REPORT OF THE COMMITTEE ON HEALTH AND
HOSPITALS
The
Honorable,
The
Board of Commissioners of
ATTENDANCE
|
Present: |
Chairman
Butler, Vice Chairman Goslin, Commissioners Beavers, Claypool, Collins,
Daley, Gorman, |
|
Absent: |
Commissioners
Maldonado, Peraica and Steele (3) |
|
Also Present: |
Sylvia
Edwards – Acting Chief Operating Officer Oak Forest Hospital of Cook County, Robert
R. Simon, M.D.- Interim Chief, Bureau of Health Services Patrick T. Driscoll,
Jr. – Deputy State’s Attorney, Chief, Civil Actions Bureau and Walena M.
Valencia –Chief Financial Officer, Oak Forest Hospital of Cook County,
Shirley Bomar-Cole – Acting Director, Oak Forest Hospital of Cook County and
Sharon Freyer – Associate Director Nursing, Oak Forest Hospital of Cook
County |
Ladies
and Gentlemen:
Your Committee on Health and Hospitals
of the Board of Commissioners of Cook County met pursuant to notice on
Your Committee has considered the
following items and upon adoption of this report, the recommendations are as
follows:
|
283387 |
DEPARTMENT
OF PUBLIC HEALTH, by Stephen A. Martin, Jr., Ph.D., M.P.H., Chief Operating
Officer, transmitting a Communication, dated requesting
to receive and file the Maintaining
Business Continuity During An Influenza Pandemic Report for the Cook
County Department of Public Health. *Referred to Health and Hospitals
Committee on |
Chairman
Butler stated at the request of Stephen A. Martin, Jr., Ph.D., M.P.H., Chief
Operating Officer of the Department of Public Health the above Communication No.
283387 be deferred.
Commissioner Beavers, seconded by
Commissioner Murphy, moved to deferred Communication No. 283387. The motion carried
|
287204 |
BUREAU
OF HEALTH SERVICES, by Robert R. Simon, M.D., Interim Chief, Bureau of Health
Services transmitting a Communication: requesting
authorization for the Purchasing Agent to enter into a contract with Reason: After receiving and evaluating four (4) Request for Proposals
(RFPs), New York Boys Management, LLC was chosen because they were the only
vendor who met the licensure, all inclusive rate, and bed availability
requirements for the services needed by Oak Forest Hospital of Cook County. Estimated
Fiscal Impact: $13,249,500.00 [Year
1: $4,215,750.00 [$1,053,937.50 -
(891-272 Account); $2,107,875.00 - (897-272 Account); and $1,053,937.50 -
(898-272 Account)]; Year 2:
$4,380,000.00 [$1,095,000.00 - (891-272 Account); $2,190,000.00 -
(897-272 Account); and $1,095,000.00 - (898-272 Account)]; and Year 3: $4,653,750.00 [$1,163,437.50 - (891-272
Account); $2,326,875.00 - (897-272 Account); and $1,163,437.50 - (898-272
Account)]. Contract period: Approval
of this item would commit Fiscal Year 2007 and future year funds. *Referred to Health and Hospitals
Committee on |
Commissioner Beavers asked
for a summary of Communication No. 287204.
Robert
R. Simon, M.D., Interim Chief, Bureau of Health Services stated the passage of
the budget of February 23, 2007,
indicated that Oak Forest Hospital of Cook County reduce the number of nursing
home beds and. Oak Forest Hospital of Cook County was not allowed to do a
decertified portion of beds at Oak Forest Hospital of Cook County. Oak Forest Hospital of Cook County is licensed
as a general hospital with CMS-certified long- term care beds and is not
licensed by the Nursing Home Care Act.
The staff at Oak Forest Hospital of Cook County talked with the patients
and their families, asking if they would voluntarily move into top notch nursing
homes facilities. Many voluntarily agreed.
The Bureau of Health Services is waiting on the Illinois Facilities
Planning Board’s approval to end long-term care services at
Commissioner
Beavers asked what an unfunded patient is.
Dr.
Simon responded unfunded patients do no have Medicaid or Medicare.
Commissioner
Quigley asked whether the Bureau of Health Services is getting out of the long
term care business.
Dr.
Simon stated Oak Forest Hospital of Cook County will no longer serve long term
care patients.
Commissioner
Murphy inquired about the length of time for short term care patients.
Dr.
Simon responded a short-term care patient stay in the hospital is 30 days or
less.
Commissioner
Suffredin asked about the reasoning for removing the funded patients out of Oak
Forest Hospital of Cook County for whom we do get reimbursement.
Walena
M. Valencia, Chief Financial Officer, Oak Forest Hospital of Cook County,
stated the revenue we get from the State of
Sylvia
Edwards, Acting Chief Operating Officer, Oak Forest Hospital of Cook County,
stated the long term care portion of the operation can cost $50 million. The Bureau of Health Services only gets
reimbursed $13 million for that particular service of the hospital. The reimbursement for the acute care is a
higher reimbursement with fewer patients.
Dr.
Simon reiterated for an acute care hospital with 70 beds the cost would
probably be about $54 to $60 million out of the entire $118 million out of the
budget. It is basically $50 million
dollars for maintaining the buildings at Oak Forest Hospital of Cook County.
Commissioner
Sims voiced concerns regarding collecting payments from patients who fail to
pay their bill.
Shirley
Bomar–Cole, Acting Deputy Director, Oak Forest Hospital of Cook County, stated
it isn’t actually the nursing homes that do the attachment if you are eligible
for Medicaid. Medicaid is the biggest
payer of long term care not Medicare. It
is Medicaid that does the spin down and attaches the assets. The individual institution is not able to do
that. Our finance and social service
department are aggressive in doing the financial screening regardless whether
they come from within our system or not.
Commissioner
Sims continued to inquire about collecting funds from unfunded patients.
Ms.
Cole replied all the unfunded patients that we are referencing are not
citizens. They are not eligible for
Medicaid, Medicare and Supplemental Social Security Income.
Commissioner
Silvestri asked if
Dr.
Simon responded it would be a good idea for the County to have some kind of
long-term intermediate care facilities to operate the way a private nursing
home operates not like a hospital based facilities. If the county was flush with money the county
should be doing a lot of other services for those patients.
Commissioner
Beavers asked for the correct number of buildings for the hospital.
Ms.
Edwards responded there are three buildings with no patient care activity in
them. There’s the J building which has
the acute care, the B building which is for rehab and skill patients, the E
building that have patients and currently the F building with no patients.
Commissioner
Schneider asked Pat T. Driscoll, Jr., State’s Attorney to research the
entitlement issue of the contract, raised by Commissioner Suffredin.
Commissioner
Murphy inquired on the cost of Medicaid or Medicare.
Ms.
Sharon Freyer, Associate Director of Nursing responded that Medicare would be
based on the Minimum Data Set assessment and the amount of money paid depending
on the patients needs. The Medicaid
reimbursement is $165.00 per day is what Oak Forest Hospital of Cook County is
receiving for Medicaid patients. The
average payment of Medicare is $275.00 per day.
Commissioner Beavers, seconded by
Commissioner Daley, moved the approval of Communication No. 287204.
Commissioner Suffredin called for a
Roll Call, the vote of yeas and nays being as follows:
ROLL CALL ON
MOTION TO APPROVE THE ORDINANCE
(COMMUNICATION
NUMBER 287204)
|
Yeas: |
Chairman
|
|
Nays: |
Commissioners
Claypool, Murphy and Suffredin (3) |
Absent; Commissioners Peraica and Silvestri
(2)
The motion to approve CARRIED.
|
287205 |
OAK
FOREST HOSPITAL OF COOK COUNTY, by Sylvia Edwards, Acting Chief Operating
Officer transmitting a Communication: requesting
authorization for the Purchasing Agent to enter into a contract with Reason: After receiving and evaluating four (4) Request for Proposals
(RFPs), New York Boys Management, LLC was chosen because they were the only
vendor who met the licensure, all inclusive rate, and bed availability
requirements for the services needed by Oak Forest Hospital of Cook County. Estimated
Fiscal Impact: $5,594,902.00 (Year
1: $1,817,152.00; Year 2: $1,861,500.00; and Year 3: $1,916,250.00). Contract period: Approval
of this item would commit Fiscal Year 2007 and future year funds. *Referred to Health and Hospitals
Committee on *Approved on |
Commissioner Beavers, seconded by
Commissioner Daley, moved the approval of Communication No. 287205.
Commissioners Claypool, Murphy and Suffredin voted No
and Commissioner Sims voted Present on Communication No. 287205.
ROLL CALL ON
MOTION TO APPROVE THE ORDINANCE
(COMMUNICATION
NUMBER 287205)
|
Yeas: |
Chairman
|
|
Nays: |
Commissioners
Claypool, Murphy and Suffredin (3) |
|
Present: |
Commissioner
Sims (1) |
Absent: Commissioners Peraica and Silvestri
(2)
The motion to approve CARRIED.
Chairman Butler asked the
Secretary to the Board to call upon the registered public speakers.
1) Horatio Esparza -
2) Brenda Langford - National Nurses Organizing Committee
3) Gregory Kelley – SEIU Local 20
4) Obed Lopez-Zacarias – Citizens Health Organization
Commissioner Daley moved to adjourn the
meeting, seconded by Commissioner Moreno.
The motion carried and the meeting was adjourned.
YOUR COMMITTEE RECOMMENDS THE FOLLOWING
ACTION WITH REGARD TO THE MATTERS NAMED HEREIN:
Communication Number 283387 Withdrawn
Communication Number 287204 Approved
Communication Number 287205 Approved
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|
Respectfully submitted, Committee on Health and
Hospitals xxxxxxxxxxxxxxxxxxxxxxxxxxxxx Jerry Butler, Chairman |
Attest:
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Matthew B. DeLeon, Secretary
**The complete audio
recording of this meeting is available from the office of the Secretary to the
Board.