Cook County Health Board
Finance and Human Resources Committee Meetings January 18, 2024 The fiscal year for Cook County Government runs from December 1 to November 30 of the following year. On an accrual basis, interim financials show that CCH end November 2023 with a $362.1M favorable variance to budget. On a cash basis, it showed a $252M favorable balance primarily due to the timing difference in CountyCare’s reimbursements. 2023 Financials Actual Budget Revenue $4,746 B $3,844 B Expense 4,528 B 3,992 B Stroger Hospital Actual Budget Average daily hospital census 306 267 Emergency room visits 85,843 95,006 Surgeries 11,490 11,436 Provident Hospital Average daily hospital census 20 26 Emergency room visits 26,180 29,994 Surgeries 3,442 3,248 ACHN Patient Activity Primary Care Visits 237,076 281,649 Specialty Care Visits 378,305 274,000 COOK COUNTY HUMAN RESOURCES FISCAYEAR-END SNAPSHOT Positions Filled 1,359 External Hires 853 Retirements 192 Resignations 325 Discharges 45 TOTAL 562 * * 9.8% against a national benchmark of 2023 Observer - Diane Edmundson
0 Comments
Cook County Health Board of Directors
Quality & Patient Safety Steering Committee January 18, 2024 - No meeting this month - report based on dashboard slides In 2023, data was reported in monthly increments. In 2024 the committee will look at most of the data on rolling 12-months increments to better quantify improvements. Not all data will have this format to start with. In 2024 control charts have been added for performance monitoring data for many items. Control charts are visual depictions of quantitative data. They can be used for common variation monitoring or new process parameters (good/bad). The new areas of focus are listed below: Stroger Hospital Patient Experience Improve % Top Box for Communication with Nursing Domain Improve HCAHPS Survey Response Return percent Clinical Outcomes Reduce CLABSI,( central line-associated bloodstream infection ) and CAUTI (Catheter-Associated Urinary Tract Infection) & CDIF Volume of occurrences Reduce PSI - Patient Safety Indicator PSI12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis volume of occurrences Readmissions Reduce House wide Readmissions all Payors-including patients admitted elsewhere Throughput Reduce timeline of Inpatient Ordered to physician verified (Diagnostic Radiology Orders) Improve GMLOS (geo-metric mean length of stay) variance Clinical Documentation Increase Overall Medical & Surgical CMI Provident Hospital Patient Experience Improve % Top Box for Communication with Nursing Domain Improve HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey Return percent Clinical Outcomes Improve SEP-1 (Severe Sepsis and Septic Shock Management Bundle) Compliance Rate Improve HH (hand hygiene) Compliance and coach clinicians where we are not meeting the compliance. Throughput Improve LWBS ( left without being seen) Rate Observer - Lisa Slankard Cook County Health Board of Commissioners
Managed Care Committee January 19, 2024 The MANAGED CARE COMMITTEE accepted an emphasis on the expansion of the telehealth service into urgent care by Quarters 3 and 4, 2024. There was no discussion and no details were provided to the committee at the meeting. REPORTS Report on CountyCare Health Plan Metrics (in power point slides) was presented and discussed:
ITEMS TO WATCH:
ITEMS OF INTEREST:
ITEMS PROMPTING THE MOST DISCUSSION
Observer - Victoria L Cerinich Cook County Health Board of Director's Meeting
September 29, 2023 Virtual and In-person Meeting CEO Israel Rocha, Chief Operating Officer, and staff presented departmental metrics and a third quarter update to Strategic Initiatives for the Cook County Department of Public Health. The Strategic Plan for 2023-2025 was introduced in April 2023 and critical ones were included in each area’s Metrics Review. Highlighted in CEO Rocha’s presentation to the Board was an update by Dr. Urjeet Patel, Interim Medical Director of the CCH Cancer Center, on the Cancer Center Service Line. The presentation reflected incorporation of the Strategic Initiatives introduced earlier in the year. With a Mission to provide the highest quality, integrated care across the cancer care continuum for the community served; to create a comprehensive cancer institute through clinical and operational leadership alignment to serve as a fundamental pillar of the Change Institute of Cook County Health with health equity, state of the art care, patient safety, clinical excellence, and patient-centered experience. The six areas identified to incorporate the Cancer Care Continuum were:
Committee Reports:
Director Reiter talked of a future plan for a master RFP process where all 3 contracts will be consolidated into one contract. Ms. Amos expressed concern that without this plan, CCH Human Resources will be unable to maintain the recruiting activity needed for the Health System. CEO Rocha also noted that CCH’s Stroger Hospital has been named the #1 most racially inclusive hospital in Illinois and #2 most racially inclusive hospital in the nation by the Lown Institute Hospitals Index. Cermak Health Services earned accreditation by the National Commission on Correctional Health Care (NCCHC). What to Watch for in the Future: A description of how the plan mentioned by Director Reiter for a master RFP process would work and whether it would address the issue of multiple contracts targeting one initiative. Observers: Peg Moster and Susan Avila – Finance Report 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 Cook County Health Board Meeting - September 25, 2020 The only action items were related to procurement but the board went into a closed session.
Committee Reports:
Interim CEO, Debra Carey reported:
Items to Watch for in the Future:
Observer: Lisa Slankard Length of Meeting: 2 and 3/4 hours |
AuthorIndividual authors are credited at the end of each report. Archives
March 2024
Categories
All
Categories
All
Categories
All
|