The meeting was called to order by Chairman Jerry Butler. During the public comment period, a private citizen stated that the
unions and the staff were motivated by money. A representative from Local 231 ASMF representing staff computer coders
stated that they wanted to do coding work in house and not have the work
sub-contracted out to 2015.
Since a quorum was not yet present,
CFO John Cookinham summarized the August 31, 2013 financial reports. On a cash basis, CCHHS was behind $40 million,
but on the Operational side they were almost on mark and expected to end the
year slightly ahead in Operational Expenses. In
August there was a 28.4% decline in Carelink due to the increase in Revenues
from CountyCare.
Continuing his discussion of the
August, 2013 balance sheet, Mr. Cookinham stated that the Capitation Revenue
was 57% from Medicaid and 31% from Medicare.
August CountyCare revenue was under budget with $12.9 million, but CountyCare Revenue is expected to be $17.9 million in September and $23 million in October.
Admission rates have been 1.6% below budget and Adjusted Patient Days
are 12.7% below budget. Emergency visits
averaged 462 visits per day and clinic visits were 1% below average at 623
visits per day.
Don Oder, Ex-Officio member, stated that having an Income/Revenue statement showing actual figures compared to Budget would give some clues as to what would happen at the end of the year. Mr. Cookinham replied that CCHHS has great
difficulty getting any information from the County Accounting Department,
especially on Non-Operating Income, and that financial information from the County is often far behind.
Director Hammock joined the meeting by phone, so the Committee now had a quorum with Butler, Wiese, and Ramirez.
Gina Besenhofer, Executive Director
of Supply Chain Operations, presented 25 Grants and Contracts for approval, including a $1,804,204 contract with K-Force, Inc. for medical records and coding staffing for three years from
November 1, 2012. Board members wanted to know why $1.8 million had to be spent for coders. Ms. Besenhofer said the need for coders to
keep up with compliance was much greater than expected. After additional discussion, Mr. Cookinham explained that CCHHS has about 28 coders and they are doing in-house training.
Steven Glass, Executive Director
of Managed Care under the 1115 Waiver, stated that they have filled out 107,000 applications, with the majority
originating from the Call Center. 76,000 applications have been submitted to the
State with an 85% approval level. He
said that the State has increased its processing to 530 applications per day,
but that the backlog is still 27,000. The State is currently training more processors.
Mr. Glass brought a map
indicating 1115 Waiver applications per zip code according to the request at
the last Finance meeting. Applications
have been received from every zip code in Cook County, although the greatest concentrations of applications were from the
South, Southeast, and West sides of the city.
Dr. Bala Hota, Director of
Meaningful Use, gave a presentation on the federal government’s intent and goal
under the Affordable Care Act, to create
platforms of functional areas across the United States during the 2011-2015
period of implementation. There are
incentives for each area to have federal certification and after 2015 there
will be sanctions.
Commissioner Butler stated that the Cook County Accounting Department is asking for $40 million to upgrade and integrate the computer systems of all its branches, because they are not currently integrated. The meeting was adjourned at 10:25 am.
Submitted by Eleanor Prince
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