Cook County Health Board of Directors Meeting
September 30, 2022
KImberly Craft gave the semiannual EPO (Employment Plan Officer) report. As with other departments she had staffing issues which made it difficult to monitor the plan. A new Program Manager and Information Coordinator have recently been hired. There were an unusually large number of vacancies during the reporting period. The hiring process was revised and a new plan was rolled out in July. There were a number of hiring problems found. Part of the problem was in coordinating plan rules with the outside vendors. The 22-page report is informative and detailed.
CountyCare's 10th anniversary was celebrated. Cook County Health’s emergency medicine and preventive medicine residency programs were recognized in Becker’s Hospital Review for being among the best clinical training programs, according to Doximity’s 2022-2023 Residency Navigator.
Cook County Public Health has sent out a survey to collect data from 34,000 adult (18 and older) suburban Cook County residents concerning their health-related risk behaviors, chronic health conditions, and access to health care. Using startup funds from CDC’s Health Equity Grant, CCDPH’s Epidemiology Unit is collaborating with UIC’s PHAME Center and Metopio to design and deploy an online atlas for exploring and sharing health information concerning the suburban residents of Cook County. The atlas allows stakeholders to examine, visualize and download health data using maps, charts and tables. The site is at https://cookcountyhealthatlas.org/
Iliana Mora, Chief Administrative officer for Ambulatory Services reported on the Asylum seekers that were bussed to Cook County from Texas. All seekers were seen by medical staff promptly and screened for disease and vaccinated. Children received all vaccines needed to attend school. Ambulatory staff handled everything, but additional help is needed if this is to be a continuing need. Contracted staff will be onboard next month. Money was allocated for this but CCH is working with state and federal agencies for reimbursement.
An overview of the Substance-Use Disorder program was presented by Dr. Juleigh Nowinski Konchak. It is a Multidisciplinary and Patient-centered plan.
An overview on Monkeypox was presented by Dr LaMar Hasbrouk (CEO of Cook County Department of Public Health).
Human Resources: While there is still a lot of work to be done to get staffing levels up, there has been a slight improvement and several vendor agencies have been contracted to help with the process. Slalom Program Management will ensure the vendor resources are allocated effectively to accelerate hiring. The other HR partners are:
Managed Care: CountyCare’s enrollment has increased 7% over the past 12 months, ahead of the Cook County increase of 4%. CountyCare’s enrollment decreased 0.1% in July 2022 compared to the prior month, ahead of the Cook County decrease of -0.2%. The vaccination rate of CountyCare members is still too low, especially among children. Only 21.78% of children 1-11 years are fully vaccinated. And only 45.2% of all members are fully vaccinated.
Quality and Patient Safety: Committee minutes were presented. Dr. Erik Mikaitis was hired as Chief Quality Officer. The readmission rate was down to 7.49% in May, the lowest it has been in the last year and well below the goal of 9.93%. The case mix index for surgical patients, the top box score and the HbA1C goal were not achieved.
Finance: The finance committee met this month. On an accrual basis, interim financials show that CCH ended May with a $13.4M positive variance to budget. On a cash basis, the County’s preliminary cash report on revenues and expenses shows a $300.2M positive variance primarily due to the timing difference of CountyCare PMPM payments impacting the revenue and claims payments impacting expenses.
There was no public speaker testimony and no closed session this month.
Observer: Lisa Slankard
Cook County Health (CCH) Board Of Directors Meeting
July 22, 2022
Human Resources Report:
Currently Stroger Hospital is operating with a staff level of 65% of budget. This has led to adding $75 million to the outside staffing budget for the remainder of the fiscal year and has had some effect on Quality metrics. It also has led to increased resignations of existing staff. The Human Resource committee presented their statistics and the current hiring is barely keeping up with the staff losses and not helping make up for past separations. Before starting the new goal of hiring 400 new employees between 5/16 and 9/1, it has taken 36.8 days on average from the time an offer has been requested to the offer being made to the applicant. 450 offers were made and 317 were hired. The ultimate goal has been to cut the 36.8 days to THREE days. From May 16 to July 22, 220 candidates accepted offers. Since 94 were internal hires, the net result was 126 new employees.
The hiring initiatives are as follows:
Public Health Update:
Observer: Lisa Slankard
Cook County Health (CCH) Board Meeting
January 28, 2022
Presentation - Stroger Hospital Stroke Program by Dr. L. Warrior
Public Testimony from Nursing Staff
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
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.
Note: All of these reports can be found on www.cookcountyhealth.org
Observer: Diane Edmundson
Cook County Health (CCH) Board of Directors Meeting –
February 26, 2021
Human Resources (HR)
CountyCare Medicaid Managed Care Plan
Cook County Dept. Public Health (CCDPH) serves CC suburbs:
CCH Covid-19 testing:
Observer: Michele Niccolai Virtual Meeting length: 2+ hours
Cook County Health (CCH) Board of Directors Meeting - January 29, 2021
All directors were present, and there were no public comments submitted.
Report of Israel Rocha, Chief Executive Officer:
Managed Care as of January 4, 2021:
Quality & Patient Care:
Observed by: Diane Edmundson Meeting Length: 3 hours
Individual authors are credited at the end of each report.