After twice rejecting the plan, a State of Illinois board voted on August 16, 2011 to allow Cook County to close Oak Forest Hospital. The Illinois Health Facilities and Services Review Board approved the proposal by a vote of 7 to 1, with one member voting present. It was the first time that the Health Facilities Board had considered the Oak Forest closure since Governor Pat Quinn in June 2011 filled three vacancies on the nine-member board. All of the Governor’s new appointees voted for the…
A recent mid-year report issued by Cook County provides more details on the budget difficulties facing the County’s public health system in the 2011 fiscal year that ends on November 30, 2011. The required FY2011 county subsidy to the Cook County Health and Hospitals System is estimated at $371.2 million, according to data in the report. That compares with a budgeted subsidy for the year of $280.1 million. As a result, the Health System’s deficit—the gap between budgeted and actual financial…
Since Cook County passed its FY2011 budget in February 2011, it has been evident that the County’s public health system would face major hurdles in achieving the budget goals. The size of those hurdles became clearer on June 24, 2011 at a meeting of the Board of Directors of the Cook County Health and Hospitals System. The Health System is expected to be slightly under budget on expenses for FY2011, which ends on November 30, 2011. However, net revenues are currently projected at $80 million to…
A key component of Cook County’s plan to remake its public health system was rejected by a State of Illinois board on May 10, 2011, adding to concerns that the County might have difficulties implementing its FY2011 budget. At a meeting in Joliet, the Illinois Health Facilities and Services Review Board (Health Facilities Board) rejected by one vote the request to end inpatient and emergency room services at Oak Forest Hospital. The Cook County Health and Hospitals System wants to turn the Oak…
The Civic Federation sent the following letter to the Illinois Health Facilities and Services Review Board in support of a plan by the Cook County Health and Hospitals System to discontinue acute-care hospital services at Oak Forest Hospital in favor of expanded outpatient care. As discussed previously on this blog, the Review Board rejected the plan by a vote of 3 to 2 on March 21, 2011. Under state law, five affirmative votes are required for passage. Currently only six members serve on the…
Cook County plans to reduce financial assistance to its Health and Hospitals System by nearly 33% this year, from $411.5 million in FY2010 to $276.3 million in FY2011. The County will face major challenges related to the Health System’s budget and Medicaid revenues. The Health System’s subsidy from the County consists mainly of tax revenues used to bridge the gap between the System’s operating revenues and expenditures. The System’s operating revenues come mostly from Medicaid, the federal-…
The Cook County Modernization 100-Day Accountability Report is a follow up report to the Civic Federation’s October 2010 Cook County Modernization Report. The new publication assesses the progress the County has made toward implementing the recommendations contained in the October report during the first 100 days of Board President Preckwinkle’s administration. As previously discussed in this blog, the County has made very significant progress, but is far from being able to be declared stable…
The Civic Federation’s Cook County Modernization 100-Day Accountability Report continues the work of our Cook County Modernization Project. This report includes detailed information on the status of all 36 recommendations from the Civic Federation’s Cook County Modernization Report (published in October 2010), as well as a dashboard rating system for recommendations that were to be implemented within the first 100 days under the leadership of Board President Preckwinkle. Cook County has made…
This 100-Day Accountability Report [link] gives a progress update on recommendations to reform Cook County that the Civic Federation made in its Cook County Modernization Report. The 100-Day Report provides an overview of key events in the transition to the new administration of Cook County Board President Toni Preckwinkle, summarizes key findings from the Modernization Report, provides an update on the County’s budget since publication of the original report and includes detailed information…
Today marks the 100th day since Toni Preckwinkle took office as President of the Cook County Board of Commissioners. During that time, the County has begun to implement a variety of reforms including many of the recommendations from the Civic Federation’s Cook County Modernization Report. The administration released a 100-day report card this morning, which highlights what the administration considers to be its key accomplishments. The Civic Federation began its Cook County Modernization…
