Cook County Board of Commissioners
Health & Hospitals System Committee Meeting
March 16, 2021
Following two public comments urging that additional vaccination sites be set up in the western and southern suburbs, coincidentally, the presentations by both the Department of Emergency Management & Regional Security and the Department of Public Health (“DPH”) focused on the criteria that has been used in establishing County-sponsored vaccination sites in the suburbs and how this is changing. Both Departments acknowledged the need to provide more vaccination opportunities in the southern and western suburbs and said that they expect, with the promised increase in vaccination doses, to be able to do so.
Priscilla Mims, Observer
Cook County Board of Commissioners - Committee Meetings
December 16, 2020
Zoning and Building Committee:
Health and Hospitals Committee:
The 3rd and 4th quarter reports were presented by the Cook County Department of Public Health (CCDPH).
Legislation and Intergovernmental Relations Committee:
Follow Up Items:
Observer: Karin Hribar Meeting(s) length total: 5 1/2 hours
Cook County Board - Health & Hospital Committee Meeting
February 26, 2020
The CC Health & Hospital Committee had two items on its agenda:
Agenda Item 20-1118 went through two substitute iterations with the final dated February 24, 2020 and contains major amendment changes to the 2008 Health and Hospitalts System Enabling Ordinance that established the independence of the Hospital System from the County President and Board and set up the mechanism for appointing an independent board. The chair of the committee, Dennis Deer, was not in attendance nor were Commissioners Moore and Tobolski. Commissioner Arroyo, Vice-Chair, ran the meeting.
Significant Amendment changes included in Agenda Item 20-1118
Diane Edmundson - Observer
Cook County Board of Commissioners Health and Hospitals Committee
September 26, 2019
This hearing was requested by the Cook County Board of Commissioners to note and understand discrepancies between the Inspector General (IG) Report and the rebuttal of Cook County Health (CCH) and the firm—Deloitte—hired by CCH to analyze the Inspector General's Report. The IG Report generally stated that CCH’s insurance program, County Care, was unsustainable and was being subsidized by Cook County taxpayers. The IG report looked at ALL of the CCH finances, not just County Care. CCH disputed this and hired Deloitte to analyze the IG report —mainly the viability of County Care—and report to the Cook County Board. Deloitte did NOT do an audit as this was done previously by another division at the firm. It also only looked at County Care and not all of CCH.
There was a lot of confusion by the Board on what was being stated by both the IG Office and Deloitte. Mainly this was because of the Accounting Systems used by CCH and the various ways accounts receivable, payable, assets, etc. can be interpreted. All parties are looking at the financials and cash flow differently. The main question of the Cook County Board was “Do we have any concerns about the stability and viability of CCH?”
Here are the basic findings as this Observer understood them:
Inspector General Report
Dr. Shannon (CEO of CCH) Statements:
Cook County Budget Office:
Observer : Karin Hribar Length of Committee Hearing: 2 hours and 20 minutes
Cook County Board of Commissioners - Finance Committee Meeting
Mid-year Budget Review - July 17, 2019
What did the Board decide?
Several commissioners requested follow up numbers from Cook County Health (CCH) on a number of issues.
Debra Carey (in the absence of Dr. Shannon, CCH CEO) presented the review of the budget and stated there is a projected shortage of $103M this year. She said they expect to be able to eliminate the deficit. They just received a payment of $77M from Medicaid for County Care and the rest they hope to cover by budget tightening and not filling open positions. Charity care is up for the first time since the implementation of the Affordable Care Act (ACA). This was blamed on a problem in Springfield because there is a backlog of eligibility determination and Medicaid is down 7%. The state is addressing this but it will take time.
It seems that coding and documentation is a big issue both for collecting revenue and the outside coding agencies are the delayed accounts payable cited by OIG. There was a lot of discussion on how this is being addressed.
Commissioner Tobolski asked if there is a structural deficit for the hospital and wants CCH to pay more attention to the business aspect.
Observer - Lisa Slankard Observed for 1 hour
Cook County Board of Commissioners Meeting - June 6, 2019
Commissioner Absent: Stanley Moore
What did the Board Decide:
The Board approved a Resolution in Support of HR1384 - The Medicare for All Act.
Other Items of Interest:
Observer: – Beverly Graham Meeting Length: 55 minutes
Individual authors are credited at the end of each post.