Cook County Health (CCH) Board of Directors - December 4, 2020
Acting CEO Debra Carey was thanked for the outstanding job she did this year in guiding Cook County Health (CCH) through the pandemic and the fiscal challenges. CEO-Elect Israel Rocha begins on Dec 7, 2020. He observed the meeting. All directors were present. The Center on Health Equity and Innovation will go live with their new CMIS software on 1/1/2021. $12 million was brought in from outside sources to fund this in 2020 and a $47 million grant was received covering a 4 year period. Dr Lakshmi Warrior, a co-leader for the Cook County Racial and Health initiative was congratulated for being named one of the 40-Under-40 by Crain’s Chicago. Committee Reports:
COVID-19 Update:
New Business:
Observed by: Lisa Slankard Meeting Length: 3.25 hr
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Cook County Health (CCH) Board Meeting
October 30, 2020 From Public Health to Finances to Human Resources to the Managed Care Program, Cook County Health officials reported that COVID-19 impacted most sectors of the System's operations. Public comments: The League of Women Voters of Cook County and Civic Federation's comments urging the continuation of live streaming and archival recording of board and committee meetings post pandemic was the first to be read - followed by a number of nurses’ statements that Covid-19 testing in the new Blue Island community facility isn't safe due to space limitations and staff shortages. Committee/Department Reports:
Other Items of Interest:
Observer: Diane Edmundson All 12 board members were present at the 3 hour meeting Cook County Health Board Meeting - September 25, 2020 The only action items were related to procurement but the board went into a closed session.
Committee Reports:
Interim CEO, Debra Carey reported:
Items to Watch for in the Future:
Observer: Lisa Slankard Length of Meeting: 2 and 3/4 hours Cook County Health Special Board Meeting - September 11, 2020
After one hour of testimony and four hours of discussion, the Cook County Health Board approved a budget of $3.3 billion for 2021. The budget for 2020 was $2.8 billion. However, along with the approved budget, it also voted 6-4 to add an amendment asking for an additional $23 million which equates to the "indirect" costs of CC Correctional and Public Health Departments. Interim CEO Carey and Interim Chief Business Officer Gibson were asked to ASAP identify what services, staff, etc. would be restored if the $23 million was granted. Hours were spent in discussion with a majority of board members stating that they wanted to have more early involvement in setting budget priorities. The Board’s Vice-Chair made the following points:
Interim CEO Carey noted that there were over 100 public speakers during the two budget hearings and the Sept. 11, 2020 special board meeting to approve the budget. Two programs eliminated in the 2021 budget generated a significant amount of testimony:
As the meeting closed, several members of the board restated the following points:
For those wishing to have more information about the budget categories and amounts, the 2021 proposed budget can be found HERE. Diane Edmundson - Observer Cook County Health (CCH) Board of Directors Meeting August 28, 2020 Proposed Budget Discussion:
What else did the Board discuss or decide?
Items to Watch for in the Future:
Virtual Meeting Observed by: Susan Kern, MD Meeting Length: 3 hours, 30 minutes Cook County Health (CCH) Board of Directors Meeting
July 31, 2020 Meeting was held remotely with audio only available for observer Public Comments
Committee Reports Human Resources Committee reported that it took 90 days on average to hire, from the time of initial job posting to hiring. CCH's Employment Plan brought CCH into compliance with the Shakman decrees, Federal court orders, which prohibit political influence into the employment process, but adds steps to the hiring process. It was suggested that hiring steps be broken down to see if there could be improvement in hiring time and to compare the hiring time of CCH to other Chicago hospital systems. A request for the diversity breakdown of nurses was requested. Almost half of nurses are African American; Asian and White each make up about one-fifth of nurses. HR actively recruits bilingual staff and reaches out to local groups and universities. Managed Care Committee reported that as of July 2, 2020 CountyCare membership was 364,973 with 10.5% of these members using CCH clinics. July 2, 2020 numbers are an increase over June 3, 2020 numbers. August membership numbers are projected to be around 369,000 due to increased Medicaid members and IL Healthcare and Family Services (HFS) temporarily stopping the redetermination process during the Covid-19 crisis. HFS's May data showed CountyCare had a 31.9% share of the Cook County Medicaid market. At some future point HFS will startup the redetermination process again and Medicaid numbers will decline. During Covid-19 pandemic, CountyCare patients are getting care along with food, transportation, specialty care. James Kiamos, CEO Health Plan Services, is leaving CCH and this is his last report. Quality and Patient Safety Committee presented a new Quality Dashboard, specific graphs with reference targets for data collection and monitoring. This dashboard now contains categories at CCH that need to be improved in the CMS Star Rating reports. These CMS reports let consumers compare hospitals based on quality ratings. An important area for CCH is clinical documentation to accurately record a patient's problems such as homelessness and other insecurities/illness/case complexity so as to get properly reimbursed for that patient's care. In the LOWN Institute Hospital Index, Stroger Hospital rated very high in Civic Leadership, Value of Care, and Patient Safety. Finance Committee
Report from Debra Carey, Interim CEO:
Items to Watch For in the Future:
Observed by: Michele Niccolai Meeting Length: 3 hour *Link to the CCH Statement on Health Equity approved by the Board of Directors |
AuthorIndividual authors are credited at the end of each report. Archives
December 2020
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