Chicago City Wire

Cook County Board of Directors of the Health and Hospitals Systems Quality and Patient Safety Committee met Feb. 15

Here is the agenda provided by the committee:

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 February 14, 2024 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. Operational Excellence (OpEx) Reports 

A. OpEx Dashboard 10:40-10:55/Raji Thomas 

B. Update from OpEx Patient Experience Workgroups 10:55-11:10Andrea Ramel 

• Stroger Hospital 

• Provident Hospital

C. Update from OpEx Throughput Workgroups 11:10-11:25 

• Stroger Hospital Krzysztof Pierko, MD and Peter Sesi 

• Provident Hospital Paul Allegretti, MD  

IV. Report on other Quality and Patient Safety Matters 

A. Regulatory and Accreditation Updates 11:25-11:30/Cynthia Fisch 

V. Action Items 

A. Approve appointments and reappointments of Stroger Hospital Department Chair(s) and Division Chair(s) 11:30-11:35/Claudia Fegan, MD

B. Executive Medical Staff (EMS) of Stroger Hospital and Medical Executive Committee (MEC) of Provident Hospital Matters 11:35-11:50 

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 Paul Allegretti, MD 

• Receive summary of Provident Hospital Quality and  

Performance Improvement Committee  

• Approve Provident Hospital Medical Staff Appointments/  Reappointments/Changes

V. Action Items (continued) 

C. Minutes of the Quality and Patient Safety Committee Meetings, December 21, 2023 11:50-11:50/Chair Bhatt 

D. Any items listed under Sections V and VI 

VI. Closed Meeting Items 

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 

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.” 

VII. Adjourn 

The next regular meeting of the Quality and Patient Safety Committee is expected to be held on Thursday, March 7, 2024 at 11:30 A.M. 

https://cook-county.legistar.com/View.ashx?M=A&ID=1170125&GUID=1CD72DDA-48B9-4D37-A843-18DA5EA07A57