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2023 Grants Challenge

Access to Health Care for People and Pets in Los Angeles

Idea by AlignCare

Created by the University of Tennessee's Center for Pet Health Equity, AlignCare started as a pilot project in 2020. Los Angeles (LA) became the first community to fully implement the AlignCare system. Align Care LA is part of the One Health healthcare system that addresses the needs of people, their pets, and their ecosystem, which is largely defined by socioeconomics. AlignCare collaborates with many industries to effect policy change and connect families with veterinary service providers, while leveraging community resources and activities.

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What is the primary issue area that your application will impact?

Health Care Access

In which areas of Los Angeles will you be directly working?

Central LA

East LA

South LA

West LA

South Bay

In what stage of innovation is this project, program, or initiative?

Pilot or new project, program, or initiative

What is your understanding of the issue that you are seeking to address?

Families struggling to access veterinary care is a national crisis. 28% of families with pets report a barrier to veterinary care primarily because they could not afford it. Along with the negative health outcomes of those affected by this, millions of animals are being surrendered in local city shelters or economically euthanized. It is estimated that 981,765 LA households have pets. 2 pets (dogs/cats) per household means that there are approximately 1,963,530 owned pets in LA. Further, 289,301 families in the City of LA have annual household incomes below $25k - less than $2.1k per month. Using national estimates indicates that approx. 200k of these families combined, have over 400k pets. Given the high average rent for apartments in LA, veterinary care is not affordable for these families. There have been inadequate solutions to this overwhelming problem, lack of resources and effective collaborations to make the large-scale impact needed to fix this problem. Enter AlignCare.

Describe the project, program, or initiative this grant will support to address the issue.

AlignCare ensures that low-income families who previously were unable to afford veterinary care are able to get the services needed for their nonhuman family members. Families receiving public assistance and who are in need of veterinary care are enrolled into AlignCare and are connected with social service professionals and veterinary service providers. Through a cost-sharing model, AlignCare makes veterinary care obtainable for families. Veterinary service providers discount their services for AlignCare families, AlignCare families pay a 20% co-payment, and AlignCare pays the remaining balance. AlignCare improves access to veterinary care, resulting in better health outcomes for both human and nonhuman family members. Injured or ill pets will experience quicker recovery due to veterinary care, with fewer experiencing premature death, including by euthanasia, or relinquishment, thus keeping families together. Families receive the emotional support needed when faced with a medical crisis involving a pet.

Describe how Los Angeles County will be different if your work is successful.

As AlignCare LA is in its initial growth stages, the following are our goals as we continue to scale: -Increased collaboration between veterinary medicine, human medicine, and human social services providers -Obtaining annual government funding for the program. -Changes in transportation policies to allow pets -Changes to housing policies to allow families to keep their pets in their homes. Restrictive landlords are the top reason for pet surrender. -Environmental improvements in terms of increased green spaces, walkable communities, and accessible dog parks. -The health impacts to the human family members of NOT being able to care for their non-human family member. -Continued research into issues where pets can affect their family's overall health and well-being, including; *PTSD treatment *Childhood anxiety *Smoking cessation *Type 1 Diabetes *Loneliness *Memory disorders *Early exposure of pets on allergies *Heart health *Aging *Impacts of a pandemic

What evidence do you have that this project, program, or initiative is or will be successful, and how will you define and measure success?

Impact is measured through the number of families and pets who receive veterinary services. Surveys with AlignCare families are also conducted to measure the impact of access to veterinary care on the family. Additional grant funds obtained from California for All Pets grant will be used to focus services on three specific zip codes where the animal shelters see the highest rate of owner surrenders. We will look at shelter intake statistics to determine if our program has impacted reducing shelter intake at North Central and Harbor Shelters.

Approximately how many people will be impacted by this project, program, or initiative?

Direct Impact: 68

Indirect Impact:

Describe the role of collaborating organizations on this project.

The Program for Pet Health Equity provides budget oversight, invoice processing, data collection, analysis, and reporting.