Cook County Health (CCH) Board Meeting
January 31, 2020
Reports to the Board:
The Cook County Department of Public Health (CCDPH) - is at the command center for Chicago's coronavirus case, along with the Illinois State Department of Public Health and the Centers for Disease Control. The CCDPH website has links for coronavirus and flu information. Cook County Health has been screening for coronavirus. CCDPH also presented their 2019 Quality Improvement Projects. These projects result from Planning, Testing, Study, Implementation. The goal of planning is to understand and analyze a problem, potential solutions are pilot tested, afterward studied/evaluated, then the new process is implemented.
The 2019 CCDPH Quality Projects are:
Human Resources - starting out 2020 with approximately 526 vacant positions with 308 positions in the hiring process. They have a Position Control Committee that receives requests to hire. These requests must meet patient safety and quality standards, regulatory requirements, need to generate revenue and reduce expenses. If a position is approved by this committee, it goes for budget approval and then is posted on Taleo (the county's on line application site).
CountyCare - as of 1/2/2020 has 318,000 members, 10.6% of members using CCH clinics. Next Level Health, a Managed Care Organization (MCO) only available in Cook County, was recently purchased by Molina Healthcare. Molina is increasing its presence in the county. Over the past year, CountyCare membership has held steady with its 31.5% of total CC Medicaid members. In 2019 there has been an overall drop in total Medicaid members, and CountyCare membership has followed this trend. Auto-assignment of Medicaid enrollees into MCO health plans happens when a member does not choose a health plan/primary physician within the specified time. CountyCare auto-assignment has been increased from 35% to 50% starting April 1, 2020 and is open-ended. This increase is a result of CountyCare's innovations, quality and housing program. The 2020 projected enrollment is 326,000 members.
Quality and Patient Safety Committee - reports good results at the end of 2019 for decreased hospital acquired pressure injuries due to a focused nursing campaign. The aim is to sustain this decreased number with continuing preventive measures.
Observed by Michele Niccolai Meeting Length: 2 hours and 30 minutes
Cook County Health (CCH) Board Meeting - April 26, 2019
CountyCare - Managed Care Organization Update
What did the Board discuss?
Items to Watch for in the Future
Other Comments or Observations
Observer - Linda Christianson Meeting Length: 3 hours
Cook County Health Board Meeting - February 28, 2019
What did the Board Discuss:
Items to watch for:
Observed by: Michele Niccolai Meeting Length: 2 hours 30 minutes
Cook County Health Board of Directors Meeting - January 25, 2019
Items of Note from Reports to Board
Post Meeting Review Report submitted by Michele Niccolai
Cook County Health and Hospitals System (CCHHS) Annual Board Meeting
June 29, 2018
The CCHHS Board requested that Human Resources properly designate positions with a unique job code if the job requires bi-lingual skills. These positions would be more highly compensated due to the requirement for these skills. It is felt that filling these positions appropriately would increase the cultural competency of staff along with ensuring proper care for patients. It was indicated that a bi-lingual worker would be especially helpful in working with many Out Patients. The Board also requested that Human Resources review the process for exit interviews with Department heads’ as there is currently a lack of helpful information being received.
Other Committee Actions or Discussions:
Other Data Presented to the Board:
As part of the Cook County Department of Public Health 3rd quarter report, an update was given on current TB Prevention efforts. It has been found that those most affected with the disease live in the suburbs and 70% are foreign born and have been living in the United States for 5 or more years. The city of Des Plaines in the Northwest suburbs is the most infected area. There has been no direct correlation between TB and Poverty Rates.The current treatment is provided by nurses as part of a program called Directly Observed Therapy (DOT}. This program provides for a new treatment that takes 12 weeks instead of the old method that averaged 6 months. Each patient is assigned to a nurse who assumes responsibility for ensuring each of their patients takes their medication. This means these nurses are driving around the county doing DOT on a daily basis.
Observers - Bill Edmundson and Jackie Buttafuoco Meeting Length: 3 hours
Cook County Health and Hospitals System Board Meeting - April 27, 2018
What did the Board Decide?
What did the Board Discuss?
Observer - Diane Edmundson
Individual authors are credited at the end of each report.