Public Speakers. A series of public speakers complained that contracted CCHHS service provider Sodexo has failed to manage effectively, with insufficient measures of performance, leadership turnovers, patient abuse, and poor performance leading to an infestation of bedbugs at Stroger Hospital. CEO Dr. Jay Shannon responded that this is an issue of serious concern. COO Peter Daniels said there have been 276 disciplinary actions against Sodexo since July of 2011 when their contract was initiated.
Recognition. Dr. Shannon recognized Provident Hospital for
its 3-year accreditation by the Joint Commission.
Committee Reports. Board Chairman Hill Hammock has asked each
board committee chairperson to present relevant metrics each month to summarize
status and to highlight issues that emerge at committee meetings. In addition, the metrics of one of the four committees
will be particularly highlighted at each board meeting as a way of
understanding the full scope of the issues.
Board meetings may now require 3 hours.
Quality and Patient
Safety. Committee Chair Mary Gugenheim introduced Dr. Das, who presented
process measures showing high compliance with appropriate procedures for
various afflictions; composite compliance rose to about 95% during FY14 for
Stroger Hospital. Regarding patient
experience at Stroger Hospital, no change in 2014: about 60% overall patient
satisfaction, only 40% satisfaction with patient environment (noise and
cleanliness are key issues), 80% with communication with doctors, 70%
communication with nurses. Dr. Das said Stroger's overall patient satisfaction
level ranks with the lowest 20-30% of
hospitals nationally. Between March
and September there will be an inspection of the 16 CCHHS-affiliated clinics to
prepare them for certification by the Joint Commission as Medical Home
Models. Concerns were expressed
regarding slow hiring at Provident, as well as parking problems.
Managed Care. Committee Chair Wayne Lerner presented data
showing that CCHHS is falling behind on
CountyCare membership recertifications,
attributing the problem to delays at the state and to fewer re-enrollments by
younger people. Forty percent of CountyCare patients are cared for by CCHHS,
60% by others. CountyCare represents
more than 50% of CCHHS total revenue, a problem if more patients are seeking
care elsewhere. Another concern is that
CCHHS is now caring for the patients most at risk. Already it is caring for 3,000 of the
sickest children in the county, according to Deputy CEO Doug Elwell. "We need to get our share of healthier
patients," Lerner commented.
Human Resources. Committee Chair Dorene Wiese introduced HR
Director Gladys Lopez whose data showed 874 vacancies filled in FY2014 (an
increase over FY2013), of which 75% were clinical, 25% nonclinical. Reasons to leave CCHHS: 8% discharged, 25%
relocation, 61% retirement. In FY2014,
there were 6,016 staff, of which 2844 were Black, 1291 Asian, 1102 White, 607
Hispanic, 6 American Indian, unknown 226; female 70%, male 30%; average age of
staff 49; 3,465 staff at Stroger Hospital.
Lopez said the greatest hiring challenges were finding physical
therapists, occupational therapists, and physician assistants. She said 60-90
days is the LEAST amount of time required to fill positions due to barriers of
credentialing, time to schedule interview, then report and respond. Dr. Marsh pointed out that many applicants
might well have moved on by then.
Finance. Chair Lewis Collens' data showed a cash
improvement of $101,764 compared to FY13, but key FY14 metrics were under
budget, including CountyCare net income with a shortfall of over $24 million and CCHHS net income with a shortfall of $34 million
as of October 31. Financial data
regarding contracts with outside providers will be available at future
meetings. Contracts were approved
subject to approval by the full Cook County board.
CEO Report. Dr.
Shannon reported that the redevelopment
for the central campus will incorporate a new building with ambulatory
services and office space; RFPs are due February 9. Stroger Hospital is preparing for review by
the Joint Commission. Dr. Shannon
alluded to a recent Crain's article citing only 27% bed occupancy at Stroger
Hospital, noting that Stroger is a trauma center with 6 types of ICU beds. Lerner pointed out that the market is moving
toward a need for fewer beds; some partnerships with other hospitals may be
possible. Dr. Shannon welcomed Dr. Erica
Marsh and said there is still one board vacancy. He met with Senator Durbin and five
representatives in Washington DC to stress the importance of continued Medicaid
funding. CCHHS now has new linear
accelerators providing radiation therapy to cancer patients.
Meeting adjourned at 12:10.
Submitted by Linda Christianson
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