Attending: Chair Mary Gugenheim; CCHHS board members Hill
Hammock, Dr. Erica Marsh, Wayne Lerner (by phone), Emilie Junge; QPS members
Pat Driscoll and Pat Merryweather.
Meeting called to order by Chair Mary Gugenheim at
10:30. Chief Quality Officer Dr. Krisha
Das said Prieto Clinic is prepared for a visit by the Joint Commission and
plans are in place for all ambulatory clinics to be visited. The Joint Commission visit to Stroger
Hospital is likely to occur between May and September.
Dr. Das presented
data on CCHHS quality, safety, and patient satisfaction. Stroger Hospital ranks below standard for operating
room efficiency; there were questions and concerns regarding the incidence of
pressure ulcers in the intensive care unit; Stroger Hospital overall patient
satisfaction continues to be about 60%, vs. goal of 85%; Ambulatory & Community Health Network (ACHN) community clinics overall patient
satisfaction about 70%. On time surgery starts were at about 30%. Peter
Daniels, COO for hospital-based services, explained that break times and lunch
hours of staff contributed to this low percentage, and that steps are being
taken to remedy this.
Dr. Das presented an explanation of CCHHS linguistically
appropriate care services, beginning with an initial language screening revealing that about 2/3 of patients have
adequate written language skills, with about 1/4 Spanish-speaking among the
entire patient population. Materials are
available for patients with low literacy skills as well as signage and 21
interpreters, 17 Spanish, 4 Polish, 3 more to be hired in Spanish. In 2014, there were 50,000 requests for
Spanish interpretation, most by phone at a cost of $ .85 per minute, a total of about $750,000
in non-reimbursable costs for the year.
Dr. O. Ukoha, President of Stroger Hospital Medical Staff,
asked that each patient have 2 pieces of ID "to make sure the right
procedures are done on the right patients."
The meeting adjourned to closed session at 11:45.
submitted by Linda Christianson
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