Chicago City Wire

Cook County Health Board of Directors Quality and Patient Safety Committee will meet June 7

Here is the agenda provided by the committee:

I. Attendance/Call to Order 11:30/Chair Bhatt 

II. Public Testimony 11:30-11:40 

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 June 6, 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 Department Chair(s) and Division Chair(s) 11:40-11:45/Claudia Fegan, MD

B. Executive Medical Staff (EMS) of Stroger Hospital and Medical Executive Committee (MEC) of Provident Hospital Matters 11:45-12:00 

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, May 20, 2024 12:00-12:00/Chair Bhatt

D. Any items listed under Section III

IV. Operational Excellence (OpEx) 12:00-12:40 

A. Appendix – OpEx Dashboard (Stroger, Provident, ACHN) Raji Thomas 

B. Update from OpEx Workgroups 

• Clinical Outcomes - Stroger Hospital Kathryn Radigan, MD and Heather Lovelace

IV. Operational Excellence (OpEx)  

B. Update from OpEx Workgroups (continued) 

• Clinical Outcomes – Provident Hospital Mark Loafman, MD and Raphael Parayao 

• Readmissions – Stroger Hospital Umair Jabbar, MD and Diane Creal

• Throughput – Stroger Hospital Krzysztof Pierko, MD and Peter Sesi

• HEDIS/Registries - ACHN Charles Edoigiawerie, MD and Elizabeth Vaclavik 

V. Report on other Quality and Patient Safety Matters 

A. Regulatory and Accreditation Updates 12:40-12:45/Irene Marks 

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

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