Cook County Health, (CCH) Board of Directors Meeting
August 27, 2021
A Special Meeting of the Finance Committee of the CCH Board was held on 8-23-2021, Public Hearings were held August 23 and 24 and individual budget briefings with community partners including the League of Women Voters of Cook County, were convened to deliberate the proposed preliminary County Hospital System’s budget for fiscal year ending in 2022
County Health Board of Directors voted to adopt this proposed budget which will now be forwarded to the Cook County Board, representing the Unit of Government responsible for adopting any final Appropriations Bill. Cook County Public Hearings on the County Health System’s proposed budget will be scheduled on a date not yet determined in October/November 2021.
Proposed 2022 budget Highlights:
Items to Watch for in the Future: Cook County Board hearings on this Cook County Health System budget in October 2021. Will there be amendments or significant changes to the proposed budget approved by the Cook County Health Board ?
Virtual Meeting Observer: Susan Kern, MD Meeting Length: 2 ½ hours
Cook County Health (CCH) Special Board Meeting
August 9, 2021
Preliminary Presentation of 2022 CCH Budget
Highlights of the Presentation
Observer: Diane Edmundson
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
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.
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
Cook County Health (CCH) Board of Directors Meeting - June 26,2020
This meeting was held remotely with audio only available to observer.
Items to Watch For in the Future
Observed by: Michele Niccolai Meeting Length: 3 hours
Individual authors are credited at the end of each report.