Wednesday, August 29, 2012

COOK COUNTY Health and Hospital System Finance Committee Meeting August 24, 2012


The meeting was called to order by Chairwoman Heather O’Donnell at 9 a.m. George Blakemore for Clean Government, spoke on the need for transparency in government contracts.  Lionel Saffold, SEIU (Service Employees International Union) Local 1, spoke on the need to hire responsible contractors who pay workers according to the contracts.

Four contracts were brought up for approval: 1) an increase to the budget for hiring extra nurses through a nursing agency, 2) a contract to GE Medical Systems for bedside monitors, 3) a contract to Simplex-Grinnell for hospital emergency fire equipment which would result in 18% savings over the previous contract, and 4) a contract with Health Record Solutions.  Board members posed questions on the need for using a nursing agency.  All contracts were approved by the board.  

The Financial Reports through July 31st were presented by Dorothy Loving, Executive Director of Finance.  It was noted that the number of days of outstanding revenue had decreased since the winter months.  Budget deficits have also decreased compared to the same month in 2011 due to Retroactive Payments moving faster.  After listening to questions and answers, Chairwoman O’Donnell suggested that a training program giving a broad overview of the budget would be helpful for new board members.   The Financial reports were unanimously approved.

Dr. Raju presented the preliminary 2013 CCHHS Budget.  Discussion would be held immediately and the vote deferred to September 5 at a meeting of the entire board.  Dr. Raju said during past years, quality of care was separated from patient satisfaction, but now they plan to work on equating these two factors.  2013 revenue is based on payer mix by surgical procedure.  He said the new budget does not project a higher volume, and that HHSSC has been proactive on the 1115 Waiver for early enrollment by already enrolling 60,000 patients of the 115,000 they expect to enroll and follow through 2014.  As CCHHS does not currently have the ability to track and document  individual costs per patient, Chairman O’Donnell noted the 1115 Waiver gives the County the incentive to do so.

Continuing with the 2013 Budget overview Dr. Raju noted that expenses associated with Oak Forest were moved to Stroger Hospital, and the revenue from Oak Forest Hospital is now credited to Stroger Hospital and ACHN (clinics).  Supply chain savings are expected to be $25 million.  Vacant positions in the system continue to be a problem.  Currently there are 382 positions in the pipeline.  The 2013 budget also allocates an additional $8 million for more information systems.  Chairman O’Donnell asked for monthly reports on the supply chain purchases, waiver implementation with early enrollment, and meaningful use.

2013 Budget hearings will be held on August 28, August 30, and September 4.  The board meeting was adjourned at 10:20 a.m..
 
--Submitted by Eleanor Prince, League Observer     

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