CC Board Budget Hearings Continue - Nursing Shortages, Shakman Compliance, Failures to Respond to Inspector General Reports among the Issues Raised
Cook County Board Finance Committee Meetings on the Budget
October 25, 2022
Cook County Health (“CCH”) – Presented by CCH CEO Israel Rocha. Jr.
Miller: Addressing the issue of the new Change Institute, said that she was pleased to see more focus on "preventive vs reactionary" care, and noted the increase of 44 new positions in this new Department. She particularly asked for goals and metrics from each of the Institute's funding sources [ARPA, Grants, County] and any other new programs using ARPA and County funding.
CEO Rocha responded to a question about the behavior health goals using ARPA funding stating that there are two big categories:
Next came Miller's question on the Juvenile Justice Care Coordination Program to be funded by ARPA. Two Care Coordinators will be hired for reentry and transition stabilization.
When asked about the ongoing long-time issue of low patient satisfaction ratings, Rocha noted that the HIV Core Center has a great reputation and rhetorically asked "how can we use its experience?"
Degnan: Wants the system to communicate more broadly that CCH is a safe home for reproductive health. Said that a specific brochure is needed focusing on the System's services. Rocha responded that he would send her the communication tools currently in use.
Anaya: Responding to Anaya's concern about the length of the hiring process, Rocha said that the System has hired 350 individuals in the last 150 days and that turnover is at its lowest level in 18-20 months.
Several other Commissioners noted that their questions had been covered by previous colleagues and also commended CEO Rocha on his command of the System's needs and his vision for CCH.
Assessor’s Office -– Presented by Assessor Fritz Kaegi
Carrying over from the meeting with the Assessor earlier, court oversight of the offices of the Clerk of the Circuit Court and the County Clerk under the Shakman cases (which prohibit political considerations regarding most County personnel) was raised during these two meetings.
Following are more details from these meetings, along with the one with the Treasurer, who announced that she is expecting to receive the information for the 2nd installment property tax bills by November 11. If so, she said she would have bills posted on her web site and available for downloading and payment by November 15.
Treasurer - Presented by Treasurer Maria Pappas
Office of the Independent Inspector General -– Presented by Acting IIG Steven Cyranoski
Clerk of the Circuit Court - Presented by Circuit Court Clerk Iris Y. Martinez
County Clerk - Presented by Clerk Karen Yarbrough
Observers: Diane Edmundson and Priscilla Mims
Cook County Board: Health & Hospital Committee Meeting
October 18, 2022
The following reports were received and filed:
Items to watch in the future:
Observer: Susan Avila
Cook County Board of Commissioners - Committee and Board Meetings
July 27, 28, 2022
Finance Committee July 27, 2022
Health and Hospitals Committee July 27, 2022
Cook County Board of Commissioners Meeting July 28, 2022
Observed by Kathi Graffam
Cook County Board of Commissioners Meeting
May 12, 2022
Commissioners Anaya, Miller, and Gainer questioned Cook County Health’s Chief Executive Officer Israel Rocha concerning a proposed transfer of funds and the continuing problem of filling nursing positions. Commissioner Gainer asked CEO Rocha to report back to this Board next month on the measures being taken to improve the hiring process. Commissioner Sims said part of the problem is due to following all the steps required under the Shakman consent order. CEO Rocha said his staff has been working with the Office of the Independent Inspector General to see what changes could be made.
The Board approved the following:
The Board referred to the Legislation and Intergovernmental Relations Committee:
The Board referred to the Rules Committee:
The Board referred to the Technology and Innovation Committee:
The Board referred to the Litigation Finance Subcommittee the 2022 1st Quarter Inspector General’s Report.
League Observer: Priscilla Mims
Cook County Board of Commissioners Meeting
April 7, 2022
The Board Approved:
Other Items of Interest:
Observer: Carolyn Cosentino
Cook County Board of Commissioners Committee Meetings.
April 5, 2022
Health and Hospitals Committee
Observer - Carolyn Cosentino
Cook County Board Finance Committee
Departmental Budget Hearings
Oct. 26, 2021
The meeting scheduled for 9 a.m. was held at 10:30 due to CCH scheduling issues. It continued until 1:15 for 2 hours and 45 minutes due to commissioner questioning and compliments.
Cook County Health - presented by CEO Israel Rocha and former Interim Budget Officer, Andrea Gibson
Proposed 2022 Budget: $ 3.889 Billion 2021 Budget: $3.388 Billion
Proposed 2022 FTEs: 7,560 2021 FTEs: 6,803
CEO Rocha’s comments
Both internal and external factors were considered in developing the 2022 budget; and while he stated that this is a conservative budget, he also stated that is has taken into consideration the importance of meeting the needs of patients, staff, and growth challenges. Health Equity runs through all budget allocations.
Diane Edmundson - Observer
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