CCHHS Board of Directors Meeting - February 26, 2016
A new unit for women and children in remodeled space at Stroger is planned to be open by the end of the year that will consolidate pediatric and maternity inpatient and outpatient services. This is an urgent response to retain patients.The Peds ER has already merged with the Main ER. Physicians and other Stroger staff were present as public speakers to oppose this plan because of their concern that quality would suffer. Administration said that there would be no staffing cuts of physicians or support staff with pediatric expertise.
Two sole source contracts were approved:
Significant Topics Discussed:
Director Collins reported that CountyCare (Medicaid managed care) is failing to capture the business of its members who continue to use other Hospitals & Clinics in the network resulting in a $10m shortfall from budgeted income in Dec. 2015. Corrective action plans include:
The 5 principal objectives of the Strategic Plan:
Items to Watch For:
The CCHHS Board, are dedicated, represented by a diverse background of experiences and in Chair Hammock, CEO Shannon and Deputy-CEO Elwell have strong, focused and business-orientated leadership. Net operating margin loss of 199 million for 2015 is less of a loss than in 2014 by 9 million. Challenges include labor unrest, 30% uninsured patients, and stiff competition from other Hospital Groups. CCHHS will continue to require subsidies from Cook County to survive and budgetary deficits at the State level will be aggravated in 2017 when 5% of the cost of new Medicaid patients will revert from federal to State payments.
Observer: Susan Kern Meeting Length: 3 hours
CCHHS Board Meeting - January 29, 2016
Patient Satisfaction at Stroger Hospital: After one year of data keeping there has been no improvement as indicated in the latest metrics. Chief Quality Officer Dr. Krishna Das attributed the problem to perceived wait times and cleanliness as key issues. Dr. Das and CEO Dr. Jay Shannon stressed the importance of educating managers to understand the critical link between service quality and patient retention.
Emergency Room Visits: CountyCare 2015 data reveal only a minimal decline in Emergency Room visits from the same period in 2014. County Care was intended to provide a "medical home" for patients to receive care so as to decrease the need for Emergency Room care. Reasons for the minimal decline identified in board discussion included:
CCHHS has a professional, effective board of directors. The 11 board members have carefully developed metrics to measure quality and patient safety, human resources, managed care, and finances; managers now provide these data on a monthly basis. The board will begin benchmarking their data against Kaiser and other major national health care providers. Check out the latest metrics presented to the board.
Observer: Linda Christianson Meeting Length: 3 hours
Individual authors are credited at the end of each report.