The recent wildfires sweeping through Southern California have led to significant closures of outpatient facilities in the region, causing disruptions in access to care for thousands of patients. Major health systems, including Kaiser Permanente, Providence, Cedars-Sinai, Adventist Health, and UCLA Health, have had to shut down clinics in affected areas, such as Santa Monica, Pasadena, and Malibu. These closures, while necessary to ensure safety, have the potential to create a cascading effect of challenges for patients, particularly those with chronic conditions or in need of non-urgent procedures.
At Advanced Management USA, we recognize the direct impact these events can have on our ACO patients, particularly given our large patient population in California. As an organization that works to optimize care for patients across various health systems, we understand that these disruptions present unique challenges for ACO providers. Here are several steps ACO providers can take to help minimize the impact of these closures:
1. Utilize Telemedicine Options
With outpatient facilities closed or access limited, telemedicine provides an immediate solution for continuing patient care. Many of our ACO providers have already integrated telehealth platforms into their workflows, allowing physicians to consult with patients remotely for follow-up care, prescription refills, and non-urgent conditions. Providers should ensure that telemedicine options are readily available and communicated to patients, especially those in affected areas.
2. Coordinate with Emergency and Urgent Care Centers
While many non-urgent procedures are paused, emergency departments and urgent care centers remain open. Providers should work closely with these facilities to ensure that patients in need of acute care or assistance with respiratory conditions due to smoke inhalation can be swiftly routed to the appropriate services. Given the rising number of patients with respiratory issues linked to wildfire smoke, it’s crucial to have clear communication channels with emergency centers.
3. Prioritize Care for Vulnerable Populations
Wildfires not only cause physical destruction but also pose significant health risks, particularly for individuals with chronic respiratory conditions, the elderly, and those with compromised immune systems. ACO providers should prioritize these populations for follow-up care, whether through remote consultations or by helping them access alternative care sites that remain operational. Regular check-ins can ensure that patients are managing their conditions appropriately during these times of crisis.
4. Assist in Rescheduling Critical Appointments
Non-urgent procedures and elective care may be delayed due to the closures. However, it is important that ACO providers assist patients in rescheduling these appointments as soon as facilities reopen. Proactive coordination with patients can help minimize delays in care that could exacerbate chronic conditions or affect quality of life.
5. Ensure Clear Communication
In times of crisis, clear and transparent communication is essential. ACO providers should work with their networks to ensure that patients are fully informed about clinic closures, available alternatives, and how to access care during this challenging period. This communication should include information on telemedicine availability, changes to appointment scheduling, and resources for managing wildfire-related health concerns.
6. Collaborate with Local Health Authorities
Given the public health emergency declared by California’s Health and Human Services Secretary Xavier Becerra, ACO providers should collaborate with local authorities to stay informed on the latest developments and resources available. This collaboration can help streamline patient care and ensure that ACOs are equipped with the necessary tools to support patients during the crisis.
Conclusion
While the Southern California wildfires have posed significant challenges for health systems and ACO providers alike, there are several actionable steps that can be taken to ensure continued care for patients. By leveraging telemedicine, coordinating with urgent care centers, and prioritizing care for vulnerable populations, ACO providers can help minimize the impact of these closures on patient health. At Advanced Management USA, we remain committed to helping our ACO partners navigate these challenges and continue providing high-quality, accessible care to our patients during this difficult time.
References:
- Modern Healthcare. (2025, January 26). LA Wildfires Force Kaiser, Providence, Others to Close Facilities. Modern Healthcare Article
- California Department of Forestry and Fire Protection. (2025). Wildfire Overview and Impact.
