Cook County Health Board of Directors Meeting
September 24, 2021
Human Resources Committee
Separations are outpacing hires. There was a net of 91 fewer employees this past quarter. Resignations lead the separations. There is an 8% turnover rate, up 7% over the 3rd quarter last year. Unfortunately HR is understaffed so hiring has slowed and average time to fill positions is up. The market is very competitive right now.
Managed Care Committee
Membership numbers continue to increase and are up 10% over prior year. September 18, 2020 there were 371,248 members and September 9, 2021 there were 411,664 members. County Care’s market share increased to 10.7%, a slight increase from 10.5% a year earlier. The membership numbers are over budget in part due to paused redetermination. The call center and encounter rates have worsened. Claim’s payments have improved.
Quality and Patient Services Committee
Quality metrics are mostly unchanged except HbA1C indicator which is down to 66.7% (lower is better) toward a goal of 24% in outpatients. At the start of the year it hovered near 90%.
The agenda item receiving the most engagement from the board involved the 32 million dollar contract request for MHN ACO LLC. There is a contract already in place but an extra 32 million dollars is needed to be paid to finish off the contract which expires at the end of December 2021. This provider covers care coordination for County Care subscribers. The increase is primarily due to the increase in subscribers. There was a lot of discussion on getting bids for this contract. County Care has not started the bid process even though the contract only has 3 months left. The board was concerned that the time left was inadequate and they offered help in getting this done. CEO Rocha will work with the managed care committee on a timeline for a request for proposal for next year's contract. It was pointed out that the current company is a high performance vendor.
There was a transfer of 14 million dollars from salaries to Registry help and Human Resources.
All employees must be vaccinated by October 1. So far 83% are fully vaccinated with 92% having started the vaccine series. The hospital is making vaccinations available around the clock and are holding town halls to answer questions. Also, they are working with the unions. The gap on vaccination rates by race has decreased
Items to Watch for in the Future:
Observed by: Lisa Slankard Meeting Length: 2 ¾ hrs
Cook County Health (CCH) Board of Directors Meeting
October 25, 2019
CEO Dr. Jay Shannon summarized recent Cook County Health (CCH) positive developments:
But CCH faces serious funding challenges: it is $30m over budget in charity care despite $25m in new revenue this year. In 2020 CCH anticipates providing $590m in uncompensated care, for which the only designated funding sources are the federal DSH ($157m) and BIPA ($132m) allocations. The demand for charity care has grown by $100m since 2017. CCH is now providing about 60% of all charity care in Cook County. Of Stroger Hospital’s total patients, 47% are on Medicaid, 15% Medicare, 5% insured, and 35% uninsured. The possible solutions to the funding gap do not inspire hope: more state and federal funding, possibly County funding from a sales tax.
Significant contract awards:
Observed by: Linda Christianson Meeting Length: 3 hours
Cook County Health and Hospitals System (CCHHS) Board Meeting - March 29, 2018
What did the Board decide?
What else did the Board discuss or refer to committee?
Unexpected Votes, Events, Testimony or Items to Watch for in the Future:
Any Other Comments or Observations:
Observer - Linda Christianson Meeting Length 2.5 hours
Cook County Health & Hospital Systems (CCHHS) Board Meeting - March 2, 2018
What did the Board Decide?
What did the Board Discuss?
Items to Watch For in the Future
Observers - Susan Kern, MD & Michele Niccolai Meeting Length: 3 hours
Cook County Health & Hospital Systems (CCHHS) Board Meeting - May 26, 2017
Significant Decisions Made:
Significant Topics Discussed:
Items to Watch in the Future:
Observers: Diane Edmundson, Bill Edmundson Meeting Length - 2 1/2 hours
Cook County Health and Hospitals System Board Meeting - March 31, 2017
Significant Topics Discussed:
Cook County Health and Hospitals System (CCHHS), in response to a Request for Proposal (RFP) issued by the Illinois Department of Healthcare and Family Services, will submit a proposal to revamp its Medicaid Managed Care Program. With goals of (1) improving healthcare quality, (2) ensuring access, and (3) controlling costs for Illinois Medicaid patients, applicants must commit to providing the full spectrum of Medicaid-covered services.
$4m in contracts were negotiated with 2 nursing home organizations to provide short- and long-term care. Costs to care for patients in these facilities can be $5000-$6000 per month, and Deputy CEO Doug Elwell explained that these contracts won’t be renewed in the hope that these 400-500 patients can receive home care. He said CCHHS is considering providing long term care for its CountyCare and indigent patients.
Current Data Presented:
Observer - Linda Christianson Meeting Length: 3 hours
Individual authors are credited at the end of each report.