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Pediatrics Supporting Parents Proof Point Community: Los Angeles, CA
Los Angeles Department of Health Services / University of California, Los Angeles (UCLA)
This Proof Point Community is redesigning pediatric primary care to reflect the realities of families’ lives.

About

The Los Angeles Proof Point Community (PPC) is embedded within Harbor-UCLA’s pediatric safety-net clinics, serving approximately 8,000 families across Los Angeles County. Grounded in early relational health (ERH) and whole-family well-being, their innovations include parent-designed care tools, longitudinal social work support, and technology that simplifies access to public benefits. Over the course of its work with PSP, this practice worked within a complex public health system to build and test care models that respond to the realities families face, while remaining grounded in trust, relationships, and shared values.

What has emerged from the team is a deep sense of pride in what the community has been able to build together. This PPC has demonstrated that authentic partnership across roles and geographies is possible and that innovative, family-centered care models can move from idea to practice. The work has required persistence through real challenges, including navigating funding structures, aligning diverse stakeholders, and building new governance and decision-making processes. What has surprised many involved is not only that these barriers were navigated, but that the result has been lasting relationships, meaningful innovation, and a foundation that is positioned to grow beyond the life of the project and into new spaces and communities.

View Los Angeles’s explainer video to learn more. 

Innovations

These innovations have strengthened trust, improved follow-through, and made pediatric care more responsive to families’ real priorities by building care along with them.

Medical-Financial Partnership

One-to-one, relationship-based social work support embedded in pediatric care that partners with families over time to identify goals, navigate systems, and connect to resources, with a focus on follow-through rather than one-time referrals.

Parent Voice Note (PVN)

An innovation designed to ensure that parents’ perspectives, priorities, and words are represented within their child’s care plan and electronic health record (EHR). The PVN is completed during intake conversations and includes parent-identified goals, priorities, supports, strengths, and opportunities. Once recorded in the EHR, it is visible to the entire care team, helping ensure that every provider understands and honors the parent’s perspective in ongoing care and decision-making.

Benefits Explainer Tool (BET)

Learning Collaboratives are structured, time-bound gatherings that bring together clinics doing similar work to exchange practical strategies, reduce friction, and improve outcomes. Like a community of practice, sessions emphasize listening, discussion, and collaborative problem-solving. This approach supports integration of multiple care models and builds meaningful connections across clinics so teams can learn from one another’s real-world experiences and address common challenges efficiently. 

Family Partnership and Co-creation

This team designs their work around relationships, not transactions, with families serving as co-decision makers and co-creators to shape everything from intake and evaluation to care planning, outreach, and clinic workflows.

The Los Angeles team has centered parents and caregivers as experts in their own lives, and as leaders in shaping pediatric care. Through family engagement leader groups, listening sessions, and ongoing collaboration, parents help shape intake conversations, care planning tools, evaluation language, outreach messages, and clinic workflows. Families have made materials more parent-friendly by shifting language and redesigned how programs are introduced, so families feel welcomed rather than overwhelmed.

At this PPC, partnering with families means engaging parents as true co-designers and decision makers, not simply advisors. Family leaders are integrated into all aspects of the work, from shaping interventions and clinical tools to guiding implementation, evaluation, and communication. Parents have co-designed core innovations such as strengths-based care planning embedded in the electronic health record, technology tools that connect families to public benefits, and outreach materials that are clear, accessible, and grounded in real family experience. This partnership is sustained through consistent collaboration and regular cadence, creating space for families and clinicians to think together about what care should look like.

What distinguishes this approach from more traditional forms of parent engagement is the depth and follow-through. Rather than collecting input that remains disconnected from systems change, family partnership at LAPPC is embedded into transformation itself, with clear evidence of impact. This work is grounded in the understanding that parents are the drivers of their children’s health and well-being. Through this partnership, the team has learned that centering families strengthens trust, improves care coordination, and leads to care models that are more responsive, durable, and aligned with what families actually want and need.

Timothy Wayne Harris, Family Leader

Family Leader

When families and clinicians come together with empathy and purpose, real change is possible.

Strategies for Making the Case for Family Partnership and Co-creation

Co-creation Definition

Co-creation is authentic partnering with shared leadership to transform what is possible and create a new reality that is equitable for all.

Enabling Family Partnership

One Family Engagement Leader and three Parent Leaders partner with core team members and engage in PPC design and decision-making on a regular basis. This allows their leadership to be more inclusive and equitable.

Honoring Lived Experience

The Family Engagement Leader and Parent Leaders are compensated for required meetings each month at $125 per hour. Additionally, the cost of incentives, meals, and supplies are covered for parent listening sessions.

Making the Case

This team has embedded systems change in their clinical space to center parents through co-designed improvements to the care model, including updates to intake and introduction processes. They implemented an enhanced Benefits Explorer Tool (BET) aligned with family priorities and have co-created family engagement policy with parent leaders while working to scale efforts through increased awareness and funding.

Sustainability Efforts

View Los Angeles’s case for investment video.  

Los Angeles is seeking to implement foundational support for its Medical-Financial Partnership (MFP) model that addresses financial and social determinants of health. They want to scale new sites and expand to build a national initiative.   

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Resources

This issue brief outlines the Pierce County PPC’s efforts to sustainably fund Community Health Workers (CHWs) within pediatric primary care to promote physical and behavioral health integration. Drawing on lessons from Pediatrics Northwest’s implementation experience, it highlights remaining barriers—including billing limitations—and offers actionable strategies to ensure the growth and sustainability of the CHW workforce to advance whole‑child, integrated care across diverse clinical and community settings.

Download Now

This episode features the brilliant and passionate Dr. Mary Ann Woodruff and Rachel Lettieri from Pediatrics Northwest. They have piloted a program within their practice that is a great example of the impact of treating families. They have embedded community health workers within their practice, and are seeing fantastic results.

Chaudhary, J. (Host). (2025, August 11). Putting Families at the Center (No. 4) [Audio podcast episode]. In Favorable Thriving Conditions.  

The Washington Chapter of the American Academy of Pediatrics (WCAAP) has been a critical partner in this work. Please visit their website for additional information.

Meet the Pierce County Team

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Shayla Collins

Family Leader, PSP Initiative

Shayla is a parent leader, advocate, and nationally recognized voice in family partnership and relational pediatrics. At Pierce County First Year Families, she serves as a trusted co-designer and connector, embedded in care transformation, governance, and statewide learning efforts. Drawing on lived experience, Shayla advances models that center family leadership, trust, and early relational health, and she works across communities, systems, and policy spaces to strengthen pediatric care for children and families.

Rachel-Lettieri

Rachel Lettieri

Director of Care Transformation, Pediatrics Northwest

Rachel is passionate about improving child and family health through systems change and strong partnerships among families, communities, and pediatric care teams. Her work centers on early relational health, integrating community health workers, and building equitable, human-centered systems. Guided by the belief that families are experts in their own lives, she brings thoughtful, strategic leadership to her work. Outside of work, she enjoys traveling, exploring local bakeries, and spending time with her husband and two children, Adam and Marcella.

Mary Ann Woodruff

Mary Ann Woodruff, MD, FAAP

Director of Medical Care, Pediatrics Northwest

Dr. Woodruff has partnered with children and families since 1989. Her work at Pediatrics Northwest advances integrated, family-centered teams of care. Guided by accompaniment and shared learning, she works to turn vision into action beyond clinic walls. Dr. Woodruff also serves as Washington Medical Director for Reach Out and Read Northwest. Outside of work, she enjoys walking with her family—often alongside seven shiba inu dogs.

Contact

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To connect with the Los Angeles PPC Team, email