Cook County Health (CCH) Board Meeting
March 25, 2022 Enrolled in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP), since 2014, Stroger is now winning big for patients by decreasing surgical site infection rate from 1.5 times the national (NSQIP) average in 2016 to 0.77 of the rate in 2022! Annual Stroger savings of $237,210 with avoidance of prolonged hospital & ICU stay and even death of patients who suffer from post-op wound infections is the bonus. Accomplished by implementation of rigorous procedures for disinfection of skin prior to surgery, additional pre and post-op antibiotics, changes of gowns, gloves and instruments twice: for surgery and again for wound closure and patient education were key elements of this successful plan. Surgeon Wille notes that this is an ongoing process, with direct comparisons of outcomes to other hospitals nationally on the numerous targets of enhanced quality with decreased cost that are being studied. Initially there was skepticism of the program Dr. Fegan, Chief Medical Officer, at CCH commented but the successes are now making believers of surgeons from all CCH specialties. CCH’s low rate of surgical morbidity/complications for its patients places it in the top 20% of all NSQIP hospitals for 2021. Highlights from Board Reports:
Items to Watch for in the Future:
Observer - Susan Kern, MD
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Cook County Health (CCH) Board Meeting
February 25, 2022 The timeline for the FY23-FY25 Strategic Plan introduced
Finance Committee
Managed Care Committee
Human Resources Committee
Quality and Patient Safety Committee
Observed by: Michele Niccolai Cook County Health (CCH) Board Meeting
January 28, 2022 Presentation - Stroger Hospital Stroke Program by Dr. L. Warrior
Public Testimony from Nursing Staff
Finance Committee
Managed Care Committee
Audit and Compliance Committee
Human Resources Committee
Report from CEO Rocha
What to watch for in the future:
Observer - Michele Niccolai Cook County Health Board of Directors Meeting –
December 17, 2021 Human Resources:
Managed Care
Quality & Patient Care
Finance Committee
CEO Report: Last month, CEO Rocha reported that moving forward, divisional updates will be provided to ensure that the CCH Board of Directors “has a deeper understanding of operational successes, opportunities and challenges”. Areas to be covered include: Stroger Hospital, Correctional Health, Provident Hospital, Public Health, Ambulatory Care, Cook County Health Plan Services, Administrative [regulatory, legislative, strategic initiatives, etc.] Highlights for this month include: Provident Hospital:
Observer: Diane Edmundson Cook County Health Board of Directors Meeting
November 19, 2021 CCH Board President, Lyndon Taylor, announced that the board will no longer hear reports from the various committee meetings. Instead, if a committee has held a meeting since the last Board meeting, the committee chair will highlight important issues and ask if there are questions. If a committee has not met, it will make a presentation to the board members. All committee minutes will be voted on at one time. CEO Rocha reported that moving forward, divisional updates will be provided to ensure that the CCH Board of Directors “has a deeper understanding of operational successes, opportunities and challenges.” Areas to be covered include: . Stroger Hospital . Correctional Health . Provident Hospital . Public Health . Ambulatory Care . Cook County Health Plan Services Administrative [regulatory, legislative, strategic initiatives, etc.] Rocha also stated that his monthly reports will include strategic highlights and that 95% of the System’s employees are fully vaccinated and 98% have had at least 1 dose. Human Resources
Managed Care
Finance Committee
Public Health
Note: All of these reports can be found on www.cookcountyhealth.org Observer: Diane Edmundson Cook County Health Board of Directors Meeting
September 24, 2021 Meeting Highlights: 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%. Finance Committee 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. CEO Report 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 |
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