Meeting called to order by Chair H Hammock at 9am
Public Speakers
There were 2 public speakers. A man commented about high cost contracts being approved without
apparent dissent by the Board, implying that they are being rubber-stamped.
Second speaker was a woman whose
son died at Stroger Hospital after being shot. She donated his organs. She was distraught when her son’s
personal belongings were not released in time for the service by the hospital
due to a problem with the paperwork which the staff left in charge could not
fix. She was crying and stated that
staff left in charge should have the ability to make decisions that are
important to the public. Chair Hammock
and CEO Dr. Shannon expressed their regret to Ms. Lewis and intention to enact
corrective action to address this issue.
Board and Committee Reports
BoD meeting minutes from the 2-27-15 meeting were approved.
Quality and Patient Safety Committee, met on 3-17-15
Director Gugenheim and Dr. Das presented the
Quality
Metrics reported for full year 2014 as variances from a stated target:
Stroger: Venous
thromboembolism prophalaxis, variance of -14.8% below target (99%);
on-time start of surgical cases -45% (target 80%); overall rating of hospital by patients -10%
(target 85%)
Provident
Hospital: VTE prophalaxis -4.9% (target 99%); ACHN: diabetes in control 78% (target 78%);
Patient experience moving through visit -8% (target 75%); patient experience telephone experience -13% (target 75%)
Chair H
Hammock said “good summary”. He wants
the Board to be very familiar with the metrics so that discussion will only be
on remedial action.
Dir. Gugenheim reported that the
Primary Care Medical Home inspection of ACHN was passed with flying colors.
Dr. Das
reported on the report “Overview of
Linguistically Appropriate Care Presentation” including patient
preferred languages (English #1, Spanish #2), and number of interpreters (in-person vs phone 50/50%).
Dir. Junge requested metrics
on language for the Cermak Clinic. Dr. Das
said it would be forthcoming.
Audit and Compliance Committee 3-19-15
Dir. Velasquez and Kathy Bodnar reported on
Corporate Compliance issues by category with HIPPA 44%
and Human Resources 18% the top 2 issues
for 2015 Quarter 1. CountyCare Health
Plan issues were not included (separate report on fraud, waste, abuse etc. for
CountyCare to come).
Managed Care Committee 3-19-15
Dir. Lerner and Steven Glass explained
powerpoint of metrics. CountyCare members by age 2015 Q 1 little
change (25-44y/o= 29%; 55 + 29%); trending of extended supply of prescriptions
(90 d supply vs 30 d) decreasing 10% in 12/14 and 8.6% 2/15. Mr. Glass stated that the goal is to increase
the % of 90 d PX because there is potentially a $2,000,000 annual savings in
the labor costs when the total number of Px are decreased by giving patients a
3 month supply. The plan is to make this
mandatory and require the patient to pay for any lost portions of the Px. Dir. Butler was concerned that this would
penalize patients unfairly. Mr. Glass
reported potential 5,000,000 savings if all HIV Px are filled at CCHHS.
Membership total (including ACA, FHP and SPD,
home community waiver) for 2/15 now 152,995 up from 86,562 (12/14). Goal based on budget is 156,943 (they are at
97,5% of goal for Feb.’15).
CountyCare is
the 3rd largest managed care program in Chicago after Family Health
Network and Harmony Health Plan. Most of utilization is primary
care and the goal is to spread utilization
more evenly over the services which are being funded even if not utilized. Claims payment data shows metrics
reaching goal of 30 days. Brief discussion
of hard to reach population efforts by CountyCare. Mr. Glass noted that they work with the
Salvation Army. Dir. Velasquez suggested
that Catholic Charities be contacted.
Human Resources Committee 3-20-15
Dir. Wiese and Gladys Lopez, Chief HR,
reported that the vacancies on 2-26-15 were 989 with goal of 600 and days to
fill a position 195 days with goal of 94 days.
G. Lopez commented that “it is hard to compete with Northwestern and
Rush Medical Centers at job Fairs because of the CCHHS union contract which
requires posting jobs for 2 weeks and other bureaucratic requirements that prevents on-spot hires”.
HR offers a CCHHS Leadership Development
Program for employees that are at supervisor or director level (600 eligible)
which teach performance management tools. 35 graduates thus far with 50% from the nursing dept.
Dir.
Velasquez asked “who evaluates the supervisors?” Mr. Elwell responded that they are developing
formal processes for evaluating supervisors.
Finance Committee 3-20-15
Director Collens and Mr. Elwell reported on
metrics. He indicated that CCHHS was experiencing difficulty in finding
psychiatrists required by federal agencies for Cermak. There were a decrease in in-patient days over
the last 5 months below budget but this has been reported by all
hospitals. A positive is the decrease in
uncompensated care from 50% to 24% of patients taken care of.
Survey of the breakdown of physician work efforts at CCHHS shows time spent: clinical 57%,
teaching 21%, administration 20%
and research 1%. Overall financials show
a slightly positive income for the 1st Q.
Report from Chair of the Board
Chair H. Hammock indicated that attendance at committees of the Board
and Board meetings, including Directors and non-Director attendees would be
tracked by quarter going forward. CCHHS
fundraiser recently raised $100,000 to be used by the ER.
Report from CEO
Dr. Shannon provided a legislative update as
relevant to CCHHS (CC, State, Federal) including potential funding cuts by the
State for the 2016 budget year. He
presented an overview of the Strategic
Plan which is required to be for at
least 3 years, 2016-2018 by the 2008 Cook
County Ordinance. It may be a 5 year
plan. It covers a wide range of
elements. A more definitive version of
the Plan will be forthcoming.
Meeting adjourned to Closed Meeting
Items at 11:45am
Submitted by Susan Kerns
Submitted by Susan Kerns
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