Chicago City Wire

Cook County Board of Directors Quality and Patient Safety Committee met March 13

Here is the agenda provided by the committee:

I. Attendance/Call to Order 1:00/Chair Bhatt 

II. Public Testimony 1:00-1:10 

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 March 12, 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. Action Items  

A. Approve appointments and reappointments of Stroger Hospital 1:10-1:15/Claudia Fegan, MD Department Chair(s) and Division Chair(s) 

B. Executive Medical Staff (EMS) of Stroger Hospital and 1:15-1:30 

Medical Executive Committee (MEC) of Provident Hospital Matters 

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 

C. Minutes of the Quality and Patient Safety Committee Meeting, 1:30-1:30/Chair Bhatt February 15, 2024 

D. Any items listed under Section III 

IV. Operational Excellence (OpEx) 

A. OpEx Strategy Planning and Deployment – topics to be discussed 1:30-1:50/Raji Thomas B. Appendix – OpEx Dashboard (Stroger, Provident, ACHN)

V. Report on other Quality and Patient Safety Matters 

A. Regulatory and Accreditation Updates 1:50-1:55/Cynthia Fisch 

VI. Closed Meeting Items 1:55-2:20 

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. Quarterly 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.” 

VII. Adjourn 

https://cook-county.legistar.com/View.ashx?M=A&ID=1182920&GUID=2211A4F2-8A52-4957-AE14-546104AAF593