

Los Angeles County Substance Abuse Prevention and Control (SAPC)
We serve as a specialized technical assistance and capacity-building partner to the SAPC Bureau within the LA County Department of Public Health. Through targeted training, coaching, and structured implementation support, we strengthen the county’s SUD provider network to expand access to high-quality, culturally responsive, and financially sustainable services aligned with DMC-ODS and CalAIM priorities.
Project Start/End Dates: Ongoing
Geographic Area(s) of Focus: Los Angeles County
Funder: Los Angeles County Department of Public Health, Bureau of Substance Abuse Prevention and Control (SAPC)
Team Members: Pranab Banskota, Amy Mcilvaine, Leslie Dishman, Dr. Claudia Murrillo-Hernandez, Martin Toledo, Krystal Edwards, Leslie Garcia, Emylze Garcia
Project Overview
As a core partner within SAPC, CIBHS supports one of the nation’s largest public SUD systems. Working in close partnership with SAPC leadership and the provider network, we translate County policy, performance standards, and strategic priorities into structured, provider-level implementation that strengthens performance, advances fiscal sustainability, and improves service delivery across the continuum of care.
Why This Work Matters
Los Angeles County’s SUD system operates at a significant scale while navigating payment reform, regulatory complexity, and evolving accountability expectations. Providers must strengthen performance, fiscal sustainability, and service design and quality while serving one of the most culturally and linguistically diverse populations in the country.
Meeting the needs of diverse communities requires providers to address, access, equity, cultural responsiveness, and structural barriers to care alongside operational and regulatory demands. Coordinated implementation support is essential to expanding equitable access to high-quality SUD services across the County.
How This Work Is Done
CIBHS works in active partnership with SAPC leadership and the provider network to move strategy into action.
Drawing on continuous quality improvement, instructional design, and change management, initiatives are co-designed with the County and refined alongside providers to ensure they are practical, measurable, and sustainable. This work strengthens workforce capability, fiscal sustainability, operational effectiveness, performance systems, and culturally and linguistically responsive, patient-centered service design.
Through structured training, technical assistance, and coaching, providers build the skills, systems, and infrastructure needed to sustain improvement and advance SAPC’s mission across the network.
What This Work Delivers
Performance Management & Quality Improvement
Designing and operationalizing performance systems that align providers with SAPC priorities and accountability standards. This includes KPI development, performance dashboards, structured data review cycles, and action planning processes that translate metrics into measurable improvement, supported by continuous quality improvement and service design principles.
Service Delivery Optimization
Strengthening service delivery through multi-year change management and quality improvement collaboratives that advance patient-centered care across diverse communities. This work supports fiscal sustainability, workforce retention, and implementation of clinical best practices—including integration of Medications for Addiction Treatment (MAT)—while helping providers navigate complex system reforms.
Equity and Access
Embedding equity into system design by strengthening culturally and linguistically responsive service delivery, language access infrastructure, and workforce capability across the SAPC network. This work integrates communication strategies, public awareness initiatives, and learning platforms to expand access to SUD services and reduce structural barriers to care.