the agenda - Cook County by wuyunyi

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                                              Meeting of the
                        Cook County Health and Hospitals System Board of Directors
                          1900 W.est Polk Street, Second Floor Conference Room,
                                             Chicago, Illinois
                                        July 11, 2008 – 7:30 A.M.


                                         CALL OF THE MEETING
ITEM # 1

Roll Call.                                                                                                        Formatted: Font: 12 pt



                                          SYSTEM BOARD RULES
ITEM #2

Motion to approve and adopt the System Board Rules.                                                               Formatted: Font: 12 pt



                                         APPROVAL OF MINUTES                                                      Formatted: Font: Bold, Underline
ITEM # 3

The ReportApproval of the minutes of the Inaugural Meeting of the Cook County Health and Hospitals                Formatted: Font: 12 pt
System Board of Directors of Wednesday, June 18, 2008 at 9:30 A.M.


                                    PROPOSED APPOINTMENTS TO
                                  THE SYSTEM BOARD COMMITTEES
ITEM #4

Receive the Chairperson’sMotion to approve the proposed appointments to the System Board                          Formatted: Font: 12 pt
Committees.



                         SPECIAL COMMITTEE FOR STRATEGIC PLANNING
ITEM #5

Discussion of System Board’s approach calling forto the strategic planning process.                               Formatted: Font: 12 pt



                            STATUS OF HEALTH AND HOSPITALS SYSTEM
ITEM #

Discussion of the status of various components of the Health and Hospitals system, including but not limited to
those related to finances and human resources.


                                                  MEETING
ITEM #

Motion to set the next meeting date of the Cook County Health and Hospitals System Board of Directors.


                                    NEWMISCELLANEOUS BUSINESS
                                                                                                          Page 2   Formatted: Font: 10 pt
                                                                                                      AGENDA       Formatted: Font: 10 pt
                                                                         Cook County Health and Hospitals System
                                                                                              Board of Directors   Formatted: Font: 10 pt
                                                                                        Meeting of July 11, 2008   Formatted: Right
ITEM #6                                                                                                            Formatted: Font: 10 pt
                                                                                                                   Formatted: Font: 10 pt
Motion to set the next meeting date of the Cook County Health and Hospitals System Board of Directors.
                                                                                                                   Formatted: Font: 12 pt




ITEM #7

Discussion of miscellaneous System Board procedure issues, including, but not limited to, the following:           Formatted: Font: 12 pt


       * *How to handle solicitations for information;                                                             Formatted: Font: 12 pt
       *How to handle tours of System facilities;                                                                  Formatted: Indent: Left: 0.5"
       *How to handle individual System Board Member requests for informationRequests for
       information from individual Director’s and the public, and
                         Directors’ tours of System facilities.How to handle solicitations;                        Formatted: Indent: Left: 1.5", Bulleted +
                                                                                                                   Level: 1 + Aligned at: 1" + Tab after: 1.25" +
                                                                                                                   Indent at: 1.25"
       * How to handle requests for information or tours of facilities by individual directors; and
                                                                                                                   Formatted: Bullets and Numbering
                                                                                                                   Formatted: Indent: Left: 0.5"
       * Arranging a tour of the facilities at Stroger Hospital of Cook County.

                                                                                                                   Formatted: Indent: Left: 0.5"


                                                                                                                   Formatted: Centered
                                                  REPORT
ITEM #

The Report of the Inaugural Meeting of the Cook County Health and Hospitals System Board of Directors of
Wednesday, June 18, 2008 at 9:30 A.M.
                                                                                                      Page 3   Formatted: Font: 10 pt
                                                                                                  AGENDA       Formatted: Right
                                                                     Cook County Health and Hospitals System
                                                                                          Board of Directors   Formatted: Font: 10 pt
                                                                                    Meeting of July 11, 2008   Formatted: Font: 10 pt
                                       NEW BUSINESS (continued)                                                Formatted: Font: 10 pt
                                                                                                               Formatted: Font: 10 pt

                                                 REPORT
ITEM #8

Receive and discussMotion to receive the Ffinancial report from the Chief Financial Officer of Cook            Formatted: Font: 12 pt
County for the Cook County Health and Hospital System.

ITEM #9

Discussion of the status of various components of the Health and Hospitals systemCCHHS, including, but         Formatted: Font: 12 pt
not limited to, those related to finances and human resources.                                                 Formatted: Justified


ITEM #10                                                                                                       Formatted: No underline


Receive and discussMotion to receive report from Dr. Stephen Martin, Chief Operatingon Officer, Cook           Formatted: Font: 12 pt
County Department of Public Health, regarding Case Management Program Service Reduction.

                                                                                                               Formatted: Font: Not Bold, No underline
 COOK COUNTY HEALTH AND HOSPITALS SYSTEM CONTRACT ITEMSBUREAU OF HEALTH                                        Formatted: Font: 11 pt
                  SERVICESCONTRACTS AND PROCUREMENT                                                            Formatted: Font: 11 pt



           COOPERATIVE EDUCATIONAL MASTER AGREEMENT PROGRAM ADDENDA
                                                                                                               Formatted: Centered, Level 1
ITEM #11

Transmitting a Communication, dated June 26, 2008 from


Requesting authorization to enter into and execute the new Program Addendum for post graduate (PG)             Formatted: Justified
residents for clinical services in Plastic and Reconstructive Surgery, as per the Cooperative Educational
Master Agreement (CEMA) Contract No. 05-43-527, authorized by the Board of Commissioners on
March 1, 2005 between Stroger Hospital of Cook County and the University of Illinois at Chicago
Medical School, Chicago, Illinois.

The Program Addendum will combine the academic and clinical resources of the University of Illinois at
Chicago Medical School to the educational and training experience of Stroger Hospital of Cook County.
Pursuant to this Program Addendum, the University of Illinois at Chicago Medical, will provide 1.33 FTE
post graduate residents in the clinical practice of Plastic Surgery and Burn Surgery to gain training and
education. This agreement benefits the hospital by supplementing and enhancing required clinical
services to the hospital’s patients by subspecialists, we would not otherwise be able to recruit. It also
affords us the many benefits of collaborating with an academic partner, as described in the Master
Affiliation Agreement.

In addition, Stroger Hospital of Cook County receives reimbursement from the Center for Medicare and           Formatted: Justified
Medicaid Services as a Teaching Hospital with an approved Graduate Medical Education Program in the
amount of $24,713.00 for each Resident. Therefore, based upon the estimated fiscal impact of
$105,020.00 less $32,868.29 of projected revenue, the net estimated fiscal impact is $72,151.71.
                                                                                                              Page 4   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Font: 10 pt
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Right
                                                                                                                       Formatted: Font: 10 pt
Estimated Fiscal Impact: $105,020.00 (FY 2008: $32,168.00 and FY 2009: $72,852.00). Estimated                          Formatted: Font: 10 pt
Medicare Reimbursement potential offset amount: $32,868.29 (1.33 residents). Contract Period: July 1,                  Formatted: Font: 12 pt
2008 through June 30, 2009. Requisition No. 88970506. (897-272 Account).

Approval of this item would commit Fiscal Year 2008 funds and future year funds.                                       Formatted: Justified
DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

requesting authorization for the Purchasing Agent to enter into and execute the new Program Addendum for post
graduate (PG) residents for clinical services in Plastic and Reconstructive Surgery, as per the Cooperative
Educational Master Agreement (CEMA) Contract No. 05-43-527, authorized by the Board of Commissioners on
March 1, 2005 between Stroger Hospital of Cook County and the University of Illinois at Chicago Medical School,
Chicago, Illinois.

The Program Addendum will combine the academic and clinical resources of the University of Illinois at Chicago
Medical School to the educational and training experience of Stroger Hospital of Cook County. Pursuant to this
Program Addendum, the University of Illinois at Chicago Medical School, will provide 1.33 FTE post graduate
residents in the clinical practice of Plastic Surgery and Burn Surgery to gain training and education. This
agreement benefits the hospital by supplementing and enhancing required clinical services to the hospital’s patients
by subspecialists, we would not otherwise be able to recruit. It also affords us the many benefits of collaborating
with an academic partner, as described in the Master Affiliation Agreement.

In addition, Stroger Hospital of Cook County receives reimbursement from the Center for Medicare and Medicaid
Services as a Teaching Hospital with an approved Graduate Medical Education Program in the amount of
$24,713.00 for each Resident. Therefore, based upon the estimated fiscal impact of $105,020.00 less $32,868.29 of
projected revenue, the net estimated fiscal impact is $72,151.71.

Estimated Fiscal Impact: $105,020.00. Estimated Medicare Reimbursement: $32,868.29 (1.33 residents).
Contract Period: July 1, 2008 through June 30, 2009. Requisition No. 88970506. (897-272 Account).

Approval of this item would commit Fiscal Year 2008 funds of $32,168.00 and 2009 Funds of $72,852.00.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.




                              CONTRACTS AND PROCUREMENT (continued)                                                    Formatted: Centered


           COOPERATIVE EDUCATIONAL MASTER AGREEMENT PROGRAM ADDENDA
ITEM #12

Transmitting a Communication, dated June 26, 2008 from


Requesting authorization to enter into and execute the new Program Addendum for post graduate (PG)                     Formatted: Justified
residents for clinical services in Otolaryngology Surgery, as per the Cooperative Educational Master
Agreement (CEMA) Contract No. 06-41-561, authorized by the Board of Commissioners on June 6, 2006
between Stroger Hospital of Cook County and the Northwestern University Faculty Foundation, Chicago,
                                                                                                               Page 5    Formatted: Font: 10 pt
                                                                                                           AGENDA        Formatted: Font: 10 pt
                                                                              Cook County Health and Hospitals System
                                                                                                   Board of Directors    Formatted: Font: 10 pt
                                                                                             Meeting of July 11, 2008    Formatted: Right
Illinois, the not for profit faculty component of Northwestern University Medical Center, Chicago,                       Formatted: Font: 10 pt
Illinois.                                                                                                                Formatted: Font: 10 pt

The Program Addendum will combine the academic and clinical resources of the Northwestern Faculty to
the educational and training experience of Stroger Hospital of Cook County. Pursuant to this Program
Addendum, Northwestern University Faculty Foundation will provide 0.70 FTE equivalent physicians in
Otolaryngology for faculty position coverage, supervision of residents, teaching and clinical patient care
services at the Hospital. This agreement benefits the hospital by supplementing and enhancing required
clinical services in Otolaryngology at Stroger Hospital of Cook County and Oak Forest Hospital of Cook
County that previously were not available for our patients. It also affords us the many benefits of
collaborating with an academic partner, as described in the Master Affiliation Agreement.

Estimated Fiscal Impact: $195,000.00. (FY 2008: $65,000.00 and FY 2009: $130,000.00). Contract                           Formatted: Font: 12 pt
period: July 1, 2008 through June 30, 2009. Requisition No. 88970511. (897-272 Account).

Approval of this item would commit Fiscal Year 2008 funds and future year funds.
DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

requesting authorization for the Purchasing Agent to enter into and execute the new Program Addendum for post
graduate (PG) residents for clinical services in Otolaryngology Surgery, as per the Cooperative Educational Master
Agreement (CEMA) Contract No. 06-41-527, authorized by the Board of Commissioners on June 6, 2006 between
Stroger Hospital of Cook County and the Northwestern University Faculty Foundation, Chicago, Illinois, the not
for profit faculty component of Northwestern University Medical Center, _____________.

The Program Addendum will combine the academic and clinical resources of the Northwestern Faculty to the
educational and training experience of Stroger Hospital of Cook County. Pursuant to this Program Addendum,
Northwestern University Faculty Foundation will provide 0.70 FTE equivalent physicians in Otolaryngology for
faculty position coverage, supervision of residents, teaching and clinical patient care services at the Hospital. This
agreement benefits the hospital by supplementing and enhancing required clinical services in Otolaryngology at
Stroger Hospital of Cook County and Oak Forest Hospital of Cook County that previously were not available for
our patients. It also affords us the many benefits of collaborating with an academic partner, as described in the
Master Affiliation Agreement.

Estimated Fiscal Impact: $195,000.00. (FY 2008: $65,000.00 and FY 2009: $130,000.00). Contract period: July
1, 2008 through June 30, 2009. Requisition No. 88970511. (897-272 Account).

Approval of this item would commit Fiscal Year 2008 funds and future year funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                            PROPOSED CONTRACT
ITEM #

Transmitting a Communication from

DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

requesting authorization for the Purchasing Agent to enter into a contract with Parata Systems, LLC, Durham,
North Carolina, to upgrade and maintain the new software and equipment of the two (2) Pharmacy 2000®
                                                                                                            Page 6   Formatted: Font: 10 pt
                                                                                                        AGENDA       Formatted: Right
                                                                           Cook County Health and Hospitals System
                                                                                                Board of Directors   Formatted: Font: 10 pt
                                                                                          Meeting of July 11, 2008   Formatted: Font: 10 pt
workflow management systems with twenty-four (24) workstations and the four (4) Autoscript III® robotic              Formatted: Font: 10 pt
prescription delivery systems owned by Stroger Hospital of Cook County and the Fantus Health Center.
                                                                                                                     Formatted: Font: 10 pt

Reason:     Parata Systems, LLC is the manufacturer of the existing proprietary equipment and the only authorized
            service representative to provide the new software and equipment for the pharmacy 2008® workflow
            management systems and the Autoscript III robotic prescription delivery systems. A cost savings will
            result of $320,000.00 (for the Autoscript III units) and over $250,000.00 (for the pharmacy 2000
            systems) with the upgrades of existing equipment.

Estimated Fiscal Impact: $983,955.00. One time purchase. (717/890-540 Account). Requisition No. 88904017.

Sufficient funds have been appropriated to cover this request.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                            PROPOSED CONTRACT
ITEM #13

Transmitting a Communication from

Requesting authorization to enter into a contract with Suburban Primary Health Care Council,                         Formatted: Justified
Westchester, Illinois, to provide medical care to financially eligible suburban Cook County residents.

Reason:     The Access to Care Program is the only program of its kind, providing primary health care to
            medically indigent residents of suburban Cook County through a network of physicians. This               Formatted: Font: 12 pt
            request will allow services for approximately 2,866 clients. Suburban Primary Health
            Care Council is a private not-for-profit consortium of the Department of Public Health,
            Community and Economic Development Association of Cook County, Inc. (CEDA) and the
            Northwest Suburban Cook County Health Care Taskforce.

Estimated Fiscal Impact: $2,000,000.00. Contract period: December 1, 2007 through November 30,                       Formatted: Justified
2008. (890-260 Account). Requisition No. 88900520.                                                                   Formatted: No underline
                                                                                                                     Formatted: No underline
Approval of this item would commit Fiscal Year 2008 funds.                                                           Formatted: No underline
                                                                                                                     Formatted: No underline
DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

requesting authorization for the Purchasing Agent to enter into a contract with Suburban Primary Health Care
Council, Westchester, Illinois, to provide medical care to financially eligible suburban Cook County residents.

Reason:     The Access to Care Program is the only program of its kind, providing primary health care to
            medically indigent residents of suburban Cook County through a network of physicians. Suburban
            Primary Health Care Council is a private not-for-profit consortium of the Department of Public Health,
            Community and Economic Development Association of Cook County, Inc. (CEDA) and the Northwest
            Suburban Cook County Health Care Taskforce.

Estimated Fiscal Impact: $2,000,000.00. Contract period: December 1, 2008 through November 30, 2009. (890-
260 Account). Requisition No. 98900520.
                                                                                                      Page 7   Formatted: Font: 10 pt
                                                                                                  AGENDA       Formatted: Right
                                                                     Cook County Health and Hospitals System
                                                                                          Board of Directors   Formatted: Font: 10 pt
                                                                                    Meeting of July 11, 2008   Formatted: Font: 10 pt
Approval of this item would commit Fiscal Year 2009 funds.                                                     Formatted: Font: 10 pt
                                                                                                               Formatted: Font: 10 pt
The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.
                                                                                                            Page 8   Formatted: Font: 10 pt
                                                                                                        AGENDA       Formatted: Font: 10 pt
                                                                           Cook County Health and Hospitals System
                                                                                                Board of Directors   Formatted: Font: 10 pt
                                                                                          Meeting of July 11, 2008   Formatted: Right
                             CONTRACTS AND PROCUREMENT (continued)                                                   Formatted: Font: 10 pt
                                                                                                                     Formatted: Font: 10 pt
                                  PROPOSED CONTRACT ADDENDUM
ITEM # 14

Transmitting a Communication from

DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

Requesting authorization to increase by $150,000.00, Contract No. 07-53-218 Rebid from Cavalry Fire                  Formatted: Justified
Protection Services, LLC, Franklin Park, Illinois, for maintenance and repair of the fire sprinkler system
for Provident Hospital of Cook County.

Board approved amount 10-02-07:                                       $297,852.00                                    Formatted Table
Increase requested:                                                    150,000.00                                    Formatted: Underline
Adjusted amount:                                                      $447,852.00

Reason:    The increase of the above referenced contract is required to perform an emergency,                        Formatted Table
           unanticipated repair to the fire sprinkler system. We have been notified by the Illinois                  Formatted: Justified
           Department of Public Health (IDPH) that we are non-compliant with a Life Safety
           code regarding sprinkler system configuration and resulting annunciation to water
           flow associated with a design flaw, which has only recently been identified. Due to
           the time constraints and possible repercussions, it is imperative we address this issue
           immediately. The sense of urgency is necessary in order to submit evidence of a
           corrective action plan to IDPH by September 8, 2008 . Our current contractor has
           provided a cost quotation to correct this; however, it exceeds the current value of the
           contract. The expiration date of the current contract is October 1, 2010.

Estimated Fiscal Impact: $150,000.00. (890-450 Account).

Approval of this item would commit Fiscal Year 2008 funds.

requesting authorization for the Purchasing Agent to increase by $150,000.00, Contract No. 07-53-218 Rebid from
Cavalry Fire Protection Services, LLC, Franklin Park, Illinois, for maintenance and repair of the fire sprinkler
system for Provident Hospital of Cook County.

Board approved amount 10-02-07:       $297,852.00
Increase requested:                   150,000.00
Adjusted amount:                      $447,852.00

Reason:   The increase of the above referenced contract is required to perform an emergency,
          unanticipated repair to the fire sprinkler system. We have been notified by the Illinois
          Department of Public Health (IDPH) that we are non-compliant with a Life Safety code
          regarding sprinkler system configuration and resulting annunciation to water flow associated
          with a design flaw, which has only recently been identified. Due to the time constraints and
          possible repercussions, it is imperative we address this issue immediately. Our current
          contractor has provided a cost quotation to correct this deficiency, however it exceeds the
          current value of the contract. The expiration date of the current contract is October 1, 2010.

Estimated Fiscal Impact: $150,000.00. (890-450 Account).
                                                                                                            Page 9   Formatted: Font: 10 pt
                                                                                                        AGENDA       Formatted: Right
                                                                           Cook County Health and Hospitals System
                                                                                                Board of Directors   Formatted: Font: 10 pt
                                                                                          Meeting of July 11, 2008   Formatted: Font: 10 pt
Approval of this item would commit Fiscal Year 2008 funds.                                                           Formatted: Font: 10 pt
                                                                                                                     Formatted: Font: 10 pt
The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                    PROPOSED CONTRACT ADDENDA
ITEM #15

Transmitting a Communication from

DAVID R. SMALL, F.A.C.H.E., Chief Operating Officer, Bureau of Health Services

Requesting authorization to extend for (4) days, Contract No. 05-72-220 with Ambulance Transportation,               Formatted: Justified
Inc., Tinley Park, Illinois, to provide ambulance transportation services for the Ambulatory and
Community Health Network of Cook County, Cermak Health Services of Cook County, Oak Forest
Hospital of Cook County, Provident Hospital of Cook County and the Ruth M. Rothstein Core Center.

Reason:    This request is necessary to utilizes available funds during the interim period from                      Formatted Table
           expiration of existing contract on July 17, 2008 to the award and execution of                            Formatted: Justified
           the new contract on July 22, 2008. Approximately $1,072,913.00 remains on this
           contract for the Ambulatory and Community Health Network of Cook County;
           $395,670.00 for Cermak Health Services of Cook County; $84,350.00 for Oak Forest
           Hospital of Cook County; $136,669.00 for Provident Hospital of Cook County; and
           $1,000.00 for the Ruth M. Rothstein Core Center. The expiration date of the current
           contract is July 17, 2008.

Estimated Fiscal Impact: None. Contract extension: July 18, 2008 through July 21, 2008.

requesting authorization for the Purchasing Agent to extend for three (3) months, Contract No. 05-72-220 with
Ambulance Transportation, Inc., Tinley Park, Illinois, to provide ambulance transportation services for the
Ambulatory and Community Health Network of Cook County, Cermak Health Services of Cook County, Oak
Forest Hospital of Cook County, Provident Hospital of Cook County and the Ruth M. Rothstein Core Center.

Reason:    This request is necessary to allow sufficient time for the cancellation and rebid of the new
           contract due to non-compliance to the minority and women-owned business enterprise
           Ordinance. Approximately $1,072,913.00 remains on this contract for the Ambulatory and
           Community Health Network of Cook County; $395,670.00 for Cermak Health Services of
           Cook County; $84,350.00 for Oak Forest Hospital of Cook County; $136,669.00 for
           Provident Hospital of Cook County; and $1,000.00 for the Ruth M. Rothstein Core Center.
           The expiration date of the current contract is July 17, 2008.

Estimated Fiscal Impact: None. Contract extension: July 18, 2008 through October 17, 2008.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.
                                                                                                       Page 10   Formatted: Font: 10 pt
                                                                                                    AGENDA       Formatted: Right
                                                                       Cook County Health and Hospitals System
                                                                                            Board of Directors   Formatted: Font: 10 pt
                                                                                      Meeting of July 11, 2008   Formatted: Font: 10 pt
                            CONTRACTS AND PROCUREMENT (continued)                                                Formatted: Font: 10 pt
                                                                                                                 Formatted: Font: 10 pt

                           AMBULATORY AND COMMUNITY HEALTH
                               NETWORK OF COOK COUNTY

                             PROPOSED PURCHASE ORDER ADDENDUM
ITEM #16

Transmitting a Communication from

Requesting authorization to increase by $66,250.00, Purchase Order No. 159357 with Excel Answering
Services, Chicago, Illinois, for telephone answering services.

Original Purchase Order amount 10-26-07:                           $24,900.00
Increase requested:                                                 66,250.00
Adjusted amount:                                                   $91,150.00

Reason:     This service is provided so that there is seven (7) day, twenty-four (24) hour,                      Formatted: Justified, Right: 0.05"
            answering service availability for patients to contact their physician or physician                  Formatted Table
            on call. This request is to pay outstanding invoices for services rendered from
            March 1, 2008 through June 30, 2008, and to extend the purchase order through
            October 31, 2008 to allow continuation of services during the rebid of Contract
            No. 07-85-379. The bids are scheduled to open on July 17, 2008. In addition,
            sufficient time is necessary for implementation of a new answering service
            system that requires installation of correct identifier numbers for each Ambulatory
            Clinics, a separate telephone line for ambulance service for the Obstetrics patients,
            as well as creation of a new phone tree for all Ambulatory and Community Health
            Network Clinic.
                                                                                                                 Formatted: Right: -1", Tab stops: Not at
                                                                                                                 0.69"
Reason:    This service is provided so that there is seven (7) day, twenty-four hour, answering service          Formatted Table
           availability for patients to contact their physician or physician on call. This request is to pay
           outstanding
           invoices for services rendered from March 1, 2008 through June 30, 2008, and to extend the
           purchase order through October 31, 2008 to allow continuation of services during the rebid of
           Contract No. 07-85-379. The bids are scheduled to open on July 17, 2008. In addition, sufficient
           time is necessary for implementation of a new answering service system that requires
           installation of correct identifier numbers for each Ambulatory Clinics, a separate telephone
           line for ambulance service for the Obstetrics patients, as well as creation of a new phone tree
           for all Ambulatory and Community Health Network Clinic.



Estimated Fiscal Impact: $66,250.00. (893-268 Account).

Approval of this item would commit Fiscal Year 2008 funds.


SANDRA ANKEBRANT, Chief Operating Officer,
                                                                                                             Page 11   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Right
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Font: 10 pt
                                Ambulatory and Community Health Network of Cook County                                 Formatted: Font: 10 pt
                                                                                                                       Formatted: Font: 10 pt
requesting authorization for the Purchasing Agent to increase by $75,000.00, Purchase Order No. 159357 with
Excel Answering Services, Chicago, Illinois, for telephone answering services.

Original Purchase Order amount 10-26-07:             $24,900.00
Increase requested:                                  75,000.00
Adjusted amount:                                     $99,900.00

Reason:    This service is provided so that there is seven (7) day, twenty-four hour, answering service
           availability for patients to contact their physician or physician on call. This increase is
           necessary to allow sufficient time for the bid, evaluation, award and implementation of the
           new contract.

Estimated Fiscal Impact: $75,000.00. (893-268 Account).

Approval of this item would commit Fiscal Year 2008 funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                            OAK FOREST HOSPITAL OF COOK COUNTY

                                        PERMISSION TO ADVERTISE
ITEM #17

Transmitting a Communication from

SYLVIA EDWARDS, Acting Chief Operating Officer, Oak Forest Hospital of Cook County

Requesting authorization to advertise for bids for MRI services.

Contract period: December 3, 2008 through December 2, 2009. (898-260 Account). Requisition No.
98980007.

Approval of this item would commit Fiscal Year 2009 funds.
requesting authorization for the Purchasing Agent to advertise for bids for MRI services.

Contract period: December 3, 2008 through December 2, 2009. (898-260 Account). Requisition No. 98980007.

Approval of this item would commit Fiscal Year 2009 funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                             PROVIDENT HOSPITAL OF COOK COUNTY

                               JOINT CONFERENCE COMMITTEE REPORT
ITEM #
                                                                                                            Page 12    Formatted: Font: 10 pt
                                                                                                         AGENDA        Formatted: Font: 10 pt
                                                                            Cook County Health and Hospitals System
                                                                                                 Board of Directors    Formatted: Font: 10 pt
                                                                                           Meeting of July 11, 2008    Formatted: Right
Transmitting a Communication, dated June 25, 2008 from                                                                 Formatted: Font: 10 pt
                                                                                                                       Formatted: Font: 10 pt
SIDNEY A. THOMAS, Chief Operating Officer, Provident Hospital of Cook County

submitting herewith the Provident Hospital of Cook County Joint Conference Committee report for the meeting of
May 14, 2008.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                              STROGER HOSPITAL OF COOK COUNTY

                        COOPERATIVE EDUCATIONAL MASTER AGREEMENT
ITEM #18

Transmitting a Communication, dated June 26, 2008 from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

Requesting authorization to enter into a Cooperative Educational Master Agreement (CEMA) with                          Formatted: Justified
Northwestern Institute of Health and Technology, Chicago, Illinois. The purpose of the Cooperative
Educational Master Agreement is to set forth arrangements between the County of Cook and
Northwestern Institute of Health and Technology, whereby, Stroger Hospital of Cook County will provide
a training site for the students seeking a degree or certification in one or more medical or health
profession.


                              CONTRACTS AND PROCUREMENT (continued)

Item #18 (continued)                                                                                                   Formatted: Font: 11 pt, Bold


Upon successful completion of the clinical training program, students are eligible to sit for licensing                Formatted: Justified
exams. After passing the exams, the students can be recruited to fill the County vacancies at the hospital.
This is an excellent recruitment tool in that the new graduates are familiar with the County affiliates.

Estimated Fiscal Impact: None.          Contract period:      September 1, 2008 through August 31, 2012.               Formatted: Justified
Requisition No. 88970514.
requesting authorization for the Purchasing Agent to enter into a Cooperative Educational Master Agreement
(CEMA) with Northwestern Institute of Health and Technology, Chicago, Illinois. The purpose of the Cooperative
Educational Master Agreement is to set forth arrangements between the County of Cook and Northwestern Institute
of Health and Technology, whereby, Stroger Hospital of Cook County will provide a training site for the students
seeking a degree or certification in one or more medical or health profession.

Upon successful completion of the clinical training program, students are eligible to sit for licensing exams. After
passing the exams, the students can be recruited to fill the County vacancies at the hospital. This is an excellent
recruitment tool in that the new graduates are familiar with the County affiliates.

Estimated Fiscal Impact: None. Contract period: September 1, 2008 through August 31, 2012. Requisition No.
88970514.
                                                                                                             Page 13   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Right
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Font: 10 pt
The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and              Formatted: Font: 10 pt
Hospitals System Board for their review.
                                                                                                                       Formatted: Font: 10 pt


                                       PERMISSION TO ADVERTISE
ITEM #19

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

Requesting authorization to advertise for bids for extra corporeal shock-wave lithotripsy services with                Formatted: Justified
provided equipment for the Department of Surgery, Division of Urology.

Contract period: October 7, 2008 through October 6, 2010. (897-278 Account). Requisition No.
88970531.

Approval of this item would commit Fiscal Year 2008 and future year funds.
requesting authorization for the Purchasing Agent to advertise for bids for extra corporeal shock-wave lithotripsy
services with provided equipment for the Department of Surgery, Division of Urology.

Contract period: ________ through _______. (897-278 Account). Requisition No. 88970531.

Approval of this item would commit Fiscal Year 2008 and future year funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                       PERMISSION TO ADVERTISE
                                                                                                                       Formatted: Centered, Level 1
ITEM #20

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

Requesting authorization to advertise for bids for testing of secondary fire suppression systems, fire                 Formatted: Justified
pumps and fire extinguishers and for monitoring of fire alarm systems for the Department of Professional
Affairs, Division of Building and Grounds.

Contract period: October 1, 2008 through September 30, 2011. (890-449 Account). Requisition No.
88900534.

Approval of this item would commit Fiscal Year 2008 and future year funds.
requesting authorization for the Purchasing Agent to advertise for bids for testing of secondary fire suppression
systems, fire pumps and fire extinguishers and for monitoring of fire alarm systems for the Department of
Professional Affairs, Division of Building and Grounds.

Contract period: _________ through ________. (890-449 Account). Requisition No. 88900534.
                                                                                                             Page 14   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Right
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Font: 10 pt
Approval of this item would commit Fiscal Year 2008 and future year funds.                                             Formatted: Font: 10 pt
                                                                                                                       Formatted: Font: 10 pt
The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                           PROPOSED CONTRACT

ITEM #

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

requesting authorization for the Purchasing Agent to enter into a contract with Beckman Coulter, Inc., Brea,
California, for the purchase of reagents and supplies for hematology analyzers (LH and GenS Series) and the
automated slide makers/stainers manufactured and provided by Beckman Coulter, Inc. for the Department of
Pathology, Division of Hematopathology.

Reason:     Beckman Coulter, Inc. is the only manufacturer and distributor of reagents and equipment that has
            technology which is FDA approved to perform automated body fluid analysis on a stat basis for trauma
            patients. In addition, it has an auto integrated slide maker/stainer that enhances the accuracy for
            complete blood counts and prepares slides from a single blood sample.

Estimated Fiscal Impact: $255,288.00. Contract period: December 1, 2008 through November 30, 2009. (897-
365 Account). Requisition No. 98970002.

Approval of this item would commit Fiscal Year 2009 funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                           PROPOSED CONTRACT
ITEM #

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

requesting authorization for the Purchasing Agent to enter into a contract with Beckman Coulter, Inc., Miami,
Florida, for the purchase of reagents and supplies with vendor provided three (3) analytic flow cytometer systems,
one (1) robotic sampler and one (1) TQ preparation workstation for determination of human inmmunodeficiency
virus (HIV) and leukemia/lymphoma profiles for the Department of Pathology, Division of Flow Cytometry.

Reason:     Beckman Coulter, Inc. is the only known manufacturer and distributor of reagents and equipment that
            has technology to process large volume patients’ samples with minimal downtime for determination of
            human inmmunodeficiency virus (HIV) and leukemia/lymphoma profiles. Stroger Hospital of Cook
            County will become the central laboratory for this testing procedures for Oak Forest Hospital of Cook
            County, Provident Hospital of Cook County and the clinics, as the laboratories are consolidated.
            Performing these services off-site at an estimated fiscal impact of $2,400,000.00. Would yield an
            estimated net saving of $485,000.00. These tests monitors patient response to treatment protocols.
                                                                                                             Page 15   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Right
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Font: 10 pt
                                                                                                                       Formatted: Font: 10 pt
Estimated Fiscal Impact: $1,518,689.02 (FY 2008: $42,185.80; FY 2009: $506,229.66; FY 2010: $506,229.66
                                                                                                                       Formatted: Font: 10 pt
and FY 2011: $464,043.90. Contract period: November 1, 2008 through October 31, 2011. (897-365 Account).
Requisition No. 8897053_.

Approval of this item would commit Fiscal Year 2008 and future year funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                    PROPOSED CONTRACT ADDENDA
ITEM #21

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

Requesting authorization to increase by $98,000.00 and extend from June 21, 2008 through August 31,                    Formatted: Justified
2008, Contract No. 05-73-269 with Beckman Coulter, Inc., Miami, Florida, for the purchase of reagents
and supplies with vendor provided analytic flow cytometer system and sample preparation system for the
determination of human immunodeficiency virus (HIV) and leukemia/lymphoma cells for the Department
of Pathology, Division of Immunology.

Board approved amount 06-21-05:                                    $1,273,964.40                                       Formatted Table
Increase requested:                                                    98,000.00
Adjusted amount:                                                   $1,381,964.40
                                                                                                           Page 16   Formatted: Font: 10 pt
                                                                                                        AGENDA       Formatted: Font: 10 pt
                                                                           Cook County Health and Hospitals System
                                                                                                Board of Directors   Formatted: Font: 10 pt
                                                                                          Meeting of July 11, 2008   Formatted: Right
                                                                                                                     Formatted: Font: 10 pt
                             CONTRACTS AND PROCUREMENT (continued)                                                   Formatted: Font: 10 pt
                                                                                                                     Formatted: Font: 11 pt, Bold
Item #21 (continued)
                                                                                                                     Formatted: Font: 11 pt, Bold
Reason:    This request is necessary to meet and maintain testing of samples received for                            Formatted Table
           human immunodeficiency virus (HIV) and leukemia/lymphoma cells identification                             Formatted: Justified
           during the execution, implementation, performance of correlation studies and training
           of personnel for the new contract requested for bureau-wide laboratory testing
           procedures. The expiration date of the current contract was June 20, 2008.

Estimated Fiscal Impact: $98,000.00. Contract extension: June 21, 2008 through August 31, 2008.
(897-365 Account).

Approval of this item would commit Fiscal Year 2008 funds.

requesting authorization for the Purchasing Agent to increase by $107,567.50 and extend from June 21, 2008
through November 30, 2008, Contract No. 05-73-269 with Beckman Coulter, Inc., Miami, Florida, for the purchase
of reagents and supplies with vendor provided analytic flow cytometer system and sample preparation system for
the determination of human immunodeficiency virus (HIV) and leukemia/lymphoma cells for the Department of
Pathology, Division of Immunology. (See related item #__).

Board approved amount 06-21-05:       $1,273,964.40
Increase requested:                     107,567.50
Adjusted amount:                      $1,381,531.90

Reason:    This request is necessary to maintain testing of patients samples for determination of human
           immunodeficiency virus (HIV) and leukemia/lymphoma cells during the execution,
           implementation, performance of correlation studies and training of personnel for the new
           contract requested for bureau-wide laboratory testing procedures. The expiration date of the
           current contract was June 20, 2008.

Estimated Fiscal Impact: $107,567.50. Contract extension: June 21, 2008 through November 30, 2008. (897-365
Account).

Approval of this item would commit Fiscal Year 2008 funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                    PROPOSED CONTRACT ADDENDA
ITEM #22

Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County
Requesting authorization to increase by $77,000.00 and extend for three (3) months, Contract No. 04-72-
693 with Northwestern Pharmaceutical & Supply Corporation, Lincolnwood, Illinois, for the purchase of
reagents and consumable supplies for vendor provided chemistry analyzers.
                                                                                                             Page 17   Formatted: Font: 10 pt
                                                                                                          AGENDA       Formatted: Font: 10 pt
                                                                             Cook County Health and Hospitals System
                                                                                                  Board of Directors   Formatted: Font: 10 pt
                                                                                            Meeting of July 11, 2008   Formatted: Right
Board approved amount 09-21-04:                                       $1,472,087.10                                    Formatted: Font: 10 pt
Previous increase approved 09-18-07:                                      92,000.00                                    Formatted: Font: 10 pt
Previous increase approved 02-20-08:                                      81,500.00
This increase requested:                                                  77,000.00
Adjusted amount:                                                      $1,722,587.10

Reason:   This request enables John H Stroger, Jr. Hospital’s Biochemistry Laboratory to                               Formatted: Justified
          maintain the testing of patient blood samples. The extension will provide the needed                         Formatted Table
          time to prepare specifications, receive and evaluate bids, evaluation, award contract,
          and training of staff and implementation of the chemistry instrumentation. The
          bureau-wide laboratory consolidation will achieve economies of scale and
          standardization. It will enable John H Stroger Hospital Laboratory to be the
          “reference laboratory” for the health system. Currently the laboratory performs over
          3 million tests in biochemistry yearly and after consolidation, the test volume will be
          over 6 million tests annually. The expiration date of the current contract is August
          31, 2008.

Estimated Fiscal Impact: $77,000.00. Contract extension: September 1, 2008 through February 28,
2009. (897-365 Account).


Approval of this item would commit Fiscal Year 2008 funds.

requesting authorization for the Purchasing Agent to increase by $200,000.00 and extend for six (6) months,
Contract No. 04-72-693 with Northwestern Pharmaceutical & Supply Corporation, Lincolnwood, Illinois, for the
purchase of reagents and consumable supplies for vendor provided chemistry analyzers.

Board approved amount 09-21-04:                          $1,472,087.10
Previous increase approved 09-18-07:                     92,000.00
Previous increase approved 02-20-08:                     81,500.00
This increase requested:                                   200,000.00
Adjusted amount:                                         $1,845,587.10

Reason:   This request is necessary to maintain testing of patients’ samples for blood chemistry analysis
          during the reorganization of the current laboratory services into a bureau-wide consolidated
          laboratory. The bureau-wide laboratory consolidation will achieve economies of scale. The
          process to develop new specifications requires additional time than anticipated since a
          detailed assessment of each facility is necessary for the coordination of specifications into one
          document. Moreover, this time will enable the laboratory to perform necessary correlation
          studies which are required by regulatory agencies to insure that the existing and the new
          instrumentation provide accurate correlated test results. The expiration date of the current
          contract is August 31, 2008.

Estimated Fiscal Impact: $200,000.00. Contract extension: September 1, 2008 through February 28, 2009. (897-
365 Account).

Approval of this item would commit Fiscal Year 2008 funds.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.
                                Page 18   Formatted: Font: 10 pt
                             AGENDA       Formatted: Right
Cook County Health and Hospitals System
                     Board of Directors   Formatted: Font: 10 pt
               Meeting of July 11, 2008   Formatted: Font: 10 pt
                                          Formatted: Font: 10 pt
                                          Formatted: Font: 10 pt
                                                                                                            Page 19    Formatted: Font: 10 pt
                                                                                                         AGENDA        Formatted: Right
                                                                            Cook County Health and Hospitals System
                                                                                                 Board of Directors    Formatted: Font: 10 pt
                                                                                           Meeting of July 11, 2008    Formatted: Font: 10 pt
                              CONTRACTS AND PROCUREMENT (continued)                                                    Formatted: Font: 10 pt
                                                                                                                       Formatted: Font: 10 pt
                                    PROPOSED CONTRACT RENEWAL
ITEM #23

Requesting authorization to renew Contract No. 05-43-598 with Rush University Medical Center,                          Formatted: Justified
Chicago, Illinois, for the Toxikon Consortium Medical Educational Affiliation Agreement between
Stroger Hospital of Cook County, Rush University Medical Center f/k/a Rush-Presbyterian-St. Luke’s
Medical Center, Chicago, Illinois, the Board of Trustees of the University of Illinois, Chicago, Illinois,
and the Metropolitan Chicago Healthcare Council, Chicago Hospital Council, Chicago, Illinois, to allow
each facility participation in the Toxikon Fellowship Program in Medical Toxicology and related clinical
and clinical training program.

Reason:     The Hospital is requesting to exercise the option to renew the agreement for a one-year term.              Formatted: Justified
            The Toxikon Fellowship Program in Medical Toxicology shall be recognized as a Fellowship
            Program sponsored by the County through Stroger Hospital of Cook County and which is
            affiliated with the University of Illinois, Rush Medical College and the Illinois Poison Center.
            Residents in toxicology and programs affiliated with the toxikon consortium will continue to
            utilize the Cook County Bureau of Health Services affiliates for the clinical component of
            their respective programs.

Estimated Fiscal Impact: None. Contract period: July 1, 2008 through June 30, 2009.
Transmitting a Communication from

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County
TC

requesting authorization for the Purchasing Agent to renew Contract No. 05-43-598 with Rush University Medical
Center, Chicago, Illinois, for the Toxikon Consortium Medical Educational Affiliation Agreement between Stroger
Hospital of Cook County, Rush University Medical Center f/k/a Rush-Presbyterian-St. Luke’s Medical Center,
Chicago, Illinois, the Board of Trustees of the University of Illinois, Chicago, Illinois, and the Metropolitan
Chicago Healthcare Council, Chicago Hospital Council, Chicago, Illinois, to allow each facility participation in the
Toxikon Fellowship Program in Medical Toxicology and related clinical and clinical training program.

Reason:     The Toxikon Fellowship Program in Medical Toxicology shall be recognized as a Fellowship Program
            sponsored by the County through Stroger Hospital of Cook County and which is affiliated with the
            University of Illinois, Rush Medical College and the Illinois Poison Center. This request will allow
            continuation of the program during the development and implementation of the new contract.
            Residents in toxicology and programs affiliated with the toxikon consortium will continue to utilize the
            Cook County Bureau of Health Services affiliates for the clinical component of their respective
            programs.

Estimated Fiscal Impact:    None.    Contract period:   July 1, 2008 through June 30, 2009.        Requisition No.
__________.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                              JOINT CONFERENCE COMMITTEE REPORTS
ITEM #
                                                                                                            Page 20   Formatted: Font: 10 pt
                                                                                                         AGENDA       Formatted: Right
                                                                            Cook County Health and Hospitals System
                                                                                                 Board of Directors   Formatted: Font: 10 pt
                                                                                           Meeting of July 11, 2008   Formatted: Font: 10 pt
                                                                                                                      Formatted: Font: 10 pt
Transmitting a Communication, dated June 26, 2008 from
                                                                                                                      Formatted: Font: 10 pt

JOHNNY C. BROWN, Chief Operating Officer, Stroger Hospital of Cook County

submitting herewith the Stroger Hospital of Cook County Joint Conference Committee reports for the meetings of
February 26, 2008, April 22, 2008 and May 27, 2008.

The Bureau of Health Services Chief Operating Officer will submit this item to the Cook County Health and
Hospitals System Board for their review.


                                           PERSONNEL MATTERS
ITEM #24

Personnel matters concerning the recruitment of an interim Chief Executive Officer and interim Chief                  Formatted: Font: 12 pt
Medical Officer for the CCHHS and status of plans to find a permanent Chief Executive Officer and
Chief Medical Officer for the CCHHS.
Personnel matters concerning the recruitment of an interim Chief Executive Officer and interim Chief Medical
Officer for the Bureau of Health Services and status of plans to find a permanent Chief Executive Officer and Chief
Medical Officer for the Bureau of Health Services.


                                               ADJOURNMENT
ITEM #25

Motion to Adjourn.                                                                                                    Formatted: Font: 12 pt


                                                     *****

								
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