Chairman Carvalho stated that Director Morris is unable to be physically present, but is able to participate in the meeting telephonically.

Transcription

1 Minutes of the meeting of the Board of Directors of the Cook County Health and Hospitals System held Friday, April 26, 2013 at the hour of 8:00 A.M. at 1900 West Polk Street, in the Second Floor Conference Room, Chicago, Illinois. I. Attendance/Call to Order Chairman Carvalho called the meeting to order. Present: Chairman David Carvalho, Vice Chairman Jorge Ramirez and Directors Hon. Jerry Butler; Edward L. Michael; Luis Muñoz, MD, MPH; Heather E. O'Donnell, JD, LLM; Carmen Velasquez; and Dorene P. Wiese, EdD (8) Present Telephonically: Reverend Calvin S. Morris, PhD (1) Absent: None (0) Chairman Carvalho stated that Director Morris is unable to be physically present, but is able to participate in the meeting telephonically. Director Butler, seconded by Director Muñoz, moved to allow Director Morris to participate as a voting member for this meeting telephonically. THE MOTION CARRIED UNANIMOUSLY. Director Morris indicated his presence telephonically. Additional attendees and/or presenters were: Gina Besenhofer System Director of Supply Chain Management Cathy Bodnar System Chief Compliance and Privacy Officer Patrick T. Driscoll, Jr. State s Attorney s Office Susan Greene System Interim Director of Managed Care Claudia Fegan, MD Executive Medical Director/Medical Director Stroger Hospital Nancy Jarasek John H. Stroger, Jr. Hospital of Cook County Gladys Lopez System Chief of Human Resources John O Brien, MD Director of Professional Education Elizabeth Reidy System General Counsel Deborah Santana Secretary to the Board Tom Schroeder System Director of Internal Audit John Jay Shannon, MD Chief of Clinical Integration II. Public Speakers Chairman Carvalho asked the Secretary to call upon the registered speakers. The Secretary called upon the following registered speakers: 1. George Blakemore Concerned Citizen 2. Dr. Rahman Former Employee 3. Sara Buck Concerned Citizen 4. Vadim Gershteyn Concerned Citizen 5. Richard David, MD Co-Director, Neonatal Intensive Care Unit, John H. Stroger, Jr. Hospital of Cook County 6. Sheila Agnew Registered Nurse, John H. Stroger, Jr. Hospital of Cook County Page 1 of 24

2 Minutes of the Meeting of the CCHHS Board of Directors Friday, April 26, 2013 Page 2 III. Board and Committee Reports A. Minutes of the Board of Directors Meeting, March 28, 2013 Director Michael, seconded by Director O Donnell, moved the approval of the Minutes of the Board of Directors Meeting of March 28, THE MOTION CARRIED UNANIMOUSLY. B. Minutes of the Quality and Patient Safety Committee Meeting, April 10, 2013 During the presentation of the Minutes, Director Michael indicated that a report regarding patient satisfaction with respect to the Ambulatory and Community Health Network of Cook County is expected to be presented at the next Quality and Patient Safety Committee Meeting. Director Michael, seconded by Director Muñoz, moved the approval of the Minutes of the Quality and Patient Safety Committee Meeting of April 10, THE MOTION CARRIED UNANIMOUSLY. C. **Minutes of the Audit and Compliance Committee Meeting, April 10, 2013 During the presentation of the Minutes, Director Velasquez inquired regarding the definition of underinsured as it relates to CountyCare. Chairman Carvalho stated that a report on that subject can be provided through the Finance Committee. He noted that there is consideration for the underinsured within the System s CareLink Policy (charity care policy); with regard to CountyCare, he stated that he believes those eligibility determinations are under the Medicaid Waiver. Director Muñoz, seconded by Director Michael, moved the approval of the Minutes of the Audit and Compliance Committee Meeting of April 10, THE MOTION CARRIED UNANIMOUSLY. Note: the motion to approve the minutes remained pending until after the adjournment of closed session; at that time, final action was taken and the minutes were approved. D. Minutes of the Finance Committee Meeting, April 19, 2013 During the presentation of the Minutes, Director O Donnell provided an overview of one of the contractual items recommended for approval at the meeting; this was a request to amend and increase the contract with Sodexo America, LLC. She noted that the performance measures relating to the contract have been shared with the Finance Committee Members; this information can also be forwarded to the Board. Director Michael stated that most of the performance indicators or measures appear to only go through June He stated that it would be helpful for the Board to understand what those measures are going to be once those are negotiated beyond June of this year, both in the Environmental and Food Services areas, because they are an important part of the patient experience and patient satisfaction levels; he requested that the administration follow up with regard to that subject. Page 2 of 24

3 Minutes of the Meeting of the CCHHS Board of Directors Friday, April 26, 2013 Page 3 III. Board and Committee Reports D. Minutes of the Finance Committee Meeting, April 19, 2013 (continued) The Board discussed the information provided in the update to the Finance Committee regarding CountyCare. Director Velasquez inquired further regarding the upcoming change in the process that reflects that the State will now be responsible to verify citizenship. Director O Donnell noted that typically the State has performed this function with respect to Medicaid applications, so it is a natural function of the State; she added that they have many more tools at their disposal to do so. Chairman Carvalho inquired as to how this change will be communicated to those who are currently performing this function. Susan Greene, System Interim Director of Managed Care, stated that System staff recently met with representatives of the Illinois Department of Healthcare and Family Services (HFS), the Illinois Department of Human Services (DHS), and the Governor s Office regarding that subject; the System is waiting for them to issue a policy change to DHS, and then training can be scheduled. She stated that a message is going out today to all application assisters and to Chief Executive and Chief Operating Officers of the Federally-Qualified Health Centers (FQHCs) that starting May 1, those applications that are forty-five days or older that are complete except for verification of citizenship should be submitted. Vice Chairman Ramirez, seconded by Director Michael, moved the approval of the Minutes of the Finance Committee Meeting of April 19, THE MOTION CARRIED. Chairman Carvalho voted PRESENT on request numbers 1 and 2, under the Contracts and Procurement Items contained within the Minutes. E. **Minutes of the Human Resources Committee Meeting, April 19, 2013 During the presentation of the Minutes, with regard to the information provided on the vacancies being filled, Director Velasquez asked whether there is a breakdown that reflects the number of clinical and non-clinical positions being filled. Gladys Lopez, System Chief of Human Resources, responded that the breakdown will be provided in the report going forward. Director Butler, seconded by Director O Donnell, moved the approval of the Minutes of the Human Resources Committee Meeting of April 19, THE MOTION CARRIED UNANIMOUSLY. IV. Action Items A. Contracts and Procurement Items There were no Contracts and Procurement Items presented for the Board s consideration. B. Request for authorization to enter into and execute an Intergovernmental Agreement between the Illinois Department of Public Health and the County of Cook, on behalf of its Cook County Health and Hospitals System and the Office of the County Clerk for Cook County This item was withdrawn from consideration. Page 3 of 24

4 Minutes of the Meeting of the CCHHS Board of Directors Friday, April 26, 2013 Page 4 IV. Action Items (continued) C. Any items listed under Sections III, IV and VII D. Request for authorization to enter into and execute a Lease Schedule, pursuant to the Replacement Master Lease Agreement with Banc of America Leasing and Capital Corp., LLC, for the leasing of a fully equipped modular office building (Attachment #1) Gina Besenhofer, System Director of Supply Chain Management, presented the request for the Board s consideration. Vice Chairman Ramirez, seconded by Director Michael, moved the approval of the request for authorization to enter into and execute a Lease Schedule, for the leasing of a fully equipped modular office building. THE MOTION CARRIED UNANIMOUSLY. V. Report from Chairman of the Board Chairman Carvalho noted that from time to time subjects or issues are raised at these meetings during the presentation of public testimony. When this occurs, he assigns them to the appropriate Committee for further review, discussion or follow-up activities; this allows the Committees to hear the matter in more detail and allows all of the facts to be presented. He added that it does not behoove the orderly conduct of business of the Board to react on an ad-hoc basis to unsupported or unsubstantiated comments without the thorough review of the issue through the Committees. A. Board Education Ethics Reporting Requirements (Attachment #2) Cathy Bodnar, System Chief Compliance and Privacy Officer, provided an overview of the information regarding ethics reporting requirements. The Board reviewed and discussed the information. With regard to the requirement that Board Members file their Statement of Economic Interests with the Office of the Cook County Clerk by May 1 st, several Directors indicated that they had not received the communication from the Clerk s Office that is needed to file their Statements, or indicated that they had experienced issues in trying to file their Statements. Ms. Bodnar indicated that she would follow up with those Directors after the meeting in order to assist them with this activity. VI. Report from Chief Executive Officer (Attachment #3) Dr. John Jay Shannon, Chief of Clinical Integration, provided an update on the following subjects on behalf of Dr. Ram Raju, Chief Executive Officer: Cook County Department of Public Health Update; Cook County Health Foundation; Human Resources Update; Introduction of Staff; and Employee Recognition. The report included the recognition of the following individuals from the System s Human Resources Department: Geri Evans Antoinette Middleton Charmaine Jackson LaKeisha Freeman Page 4 of 24

5 VII. Closed Session Items A. Claims and Litigation B. **Minutes of the Audit and Compliance Committee Meeting, April 10, 2013 C. **Minutes of the Human Resources Committee Meeting, April 19, 2013 Minutes of the Meeting of the CCHHS Board of Directors Friday, April 26, 2013 Page 5 Director Velasquez, seconded by Director Butler, moved to recess the regular session and convene into closed session, pursuant to the following exceptions to the Illinois Open Meetings Act: 5 ILCS 120/2(c)(1), regarding the appointment, employment, compensation, discipline, performance, or dismissal of specific employees of the public body or legal counsel for the public body, including hearing testimony on a complaint lodged against an employee of the public body or against legal counsel for the public body to determine its validity, 5 ILCS 120/2(c)(2), regarding collective negotiating matters between the public body and its employees or their representatives, or deliberations concerning salary schedules for one or more classes of employees, 5 ILCS 120/2(c)(11), regarding litigation, when an action against, affecting or on behalf of the particular body has been filed and is pending before a court or administrative tribunal, or when the public body finds that an action is probable or imminent, in which case the basis for the finding shall be recorded and entered into the minutes of the closed meeting, 5 ILCS 120/2(c)(12), regarding the establishment of reserves or settlement of claims as provided in the Local Governmental and Governmental Employees Tort Immunity Act, if otherwise the disposition of a claim or potential claim might be prejudiced, or the review or discussion of claims, loss or risk management information, records, data, advice or communications from or with respect to any insurer of the public body or any intergovernmental risk management association or self insurance pool of which the public body is a member, and 5 ILCS 120/2(c)(28), regarding meetings between internal or external auditors and governmental audit committees, finance committees, and their equivalents, when the discussion involves internal control weaknesses, identification of potential fraud risk areas, known or suspected frauds, and fraud interviews conducted in accordance with generally accepted auditing standards of the United States of America. THE MOTION CARRIED UNANIMOUSLY. On the motion to recess the regular session and convene into closed session, a roll call was taken, the votes of yeas and nays being as follows: Yeas: Chairman Carvalho, Vice Chairman Ramirez and Directors Butler, Michael, Muñoz, O Donnell, Velasquez and Wiese (8) Nays: None (0) Absent: Director Morris (1) THE MOTION CARRIED UNANIMOUSLY. Chairman Carvalho declared that the closed session was adjourned. The Board reconvened into regular session. VIII. Adjourn As the agenda was exhausted, Chairman Carvalho declared the MEETING ADJOURNED. Page 5 of 24

6 Minutes of the Meeting of the CCHHS Board of Directors Friday, April 26, 2013 Page 6 Respectfully submitted, Board of Directors of the Cook County Health and Hospitals System Attest: XXXXXXXXXXXXXXXXXXXXXXX David Carvalho, Chairman XXXXXXXXXXXXXXXXXXXXXXXXX Deborah Santana, Secretary Page 6 of 24

7 Cook County Health and Hospitals System Board of Directors Meeting Minutes April 26, 2013 ATTACHMENT #1 Page 7 of 24

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9 Cook County Health and Hospitals System Board of Directors Meeting Minutes April 26, 2013 ATTACHMENT #2 Page 9 of 24

10 Cathy Bodnar, MS, RN, CHC Chief Compliance & Privacy Officer April 26, 2013 Page 10 of 24

11 Meeting Objectives To provide a reminder regarding the annual filing of the Statement of Economic Interest. To kick-off the Accounting of Disclosures Survey to the CCHHS Board of Directors. Page 11 of 24

12 Statement of Economic Interest What? A requirement under the Illinois Governmental Ethics Act (5ILCS 420/4A-101) Who? Persons appointed to the governing board of a unit of local government Where? Through a website managed by the Cook County Clerk s Office When? Complete by May 1, 2013! Page 12 of 24

13 Questions? Page 13 of 24

14 CCHHS Conflict of Interest Policy The purpose of the policy is to Hl Help to ensure that t the business and professional activities iti are conducted free of actual conflicts of interest, or the appearance of any conflicts of interest, and to protect the interests of CCHHS. Annually, a required reporter must 1) Receive a copy of the Conflict of Interest t Policy; 2) Read and understand the Policy; and 3) Complete a Disclosure of Interest Statement. Page 14 of 24

15 Accounting of Disclosures Survey CCHHS Corporate Compliance Goal To deploy system-wide conflict of interest data collection tool for annual attestation and reporting changes throughout the year. Executive Leadership Audit & Compliance Committee of the Board of Directors Board of Directors April 9, 2013 April 10, 2013 Today! April 26, 2013 Required Filers May 2, 2013 Page 15 of 24

16 Next Steps 1) Access the internet; 2) Go to the website; 3) Follow the instructions on the screens; 4) Attest to the Conflict of Interest policy; and 5) Complete the survey by May 31, To reinforce our commitment to transparency and disclosure, all responses will be posted to our public website after internal review. Page 16 of 24

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20 Cook County Health and Hospitals System Board of Directors Meeting Minutes April 26, 2013 ATTACHMENT #3 Page 20 of 24

21 RAM RAJU, MD, MBA, FACHE, FACS CHIEF EXECUTIVE OFFICER COOK COUNTY HEALTH AND HOSPITALS SYSTEM REPORT TO THE BOARD OF DIRECTORS April 26, 2013 CCDPH UPDATE On Thursday, April 18, Cook County Board President Toni Preckwinkle declared a State of Emergency for Cook County. CCDPH s Incident Management Team went on standby to support the flood response lead by Cook County Department of Homeland Security and Emergency Management (DHSEM). From April 18 to the present, CCDPH is providing support by giving DHSEM public health information on tetanus, boil orders, flood clean up, and infection control. Additionally, CCDPH continues to directed staff and residents to the CCDPH website for additional public health information on issues related to flooding. This information can be found at: foremergency/flood. CCDPH remains in contact with other health departments in the Chicago MSA and IDPH. CCDPH has worked with the communities of Forest Park, Elmwood Park and River Forest (also known as Tripcom) to conduct a full scale exercise, measuring their response to a public health event requiring mass dispensing. This was a continuation of their previous Tabletop Exercise (TTX) that was held in April The exercise took place over the course of two days: On Thursday, April 11, 2013, leaders of the Tripcom communities activated their joint Emergency Operations Center (EOC). On Saturday, April 13, 2013, Tripcom activated their Point of Dispensing (POD) to exercise the operations around mass dispensing of ciproflaxin and doxycycline. The exercise was an overall success. Over 30 agencies participated, totaling approximately 300 participants. CCDPH and Tripcom are currently creating their After Action Report and Improvement Plan. CCH FOUNDATION At the request of the Health and Hospitals System the Cook County Board of Commissioners, at their meeting of April 17, 2013, approved a resolution encouraging private fund raising efforts by the Cook County Health (CCH) Foundation. The language of the resolution mirrors an ordinance that approved by the Chicago City Council pertaining to the Chicago Public Library Foundation. The key clauses to the CCH Foundation are: Page 21 of 24

22 NOW, THEREFORE, BE IT RESOLVED, that it shall be the policy of the County that private funding secured and provided by the Foundation for the benefit of the Health System will supplement, rather than supplant, public funding; and BE IT FURTHER RESOLVED, that private funding may be expended by the Foundation or by the County through the Health System to accomplish the purposes designated by the Foundation and its Foundation contributors without imposition of requirements or limitations otherwise applicable to purchases made by the County or on the County s behalf; and BE IT FURTHER RESOLVED, that the County and its Health System will use their best efforts to cooperate with and assist the Foundation in its efforts to solicit private funding in support of the Health System. Additionally, the Interim Directors of the CCH Foundation met on April 18, 2013 and approved a resolution authorizing the Foundation to open an operating account at Chase Bank. This will enable the Foundation to deposit the grant of funds received from the Health System as well as the donation from the Rauner Family Foundation. HUMAN RESOURCES UPDATE The HR Department continues working to fill system vacancies. In FY 2013 (through April 8 th ) 223 vacancies have been filled. On April 22 nd an additional 40 vacancies were filled, for a total of 263. By comparison, in vacancies were filled over the course of an entire year. We recognize we are not yet where we want to be, but with assistance and support from the County Bureau of Human Resources, made a concerted effort over the past couple of months to fill needed vacancies within the HR department as follows: o Talent Acquisition Manager start date 04/08/13 o Senior HR Coordinator, Cermak start date 04/22/13 o Senior HR Coordinator, Outpatient North start date 04/22/13 o 6 Recruiting & Selection Analysts start date 04/22/13 o 2 Recruiting & Selection Analysts start date 05/06/13 o 2 HR Assistants start date 04/22/13 Working to fill another HR Assistant vacancy o 1 HR Specialist start date 04/22/13 Working to fill another HR Specialist vacancy o Compensation Manager start date 05/06/13 o Class & Compensation Analyst start date 05/20/13 o RN Recruiter start date 05/20/13 o Director, Human Resources, Outpatient Services anticipate extending offer 04/26/13 o Physician Recruiter interviews concluded Filling needed vacancies within HR allows us to increase the number of vacancies filled systemwide. Page 22 of 24 2 P age

23 INTRODUCTION Letitia Close Chief of Staff to the CEO Letty Close has extensive intergovernmental affairs experience having previously worked for the city of Chicago, the Chicago Transit Authority and Cook County. RECOGNITION This month we recognize our Human Resources Staff. This group of 4 individuals joined Recruiting during a very critical time when the organization was short staffed and we were building the Recruiting Department. They each contributed and helped to shape the department, its image and rebuild credibility with Hiring Managers. They have been instrumental in working with the Shakman Compliance Administrator s Office to better understand processes and ensure compliance. Frequently, this team has been in the office as early as 5 am; stayed late into evening and worked on weekends. Their dedication and commitment has resulted in the significant progress made this past year. Geri Evans Talent Acquisition Manager, has been with County for almost 20 years. For the past year, she has served in the critical role of managing the recruiting function at CCHHS. It has been under her leadership and direction that we accomplished several milestones; including filling RN vacancies last year resulting in the reopening of beds closed in late 2011 as a result of RN resignations; building and training a team of professionals who could not only manage the workload, but understand the nuisances involved with the paperwork, hiring and onboarding process unique to the County. Antoinette Middleton has been with CCHHS for 2 years and was recently promoted to the position of Senior HR Coordinator for Outpatient Services. Antoinette came to Stroger on loan from Provident a year ago and brought with her a fierce determination and infectious energy that has helped get the team through some very difficult and rough times. Charmaine Jackson has also been with CCHHS for 2 years now and was recently promoted to the position of Recruiting & Selection Analyst. Like Antoinette, Charmaine came to Stroger on loan from Oak Forest a year ago. The tasks and challenges were daunting and Charmaine Page 23 of 24 3 P age

24 tackled them as they came along with professionalism and a determination to ensure compliance with processes. LaKeisha Freeman began with CCHHS last August and in less than year has made a significant impact to our hiring initiatives. Most recently, Ms. Freeman has assumed primary responsibility as the sole Recruiting & Selection Analyst supporting the Cermak Health System. Her drive and resolve in assisting our Cermak Hiring Managers with filling vacancies the past few months has resulted in the processing and onboarding of over 40 new hires. With the onboarding of recent HR hires, the HR Department will position itself to fully support CCHHS hiring initiatives. Page 24 of 24 4 P age