceo.lacounty.gov<br />

(213) 974-1176<br />

Giles Quan<br />

gquan@ceo.lacounty.gov<br />

(213) 974-2582<br />

Jacqueline Bui<br />

jbui@ceo.lacounty.gov<br />

(213) 974-1138<br />

Quality and Productivity Annual Report 2012<br />

39


County of Los Angeles<br />

Board of Supervisors<br />

2012<br />

Gloria Molina<br />

Supervisor, First District<br />

Zev Yaroslavsky<br />

Supervisor, Third District<br />

Chair<br />

Mark Ridley-Thomas<br />

Supervisor, Second District<br />

Don Knabe<br />

Supervisor, Fourth District<br />

Michael D. Antonovich<br />

Supervisor, Fifth District<br />

Chief Executive Officer<br />

William T Fujioka<br />

Chief Executive Officer<br />

40 Quality and Productivity Annual Report 2013


Commission Chair Leadership Award Recipients<br />

Jonathan E. Fielding, MD, MPH<br />

Public Health - 2012<br />

Cynthia Banks, Director<br />

Community and Senior Services - 2011<br />

Russ Guiney, Director<br />

Parks and Recreation – 2010<br />

Dennis Tafoya, Director<br />

Affirmative Action – 2009<br />

Pastor Herrera, Jr., Director<br />

Consumer Affairs – 2008<br />

Janice Y Fukai, Alternate Public Defender<br />

Alternate Public Defender – 2007<br />

P. Michael Freeman, Fire Chief<br />

Fire – 2006<br />

J. Tyler McCauley, Auditor-Controller<br />

Auditor-Controller – 2005<br />

Connie B. McCormack, Registrar-Recorder/County Clerk<br />

Registrar-Recorder/County Clerk – 2004<br />

Anthony Hernandez, Director<br />

Coroner – 2003<br />

Dr. Lakshmanan Sathyavagiswaran, Director<br />

Chief Medical Examiner/Coroner – 2003<br />

Joan Ouderkirk, Director<br />

Internal Services Department – 2002<br />

David E. Janssen, Chief Administrative Officer<br />

Chief Administrative Officer – 2001<br />

Harry Stone, Director<br />

Public Works – 2000


In Memoriam<br />

Commissioner Raymond G. Hemann<br />

January 24, 1933 – March 31, 2012<br />

Raymond Hemann was appointed to the Quality and Productivity Commission on June<br />

21, 2011, by the County of Los Angeles Board of Supervisors.<br />

Commissioner Hemann was President and Chief Executive Officer of Advanced Systems<br />

Research, Inc. He had 45 years of broad technical and management experience in the<br />

aerospace industry and in government, having served as a consultant to the U.S. Department<br />

of Defense, the Central Intelligence Agency, the National Air and Space Intelligence<br />

Center and the Center for Strategic and International Studies in Washington, D.C.<br />

A former manager of advanced concepts for Lockheed Aircraft, he also served as the<br />

corporate director of future requirements for Rockwell International, and was an assistant<br />

professor of military operations research at the U.S. Naval Postgraduate School in<br />

Monterey, California.<br />

Commissioner Hemann earned a master’s degree in economics and a master’s degree<br />

in engineering from California State University-Fullerton, and a certificate in systems<br />

dynamics from the Massachusetts Institute of Technology.<br />

He served the Commission in an exemplary manner and is commended and thanked for<br />

his service to the residents of Los Angeles County.


Quality and Productivity Commission<br />

2012 AnnuAl RePoRt<br />

http://qpc.co.la.ca.us

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