South Cook News

Cook County Quality and Patient Safety Committee met Aug. 20.

Here is the agenda provided by the committee:

I. Attendance/Call to Order 10:30/Chair Gugenheim

II. Electronically Submitted Public Speaker Testimony 10:30-10:45

Please be advised that those wishing to provide public testimony will be required to submit it electronically in advance of the meeting; there will not be testimony provided orally by members of the public at this meeting. Written public comment on any of the items listed on the Agenda will be accepted electronically at https://cookcountyhealth.org/about/board-of-directors/ or submitted by email message to the CCH Secretary to the Board at dsantana@cookcountyhhs.org. Written comments provided prior to 5:00 P.M. on August 19, 2020 will be read aloud by staff at the meeting. Three (3) minutes per comment will be allowed, though every effort will be made to read statements in their entirety.

III. Reports on Quality and Patient Safety Matters

A. High Reliability Organization (HRO) Dashboard 10:45-10:55/Claudia Fegan, MD

B. Regulatory and Accreditation Updates 10:55-11:00/Sonya Watkins

C. Report on Nursing Services 11:00-11:20/Beena Peters, DNP, RN, FACHE

IV. Recommendations, Discussion/Information Items

A. Review and discuss proposed 2020 Plan for Patient Care for Provident Hospital of Cook County 

11:20-11:30/Arnold Turner, MD

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. Proposed amendments to the Bylaws of the Medical Staff of Provident Hospital of Cook County 11:35-11:40/Marlon Kirby, MD

V. Action Items (continued)

C. Executive Medical Staff (EMS) Committees of Provident Hospital of Cook County and John H. Stroger, Jr. Hospital of Cook County  11:40-11:50/Marlon Kirby, MD and Trevor Lewis, MD

i. Receive reports from EMS Presidents

ii. *Approve Medical Staff Appointments/Re-appointments/Changes

D. Minutes of the Quality and Patient Safety Committee Meeting, July 23, 2020 

11:50-11:50/Chair Gugenheim

E. Any items listed under Sections V and VI

VI. Closed Meeting Items  11:50-12:15

A. 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

AGENDA Thursday, August 20, 2020 Meeting of the Quality and Patient Safety Committee Page 2

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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