REPORT OF THE COMMITTEE ON HEALTH &
HOSPITALS
(Recessed and
Reconvened on
The Honorable,
The Board of Commissioners of
ATTENDANCE
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Present: |
Chairman Butler, Vice Chairman Goslin, Commissioner(s) Beavers, Claypool, Collins,
Daley, Gorman, Maldonado, Moreno, Murphy, Peraica,
Quigley, Schneider, Silvestri, Sims, Steele and Suffredin (17) |
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Absent: |
Commissioners |
Ladies and Gentlemen:
Your Committee
on Health & Hospitals of the Board of Commissioners of Cook County met
pursuant to notice on
Your Committee
has considered the following item(s) and upon adoption of this report, the
recommendations are as follows:
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298604 |
IN
OPPOSITION TO THE RELOCATION OF THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH
TO THE PROPOSED RESOLUTION IN
OPPOSITION TO THE RELOCATION OF THE COOK
COUNTY DEPARTMENT OF PUBLIC HEALTH TO THE WHEREAS, the Cook County Department of Public Health has
been located at its current location at 1010 Lake Street in Oak Park,
Illinois since 1992, having relocated from its Maybrook
County Courthouse facility for the purpose of providing additional
courtrooms; and WHEREAS, the facility is centrally located in Cook County
in downtown Oak Park, accessible to the WHEREAS, the facility includes the Department’s
administration offices, various educational programs, and public information
resources, which are utilized by municipalities, public and private schools,
community groups, the press and the public; and WHEREAS, Oak Forest Hospital of Cook County is located in
the far southwest section of the County and is not nearly as accessible as
the Oak Park location; and WHEREAS, the Oak Forest Hospital of Cook County site
requires the expenditure of public funds, which far outweigh a long term
rental of space in a central location; and WHEREAS, the people of |
Commissioner Silvestri, seconded by
Commissioner Murphy, moved to Defer Communication No. 298604. The motion carried.
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299986 |
AMENDMENT
TO THE BOARD OF HEALTH ORDINANCE (PROPOSED ORDINANCE AMENDMENT). Transmitting a Communication, dated the
Cook County Department of Public Health (CCDPH) respectfully requests the
Board of Commissioners approve the proposed amendment to the Cook County
Board of Health Ordinance. This
proposed amendment serves two purposes.
First, it clarifies the authority of the Cook County Department of
Public Health to require certain types of state-licensed providers within the
department's jurisdiction to participate in the electronic submission of syndromic surveillance data. This data is extremely useful to the
efforts of the Department in communicable disease control and has the
potential to alert us to an outbreak in its very early stages, when
intervention may be most effective.
Many health providers currently participate in this program on a voluntary
basis and we would like to pursue participation arrangements with more
providers to improve our efforts in this very exciting program. The
second purpose of the proposed amendment is to memorialize authorizations,
many of which have been extended to the Department by the Board through Board
Resolutions in the past regarding various types of routine memoranda of
agreement the Department periodically needs to enter into. These agreements are typically programmatic
in nature and do not involve the establishment of fees, except to the extent
that fees have been separately approved by the Board and set forth in the
schedule found at Chapter 32 Fees of the Cook County Code. Submitting
a Proposed Ordinance Amendment sponsored by TODD
H. STROGER, President, JERRY BUTLER and The
following is a synopsis of the Proposed Ordinance Amendment PROPOSED ORDINANCE AMENDMENT AMENDMENT
TO THE BOARD OF HEALTH ORDINANCE NOW, THEREFORE, BE IT ORDAINED, by the Cook County Board of Commissioners that
Chapter 38 Health and Human Services, Article II, Sections 38-32, 38-33
and 38-40 of the Cook County Code are hereby amended as follows: Sec. 38-32. Department powers and duties. Sec. 38-33. Measures ordered by department. Sec. 38-40. Agreements |
COMMUNICATION NO. 299986
SUBSTITUTE AMENDMENT OF
THE BOARD OF HEALTH ORDINANCE
PROPOSED
ORDINANCE
Sponsored by
THE HONORABLE JERRY
BUTLER, COMMISSIONER
THE HONORABLE
WHEREAS,
the Board of Commissioners of Cook County serves as the Board of Health and as
such oversees the regulatory and programmatic activities of the Cook County
Department of Public Health; and
WHEREAS,
the Cook County Department of Public Health engages in syndromic
surveillance activities, whereby it receives electronic transmissions of
information regarding chief complaints reported to emergency departments of
area hospitals, particularly those located within suburban Cook County; and
WHEREAS,
syndromic surveillance program is an important public
health tool with the potential to assist in identifying measures that may
reduce the severity of an outbreak of communicable disease; and
WHEREAS,
the Cook County Department of Public Health wishes to assure provider
participation in this program through clarification of its authority to require
emergency departments and other providers, such as urgent care centers, to
participate in the syndromic surveillance program;
and
WHEREAS,
the Cook County Department of Public Health participates in a large number of
community initiatives, emergency planning, and routine inspection programs
which are often memorialized in memoranda of agreement and the Board has
previously, through its proceedings including various resolutions, extended
authorization to the Chief Operating Officer of the Cook County Department of
Public Health to enter into such agreements; and
WHEREAS,
the Cook County Department of Public Health seeks to consolidate and clarify
its authorization to enter into various programmatic agreements consistent with
Board authorization or direction, in the Board of Health Ordinance;
NOW,
THEREFORE, BE IT ORDAINED, by the Cook County Board of Commissioners that
Chapter 38, Article II, Sections 38-32 through Section 38-40 of the Cook County
Code are hereby amended as follows:
Sec.
38-32. Department
powers and duties.
The Chief Executive Officer,
subject to the control of the Board and to the direction of the Chief of Health
Services, have charge of the Department's staff and activities and shall
delegate responsibilities to qualified personnel of the Department as necessary
to efficiently carry out the activities of the Department pursuant to this
article. The Department shall have the following powers and duties:
(1) Enforce
and observe all applicable statutes, applicable regulations of the Illinois
Department of Public Health, and this article, including Rules and Regulations
adopted by the Department pertaining to the preservation of the public's
health;
(2) Initiate
and carry out, at the direction of the Board, programs and activities of all
kinds not inconsistent with law that may be deemed necessary or desirable in
the promotion and protection of health and the control of disease or conditions
which threaten the public's health;
(3) Adopt
and enforce rules and regulations concerning the promotion and protection of
the public's health including, but not limited to, rules and regulations
requiring the reporting to the Department of circumstances defined by the
Department which may result in action by the Department to protect the public's
health; or enforce applicable rules and regulations promulgated by other
authorities having power to make such rules and regulations;
(4) Cooperate
with Federal and State health authorities to combat new or evolving public
health threats and, where appropriate, make or adopt public health
proclamations, guidelines, bulletins or health advice published or promoted, in
any form, by Federal or State health officials pertaining to the preservation
of the public's health;
(5) Coordinate
the activities of the Department with other County, local, municipal and State
offices to provide a coordinated response for the control of diseases or conditions
which threaten the public's health;
(6) Identify and study the occurrence of
contagious or infectious diseases including, but not limited to, requiring
information to be submitted by health providers who operate a state-licensed
emergency room, trauma center or urgent care center, transmission of
information to state and federal health authorities, and implementation of
electronic and other syndromic or diagnostic
surveillance systems and activities in conjunction with health providers within
the jurisdiction of the Department;
(67) Investigate
the existence of any contagious or infectious diseases and take measures
necessary to investigate the existence and prevent the spread of dangerously
contagious diseases including, but not limited to, directing the performance of
physical examinations and tests, the collection of laboratory specimens, the
administration of vaccines, medications, or other treatments and the
observation and monitoring of persons who may have been exposed to a
dangerously contagious disease;
(78) Enforce the regulations of the Department and applicable
regulations of the authorities having the power to make such regulations;
(89) Determine
when diseases are contagious or epidemic or when a danger to the public's
health exists and order those measures deemed necessary to protect the public's
health including, but not limited to, the quarantine or isolation of persons or
closure of places when such action is required to protect the public's health,
until such time as the condition can be corrected or the danger to the public
health eliminated or reduced in such a manner that no immediate threat to the
public health any longer exists;
(910) Make all necessary sanitary and health investigations and
inspections;
(1011) Investigate
and cause to be abated nuisances affecting the public health with all
reasonable promptness in accordance with applicable law, including this
article;
(1112) Upon request, give professional advice and information to
all city, village, incorporated town, and school authorities on matters
pertaining to sanitation and public health;
(1213) For
any suspected violation of this article or state law, enter any building,
structure or premises, according to law, for the purpose of determining whether
there is a violation of any of the health provisions of this article or the
health provisions of State law;
(1314) Cause
to be confined, and specify the conditions of such confinement, any person who
fails to comply with an order of the Department or the Court or who, in the
judgment of the Department, may not be relied upon to comply with an order of
the Department, where such confinement is necessary to protect the public
health;
(1415) Cause
to be arrested any person who violates an order of the Department or the
Illinois Department of Public Health;
(1516) In
a manner consistent with Federal and State requirements, as applicable, during
an occurrence of biological or chemical terrorism or during a declared disaster
which threatens the public's health, request, and at sites designated by the
CCDPH, receive and cause to be distributed pharmaceutical and medical supplies
from the Illinois Pharmaceutical Stockpile, the Strategic National Stockpile
and or any additional sources in order to aid the state and local emergency
response authorities when local resources have been depleted or when the need
for additional resources is reasonably anticipated;
(1617) During a declared disaster which threatens the public's
health, take such actions as may be requested by the President of the Board or
designee in order to protect the health of the residents of the County.
(Ord.
No. 04-O-13, § 1(5-206),
Sec. 38-33. Measures
ordered by department.
(a) Issuance
of orders; court petitions. The Department may order measures it
deems necessary to protect the public's health including, but not limited to,
an order requiring that a person or a group of persons be quarantined or
isolated or that a place be closed and made off limits to the public. Such orders
shall be issued with the consent of the person(s) or owner of the place
affected or upon the prior order of a court of competent jurisdiction. If, in
the judgment of the Department, immediate action is required to protect the
public health, the Department may order, on an immediate basis without prior
consent or court order, measures it deems necessary to protect the public's
health including, but not limited to, an order requiring that a person or a
group of persons be quarantined or isolated or that a place be closed and made
off limits to the public, until such time as the condition can be corrected or
the danger to the public health eliminated or reduced in such a manner that no
immediate threat to the public health any longer exists. In addition to other
circumstances in which such orders are appropriate, the Department may order
that an individual be quarantined or isolated in order to prevent the spread of
a dangerously communicable disease when an individual refuses or fails to
submit to measures required by the Department in order to investigate whether a
person is or may be infected with or capable of communicating a dangerously
communicable disease. In the event of an immediate order issued without prior
consent or court order, the Department shall, as soon as practicable
thereafter, obtain the consent of the person or owner or file a petition
requesting a court order authorizing the continuation of the order of the
Department. Pending a court order on the matter, all Department orders shall remain
in full force and effect until lifted by the Department. The County shall make
payment of reasonable attorneys' fees, if ordered by the Court, with respect to
the representation of indigent persons who object to a Department order.
(b) Enforcement
of orders. A health care provider licensed in
(c) Syndromic or Diagnostic Surveillance. In order to
identify, study or reduce the occurrence or transmission of contagious or
infectious diseases, the Department may require health providers who operate a
state-licensed emergency room, trauma center or urgent care center to submit
information electronically pertaining to the symptoms reported to said health
providers by their patients and may require other categories of state-licensed
health providers including but not limited to laboratories to supply diagnostic
information. The Department shall provide appropriate instruction and access to
the provider on systems licensed and utilized by the Department for the receipt
and transmission of said information and shall enter into an appropriate data
sharing agreement with the health providers submitting such information.
(cd Regulations.
The Department may promulgate rules and regulations as are reasonable and
necessary to implement and effectuate the provisions of this section, including
rules and regulations providing for due process protections.
(Ord.
No. 04-O-13, § 1(5-207),
Sec. 38-34. Petty cash
account.
(a) Authorization
to set up. The Department of Public Health is hereby authorized to
set up a special account in a bank or depository to be known as "Cook
County Department of Public Health-Petty Cash Account."
(b) Persons
authorized to draw on account. The Chief Executive Officer, the
Department's Director of Financial Control and a Department employee acting in
a fiduciary capacity shall be authorized to sign checks drawn on the
aforementioned "Cook County Department of Public Health-Petty Cash
Account" for payment of petty cash expenses; provided, however, that all checks
so drawn shall be signed by at least two of the three persons so authorized to
sign.
(Ord.
No. 04-O-13, § 1(
The "Cook County
Department of Public Health-Petty Cash Account" shall be audited at the
close of each fiscal year by the
(Ord.
No. 04-O-13, § 1(5-211),
Sec.
38-36. Home nursing visits.
The Department of Public
Health is hereby authorized to coordinate the providing of home nursing visits
to suburban
(Ord.
No. 04-O-13, § 1(5-212),
The Department is authorized
to issue rules and regulations in carrying out its duties under this article.
With the exception of emergency regulations, all regulations of the Department
shall be submitted to the Board for approval prior to becoming effective. Upon
a determination that the public's health will be endangered unless immediate
regulatory action is taken, the Chief Executive Officer may adopt and enforce
emergency regulations of the Department which shall remain in effect until the
Board has adopted or rejected the emergency regulations or for a period of 90
days, whichever is shorter. All regulations adopted by the Department shall be
filed with the
(Ord.
No. 04-O-13, § 1(5-215),
Sec. 38-38. Violations; penalty.
(a) Any
person who violates the provisions of this article, or any regulations
promulgated hereunder, or any Department orders authorized under this article
or under applicable law shall be guilty of a Class B misdemeanor and shall be
subject to arrest and a fine of $1,000.00 for each violation.
(b) In
addition to any other remedies permitted under this article, the Department or
the State's Attorney may file a complaint in the Circuit Court of the County to
enjoin any person from violating the provisions of this article, or any
regulations promulgated hereunder or any Department orders provided for under
this article.
(Ord.
No. 04-O-13, § 1(5-216),
Sec. 38-39. Article as exercise of Home Rule Authority.
This article, as amended
from time to time, is promulgated pursuant to the powers of the County of Cook
as a home rule unit of local government under the 1970 Illinois Constitution,
Article VII, Section 6, and shall supersede all state statutes to the extent
that it may be in conflict with them, including without limitation, any of the
provisions set forth in 55 ILCS 5/5-25001 et seq., as amended.
(Ord.
No. 04-O-13, § 1(5-217),
Sec. 38-40. Agreements Child
day care centers visits.
The Cook County Department
of Public Health, through its Chief Operating Officer, is hereby
authorized to enter into and execute agreements on behalf of the
County as follows:
(a) to provide
public health nursing consultation services to licensed child day care centers
as defined in the administrative regulations of the Illinois Department of
Children and Family Services (IDCFS) at 89 Ill. Adm. Code 377.2 (2005). The
Department will provide technical assistance to licensed child day care centers
at a rate of $90.00 per service hour unless a change in this rate is
approved by the Board to assist these facilities in complying with
regulatory requirements established by the IDCFS as set forth in paragraph (b)
of Section 407.210 of the IDCFS Licensing Standards for Day Care Centers as
well as to assist these facilities in complying with Illinois Department of
Public Health and IDCFS standards regarding medical reports and childhood
immunizations and to provide information regarding the prevention of
communicable disease. The Chief Operating Officer of the Department shall be
authorized to sign such agreements on behalf of the County.
(b) to
perform inspections of retail food establishments within municipalities at such
rates as have been approved by the Board;
(c) to extend or renew,
without substantive change, existing software license agreements for syndromic or diagnostic surveillance systems utilized by
the Department and previously approved by the Board, provided such extension or
renewal does not obligate the County to pay additional license fees;
(d) to receive, transmit,
maintain as confidential, study or utilize syndromic
or diagnostic information including, but not limited to, agreements with other
municipal, county, state and federal public health authorities and with health
providers, their respective contractors and their contractor’s licensees, to
participate in syndromic or diagnostic surveillance
activities including agreements to share confidential data, to transmit and
receive information using secured web and software systems licensed by the
Department, and to perform such other activities as may be necessary to
participate in the Department’s electronic syndromic
or diagnostic surveillance program.
(e) to participate in or
coordinate a Medical Reserve Corps or similar volunteer program and to render
or to receive emergency mutual aid including provisions for the redistribution,
sharing or allocation of supplies, personnel and responsibilities within Cook
County and the surrounding counties for purposes of the promotion of public
health and emergency preparedness and response;
(f) setting forth the terms pursuant to which an
action authorized under this Ordinance to be performed by the Department shall
be carried out including, but not limited to, the terms pursuant to which a
distribution of medicines, vaccines or supplies is made or received to or from
the Illinois Department of Public Health,
local health departments or emergency management agencies,
municipalities and townships and licensed health providers;
(g) to
participate in the
(h) to utilize premises
within
(i)
to memorialize responsibilities of program
participants in connection with the implementation of public health programs,
provided that there is no fiscal obligation imposed upon the County as a
result.
(Ord.
No. 06-O-06, § 1,
Secs. 38-41--38-50. Reserved
Approved and adopted this
___ day of June 2009.
Commissioner Daley, seconded by Vice Chairman Goslin,
moved to accept the Substitute Amendment of the Board of Health Ordinance
Communication No. 299986.
Vice Chairman Goslin, seconded by Commissioner
Daley, moved to Approve the Substitute Amendment of
the Board of Health Ordinance Communication No.299986. The motion carried.
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299999 |
REQUESTING
A MEETING OF THE COMMITTEE ON HEALTH AND HOSPITALS TO REVIEW THE COST TO PROPOSED RESOLUTION WHEREAS, the mission of the Cook County Health &
Hospitals System is to provide quality health care to Cook County patients
without regard of ability to pay; and WHEREAS, the State of Illinois and the Cook County Board of
Commissioners in recognition of the need to partner with other non-profit
hospitals to reduce the growing number of indigent patients seeking care in
Cook County, provide tax exemptions worth millions of dollars with the
understanding that the recipient hospitals would provide medical care to
indigent or under-insured patients; and WHEREAS, the WHEREAS, the Chicago
Tribune’s investigation found that patients from non-profit facilities in
Cook County and as far as Lake and DuPage Counties
are being sent to Stroger Hospital of Cook County
for costly treatment; and WHEREAS, the Chicago
Tribune’s investigation found that governmental health departments in the
collar counties continue to refer patients needing costly care to Stroger Hospital of Cook County rather than to non-profit
hospitals in their own counties; and WHEREAS, the Chicago
Tribune’s investigation found that uninsured cancer patients, Medicaid
patients with heart disease and immigrants with broken bones have been among
those that come to Stroger Hospital of Cook County
for urgent follow-up care after being stabilized or evaluated elsewhere; and WHEREAS, the Chicago
Tribune’s investigation found that some patients arrive in the emergency
room of Stroger Hospital of Cook County with
diagnosis, treatment recommendations, discharge slips and prescriptions from
other hospitals and governmental health departments, along with maps to Stroger Hospital. |
Commissioner Suffredin, seconded by
Commissioner Murphy, moved to Defer Communication No. 299999. The motion
carried.
Commissioner Silvestri moved to adjourn the
meeting, seconded by Commissioner Daley.
The motion carried and the meeting was adjourned.
YOUR COMMITTEE
RECOMMENDS THE FOLLOWING ACTION
WITH REGARD TO THE
MATTERS NAMED HEREIN:
Communication Number 298604 Deferred
Communication Number 299986 Approved
Communication Number 299999 Deferred
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Respectfully submitted, Committee on Health & Hospitals xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Jerry Butler, Chairman |
Attest:
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Matthew B. DeLeon, Secretary