Category: Cook County Health

Cook County Health to Host Housing Summit in May

3/18/2019

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Cook County Health Board Meeting - February 28, 2019

What did the Board Discuss:

The first Cook County Health (CCH) Research and Innovation Summit was held February 20, 2019 on the topic of opioids. More than 120 individuals attended. This summit was designed to share CCH's efforts and plans to address the opioid epidemic with other established interest groups and included action planning with health and community leaders.
County Care managed care members as of February 7, 2019: 320,994 of which 13.7% are using CCH services. These latest numbers are down 10% from the same time last year. The target for 2019 membership is 345,000. Annual redetermination of Medicaid members is a review of their eligibility for Medicaid and requires submission of redetermination forms in a timely manner. Now an automated system drops individuals from Medicaid rolls if the forms are not completed on time. If dropped, the individual looses continuity with their Primary Care Provider and case managers. In order to keep its members, County Care offers to help with the redetermination process. County Care has raised concerns about this process with Governor Pritzker.
FY 2019 CCH system wide uninsured numbers captured by visit is 44%. The FY 2018 uninsured numbers were 42%. There is a need to get details of these uninsured to see if some are eligible for Medicaid, then assist them in enrollment.
Governor Pritzker announced that Dr Ngozi Ezike was appointed Director of the Illinois Department of Public Health (requires state Senate approval). She served for more than 15 years at CCH and most recently served as a physician at the Juvenile Temporary Detention Center.
The Cook County Department of Public Health (CCDPH) has a tobacco prevention and control unit and its goal is to eliminate exposure to secondhand smoke, promote quitting, and prevention of youth smoking. In Suburban Cook County, 16.7% of adults are current smokers. E-cigarettes are currently the most used tobacco product among youths and its use in this group has increased last year. E-cigarette liquid contains chemicals and carcinogens and this liquid can poison children through ingestion or skin absorption.
It was announced that there would be no election of the CCH Board Vice-Chairman at this meeting.

Board Decision:

A contract with the Bobby E. Wright Comprehensive Behavioral Health for mobile crisis outreach team. This is a nonprofit on Chicago's Westside that provides mental healthcare, addiction treatment and developmental disability services.

Items to watch for:

The final audit of FY2018 in May 2019
The second CCH Research and Innovation Summit to be held May 22, 2019 on the topic of housing.

Observed by: Michele Niccolai Meeting Length: 2 hours 30 minutes

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New Director Appointed to Cook County Health Board

2/15/2019

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Cook County Health Board of Directors Meeting - January 25, 2019

Items of Note from Reports to Board

At the January 24, 2019 Cook County Board meeting, Commissioners approved the appointment of Michael Koetting to the Cook County Health Board of Directors. Mr. Koetting is a healthcare and strategic planning consultant as well as an adjunct member of UIC's faculty. From 2010-2015 he served as Deputy Director for Planning and Reform Implementation for the Illinois Department of Healthcare and Family Services.
Managed Care: Total CountyCare members as of January 7, 2019 is 326,026 of whom 45,446 are served by Cook County Health clinics (13.9%).
The Arlington Heights Health Center opened January 14, 2019. This new 35,000 sq ft center has 24 exam rooms, six dental suites, WIC nutritional services, mammography, behavioral health services and on-site lab. The comprehensive patient care team includes bilingual Spanish speaking staff members.
Through January 3, 2019, Cook County Health's (CCH) Fresh Truck partnership with the Greater Chicago Food Depository has resulted in 152 visits to 12 CCH health centers. Collectively, theFresh Truck distributions have totaled more than 420,000 pounds of fresh produce delivered to individuals, most of whom are food insecure. Access to better nutrition can lead to better health outcomes.
February is Heart Health Month and the American Heart Association's Go Red for Women. CCH and CountyCare sponsored several programs to increase women's heart health awareness.
Governor Pritzker named Theresa Eagleson as new Director of the IL Dept of Healthcare and Family Services. This agency oversees the state's Medicaid Managed Care programs and child support services.
Recently approved state rules lowered blood lead levels to 5 micrograms/deciliter. This rule change will allow children to be identified as having lead exposure when their blood lead levels are at or above 5 micrograms/deciliter. This earlier detection of lead exposure is important as it will result in more children receiving public health intervention.

Post Meeting Review Report submitted by Michele Niccolai

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Cook County Board Commissioner Dennis Deer Joins Cook County Health Board and Assumes Role of Vice-Chair

1/6/2019

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Cook County Health (CCH) Board of Directors Meeting - December 21, 2018

What did the Board Discuss?:

Commissioner Deer, 2nd District, has a background in health care. After being appointed to replace retired Commission Jerry Butler as Chair of the Cook County Board Health Care Committee, he was then appointed to the Cook County Health Board and assumes the role of Vice-Chair. Newly elected Cook County Commissioner Donna Miller (6th District), also in attendance at the meeting was introduced to the Board by Chairman Hammock. She expressed her long-held interest in the health care services provided in and by Cook County. Commissioner Deer noted that he will be advocating for more minority contract opportunities.
CountyCare, the county's managed care health plan, is aggressively marketing its benefits to current and potentially new customers during this year’s Medicaid open enrollment period due to close the end of January 2019. Current membership stands at 333,704 against a 2019 target of 345,000. Of particular note - two out of every three CountyCare members do not use Stroger, Provident, or Cook County ambulatory clinics as their primary provider. CCH is aggressively working to change this metric.
The interim Human Resources (HR) Director implemented a new technology and outreach plan in an effort to achieve its goal of a 90 day hiring cycle (current average is 96.4 days). In 2018, 15 new bilingual hires were added to the work force with another 10 in the pipeline, and 30 more job titles with bilingual ability as a minimum requirement are under review to establish new job codes. In addition to adding bilingual staff and working to improve cleanliness perceptions, CCH is focusing on decreasing waiting times and improving phone access. A revised performance management policy [employee evaluation] is to be rolled out early in 2019 with on-line performance management to follow.
The Finance report through the first eleven months showed no new surprises. The CFO noted that CountyCare has contributed $184.5 million to date to the Revenues. He also noted that while Cermac Health Services, the correctional system health operation, has seen fewer patients, those seen require more resources. The top three referrals are oral care, ear, nose, and throat, and visits to the hand clinic.
The Quality and Patient Care Committee noted that the willingness to recommend Stroger to others has increased but statistics were not cited. Each Tuesday the in-charge coordinator for cultural improvement is going on rounds throughout the hospital and asking two questions: 1) What are your concerns? and 2) How can we help? One other item pulled from committee metrics is that at any given time, about 80 surgical residents are working in the County hospitals.
Board member Gonzalez asked Dr. Mason, CC Public Health Director, for a geographic mapping for HIV, Hepatitis C, and all sexually transmitted disease cases. This request followed a slide presentation mapping the “suburbanization of poverty” areas in Cook County. Dr. Mason added that the mortality rate for African American mothers is 3 times that of Caucasian mothers, and he said that the number of African Americans living in Chicago has dropped by 15% while the number of Hispanics in Cook County has risen by 20%.
Dr. Shannon recognized the retirement of the highly esteemed IT Director, and she gave a brief presentation to the board including what the future in IT holds for the System: artificial intelligence, predictive analysis, and prescription analytics. Dr. Shannon also noted that the newly implemented Kiosk check-in is being well received.

Items to Watch For in the Future
Ongoing:

Director Lowery asked for a comparison of the System’s nursing openings to other like institutions across the country.
Board Chair, Hill Hammock, asked for feedback on what percentage of claims are never collected because of coding, timeliness, and/or processing issues.
Chair, Hill Hammock asked for a detailed dive into pension costs, projections, and percentage of takeover from the County by the Cook Health System.
A Board decision on CountyCare’s proposal to stop paying providers who treat CountyCare patients when the patients’ visit is outside their assigned network of providers.

New

The Fiscal Year ended on November 30. Watch for final revenue/expense variances, and metric results vs targets (e.g., hiring cycle and higher revenue specialties such as surgeries and maternal deliveries).
The new Vista Clinic in Arlington Heights with preventive and specialty care services such as dental and behavioral health delayed its opening to January 14, 2019 with the grand opening to follow sometime soon. A similar model clinic in Riverside is scheduled to open by mid-year. Look for details on the openings as tours will also be scheduled for those interested.
2020-2022 Strategic Plan presentations and discussions will likely get under way in earnest at the January Board Meeting and go on through the May meeting.

Observer - Diane Edmundson Meeting Length: 2 ½ Hours

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Cook County Health to Host Housing Summit in May

New Director Appointed to Cook County Health Board

Cook County Board Commissioner Dennis Deer Joins Cook County Health Board and Assumes Role of Vice-Chair

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