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Cook County Hospital Board Approves Preliminary $2.9B FY2019 Budget

9/6/2018

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Cook County Health and Hospitals System (CCHHS) Board Meeting - August 31, 2018  

What did the Board Discuss:

In discussion of the proposed CCHHS budget, CEO Dr. Jay Shannon identified these key focus areas:
  • Improvement in behavioral health;
  • Long overdue equipment and facility improvements;
  • Improvement in the system’s financial position;
  • System’s continuance as the state’s largest managed care organization;
  • Continuing to reduce reliance on local taxpayers while taking on pension costs. 
The budget anticipates:
  • $182.2m in CountyCare revenue;
  • $132m BIPA and $157m DSH (federal flow-through payments); 
  • $494m in patient fees due in part to a 5-6% increase in surgeries, ER visits, primary care visits, specialty care,and an 11% increase in deliveries. 
Other assumptions:
  • Uncompensated care will total $292m in charity care and $213m in bad debt, unchanged from 2018. 
  • Full Time Employees (FTEs) will total 7,138. 
  • Insured patients will account for 61%, while 39% of patients will be uninsured.. 
  • A move of out patient services from the Oak Forest campus by the end of the first quarter of 2019 to better-located facilities in the south suburbs. 
  • The Cook County local tax allocation is projected at $102m, 3% of the system’s operating revenue.
With the approval of the CCHHS Board the budget is now slated for review and approval by the Cook County Board on September 12.

Committee Reports:
  • Human Resources: currently 870 vacancies; 94 days to hire, down from 203 in 2014; 424 vacancies filled so far in 2018.  New employment policies allow CEO to make final determination of salary and of discipline policy.
  • Managed Care: total CountyCare members 335,000 of whom 53,555 are served by CCHHS clinics (16%).  The 2019 budget anticipates an enrollment increase to 345,000.  CountyCare is already the state’s largest managed care organization, with the fewest complaints.
  • Quality and Patient Safety: 70% of patients would recommend Stroger Hospital; 63% of surgeries start on time; 84% rated ACHN clinics as clean.
  • Finance: 34 days of cash on hand (goal is 60); overtime totals 7.6%; the physical plant is 24.4 years old (goal is 10.7).  Bills spend 97 days in Accounts Receivable, down from 125 in 12/17.  22% of initial claims are denied.

To Watch For: Dr. Shannon announced that the ribbon-cutting for the new clinic/admin building will take place October 29.

Observer - Linda Christianson                                              Meeting Length:  3 hours

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  • Home
  • About
    • LWVCC Interest Groups >
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