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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