Cook County Board of Directors Quality and Patient Safety Committee will meet at Oct. 23.
Here is the agenda provided by the committee:
The Quality and Patient Safety Committee of the Board of Directors of the Cook County Health and Hospitals System will meet at the hour of 10:30 A.M. The meeting will be held by remote means only, in compliance with Illinois Public Act 101-0640. Instructions for how to remotely attend this meeting and provide electronically submitted written public comment are below and will be provided on the Cook County Health (CCH) webpage at https://cookcountyhealth.org/about/board-of-directors/ on October 16, 2020. The live proceedings of the meeting can be accessed at https://www.facebook.com/Cookcountyhhs/ on October 23, 2020 starting at 10:30 A.M. At the meeting, the Committee will consider the following:
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 October 22, 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. Update from the HRO Readmissions Workgroup - 11:00-11:20/Umair Jabbar, MD and Cassandra Wadlington, RN
IV. Recommendations, Discussion/Information Items
A. Overview of Credentialing Process - 11:20-11:35/Angelica Macias
V. Action Items
A. Approve appointments and reappointments of Stroger Hospital Department Chair(s) and Division Chair(s) - 11:35-11:40/Claudia M. Fegan, MD
B. Executive Medical Staff (EMS) of Stroger Hospital and Medical Executive Committee (MEC) of Provident Hospital - 11:40-11:50
i. Receive report from EMS President - Trevor Lewis, MD
*Approve Stroger Hospital Medical Staff Appointments/ Reappointments/Changes
ii. Receive report from MEC President - Marlon Kirby, MD
*Approve Provident Hospital Medical Staff Appointments/Reappointments/Changes
* Also included as a potential Closed Meeting Item/Discussion under Section VI.
V. Action Items (continued)
C. Minutes of the Quality and Patient Safety Committee Meeting, September 17, 2020 - 11:50-11:50/Chair Gugenheim
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 scheduled for Monday, November 23, 2020 at 10:30 A.M.
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