Cook County Board of Commissioners
Health and Hospitals Committee Meeting February 27, 2024 1 hr. meeting Dr. Erik Mikaitis, Interim CEO of CCH and Dr. Rami Doukky, Chair of Cardiology & Interim Director of Heart Institute at CCH presented Health Disparities Semi Annual Report, June 2023-December 2023. The slide show from this presentation is available online at cook-county.legistar.com/calendar.aspx. Look on the Attachments for this meeting’s entry. The Heart Institute is developing its scope of care from prevention to critical care. CMS shows the heart failure rate of readmission within 30 days which is better than the national average, in the 10th percentile. Com. Trevor noted that is especially impressive since they see patients further along in the disease. The statistic indicates good care. In 2023, the American Heart Association awarded them twice with Gold Plus recognition in heart care. These start the list of recent accomplishments at the Heart Institute. Outpatient services expanded, including outpatient cardiology care and palliative care. Three new clinics have been added. They have introduced the CardioMES, a pulmonary care tool that transmits data every night relative to pulmonary pressure. A team can intervene and contact patient; decreased need for readmission when in use has been proven here. Access to testing and timeliness of results have increased. Comprehensive ECHO lab has been accredited by a national organization. Cardiac CT and Cardiac MRI have been introduced. Cardiac PET will be added in Fall, 2024. Referrals for services are now coming from UChgo Medicine. Patients are now being sent to CCH because of the services and care available, rather than solely as the resource for uninsured patients. Connections with other hospitals are being developed. A list of less invasive procedures introduced since 2021 was given. Minimally invasive procedures have helped grow cardiology services. A steady increase of 10% yr. is expected. These are examples of access to a higher standard of care now available to patients. Examples: -Transcatheter Aortic Valve Replacement (TAVR). Prior practice would have been to send the patient elsewhere for this or perform open heart surgery with all its risks. 45 cases have been performed. This TAVR option provides access to an equitable standard of care, with less time in hospital, less cost, less morbidity, reduced risk of adverse events. -Left Atrial Appendage Occlusion (Watchman). This is superior to blood thinners which are associated with bleeding. -Trans Catheter Mitral Care (MitraClip). This clip is used for leaking valve which if left untreated can lead to heart failure. It is especially valuable for patients who are not candidates for open heart surgery. Introduced in 2023, 20 procedures have been performed so far. A new clinic program, Heart Disease in Women, will be opening will opening in Fall, 2024. 24-0403 was received and filed. Slide show of presentation is available online in Attachments for Meeting Details. Observer: Carolyn Cosentino
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Cook County Board of Commissioners Health and Hospitals Committee
Public Hearing February 27, 2024 Meeting Length: 1 hr. 25 min. Dr. R. Garza CCH Board of Directors Chair introduced Brian Barton and Dr. Greg Vaughn. They were representing the firm Spencer Stuart, which is conducting the search process and were present to hear priorities and address questions. Many of the points of concern, they stated, had also been expressed to them by the Cook County Health (CCH) Board. Commissioners agreed on these and many others. The discussion included the following points of concern:
Observer : Carolyn Cosentiino Cook County Board of Commissioners Committee Meetings
Cook County Health & Hospitals and Labor January 23, 2024 Health & Hospitals Committee Public comments:
Quarterly update on status of infectious diseases (Item 23-3815):
Semi-annual Reports on Behavioral Health Services Provided by Cook County Offices from June 2023 through November 2023 (Item 24-0639, State’s Attorney; 24-0595, Public Defender; 24-0578, Cook County Health; 24-0523, Chief Judge; and 24-0020, Sheriff) Presentations included the following information:
Labor Committee
Observer: Priscilla Mims Cook County Board of Commissioners Meeting
December 14, 2023 Board Action: The first hour of the meeting was devoted to the Consent Agenda and to public speakers. When ready for the business of the meeting Comm. Daley asked that a vote be taken to consider an item from the Third New Items Agenda, Agenda Item #24-0583, out of order. The motion to do so was approved and the amended Paid Leave Ordinance was moved for consideration.
Comm. Degnan raised an issue with Agenda Item #24-0029, a contract with LexisNexis. She stated a concern that vendors should not be able to collect data that they can then bundle and sell. She asked that language be included in contracts to ensure prohibition of this process. Tanya Anthoney, CFO, said that they are developing a strategy with the Bureau of Technology, the Procurement Department, and the States Attorney’s Office to strengthen the language in this type of contract. Comm. Quezada questioned a contract extension, requested by the Chief Judge, with a company for radio frequency electronic monitoring (EM). (Agenda Item #24-0009) He indicated that there are more problems with this type of EM equipment than with GPS monitoring. A representative from the Chief Judge’s office stated that of the 1700 persons in their EM program about 200-400 use the radio frequency equipment. The 7 month extension is being requested so they can complete the RFP process for a new vendor that began in July of 2022. Testing of the equipment takes a long time. This item was deferred after questions from Comm. Anaya and Comm. Stamps were not answered to their satisfaction. Most remaining items on the agenda were bundled by department and approved with no discussion. All the items in the 5 sets of New Items were done at once with some items being referred to committee and some items being approved. Meeting lasted 3 hours and 40 minutes. Previously on December 12 and 13 a number of the Board Committees met, and among the items of interest dealt with are the following: December 12 Health and Hospitals Committee Dr. Hasbrouck, COO of the Cook County Department of Public Health, presented the Quarterly COVID and Infectious Disease Update. Highlights of the presentation:
December 13 Finance Committee A public speaker expressed concern that a budget amendment was approved during the budget process adding 4 people to the staff of the Board of Review (BoR). He stated that the amendment process did not allow for rebuttal from the public. He stated that the BoR needs to be reined in.
Finance Sub-Committee on Litigation All business including the Inspector General (IG) 3rd Quarter Report was conducted in closed session and the IG report was voted on to Receive and File when the committee returned to open session. No public discussion. Transportation Committee Jennifer Killen, Superintendent, Department of Transportation and Highways, gave a presentation about 2 programs that will use ARPA funds for various projects.
Asset Management Committee Two items provoked discussion
Observer - Cynthia Schilsky Cook County Board Of Commissioners
Health & Hospitals Committee Meeting October 17, 2023 The Public Health Department: presented both a verbal and written 3rd Quarter Report which is also being presented to the Cook County Health Board on Friday, October 27, 2023 and will be available to the public after the meeting.
The Joint Finance and CCH Health Meeting to discuss the use of contract staff rather than permanent hires was called to order and after 4-5 public speakers [union employees] was recessed at 4:45 p.m. with a reconvened date and time to be announced. Observer: Diane Edmundson Cook County Board Finance Committee – Mid-Year Budget Hearings July 26, 2023 – Cook County Health - Israel Rocha, CEO. 2024 Preliminary Budget: $4,034.9 Billion Revenue Mr. Rocha began by stating that Strategic Plan mission is to compete head on with any health care system in the world. The primary issues discussed during the two-hour hearing were:
Observer: Diane Edmundson |
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