Cook County Health and Hospital Systems Board Meeting November 22, 2013

Committee reports.
Director Collens reported that 2014 Quality Indicators for Provident Hospital are 2 months behind.

Chairman Carvalho reported that a grant proposal will be submitted in January to get additional federal funds for system delivery, including funds for a system to collect payment data.

The Illinois Hospital Report Card has some data, but inaccurate, Dr. Raju stated. Claims data
does not adjust for socioeconomic status. Carvalho responded that CCHHS needs to code its claims
data properly.

Few Medicare patients are in the CCHHS system; people leave when they become Medicare-eligible. New system will help CCHHS find out where they go.

Chairman Report
Chairman Carvalho reported on a Milwaukee Sentinel article regarding the blood drop taken from babies to test for diseases, looking nationally at (1) are specimens satisfactory? and (2) how long does it take to evaluate specimens? CCHHS was rated unsatisfactory due to incomplete data, but not bad specimens.

Discussion about dates and times for 2014 board and committee meetings.

CEO Report
Dr Raju reported:
● 2014 budget adopted with no amendments, to commence December 1.
● CountyCare has now enrolled more than 57,000 new patients.
● CountyCare has 119,000 applications, 72% initiated through call centers, others through FQHCs. The approval rate is 85%, with a backlog of 27,000.
● CountyCare can now move seamlessly from a "demonstration" project to a fully functioning operation.
● The Leadership Institute, or Cook County University, has successfully completed its first ten-week session of goal setting, management performance expectations, problem solving, and senior leadership. Participants were asked to identify one major issue and use their new learning to solve it. Graduation of first group December 17. Next, 200-300 middle managers to be trained. The first class was handpicked so they can teach the next group.
● ACHNs (Ambulatory and Community Health Network) are committed to reduce wait times and make their centers more welcoming.
● The Call Center reduced dropped calls from 13% to 6.6%.
● Dr. Raju hired 2 more senior officers, Peter Daniels to serve as Chief Operating Officer for Cermak, Provident and Stroger; and a new Chief Nursing Officer.
● Two new dental chairs will go into Stroger soon.
● The state legislature must approve CCHHS proposal to allow CountyCare to function as an HMO, taking responsibility for insurance.

Chairman Carvalho noted that there will be a hearing this week on Chicago's 6 trauma centers (are more than 2 needed on south side?), and noted that U of C Hospital's "bypass rate" (rejecting patients) has declined from 30% to 12%.

Meeting adjourned to closed session at 9:20.

submitted by Linda Christianson