Cook County Health and Hospitals System Board of Directors Quality and Patient Safety Committee met Sep. 14.
Here is the agenda provided by the board:
QUALITY AND PATIENT SAFETY COMMITTEE AGENDA
I. Attendance/Call to Order 10:30/Chair Bhatt
II. Public Testimony 10:30-10:40
Members of the public can submit written testimony to be included in the official meeting record, or can register to present in-person or virtual oral testimony at the meeting. The written testimony or registration to testify should be submitted prior to September 13, 2023 at 3:00 P.M. Testimony is limited to three (3) minutes per person. Further information on how to submit written testimony or register to provide in-person or virtual oral testimony is included in the Meeting Notice and on the CCH website at https://cookcountyhealth.org/about/board-of-directors/
III. Reports on Quality and Patient Safety Matters
A. High Reliability Organization (HRO) Dashboard 10:40-10:55/Erik Mikaitis, MD
• Update on Strategic Initiatives
B. Regulatory and Accreditation Updates 10:55-11:00/Cynthia Fisch
C. Update from HRO Clinical Documentation Workgroup 11:00-11:15/Ayodeji Gbotosho, MD
IV. Action Items
A. Approve appointments and reappointments of Stroger Hospital 11:15-11:15/Claudia Fegan, MD Department Chair(s) and Division Chair(s)
B. Executive Medical Staff (EMS) of Stroger Hospital and Medical Executive Committee (MEC) of Provident Hospital Matters 11:15-11:30
i. Receive report from EMS President Abayome Akintorin, MD
• Receive summary of Stroger Hospital-Wide Quality Improvement and Patient Safety Committee
• Approve Stroger Hospital Medical Staff Appointments/Reappointments/Changes
ii. Receive report from MEC President Marlon Kirby, MD
• Receive summary of Provident Hospital Quality and Performance Improvement Committee
• Approve Provident Hospital Medical Staff Appointments/Reappointments/Changes
C. Minutes of the Quality and Patient Safety Committee Meeting, August 17, 2023 11:30-11:30/Chair Bhatt
D. Any items listed under Sections IV and V
V. Closed Meeting Items 11:30-11:55
A. Stroger Hospital and Provident Hospital Medical Staff Appointments/Re-appointments/Changes
B. Claims, Litigation and Quality and Patient Safety Matters
C. Matters protected under the federal Patient Safety and Quality Improvement Act of 2005 and the Health Insurance Portability and Accountability Act of 1996
D. Quality and Patient Safety Report
Closed Meeting
Motion to recess the open meeting and convene into a closed meeting, pursuant to the following exceptions to the 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)(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)(17), regarding “the recruitment, credentialing, discipline or formal peer review of physicians or other health care professionals, or for the discussion of matters protected under the federal Patient Safety and Quality Improvement Act of 2005, and the regulations promulgated thereunder, including 42 C.F.R. Part 3 (73 FR 70732), or the federal Health Insurance Portability and Accountability Act of 1996, and the regulations promulgated thereunder, including 45 C.F.R. Parts 160, 162, and 164, by a hospital, or other institution providing medical care, that is operated by the public body.”
VI. Adjourn
The next regular meeting of the Quality and Patient Safety Committee is scheduled for Thursday, October 12, 2023 at 10:30 A.M.
https://cook-county.legistar.com/MeetingDetail.aspx?ID=1120462&GUID=848C91C9-33E2-4A55-A8AE-661038633C57&Options=&Search=
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