Minutes of the meeting of the Finance Committee of the Board of Directors of the Cook County Health and Hospitals System held Friday, September 17, 2010 at the hour of 8:00 A.M. at John H. Stroger, Jr. Hospital of Cook County, 1901 W. Harrison Street, in the fifth floor conference room, Chicago, Illinois.

I. Attendance/Call to Order

Chairman Carvalho called the meeting to order. Present: Chairman David Carvalho and Directors Luis Muñoz, MD, MPH; Heather O’Donnell, JD,

LLM; and Jorge Ramirez (4)

Board Chairman Warren L. Batts (Ex-Officio) and Hon. Jerry Butler

Absent: Director Quin R. Golden (1) Additional attendees and/or presenters were:

Michael Ayres Cathy Bodnar Patrick T. Driscoll, Jr. William T. Foley Helen Haynes Ann Marie Huddleston

Randolph Johnston Roz Lennon Dorothy Loving Randall Mark Elizabeth Melas John Morales

Elizabeth Reidy Deborah Santana Tom Schroeder Anthony J. Tedeschi, MD, MPH, MBA Herschel Tolsen

II. Public Speakers

Chairman Carvalho asked the Secretary to call upon the registered speakers. The Secretary called upon the following registered public speaker:

1. George Blakemore Concerned Citizen

III. Action Items

A. Minutes of the Finance Committee Meeting, August 13, 2010

Director O’Donnell, seconded by Director Muñoz, moved to accept the minutes of the Finance Committee Meeting of August 13, 2010. THE MOTION CARRIED UNANIMOUSLY.

B. Contracts and Procurement Items (Attachment #1)

This item was considered concurrently with Item III(E) Supplemental Contracts and Procurement Items. Ann Marie Huddleston, Interim Deputy Director of Supply Chain, presented the requests for the Committee’s consideration. She noted a correction to the contract period for request number 19 (as reflected in the amended transmittal contained within the attachment).

The Committee discussed the subject of sole source contracts. Chairman Carvalho referenced request numbers 13 and 15; he inquired regarding the processes used to test the question of sole source. Ms. Huddleston provided information on the processes; she stated that, in addition to the documentation needed to address the question of sole source, further in-depth questioning, interviews and research is done to verify sole source designation prior to presenting it to the Committee for their consideration. The Committee discussed request number 13, with regard to the question of sole source. Information was provided relating to experiences with previous vendors, and the challenges of fulfilling System needs. Chairman Carvalho noted that, in the future, a more appropriate procurement method for this type of need may be through a request for proposals (RFP). Page 1 of 97

Finance Committee Meeting Minutes Friday, September 17, 2010

Page 2

III. Action Items

B. Contracts and Procurement Items (continued) The following individuals provided additional information on the requests presented for consideration: Roz Lennon, System Chief Clinical Officer; John Morales, Chief Financial Officer of John H. Stroger, Jr. Hospital of Cook County; and Elizabeth Melas, representing the County’s Office of Capital Planning and Policy.

Director O’Donnell, seconded by Director Ramirez, moved the approval of request numbers 1 through 19, under the Contracts and Procurement Items and Supplemental Contracts and Procurement Items, as amended. THE MOTION CARRIED. Director Muñoz abstained and voted PRESENT on request number 3.

Miscellaneous-Notification of Emergency Purchases (Attachment #2)

In accordance with Part II, Section 2.8 of the Cook County Health and Hospitals System Procurement Policy that states that emergency purchases be reported to the Finance Committee no later than at its next regularly scheduled meeting, Ms. Huddleston notified the Committee that emergency purchases have been made. She noted that, also in accordance with the Policy, a communication in writing was sent to Chairman Carvalho and Board Chairman Batts on this matter.

C. Proposed Resolutions (OFHCC – Imprest Account change and Suburban Bank and Trust account signatory update)

This item was withdrawn from consideration.

D. Any items listed under Sections III, V and VI

E. Supplemental Contracts and Procurement Items (Attachment #3)

This item was taken out of order and was considered concurrently with Item III(B).

IV. Report from System Chief Financial Officer (Attachment #4)

A. **Performance Improvement Update

B. Update on FY2011 Preliminary Budget

C. Report from Cook County Office of Contract Compliance regarding CCHHS level of compliance with Cook County’s Minority and Women Owned Business Enterprise Ordinance (Attachment #5)

Michael Ayres, System Chief Financial Officer, provided an update on the following subjects: 2011 Budget; Revenue Cycle Transformation; Provident Medicaid Revenue Shortfall; Year-to-Date System Revenue; and Medicaid Eligibility Status. The Committee discussed the information provided on the revenue cycle transformation. With regard to training and education for physicians once the systems are in place, Cathy Bodnar, System Chief Compliance Officer, stated that she has been involved in the revenue cycle meetings; discussions have been had on the subject of physician education on documentation for appropriate coding.

Page 2 of 97

Finance Committee Meeting Minutes Friday, September 17, 2010

Page 3

IV. Report from System Chief Financial Officer (continued) With regard to the information provided on the Provident Medicaid revenue shortfall, Chairman Carvalho noted that in the past, because Provident had a rate that was the same for all three hospitals but had a lower cost structure, it artificially appeared to be doing better than the other two hospitals. After the rate change, Provident’s revenue is more properly aligned with its cost structure. He asked how the Disproportionate Share Hospital (DSH) allocations are calculated. Mr. Ayres responded that DSH is calculated as a proportion of Medicaid across the System, by proportion of revenue. Randall Mark provided additional information regarding the subject of the backlog at the State for processing Medicaid eligibility applications received from the System. They are currently working on solutions to the problem; it was noted that the approximate value of these applications in net revenue is $20 million. Mr. Ayres provided additional information on expenses through the end of fiscal year 2010. He stated that it appears that the total expenses will be approximately $837 million, which is $28 million below appropriations. Chairman Carvalho inquired whether this is due to patient volumes. Mr. Ayres responded that they continue to see an under-budget for the inpatient services. The Committee discussed the subject of the fiscal year 2011 System budget process. Chairman Carvalho noted that in the budget process last year, the System was asked to reduce the budget by a certain amount. As the System is unique from other County departments and bureaus in that it is a revenue producer, and its revenues support a large part of its activities, its position was that the reduction would be to the subsidy received from the County, and not from the total budget. Chairman Carvalho inquired whether there has been any official direction from the President’s office with regard to anticipated requests for fiscal year 2011 budget reductions. William T. Foley, Chief Executive Officer of the Cook County Health and Hospitals System, responded that, unofficially, there has been information indicating that there will be a request for departments to submit budgets reflecting a 10% reduction from the 2010 appropriations. The Committee continued the discussion. Elizabeth Reidy, System General Counsel, noted that according to the enabling Ordinance, forty-five days prior to the announcement by the County’s Budget Director setting a date for when the other agencies budgets are due, the System’s budget is presented to the County Board for approval. Once the County Board approves the budget, it becomes part of the President’s executive budget recommendation; this is then presented to the County Board for approval, and is subject to amendments. Mr. Foley noted that another budget issue relates to recoveries of additional revenues after the annual appropriations are set, as a result of the opportunities identified by PricewaterhouseCoopers. Various mechanisms for authorizing the expenditure of additional revenues, from any source, were discussed. Further discussion with the County Commissioners will be necessary.

V. Recommendations, Discussion/Information Item A. Presentation of Lawson Financial Statements through July 2010 (Attachment #6)

Dorothy Loving, Executive Director of Finance, presented the Lawson Financial Statements through July 2010. The Committee reviewed the information.

Director O’Donnell, seconded by Director Ramirez, moved the approval of the Financial Statements through July 2010. THE MOTION CARRIED UNANIMOUSLY.

Page 3 of 97

Finance Committee Meeting Minutes Friday, September 17, 2010

Page 4

VI. Closed Session Discussion/Information Items

A. **Performance Improvement Update (Report from System Chief Financial Officer) B. Contract/Procurement Dispute

Chairman Carvalho, seconded by Director Ramirez, moved to recess the regular session and convene into closed session, pursuant to the following exceptions to the Illinois Open Meetings Act: 5 ILCS 120/2(c)(2), regarding “collective negotiating matters between the public body and its employees or their representatives, or deliberations concerning salary schedules for one or more classes of employees,” and 5 ILCS 120/2(c)(11), regarding “litigation, when an action against, affecting or on behalf of the particular body has been filed and is pending before a court or administrative tribunal, or when the public body finds that an action is probable or imminent, in which case the basis for the finding shall be recorded and entered into the minutes of the closed meeting.” On the motion to recess the regular session and convene into closed session, a roll call was taken, the votes of yeas and nays being as follows: Yeas: Chairman Carvalho and Directors O’Donnell and Ramirez (3) Nays: None (0) Absent: Directors Golden and Muñoz (2) THE MOTION CARRIED UNANIMOUSLY and the Committee convened into closed session. Chairman Carvalho declared that the closed session was adjourned. The Committee reconvened into regular session.

VII. Adjourn

As the agenda was exhausted, Chairman Carvalho declared the MEETING ADJOURNED.

Respectfully submitted, Finance Committee of the Board of Directors of the Cook County Health and Hospitals System XXXXXXXXXXXXXXXXXXXX David Carvalho, Chairman

Attest:

XXXXXXXXXXXXXXXXXXXX Deborah Santana, Secretary

Page 4 of 97

Cook County Health and Hospitals System Minutes of the Finance Committee Meeting

September 17, 2010

ATTACHMENT #1

Page 5 of 97

COOK COUNTY HEALTH AND HOSPITALS SYSTEMITEM III(B)

SEPTEMBER 17, 2010 FINANCE COMMITTEE MEETING  CONTRACTS AND PROCUREMENT ITEMS

Request # Vendor Service or Product Fiscal Impact

Affiliate / System

Begins on Page 

#

1

For design build services for theCountywide Fire & Life Safety SystemUpgrades, Package 12 Project(Hektoen Institute) SHCC 3

2 Midwest Medical Supply Product ‐ Endomechanical supplies $239,283.85  SHCC 4

3Board of Trustees of the University of Illinois

Trauma Service data analysis andrecommendation $81,145.00  CCDPH 5

4

Nebo Systems, Inc. ‐ a subsidiary of Passport Health Communications, Inc.

Service ‐ electronic billing, insuranceverification, automated paymentposting services and outpatientcollections $600,000.00  SHCC 6

5 Siemens Medical SolutionsProduct ‐ HIV/HCV bDNA Viral LoadTest $435,000.00  SHCC 7

CHSCC, 

Extend and Increase Contracts

Approval of Payment

Enter Into and Execute Intergovernmental Agreement

Capital Program Item ‐ Permission to Advertise

6 Alliance Health ServicesProduct ‐ Leasing of fluid/air/bariatrictherapy beds $205,750.00 

PHCC, OFHCC, SHCC 8

7 Guy Brown ProductsProduct ‐ office supplies and copypaper

Total contract amount: 

$3,964,000.00 ($360,000.00 grant 

funded) System 10

8 CDW Government, Inc.Software, Microsoft EnterpriseAgreement $3,689,172.16  System 12

9 GE Medical Systems

Service ‐ Maintenance and repair ofthe Picture Archiving andCommunications Systems (GE PACS)with system upgrades $3,459,706.99  SHCC 13

10

Howmedica Osteonics Corporation, d/b/a Stryker Orthopaedics Product ‐ orthopedic implants $2,800,000.00  SHCC 15

Execute Contracts

Page 6 of 97

COOK COUNTY HEALTH AND HOSPITALS SYSTEMITEM III(B)

SEPTEMBER 17, 2010 FINANCE COMMITTEE MEETING  CONTRACTS AND PROCUREMENT ITEMS

Request # Vendor Service or Product Fiscal Impact

Affiliate / System

Begins on Page 

#

11 System Solutions Inc. Product ‐ Cisco network equipment $2,439,484.00  System 17

12 Health Management ServiceProduct and service ‐ supplies and stafffor Sleep Study $960,800.00  SHCC 20

13 Language Line ServicesService ‐ telephonic/on‐site languageservices $290,000.00  SHCC 21

14Automatic Building Control, Inc.

Service ‐ maintenance and repair forautomatic building control systems $202,000.00  PHCC 22

15Integrated Solutions Consulting, Inc.

Service ‐ contractual services todevelop an after‐action report of H1N1activities

$25,000.00 (grant funded) CCDPH 24

16 Progressive Industries, Inc. Product ‐ bacteria culture media $780,983.90  SHCC 26

17Kar‐Don, Inc., d/b/a Arrow Lumber Co.

Product ‐ supplies, carpenter andlumber $119,111.80  OFHCC 29

Award Bids and Execute Contracts

Execute Contracts (continued)

Page 7 of 97

PERMISSION TO ADVERTISE

BRUCE W ASIDNGTON, Director, Office of Capital Planning and Policy,

requesting authorization for the Purchasing Agent to advertise for bids for design build services for the Countywide Fire & Life Safety System Upgrades, Package 12 Project.

This is Phase II of the Project and provides for design, installation and construction services for a building suppression system covering approximately 93,300 square feet, fIre stopping for all fITe rated walls and partitions at the new sprinkler pipe penetrations. The work will be performed at the Hektoen Institute located on the John H. Stroger, Jr. Hospital Campus and includes the elevator penthouse, the basement level, the fITSt floor and floors six through ten.

Compliance with the City of Chicago's Building Code Section for High Rise Structures (34(13-196-205» requires existing high-rise buildings to be completed sprinkled.

20000 County Physical Plant

This Project was included in the 2009 Capital Improvement Program projects approved by the Board of Commissioners on April 2, 2009.

j SEP 30 Z010

BY BOARD OF DIRECTORS OF THE COOK COUNTY

HEALTH AND HOSPITALS SYSTEM

Request # 1

Page 8 of 97

BOARD APPROVAL REQUEST

TERMS OF REQUEST:

This request is for approval fora payment only for invoices from 01/1812010 thru 05/10/2010 in the amount of

$239,~83.85 .

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? N/A

ATTACHMENTS ;/ SEP SO Z010 BID TABULATIONS: No CONTRACT COMPLIANCE MEMO: N/A

CCHHSCOO: ~_.______ . Anthony Tedesclil, C~ .

rCCHHSCFO~4L Request # Michael Ayres, Chi inancla 0 ce 2

JUSTIFICATION: This is a request for approval to pay invoices totaling $239,283.6f$ to Midwest Medical Supply from 01/18/2010 thru 05/1 0I2()10 for,endomechanical supplies I stapling devices used during abdominal surgeries. The original bid contract 07-73-41 expired while awaiting the implementation of the GPO with Owen &Minor- Novation. The department continued to use the current vendor after contract expired in order to have sufficj~nt supplies for surgeries. As of June of 2010, the department is ordering endomechanical supplies through the GPO with Owen & .Mlnor- Novation.

Bd. !)roval Start Date End Date Amount 12119/2006 01/16/2007 01/15/2010 $8,545.622.81

N/A 01/16/2010 ,021151201 0

• Ambnlatory & Community Health NetWork • Cermak: Health Services· Department (If Public Health •

• Jobn H. Stroger, Jr. Hospital \.If Cook County· Oak Forest Hospital. Provident Hospital. Ruth M. Rothstein CORE

Center"

We Bring Health CARE to Your Community

Page 9 of 97

http:239,283.6fhttp:239,~83.85

BOARD APPROVAL REQUEST

• PRODUCT/SERVICE:

' Trauma Service data anal sis and recommendation

· DATE: Se tember 3,2010

ACCOUNT#: · 890-260

. FISCAL IMPACT:

CONTRACT PERIOD: $81,145.00

Se tember1,2010throu hAu ust31, 2011 , REQUESTING DEPT/AFFILIATE: · Cook County Department of Public Health

TYPE OF REQUEST: VENDOR/SUPPLIER: Board of Trustees of the University of Illinois Enter into and Execute I Chicago, Illinois SELECTION METHODOLOGY: BID / RFP / GPO / COMPARABLE GOVERNMENT BID: Sole Source

IS THIS REQUEST THE LOWEST BIDDER/SUPPLIER? N/A

JUSTIFICATION: This request is to enter into and execute an intergovernmental agreement with the80ard of Trustees of the University of Illinois ("UI"), with regard to assessing the impact of the closure of the Saint James Hospital Trauma Center on trauma services in southern Cook County ("the Project") by conducting a data analysis and linkage of the following three existing Illinois Department of Public Health (IDPH) databases relating to the years 2005 through 2009: Emergency Medical System Pre-Hospital database ("EMS"); the Hospital Discharge database CHD"); and the Trauma Registry database CTR"). The goal of the Project is for the Project Management Team to produce a series of recommendations regarding trauma services in southern Cook County.

TERMS OF REQUEST: Pursuant to the proposed agreement, UI, through the University of Illinois at Chicago School of Public Health (liS PH"), will conduct data analysis and linkage on the EMS, HD.and TR databases. Additionally, a Project Management Team will be formed that will consist of representatives from the Cook County Health and Hospitals System ("CCHHS"), the John H. Stroger, Jr. Hospital Department of Trauma ("Dr). the Cook County Department of Public Health ("CCDPH") and SPH. The Project Management Team will provide direction for Project data analysis and, based on the data analysis and linkage conducted by SPH, will make recommendations regarding the need for trauma care in southern Cook County. The Principal Investigator ("PI") will be the lead epidemiologist for the Project and has extensive experience in injury epidemiology and analysis of large datasets.

Under the proposed agreement, CCHHS will provide payment to UI in the amount of $81,145 to perform the data analysiS and linkage on the IDPH databases and to cover direct and indirect costs. Such direct costs include: purchase of certain IDPH databases and reimbursement to UI for the partial time of the P assistant to support the Project. UI shall only be entitled to receive indirect costs

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? N/A ~f Sf? SO 2010

ATTACHMENTS BID TABULATIONS: N/A CONTRACT COMPLIANCE MEM0ti

CCHHSCOO: ~:I~. Anthony TedeSCh7~cer CCHHS CFO: ~ . HCe_' tAeAL Michael Ayres, Chiefrfnanclal Offic

CCHHSCEO:. ~ Request # William T. Foley, chiefEXeCUti\iOfr 3

• Ambulatorv & Community Health Network· Cermak Health Services· Department of Public Health· • John H. Stroger. ir. Hospital ofCo~k County· Oak Forest Hospital· Provident Hospital- Ruth M. Rothstein CORE Center·

\\'C Bring Health CARl

00 oun y ea OSPI a s ys emT

.. BOARD APPROVAL REQUEST

DATE: PRODUCT/SERVICE-REQUESTED: 06/09/2010 Service - Electronic billing, insurance verification, automated payment

posting services and outpatient collections TYPE OF REQUEST: VENDOR/SUPPLIER: Extend and Increase Contract Nebo Systems. Inc. - a subsidiary of Passport Health Communications,

Inc. Oak Brook Terrace illinois . SELECTION METHODOLOGY: BID I RFP 1GPO I COMPARABLE GOVERNMENT BID; Sole Source ACCOUNT#: FISCAL IMPACT: IGRANT FUNDED AMOUNT: 897-260 $600;000;00 N/A . CONTRACT PERIOD: REQ # / CONTRACT #: 10/01/2010 thru 12130/2010 07-41-345 REQUESTING DEPT/AFFILIATE: SPONSOR NAME & TI~ Revenue Cycle I Stroger Hospital Michael Ayres, :Fr3 . IS THIS REQUEST THE LOWEST DESCRIBE GPO IMP7}.CT OR BEARING ON THE BIDDER/SUPPLIER? N/A PURCHASE? Checked GPO - Not Available

JUSTIFICATION: • i NEBO Systems Inc. was awarded a contract for the provision of electronic insurance verification, automated payment posting, electronic billing and outpatient col/ections. The contract ended on 05131/2010 and was extended On 06/25/2010 fOT 4 months in the amount of $1.600,000,OQ. Revenue cycle management desires to split the services currently bundled in one contract to separate contracts for each line of business to better rrtanage the perfonnance of the successful vendor/so An additional extension is needed since the RFP process has taken more time than expected with the change in the revenue cycle team. The RFP calfs for the return of proposals in mid September, to allow for a thorough evaluation of all proposals; therefore; an additional extensionand increase is required to meet projected estimates of volume through 12/30/2010.

Contract No. Description Bd. Approved Start Date End Date Amount Months

07-41~345 Original 05/1512007 08/01/2007 05/3112010 $2,750 000.00 36 07-41-345 Extend and 06/25/2010 0610112010 09f30/2010 $1,600,000.00 4

Increase -

07.-41-34S I::~and 10/01/2010 _ 12/30/2010 $600,000.00 3 se

TERMS OF REQUEST: oA_B~t(DV~1lThis is a request for an extension of the contract for 3 months from 10/01 f20 $600,000.00.

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending -. SEP SO t010 ATtACHMENTS BID TABULATIONS: N/A BV BOARD OF i CONTRACT COMPliANCE MEMO:

W .. DIRECTORS OF THE COOK COUNTY

HEALTH AND HOSPITALS SYSTEM

CCHHSCOO:~ /~___ • Anthony T edesCtli,ChiefOti~g Officer

~..; -"1· ~ L:..JL_' Request #CCHHS CEO: -''''' - -""1. "/ ,.. - "William T. Foley, Chief Executive Officer ~ 4 ,

Page 11 of 97

Cook County lleaJth & Hospitals System

. BOARD APPROVAL REQUEST

DATE: PRODUCT/SERVICE: 07/13/2010 Product - HIV/HCV bONA Viral Load Test TYPE OF REQUEST: VENDOR/SUPPLIER:

11 Extend and Increase Contract Siemens Medical Solutions, Dallas, Texas SELECTION OF METHODOLOGY: BID I SOLE SOURCE! RFP I GPO! COMPARABLE GOVERNMENT BID: Sole Source . ACCOUNT#: FISCAL IMPACT: IGRANT FUNDED AMOUNT: 897-365 $435,000.00 NlA . CONTRACT PERIOD: REQ # I CONTRACT #: 10/01/2010 thru 03/31/2011 04-42-699 REQUESTING DEPT/AFFILIATE: SPONSOR: 'JI'()..P~ Department of Pathology / Stroger Hospital Joanne M. Dulski, Laboratory Director, C~~~ I' "'U'

Johnny C. Brown, COO, StroQer Hospital IS THIS REQUEST THE LOWEST. DESCRIBE GPO IMPACT OR BEARING ON THE BIDDER/SUPPLIER? N/A PURCHASE? Checked GPO - Not Available

JUSTIFICATION: J' , This extension and increas.e will provide reagents, controls and all consumables for HIV/HCV bDNA Viral Load tests until a n~w contract is instituted~ Currently, an RFP is being finalized for Hlv/HCV bONA Viral Load testing and this extension and increase will allow enough time for the selection of a proposal.

Contract Description BdApproved Start Date I End Date Amount MOffi:hS~ -Original 1010412006 07}01/2Q07 106/30/2010 $3,033,000.00

04-42-699 Extension 04/30/2010 07/01/2010 J' 09130/2010 NlA . 3 t 04-42-699 Extend and 10/01/2010 03/3112011 $435,000.00 6

Increase •

TERMS OF REQUEST: The extension and inCi9aS9 shall be iii effect for a period of 6 months from 10/0112010 thru 03/31i2011 in the amount of $435,000.00.

•

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending APPROVED ATTACHMENTS t SEP 302010 Bid Tabulations: NlA CONTRACT COMPLIANCE MEMO: Pending

. BYBOARDOF

CCHHSCOO: ~~O· DIRECTORS OF THE COOK COUNn HEALTH AND HOSPITALS SYSTEM Anthony Tedeschil~l19Officer

CCHHSCFO: ~~ Request # Michael Ayres, Chief Fmancia 5

I

• Ambulatory & Community Health Network • Cermak Health Services • Department of Public Health •

• John n. Stroger, Jr. Hospital of Cook Coonty • Oak Forest Hospital· Provident Hospital • Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community

Page 12 of 97

I

BOARD APPROVAL REQUEST

I DATE: PRODUCT/SERVICE: i 08/30/2010 Product - Leasing of Fluid 1Air 1Bariatric Therapy Beds TYPE OF REQUEST: VENDOR/SUPPLIER: Extend and Increase Contract Alliance Health Services, Chicago, Illinois

!

SELECTION METHODOLOGY: BID / RFP 1GPO / COMPARABLE GOVERNMENT BID: Request for Proposal/Sole Source ACCOUNT#: FISCAL IMPACT: GRANT FUNDED AMOUNT: 897-637 JSH JSH - $120,000.00 NIAI898-6370FH i .OFH - $60,750.00 891-637 PHCC PHCC - $20,000.00 240-637 Cermak Cermak- $5,000.00

Total: $205,750.00 CONTRACT PERIOD: REQ # 1CONTRACT #: 09/01/2010 thru 11/30/2010 08-72-15 I

REQUESTING DEPT/AFFILIATE: SPONSOR: Department of Nursing 1Stroger, Provident, Oak Forest Roslyn Lennon, CCO, CCHHS eL. hospitals and Cermak Johnny C. Brown, COO, Stroger HospitalJ~

i Antoinette Williams, CNO, Stroger Hospital and • Provident Hospital . i Sharon Freyer, CNO, Oak Forest Ho~pital Shawn Withers, CNO, Cermak Health Services

Ir IS THIS REQUEST THE LOWEST DESCRIBE GPO IMPACT OR BEARING ON THE II BIDDER/SUPPLIER? NIA PURCHASE? New contract will access GPO pricing

JUSTIFICATION:

The extension and increase is necessary to continue the leasing of therapeutic beds. The current contract expired

on 08/31/2010, which is the reason this extension needs to have a 09/01/2010 start date. This extension will allow

for enough time for new contract H10-73-118 to get approved. The new contract is currently with the vendor.

Alliance Health Services has agreed to the extension with the existing terms, conditions and pricing of the current

contract.

End DateContract # Description Bd Approval Start Date Amount Months 03/31/201008-72-15 04/01/2008 $1,477,359.00Execute 03/06/2008 24

04/01/2010 08/31/2010 $221,286.2508-72-15 Extend and 04/03/2010 5 Increase

11/30/201009/01/2010 $205,750.00 308-72-15 Extend and iIncrease

TERMS OF REQUEST: 13AffBQYsggThis is a request to extend contract 08-72-15 for 3 months from 09/01/2010 thru 1 amount of $205,750.00.

.~ SEp! 302010 HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

BY BOARD OF ATTACHMENTS DIRECTORS OF THE COOK COU1!IY

HEALTH AND HOSPITALS SYSTEMBID TABULATIONS: No

CONTRACT COMPLIANCE MEMO: Pending

Request # ·6

• Ambulatory & Community Jlealth Network • Cermak Health Services· Department of Public Health •

• John H. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital • Provident Hospital' Ruth M. Rothstein CORE

Center'

We Bring.Health CARE to Your Community Page 13 of 97

http:205,750.00http:205,750.00http:221,286.25http:1,477,359.00http:205,750.00http:Cermak-$5,000.00http:20,000.00http:60,750.00http:120,000.00

CCHHSCOO: ~zc.p.Anthony Tedesetil, Chief 0 mg Officer

CCHHSCFd:?~ Michael Ayres, Ch1€lfFlf1 ncia ieer

William T. Foley, CCHHSCEO:~~~~~-7~______-=~____________

• Ambulatory & Community Health Network • Cermak Health Services • Department of Public Health •

• Jobn H. Stroger, Jr. Hospital of Cook County. Oak Forest Hospital • Provident Hospital • Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community Page 14 of 97

i

: , ,~, " it"::,::';"":' Cook'GountY Health Bi ,Hospitals System ,~ '" ,; ;" '

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

ATTACHMENTS BID TABULATIONS: N/A CONTRACT COMPLIANCE MEMO: Pending

CCHHSCOO: ~~ •. Anthony Tedeschi, Chief Operat ng Officer

CCHHSCF~~/Michael Ayres, Chief Fina ial . er

• Ambulatory & Community Health Network • Cermak Health Services • Department of Public Health •

• John H. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital • .Provident Hospital- Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community Page 16 of 97

Coo){ County Health & Hospitals Svstenl .~ . .

BOARD APPROVAL REQUEST .

DATE: PRODUCT/SERVICE: 07/20/2010 Software Microsoft Enterprise Aareement TYPE OF REQUEST: VENDOR/SUPPLIER:

,Execute Conlract CDW Government Inc., Chicago, Illinois SELECTION OF METHODOLOGY: BID 1SOLE SOURCE I RFP / GPO I. COMPARABLE GOVERNMENT BID:

Intergovernmental Bid '

ACCOUNT #: FISCAL IMPACT: , I GRANT FUNDED AMOUNT:

717/890-441 $3,689,172.16 N/A CONTRACT PERIOD: 09/15/2010 thru 09/14/2013 I

REO # 1CONTRACT #: ~7 ,uc.-i$-I2..b .

REQUESTING DEPT/AFFILIATE: Hospital Information SYstem 1CCHHS

SPONSOR: ~~~ Dan Howard, CIO, CCHS 't.f'-r

IS THIS REQUEST THE lOWEST II BIDDER/SUPPLIER? N/A .

IS THIS CONTRACT"" SOLE SOURCE? ' NJA

.1

JUSTIFICATION:

The contra,ct provides a 3 year Microsoft Enterprise Agreement for remo,te hosting of the Microsdft suite of .'

applications; Microsoft licensing to CCHHS at a discounted rate. The COW Govemment, State of Illinois contract for

Microsoft Enterprise Licensing is CMS5003360.

TERMS OF REQUEST This is a request for a 36 month contract in the amount Of $3,689,172.16 to be used for a Microsoft Enterprise Agreement with COW Government, Inc. The fee schedule for the payment of the $3,689,172.16 is as folloWS:

Year Amount 1 • 2009 Caoita/ Dollars $1,235,135.98 2 - Operatina Dollars $1,227 018.09 3 - Operatina Dollars $1 227018.09 Total $3,689,172.16

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

ATTACHMEI'jTS

BID TABULATIONS: N/A APPROVED CONTRACT COMPLIANCE MEMO: P~~}1i f!

fOn behalfofCCHHS COO: __--t.,:...)u.h....".,L-------...:..-+-.-:tif- SEP 302010 Karima Bentounsi, Director of Operatio ~.~ .

BY BOAAD OF . DIRECTORS Of THE COOK COU.,myHEALTH AND HOSPITALS SYSlEM

CCHHS CF&:;J!J;,Q~~Michael Ayres, Chief Finance om ., . . .

J .; J.I· .".,-- /.::17-- Request # CCHHS CEO: lie--~'" - "[ ./ r'" " . 8William T. Foley. Chief Executive Officer /'

• Ambnlatory & Community Health Network· Cermak Health Services· Department ofPubJie Health·

• John D. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital' Provident Hospital • Ruth M. Rothstein CORE

Center-

We Bring Health CARE to Your Community

Page 17 of 97

http:3,689,172.16http:3,689,172.16http:3,689,172.16

Cook County Healtb & Hospitals System

BOARD APPROVAL REQUEST

PRODUCT/SERVICE:1/ DATE: . 08/11/2010 Service - Maintenance And Repalr of the Picture Archiving and

Communication Systems (GE PACS) with System Upgrades

TYPE OF REQUEST: VENDOR/SUPPLIER:

Execute Contract GE Medical Systems. Barrirlgton. Illinois

· SELECTION METHODOLOGY: BID 1RFP I GPO 1COMPARABLE GOVERNMENT BID:

SoJeSource

ACCOUNT#: GRANT FUNDED AMOUNT: 897-442

FISCAL IMPACT: $3,459,706.99 N/A ·

CONTRACT PERIOD: REO # I CONTRACT #: 10/01/2010 thru 09/30/2013 H10-25-098 ·

REQUESTING DEPT/AFFILIATE: SPONSOR~~ &~::;}J/(qRadiology- PACS Division IStroger Hospital ~~dley Lan r, .0. Chairman of Radiology, CCHHS

laine Achteheri, PACS Ad~~ator, ~~er Hospital Dan Howard. CIO, CCHHS ~ .~ I .(J Johnny C. Brown, COO, Stro OSC) tal ~. .

IS THIS REQUEST THE LOWEST DESCRIBE GPO IMPACT OR BEARING ON THE· BIDDER/SUPPLIER? N/A PURCHASE? Not accessible to CCHHS through GPO

JUSTIFICATION: Stroger Radiology-PACS Division is requesting a new contract with GE Healthcare for PACS (Picture Archiving and

Communication System) service maintenance and repair with system upgrades. The original contract 0645-736

was awarded by the County Board on 09/1912006 in the amount of $3,008,454.00 for a period of 36 months.

Stroger Hospital's R:adiology Department is all digital and.uses PACS to receive, stare and transmit images for .

viewing by all physicians within the hospital. Stroger Hospital no longer has the ability to periorm,process, or store

analogue film for x--rays; therefore, requires PACS to be serviced, maintained and updated.

GE Healthcare Technology contracts solely with health care providers for service on GE PACS beCause it is a

proprietary system. While GE Healthcare is not the manufacturer of some technologies used for storage of medical

images, the Application Program Interface (API) is a proprietary connection by and between GE Healthcare and that

manufacturer and can only be sourced through GE Healthcare .

. TERMS OF REQUEST:

This is a request to Execute Contract H10-25-098 for a period of 36 months from 10/01/2010 thru 09/30/2013 .inthe

amount of $3,459,706.99.

Year Amount $1,153,234.151 $1,153,240.502 ~1,153,232.343 $3,459.706.99

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

ATTACHMENTS

BID TABULATIONS: N/A

CONTRACT COMPLIANCE MEMO: Pending

Total

i

APPROVED

SEP 302010t

. BY BOARD OF DIRECTORS OF THE COOK COUNTY HEALTH AND HOSPITALS SVSlEM

Request # 9

• Ambulatory & Community Health Network· Cermak Health Services • Department of Public Health •. • JQbn H. Stroger, Jr.liosphal of Cook CODnty • Oak Forest Hospital • Provident Hospital· Ruth M. Rothstein CORE

. Ceuter·

We Bring Health CARE to Your Community

Page 18 of 97

http:3,459.706.99http:1,153,232.34http:1,153,240.50http:1,153,234.15http:3,459,706.99http:3,008,454.00http:3,459,706.99

CCHHS.~CFO: . ~~ Michael Ayres,ChiFiTliri aJOff(er

CCHHS CEO: :t William T. Foley, Chief Executive Officer

• Ambulatory & Community Health Network· Cermak Health Services· Department of Public Health·

• John R. Stroger, Jr. Hospital of Cook Coonty • Oak Forest Hospital' Provident Hospital' Ruth M. Rothstein CORE

Center'

We Bring Health CARE to Your Community

Page 19 of 97

_ , .." ep" 11'1'" iF""'"''uer."!"".",,, "

BOARD APPROVAL REQUEST

DATE: PRODUCT/SERVICE: 08/1112010 Product ~ Orthaedic 1m lants TYPE OF REQUEST: VENDOR/SUPPLIER: . Execute Contract Hawmedica Osteonics Corporation. DIB/A Stryker OrthOpaedics,

Chica a, Illinois SELECTION METHODOLOGY: BID I RFP ! GPO 1COMPARABLE GOVERNMENT BID: Sole Source ACCOUNT#: 897-362 CONTRACT PERIOD: 10/01/2010 thru 09/3012012 REQUESTING DEPT/AFFILIATE:. Surge:r' Stroger HOspital

IS THIS REQUEST THE lOWEST BIDDER/SUPPLIER? N/A

FISCAL IMPACT: . $2,800,000 .00

T FUNDED AMOUNT:

JUSTIFICATION:

Howmedica Osteonics, DBA Stryker will provide distal radius and total knee systems, nail rods, plates, screws, and

extemal fixation systems for use by the Orthopedic Surgical service. Howmedica Osteonics. DBA Stryker directry

negotiated capttated pricing for the use of their. trauma implants.

TERMS OF REQUEST: .

This request is to Execute Contract H10·25-047 far Z4 months from 10/01/2010 thru 09/30/2012 in the amount of .

$2,800,000.00. .

HAS THIS BEEN REVIEWED BY CONTRACT COMF'L1ANCE? Yes

ATTACHMENTS

BID TABULATIONS: N/A

CONTRACT COMPLIANCE MEMO: Yes

CCHHSCOQ: . ~a Anthony Tedeschi, Chief 0 rating Officer ......... .

CCHHS CFO:::af. ~..........

Michael Ayres,Ci8f tTnaflCi om

SEP 302010

BY BOARD OF I DlRECTORS OF THE COOK COO HEALTH AND HOSPITALS SYSTEM

, Request #

10

• Ambulatory & Community Health Network • Cermak Health Services • Department of Public Health •

• John H. Stroger, Jr. Hospital ofCook County • Oak Forest Hospital. Provident Hospita[ • Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community

Page 20 of 97

http:2,800,000.00

THE BOARD OF COMMISSIONERS COOK COUNTY mDD H. S'mOGER OFFICE OF COI'I'TRACT COMPLIANCE

~ESICENT Blm'\' HAil/COCK PER.RY

ItS DIll. PmllII. $I1.!II$T!II 1m Bitt. , DtR'ECTOR. ,.Ol!!. MIlI!!:TGAI'H!Il IOI~ 1)11\, ,JIll ultl. .!GIll P.lWJlf 11111 D!a. 118 NIJrlt. Cline l'llr=t. Itnom 1020"'" Il!t. 'l'III~ lII.AYl'CDI. ,Ill! flIot.( ft.... I.WIY SIII'IN3!1J! IlililllIII. Chk:u!:o;llliMiI6!lGn2.I3(l4

WI. CIIH&G1ltil.1III IQIl>!t 'IIh!IiM. _Otrro II. ~ t!lllt!JIlI. TEL (31l) 1503-5.103 .'" 1IIIlI. AWIO~Y J. PeIWCll IlIIh •• FAX (:;1,2) Il00;\0454,

IIJZMl'Oj MllIIClm'J? ~ 1m IlIn.

August 6.2010

Ms. Leslie Duffy ,

Senior Director

Supply Chain Ma:nagcr.nent

1969 W. O~ Suite 5360

Chicago,IL60612

R.e: Contract No. Hlo...25-041

Dear,Ms. Duffy:

The following bid for the above referenced caDttaCt has been reviewed for compliance: with the General Conditions 18gal.'ding the Minority and Woman Business Enterprises Ordinance and,~ been found to be respoDBive to the Ordi~

• Howmedica Osttonics Corp. (DBA Stryker)

The Office afContract Complianeehas been advised that no other biddm are being , recommended for award. '

Sincerely,

\\ ~cy, ','l.~\. '"

, Betty Han k pem. ~~ Contract Compliance Administrator

BHP/hrtj

Page 21 of 97

~~_______________ BOARDAPPROVALREQUEST DATE: UCT/SERVICE:

I 08/06/2010TYPE OF REQUEST:

t - Cisco Network E ui ment DO~~~S~U~P~P~LI~E~R~:~~~~~--------------------~

Execute Contract stem Solutions Inc., Northbrook, Illinois SELECTION METHODOLOGY: BID 1RFP 1GPO 1COMPARABLE GOVERNMENT BID: Bid ACCOUNT#: FISCAL IMPACT: GRANT FUNDED AMOUNT: 717/890-579 $2,439,484.00 N/A CONTRACT PERIOD: REQ # 1CONTRACT #: One Time Purchase REQUESTING DEPT/AFFILIATE:

H10-73-091 SPONSOR:

Hos itallnformation S stems 1CCHHS IS THIS REQUEST THE LOWEST BIDDE~SUPPLlER? Yes

Dan Howard, CIO, CCHHS I...DESCRIBE GPO IMPACT OR BE PURCHASE? N/A

JUSTIFICATION:

CCHHS's hospital information system network equipment is at end of life and support, and requires an equipment

upgrade. System Solutions Inc. will provide Cisco hardware to be used for a system-wide network equipment

upgrade.

TERMS OF REQUEST:

This is a request to Execute Contract H1 0-73-091 for a one time purchase in the amount of $2,439,484.00 of 2009

Capital dollars for a Cisco Network Equipment system wide upgrade. This is for approved capital item # 97.

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes

ATIACHMENTS

BID TABULATIONS: Yes

CONTRACT COMPLIANCE MEMO: Yes

AP ED CCHHSCOO: ~. Anthony Tedeschi, Chief Operating Officer i SEP 302010

"

BYBOAROOF DIRECTORS OF THE COOK COU HEALTH AND HOSPITALS SYSTECCHHSCF~L.

Michael Ayres, Chief Flna clal er

If

CCHHSCEO: ~ 2 Request # William T. Foley, Chief Exedrtive ieer 1 11

• Ambulatory & Community Health Network· Cermak Health Services· Department of Public Health·

• John H. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital. Provident Hospital • Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community Page 22 of 97

http:2,439,484.00http:2,439,484.00

II I~ OV~I"IU VI" {;OMMISSIONERS , COOK COUNTY TOOD H. S'fROGER OFFICE OJ. CONTRACT COMPlJANCE

PlltESICENT BETTY HANCOCk PERRV'EARWII COLLIHll 1,1 01$1. p~ N. ~llllfSTRI !1m Obi.

[)I~ECTOR .1IIIftY8I1TWI :I!II nlii. JOHII ~. tW,fty nt~ QI&l 1lO81i1TSUM '.1Id Disl, l!I1DG~ IMINe!! 1OIlI1>1

EQUIPMENT, CISCO NETWORK FOR

JOHN H. STROGER, JR. HOSPITAL OF

COOK COUNTY

TABULATION OF BIDS CENTRALIZED HOSPITAL PURCHASING COOK COUNTY

Contract No.: H10-73-091 Requisition No.: 08904069 B.O. Date: 7/27/2010

,

BIDDER: SYSTEM SOLUTIONS, INC.

BASE BID: $2,439,484.00

-- --

--

CDW GOVERNMENT

$2,491.896.96

----

F.S.

~Mf JJIj;~ 1""" ,.$lj

Cook County Health & llospitals Sy.stenl

BOARD APPROVAL REQUEST

JUSTIFICATION: , Health Management Services ("HMS") has been our provider for Sleep Medicine for nearly 6 years. HMS provides equipment fitting in patients' homes, telephonic trouble shooting, HMS has agreE:ld to work with our sleep clinics at Oak Forest and Provident Hospitals of Cook County. Novation does not provide the same service levels which are required by CCHHS' patient population. '

TERMS OF REQUEST: . ,

This contract is for a period of 36 months from 10/01/2010 thru 0913012013 resulting in a fiscal im~act of

$960,800.00. '

HAS THIS BEEN REVIEWED BY CONTRACT COMPLlANC'E? Pending

ATTACHMENTS

BID TABULATIONS; NfA

CONTRACT COMPLIANCE MEMO: Pending

AP~~//CCHHSCOO: Z~ Anthony Tedeschi. Chief 0 Ing Office ,~ SEP 3 0 2010 .

CCHHSCFO~ Michael Ayres, Chie, Financial 1 er

. Request #

• Ambulatory & Community Health Network· Cerrrutk Health Services· Department of Public Health •

• John H. Stroger, Jr. Hospital of Cook ~OUll.ty • Oak Forest Hospital· Provident Hospital • Ruth M. Rothstein CORE

Center·

We Bring Health CARE to Your Community

Page 25 of 97

http:960,800.00

Cook COUl1ty Health & Hospitals System

BOARD APPROVAL REQUEST DATE: PRODUCT/SERVICE: 08117/2010 Service - Telephonic I On-Site Language Services TYPE OF REQUEST: VENDOR/SUPPLIER: Execute Contract Lanauage Line Services, Monterev. California SELECTION METHODOLOGY: BID I RFP I GPO I COMPARABLE GOVERNMENT BID: Sole Source ACCOUNT#: FISCAL IMPACT: IGRANT FUNDED AMOUNT: 697-268 $290,000.00 N/A . CONTRACT PERIOD: REQ # I CONTRACT #:.

10/01/2010 thru 09/3012012 H10-25-123

REQUESTING DEPT/AFFILIATE: . SPONSOR:

Interpreter Services / Stroger Hospital An/bal Rodr;gUez.P*2:preter Services,

Stroger Hospital ~A. I~"""- . . JohnnyC.Brown.COO.· ~~ John Morales. CFO, StroQsr H '

IS THIS REQUEST THE LOWEST DESCRIBE. GPO IMPACT OR BEA. THE

BIDDER/SUPPLIER? No PURCHASE? Checked GPO - Not Available

JUSTIFiCATION: This request Is for languagE:'! Une Services as a sole source vendor to cover Stroger Hospital needs for telephonic and on-site interpretation for a 24-month period. This request is based on the only known vendor able to provide the level of services required at Stroger Hospital. In addition, the contract ha~ gone out for re-bid and awarded twice in as many years. Both previous companies, Open Communication International Inc. and Heartland Health Outreach

.Inc., were unable to meet the contract terms; resulting in the interruption of services to our patients. Other

companies simply do not provide all of the diverse languages and hourly coverage.

TERMS OF REQUEST:

The original contract was awarded by the Board of Directors on 06126/2009 for the contract period of 07/01/2009 thru

06/30/2011. The original contract 08-84-19 Rebid was in the amount of $306,046.00.

This is a request to Execute Contract H10-25-123 from 10/01/201 0 thru 0913012012 in the amount of $290,000.00.

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Pending

ATTACHMENT§

BID TABULATIONS: NlA APPROVEDCONTRACT COMPLIANCE MEMO: Pending

SEP' 3020'10~ CCHHSCOO: ~~

BY~OARDOF DIRECTORS OF THE COOK CO~~ ~

Anthony Tedeschi, Chief Operating Officer .

HEALTH AND HOSPITALS $VS

CCHHSCF~~ Request #Michael Ayres,hle~atOffr 13

• Ambulatory & Community Health Network • Cermak. Health Services • Department ofPublie Health •

• John H. Stroger. Jr. Hospital of Cook Connty • Oak Forest Hospital· Pl:Ovideut Hospital· Rllth M. Rothstein CORE

Center •

We Bring Health CARE to Your Community

Page 26 of 97

http:290,000.00http:306,046.00http:290,000.00

, From:3125721294 08/31/2010 15:21 #104 P.001/OOl

~~ . . " ,Cool{ County Health & Hospitals System.. .. "

BOARD APPROVAL REQUEST

DATE: .PRODUCT/SERVICE:

0811 (}I,2010 ServlCe ~ Maintenance and Repair fur Automatic Building Control Svstems

TYPE OF REQUEST: VENOORJSUPPUER:·

ExElQJ\:e Contract AutOmatic BuilcfmQ Con1ro!, inc.., f(oIlinQ Meadows. Ilinois

SEL.eCTION OF METHODOLOGY; BID I SOLE SOURCE I RFPI GPO 'COMPARABLE GOVERNMENT BID:

SofeSource

ACCOUNT#:. FISCAL IMPACT; IG.RANT FUNDED AMOUNT: 891-450 $202,000.00 . NJA

CONTRACT PERIOD: REQ #1 CONTRACT#: J

10/0112010 fhru 09130/2012 H1()o.25-063 R REQUESTING DEPT/AFFILIATE;

SPONSOR:' iJ.t-'Jim De LiSa, Plant Manager, CCHHS '#: k:,Robert Hall'lllton. COO, Pn,wident

IS THIS REQUEST THE LQWEST

Plant Operation' Provident Hospital

DESCRlaE GPO IMPACT OR SEA liRE' BIDDER/SUPPLIER? NJA PURCHA$E? Checked GPO - Not Hable

JUSTIF1cAnoN: AutQm~Building Controis, Inc. ptovfdes maintenance and repair of the bulding ~s at Provident Hospital. ~matic Building Controls, 'nc .. qriglnaJly' ~ the Alerton IBEX System at Provident Hospital. They haw beer.t providing &erVi,ce and ~venl:ive malnfena!1OO to the System since its il$lIation. Automatic Building Controls, Inc. is the only dir.ecl manUfacturw'$ rep in the Chicago area. with the expertise, kIlowledge~ and resotIfCeS, namely A!erlan' programmers and electlfdans. on staff that are necess.ary to maimain and service Pravidenfs building aulomallon control system. .

.TEfUIlS OF REQUEST: .. . .

This request is to Execute Contract Hi0-25-063 for a period of 2411loolhs fron:r 1OfC1 /2fJ10thru 0:913012012 in the

amount of$202.000.00.

HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes

ATTACHMENTS APPROVED BID TABULATIONS: .N/A CONTRACT COMPUANCE: MEMO: Yes ( SEP 302010

BY BOAADOF CCHHSCOO: ~ 7':;1': q · DIRECTORS OF THE COOK COUNTY Anthony Tedesch~ OIfrcer HEALTH AND HOSprrALS SYSTEM

CcHHS~"~ Request #Michael Ayres, C' lIlan c .. 14

• Ambulatory &; C~ JJ.ealth Netw()r~ • Cen:nak BealtiServices • Dep IIX'tment sf PI.:tb.lie Health ... • ~ IL S~t lr. Bespital ofCook Coam:y·9ak FoJ:est B',osp)tal 'l'r3videmt Hospital-RlIth M. Rofhstleilll COD

. ~.

We Bring Health CARE to Your ConwmW:ty

Page 27 of 97

http:202.000.00http:202,000.00

..... ,- --~,•• - _. __ .·"•• '_..... • ...... 1 ... _"...., _~"LJ' ...... 'l.....v"""" ... 1.

TODD H. STROGER OFFICE OF CONTRACT COMPLIANCE PRESIDENT

BEITY HANCOCK PERRYEAALEAN COlVH.S lS1llisl. PEml III. SilVESTRI 910 Disl. DIRECTORROB ffir STEflE 200 msl. !)RIDGET GAINER lOIn Dist

Jl'I!JlY SI.I'll.ER am eist 'JOHN Po llAlEV l1Ut 1JiS!. ~AM M. 8EAVi:RS 4th /JI.t. IA~RY SUFFREDIII 1311\ DisI. Chicago, illinois 60602-1304( . ',iR~~~:MU1Il'ItV lilt. DiSl. GRoGG GIlSUM 14111 01$1.

J'"••r'tI MARIO MOREIID .71h Oll!. TIMOTHY O. SCHN£lveR . 15111 Dill. TEL (312) 603-5502

EOWlN ReYES 81h 0lrI. AAlTHONY J. PCIlAICA l!i1tl Dill. FAX (:.'112) 603-4547

ElaAll;'l!i ANN ~DY IlORIIAH 1M DisI.

July 26,2010

Ms. Leslie Duffy

Senior Director

Supply Chain Management

1969 W. Ogden, Suite 5360

Chicago, IL 60612

Re: Contract No. HIO-25-063

Dear Ms. Duffy;

The following bid for the above referenced contract has been reviewed for compliance "With the General Conditions regarding the Minority and Woman Business Enterprises Ordinance and has been found to be responsive to the Ordinance,

Bidder: Automatic Building Controls, Inc,

Bid Amount: $202,000.00 .

NVWBE , Status· Dollar Amount % Extra Clean) Inc.; d/b/a Eel MBE-9 $5,500.00 2.70%

Waiver Granted: Good Faith Efforts Documented include: identified and directly solicited

MlWBE vendors; engaged vendors for indiiect participation.

The Office ofContract Compliance has been advised by the requesting depSrtment that no other bidders are being recOmmended for award.

~:~t_IY'~~~ ~. Be~kPerry Q Contract Compliance Director :-"1.

,-: \

BHPlhrtj

Page 28 of 97

http:5,500.00http:202,000.00http:SI.I'll.ER

1 ,

,",reo... (MSP)$EP 1 2010 S,S7,ST.•:~'H6.7634408712 P

Cnok (ClUBt\ Hcalth & flo,",pi'al;.; ~\ \l{'m

aCARD APPROVAl REQVEST

DAn: PRODUCTISERVICe:

0712812010 Savice - Canli'aclu81 SerW:es10 DtwaIop an After-Action Report c:I H1Ni

ActhIHies TYPe OF REQUEST; VENDORISUPPLIER;

iExecute Confract SoIuticns ConsurIInaJnc.. Chlcam.. Illinois:'ee:MSTHODOLOGY: 810 I RFP I GPO I COMPARAIi.IlE GOVERNMENT BID: ACCOUNT#:. FISCAL IMPACT: GRANT FUNDeD AMOUNT:

'9030901 HlA $25.000.00

CONTRACT PERIOD: REQ t# I u.m I KI\ vi -=

09I30I2010 Uwu 1113Q/2010 QMP..H1o.2S-0048

,

SPONSOR; . :. C;l.(REQUESTING OEPT/AFAUATE: A MartinJr. Ph.D_ M~P.H ccDPH .

, IS THIS REQUEST THE LOWEST

- ant of Public Health

DESCRIBE GPO IMPACT OR BEARING ON 'f.lfE BlDDElWUPPlIER? Nflt PURCHASE? NJA . . '.

JUSTIFICATJON: lntegIaied SokItions wIfI deweIop ., .After-Aelion Report to evalUate. docunent and reCommend impfovememplans far, the Departma1t d PUblic HaafIh on the H1N11aspcnse. rniegrallid Solutions Is thEt onty company in the country wIth.kntJwledge d IUnoIe response .....,&. public heaJth and emergency management and 8 patenIed web I5iEIIUed ~ pIaform that allaws fr:Ir permanent~

,TERMS OF REQUEST: "

ThJ81'1!(f11eSt·isto Execute cOllbact OMP-H10-25.Q049 from 09I30!l0101hru 11I30I2010 In 1he amaura of

$25,000.00 .

.. HAS THIS BEEN REVIEWED BY COI'llRACT COMPLIANCE? Yes

AlTACHMBfiS i'

BID TABULATIONS: HlA . APPROVED CONTRACT COMPLIANCE MEMO: Yes

SEP 302010f=~~, BY BOARD'OF

DIRECTORS OF THE COOK COU~:.ryHEALTH AND HOSPITALS SYSTEM

CCIflS~"':::::Michael Ayres, Ch!iJ'1=1~ r/::"R- Request #

CCHHSCEO; ~~ r- .," 15WOllam T. FoleY. ChIef EacuItve 0IIIcer

Page 29 of 97

http:COU~:.ryhttp:25,000.00http:25.000.00

PRESIDENT , BETTY HANCOCK PERRY

EAAL&\~ CDWIIS lsl I.list. l'rnR N. SILVESTRI l/Ih Dl$t ROIlERT ST! , .~~.•~ , .

.' ...o' ..

. I

Page 30 of 97

. BOARD APPROVAL REQUEST

!

DATE: PRODUCT/SERVICE: 09/03/2010 Product - Bacteria Culture Media TYPE OF REQUEST: VENDOR/SUPPLIER: Award and Execute Contract Progressive Industries, Inc., Chicago, Illinois SELECTION METHODOLOGY: BID 1RFP 1GPO 1COMPARABLE GOVERNMENT BID: Bid ACCOUNT # FISCAL IMPACT: IGRANT FUNDED AMOUNT: 897-365 $780,983.90 N/A· , CONTRACT PERIOD: REQ#/CONTRACT# 10/01/2010 thru 09/30/2013 H10-73-058 Rebid "., ~ I REQUESTING DEPT/AFFILIATE: SPONSOR: ~)..~ /11\, JJIv..JI~~""~ Department of Pathology 1Stroger Hospital Joanne M. Dulski, Laboratory Director, CCHH~ .

Johnny C. Brown, COO, Stroger Hospital x: IS THIS REQUEST THE LOWEST DESCRIBE GPO IMPACT OR BEARING ON THE BIDDER/SUPPLIER? Yes PURCHASE? NIA

JUSTIFICATION: ,

Progressive Industries Inc. will provide bacteria culture media needed to grow microbacterial, mycobacterial and mycological organisms. These organisms are needed to perform identification and antibiotic susceptibility tests.

TERMS OF REQUEST: This is a request to Execute Contract H1 0-73-058 Rebid for 36 months from 10/01/2010 thru 09/30/2013 in the amount of $780,983.90. ~

i

,

Contract No. Description Bd. Approval Start Date End Date Amount Months 07-72-47 Oriqinal 03/01/2007 07/01/2007 06/30/2010 $565,766.50 36 07-72-47 Extension OS/27/2010 07/01/2010 09/30/2010 NIA 3 H10-73-058 Award and 10/01/2010 09/30/2013 $780,983.90 36 Rebid Execute

APPROVED HAS THIS BEEN REVIEWED BY CONTRACT COMPLIANCE? Yes

ATTACHMENTS f SEP 302010 BID TABULATIONS: Yes

BY BOARD OFCONTRACT COMPLIANCE MEMO: Yes

CCHHSCOO: ~ DIRECTORS OF THE COOK COliN,., . HEALTH AND HOSPITALS SYSTEM

Anthony Tedeschi, Chief rating Officer

CCHHS CFO: RLi~~-liI_ /' Request # Michael Ayres Chief Financial Offiolr 16

• Ambulatory & Community Health Network • Cermak Health Services • Department of Public Health • • John H. Stroger, Jr. Hospital of Cook County· Oak Forest Hospital· Provident Hospital- Ruth M. Rothstein CORE

Center

We Bring Health CARE to Your Community

Contract No. Amount Advertisement Bid Open Date Date

H10-73-058 Rebid

$780,983.90 06/10/2010 06/2212010

Page 31 of 97

iHE BOARD OF COMMfSSIONEP" C06KCOUNTY OFFTCB OF CONTRACT COMPLIANCETODD H. STROOER ....... ......'"

PRESIDENT BEITY HANCOCK PERRY lA~lE.~ Ctlt.LIIIS ltl PIs!. I'E1'ER N. G1U1E'STRI $t~ Olot. DlRECTOR ~08fkTsmi.E 2n11D11t lIftlOOrr \lAlIII!A WII1 0111. BiW IUlIlR 3m Dill. JIlHN P. L!ltLlY 111ft alt. W!'~I.M II. I~A= ..,~ !HI!. "'fllIi.tt Cl~P(lDL 121n Cill. llll North Clark Slml!. Room 1020 DfllOnllH SIM! ~ ftl!l. tAARY SUFI'RfOIl'l 1!lt1 AIM. ChlJ:llgn.lllblois 60602.1304 ~N 'ATIIICI~ MUIlPHV J1~ PIli. Ol!aI\l ~O&LlN 14111 Dill. TEL (312) 60.1-5502.mfI'H ,.,.RlO MOA/!N!\ 1l~ DIll. m.!OTlIY O. S(»lN;IIJEl! 151!! 1m!. [DWWRMS lin !IIot. lINTlIOIIV J. PfRIUCA lli111 1:!I!Il FAX em) (11)3-4:;47

tLIVIlII!!!l »11/ DOOIlV SCRI.Wi 11\1\ llI$!.

July 19, 2010

Ms. Leslie Duffy

Senior Director

Supply ChaIn Management

1969 W . Ogden, . Suite 5360

Chicago, IL 60612

Re: Contract No. HIO-73-058 Rebid

Dear Ms. Duffy:

The following bid for the above referenced contract has been reviewed for compliance with the General Conditions regarding the Minority and Woman Business Enterprises Ordinance and has been found to be responsive to the Ordinance.

BIdder: ProgressIve Industries, Inc.

Base Bid Amount: $780,983.90

M[WBE Status Collar Amount % Globe MedIcal Surgical Supply Co. MBE-8 $ 97,622.99(1) 12.5% Bten Products Company MBE-6 $ 97,622.99(1) 12.5% Progressjve IndustrIes, Inc. WBE-7 $585,737.92 75%

The Office of Contract Compliance has been advised that no other! bidders are befng recommended for award.

Sincerely,

~~~ Contract Compliance Administrator BHP/hrtj

Page 32 of 97

http:585,737.92http:780,983.90http:fllIi.tt

_____

--

MEDIA, MICROBIOLOGY CULTURE _ FOR

JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY

TABULATION OF BIDS CENTRALIZED HOSPITAL PURCHASING COOK COUNTY

Contract No.: HIO-73-058 REBID Requisition No.: 08970393 B.O. Date: 6122/2010

-

.

BIDDER: PROGRESSIVE INDUSTRIES,

~--INC .

.~EBID: ?to $780,983.90

ALT. BID: $815,315.86

,------- ---

-----

------

.~.

RE.A.M.S -- ---

$1,721,705.66

.-

---

.

-_.

--

---

F.S.

j--~,'''m I!tW'iIIIIlrSlall>. ,\1I!Y$SL4liLJ, fUR ut~M"fH"','''''''UJ!!l'91M'),,S EWt,:;g.;~:;;;;u;w;;;;;.A/m£4M;;:;:;;'Wj&J1;;g:;!¥"~,n'!!i'"t'}~.!.g:;;iWJtUa a aust. ;zet,: aLtt ."_',W';;; LUG 1m ,...'

Page 33 of 97

Cook County He4:1Ith & Hospitals S) sten}

BOARD ~ROVAL REQUEST .. !

DATE; 'PRODUCTISERVlCE: 0810912010 Product-SuDDfie$. CarJlmI~ and Lumber . TYPE OF REQUesT: VENDORISUPPLIER;

, Award and Execute Contract Kar-Oon. lric. dlbla Arrow Lumber Co_ Chit5.,,;., illinoIS' ; SaeCTfON OF METHODOLOGY: BID I SOLE SOURCEJ RFP I GPO I COMPARABLE OOVERNMEN'r BID:. .Bid ACCOUNT#: FISCAL IMPACT: IGRANT FUNDED'AMOUNT: 898-333 $110.111.80 NlA. .

REQ ifI CONTRACT II: 10101120"10 thru 09I30I2011

" CONTRACT PERIOD:

09..s6-133 Rebid A REQUESTING DEPT!AFFILIATE: SPONSOR: , , ' 11-_ A .A;.. S~~ Trades ~ aSk For;est Hospital Jim De'Usa,Plant Manager, CCH'H~~ 'Ii~

SvMa Edwards. COO. oak Forest H "fal ..# IS 11-11$ REQUEST THE LOWEST DESCRIBE GPO IMPACT OR. BEARING ON .THE BIDDERfSUPPLIER? Yes PURCHASE? NlA

.

JUSTIFICATION: • The oontract is needed for variol/$ projects related to supplies, carpentrY and lumbar on the Oak Forest Hospital C8!T1pu$. Kar-Oon, Inc.. d/b/a Arrow Lumber Co•• Chicago, Irmots is the Only /fidder responding and meeting speCific8uons. . '. . . . ,', : ,

. . TE.RMS'OF REQUEST: This request is to Award and ExeCUte Contract 09-86-133 Rebid fur 12 months from 1010112010 thR.l 0913012011 in the amountof' $119.111.80.

HAS THIS SEEN REVIewED BY CONTRACT COMPLIANCE? Yes. . . ...'

ATTACHMEN]'S.

BiD TABULATIONS: Yes

CONTRACT COMPUANCE MEMO: Yes APPROVElf , I SEP 302010

CCHHSCOO!· ~ AnthonyTedeschl. Chief OffIcer 8VBOARDOF

DIRECTORS OF THE COOK COU~ HEALTH AND HOSPITALS SYSTE

CCllHSCFO:~/MiChael Ayres. Chief cial Jeer

- Request # 17 '

• Ambulatory &. CommUDity Health Network" Ce:nDak Hhlth Servica .. :Departm.ftatofPubJk Health· • John B.Stro;w. Jr;1IcIspfml ef'Cook Cmmty -Oak FOI'I'JIt BGllpltal • PJ"G'\'JderJtBospltal·1brtIt M..R.oI:Imdn CORE

Cater- '

Page 34 of 97

http:119.111.80http:110.111.80

PI'IE'SIOENT 1lJITJ'V kANCCCK PltRRY ~1,RIi III

A!'·"'IATlIiCM MlJl!PMV GlIII.IIeL IMlIHlCWIt 111~ I)U, TaL (312) 611:,1·5502f ·11IA~!O_'.IdQ ?In DloI. '1'1MOtwv b. SCHIIClOtR I!IIIIIHI. fAX (312) 00.'-4..'14'7;< .mn 1IIII1lfII.

<

MmIOIoII' l. Pm~1C't !!111!".

8JZi11!tTH /IJIII DDDD'I' GDRIMII 1mt Ill!.

July 28, 2010

Ms. leslie Duffy

Senior Dfrector

Suppty Chain Management

1969 W. Ogden, SUite 5360

Chicago, IL 60612

Re: Contract No. 09-86-133 RebId

Dear Ms. Duffy: , '. i

The following bid for the above referenced contract has been reviewed for compliance with the General Conditions regarding the MInority and Woman Business Enterprises Ordinance and has been found to be responsive to the .Ordlnance.

Bidder: Kar-Don, Inc. d/b/a ArTTJW lumber CO.

Bid Amowjt: $119,111.80

('-< MIWBE Status Dollar Amount lU

Arrow Lumber Co. MBE..6 $101,199.80 90% E.E. Bailey Materia!s &. Supply, Inc, WBE-6 $ 11,912.00(0) 10%

The Office of Contract Compliance has been advised that no other bidders are being recommended for award. .

SlncerelYT

.~;ie~~ Contract Compliance Administrator

BHP/hrtj

Page 35 of 97

http:101,199.80http:119,111.80

,"--"" .-~,\

SUPPLIES, CARPENTER AND LUMBRR . FOR

OAK FOREST HOSPITAL OF COOK COUNTY

TABULATION OF BIDS CENTRALIZJf.D HOSPITAL PURCHASING COOK COUNTY

Contract No.: 09~86~133 REBID Requisition No.: 98980235 B.O. Date; 7/1312010

\ BIDDER: ARROW LUMBER eo.

BASE BID: ~119,111.80

-

,

.

F.S. .

"

~ '0' " ·,,,,?'~"Y~,.__Man !21 l! 1 =,~J 1£ M1.-~,'1$iI.,

Cook County Health and Hospitals System Minutes of the Finance Committee Meeting

September 17, 2010

ATTACHMENT #2

Page 37 of 97

CCHHS Emergency OrdersFinance Committee Notification

September 17, 2009

Ref Vendor Service Emergency Reason for Selection $$$ Ltr Date Fin Comm1 Allied Waste Services Stroger trash and non-medical waste Pending new contract Current vendor $46,256.15 8/30/2010 9/17/20102 Anchor Mechanical Inc Repair main sprinkler line Stroger Power House water leak Able to repair immediately $2,046.00 8/30/2010 9/17/20103 BEAMS Bard vascular supplies Provident ran out of port introducers Lowest quotation meeting specifications $19,214.00 8/30/2010 9/17/20104 Acumed, Inc. Orthopedic supplies Stroger contract pending Current vendor $99,355.85 8/30/2010 9/17/20105 Red Hawk Security Systems, Inc. Security access card readers Oak Forest Hospital Public Safety need Lowest quotation meeting specifications $18,594.80 8/30/2010 9/17/20106 Bio Rad Laboratories MRSA Select Plate media Pending Open Market Purchase Current vendor $10,080.00 8/30/2010 9/17/20107 Bebon Office Machines Copier paper Pending system-wide office supply contract Lowest quotation meeting specifications $23,871.25 8/30/2010 9/17/20108 Advanced Care Services Nurse registry Decrease in ACHN staffing Current vendor based on RFP selection $32,433.00 8/30/2010 9/17/20109 Peer Labs Public Health SQL dbase recovery TB Dbase crashed, patient data recovery Only vendor to provide this service $12,675.00 9/2/2010 9/17/2010

10 Besam Automated Entrance Furnish and install exterior doors5 week lead time to deliver; needed beforecold weather arrives Lowest quotation meeting specifications $19,540.00 9/2/2010 9/17/2010

11 VWR Scientific Products Water Conductivity Meter The current meter is not operational Lowest quotation meeting specifications $1,200.00 9/2/2010 9/17/2010

12 Professional Dynamic Network Temp staffing, registry abstracting

For PHCC to be compliant with IllinoisHealth and Hazardous Substances RegistryAct Lowest quotation meeting specifications $10,000.00 9/2/2010 9/17/2010

13 Konica Minolta Medical Data migration for TB databaseUnable to x-ray with the system down dueto Cerner migration

Sole vendor certified to perform themigration $2,000.00 9/9/2010 9/17/2010

14 Innovative Medical Devices Cardiothoracic surgical suppliesSupplies needed to perform all open heartcases Vendor is the sole distributor $50,000.00 9/9/2010 9/17/2010

15 Midwest Chlorinating & Testing Chlorination of drinking waterRequired by OSHA as a result of theAdministration Building fire

Only vendor available to provide theservice immediately $2,376.00 9/9/2010 9/17/2010

16 Smith Thomas Williams Medical secretary servicesFile services needed for confidentialdocuments

Department believed this was under thecurrent Lab/Radiology contract $5,320.00 9/15/2010 9/17/2010

17 Language Line Services Interpreter servicesService needed on ongoing basis;pending final execution of contract

Vendor chosen for annual contract;pending Board Approval $9,893.00 9/15/2010 9/17/2010

amhuddleston@ccbhs.org 312-864-4798CCHHS Finance Notification 091710.xlsx Page 1 of 1 Run Date: 9/17/2010 10:50 AMPage 38 of 97

Cook County Health and Hospitals System Minutes of the Finance Committee Meeting

September 17, 2010

ATTACHMENT #3

Page 39 of 97

COOK COUNTY HEALTH AND HOSPITALS SYSTEMITEM III(E)

SEPTEMBER 17, 2010 FINANCE COMMITTEE MEETING  SUPPLEMENTAL CONTRACTS AND PROCUREMENT ITEMS

Request # Vendor Service or Product Fiscal Impact

Affiliate / System

Begins on Page 

#

18Northwestern Pharmaceutical and Supply Corporation

Product ‐ Hepatitis 1/2 and HIV testingserology $375,000.00  SHCC 2

19Star Detective and Security Agency, Inc. Service ‐ security services $6,733,008.54  PHCC 4

Extend and Increase Contract

Execute Contract

Page 40 of 97

4

t'"' .~ ,

i'l" ,'. "COOk (Zon.qty Health & Hospitals System , '. . r ~ ~,

CCHHS coo: a rt;, ~. Anthony Tedeschi, Chief ting Officer .

CCHHS CF~*..c.LMichael Ayres,hiefFinanc ~r ..

CCHHSCEO: __~~~__~~~______________~_____ William T. Foley,

• Ambulatory & Community Health Network· Cermak Health Services • Department of Public Health •

• John H. Stroger, Jr. Hospital ofCook County • Oa.k Forest Hospital· Provident Hospital • RuthM. Rothstein CORE

Center·

\Ve Brw.g Health CAP~-to Your Community

Page 42 of 97

From:3125721294 09/1012010 08:10 #111 P. OOlfOOl

From:stroger 93128649984 09/10/2010 08:26 '110 P.0021002

:. Cook County Health & Hospitals Systelll

....n'"'' I.·.. AMOUNT:

JUSTJFICA110N: Star Detective and Security Agency, Inc. win provide 24-hour roving and stationary secunt:y sel'Vlees at Provident Hospital, near the south clinic and at the Outpatient Pharmacy desk., Rfp H1().OO14 was ls8ued and there were 5 respondent9. Star detective and SJ;lcurity Agency, Inc.. was: selected baSed on the highest ~ $OOIB for the Ii evaluating eritena: a) cost,. b) return on Investrrient. c} managerial toots, d) references and eltpel'ience, and e) r.esj:lonsivensss fa ihe generaf c6ndilioos of the RFP.

TERMS OF REQUESr: . 2013 is a request to Execute c;ontract H1 ()"25-135 for a period Of 36 months from 1QIOsl201 0 thru 1 OJ0M!919 in the

amount of $6,133;008.54.

CONTRACT COMPLIANCE HAS FOUND THIS CONTRACT RESPONSIVE? Pending

BID NVA CONTRACT COMPLIANCE MEMO: Pending

CC!1HSCOO: a...~ n.£=~___ Anft1onyTedeschi. Chief ~ Officer

AP • SE? 302010

Request # 19 .

• Ambulatory & CoJDDlllllity Hea:lth Network· Cermak HeaJ,tft &rYiees" Depa.rf.lDeJlt ofPublic Health·

" ..,.. H. Sttvger.1r. J:IaspItd of Cook Co1lllty • 0aII: Forest HospltId· PJ.-tmd_:S:ospHal ~ltuth M. RIJIfuWu CORE

CeDer·

I Iw

Page 43 of 97

http:Sttvger.1r

Cook County Health and Hospitals System Minutes of the Finance Committee Meeting

September 17, 2010

ATTACHMENT #4

Page 44 of 97

COOK COUNTY HEALTH & HOSPITALS SYSTEM

1900 West Polk Street , Suite 123

Chicago. Illinois 60612

TeL (312) 864-4111

Fax: (312) 864-9994

Todd H. Stroger • President Health & Hospitals System Board Members

Cook County Board of Commi ss ioners

Dr. David A. Ansell

Warren L. Batts· Chairman Commi~sioner Jerry Butler Cook County Health & Ho,pitals System David N. Carvalho

Quin R. GoldenJorge Ramirez· Vice-Chairman

Benn Greenspan Cook County Health & Hospital s System Sr. Sheila Lyne

William T. Foley· CEO Dr. Luis R. Munoz Cook County Health & Hospitals System Heather E. O'Donnell

Andrea L. Zopp

Memorandum

To: CCHHS Finance Committee From: Michael Ayres, CFO Subject: Finance Committee Report, September 17,2010 Date: September 14, 2010

2011 budget -- as of Monday, September 16, the health system had completed its second review of the 2011 budgets. This has included comprehensive discussions around the impact of the strategic plan implementation, the economic implications of the PWC transformation project and the counties expectation for an $86 million reduction from the 2010 appropriated budget. Next steps are a full presentation and discussion of the proposed budget on October 19th and a final presentation on October 22nd.

Revenue cycle transformation update -- attached is a copy of a presentation summarizing the current status of the activities in the revenue cycle transformation. It addresses issues of training, Siemens migration plan, physician billing and the high-priority items currently being addressed. Each of these areas is a major focus and has Significant resources committed.

Provident Medicaid revenue shortfall -- attached is a document that has been prepared for the Cook County commissioners addressing their questions about the unfavorable Medicaid revenue variance at Provident hospital. In short, the confusion lies within the way Provident was budgeted last year, the post budget change in DSH revenue, rate changes and recoupment. Year over year the total Medicaid revenue received for Provident is the same.

Year to date system revenue -- for the eight months ending July 2010 total revenue for the System was $42 million below budget. During August and September the Health System received the scheduled $93.7 million BIPA payment from the state, an additional $8.2 million retroactive DSH settlement, a year to date correction in newborn payments and increases in Medicaid rates. The combination of these additional payments offset the continued Medicaid unfavorable variance. There continues to be a sharper focus on correcting billing issues and increasing overall revenue. We anticipate that these efforts will allow us to be close to budget for core revenue for the remainder of the year. Our forecast is that the unfavorable variance for revenue should not exceed $40 million.

Medicaid eligibility status -- we continue to work with Medicaid to improve the approval of our Medicaid applications. While the rate of increase in pending applications declined during August to 3.6% or 396 claims, the total outstanding approval requests are 11,536.

• Ambulatory & Community Health Network • Cermak Health Services • Cook County Departmen' of Public Health • • John H. 5.roger, Jr. Hospital • Oak Forest Hospital • Provident HOlpltal • Ruth M . Rothstein CORE Center •

We Bring HealthCARE to Your Community Page 45 of 97

state focused on inpatient applications and the inventory is holding constant with the grovvth occurring in the outpatient and emergent accounts. We are in active discussions with ways to address the backlog but have yet to reach a definitive conclusion.

Page 46 of 97

Provident Hospital Budget Variance

Fiscal Year to Date through July 2010

Through July, 2010, Provident Hospital had anticipated receiving $17.6 million in patient service revenue from the Illinois Medicaid program. At the end of July, however, the hospital had received $4.7 mil1ion for a $12.9 million unfavorable revenue variance. The process for determining the budgeted revenue for Provident Hospital for FY201 0 began in late summer 2009. The process used involved annualizing the actual year-to-date 2009 revenue for the Health System and making high-level adjustments for rate and volume changes. The total for the Health System revenue was then allocated back to the individual operating units in the same proportion as the actual year-to-date 2009 revenue. These calculations were made after the MedAssets process improvement project had begun but before the Medicaid Disproportionate Share Hospital (DSH) rate negotiations had been concluded. The budget anticipated improvements in collections, and no revenue offsets. The following identifies the specific areas where actual performance varied from budgeted expectations.

FY2010 Budget -- Annualizing the actual year-to-date Medicaid revenues from May 2009 to be used as the basis for Medicaid revenue, assuming no change in volume or rate, would have resulted in a forecast of $24.5 million. The actual budget allocated to Provident Hospital for Medicaid for FY2010 was $26.1 million. This resulted in a overstatement in the budget using a same-store comparison of approximately $1.1 million.

Medicaid Disproportionate Share Hospital (DSH) Recoupment -- In order to receive the retroactive DSH funds made available in late 2009, the Health System had to repay Medicaid approximately $54 million. These repayments occurred for both to the John H. Stroger and Oak Forest Hospital prior to the beginning of the fiscal year. Provident Hospital, however, did not complete its payback until April 2010. This resulted in $3.9 million being withheld from current period revenue that was not considered in the budget. This effectively decreased patient service revenue in FY2010 rather than FY2009.

Rate Change -- As a result of the settlement to increase DSH payments, Medicaid reduced the per diem payment to Provident Hospital from $2,832 to $1,371. This change of rate, when multiplied by the Medicaid patient days through July, 2010, resulted in an underpayment of $3.985 million.

Medicaid Volume - Provident Hospital had anticipated that through July they would have had 3,153 Medicaid patient days at $2,832 per day. Volume, however, totaled 2,727 days through July for an unfavorable volume variance of $1.2 million.

Medicaid Outpatient Revenue -- the Medicaid rate calculation based on Provident Hospital cost reports resulted in a change of rate, which equaled $470,000 year-to-date.

Page 47 of 97

Medicaid Application Status -- the Health System has increased the number of applications submitted to the state for self-pay patients who may qualify for Medicaid benefits. Simultaneously, the state has slowed down the approval process for these applications. As a result, the inventory of applications that have not been adjudicated and paid has increased between 2009 and 2010. Once the state has resolved the backlog, the funds will be received by Provident Hospital.

The following table summarizes the impact of each category of change and totals $10.655 million of the $]2.9 minion variance. The remaining $2.2 million cannot be easily identified and lies within the magnitude of error containing the calculations.

I Budget Actual Variance 2010 Budget $26.1 million $24.5 million I $1.1 million DSH Recoupment None $3.9 million $3.9 million Inpatient Rate Change $2,832 per day $1,371 per day $3.9 million Volume Change 3,153 days 2,727 days $1.2 million Outpatient Rate Change II $.470 million Total Variance $10.7 million

The change in reimbursement as a result of the DSH negotiations has a profound effect on the revenues for 2010. The settlement with the state resulted in an increase in the DSH funds to be received proactively with a simultaneous decrease in the per diem rates paid. The following table shows the total reimbursement from Medicaid to Provident Hospital inclusive of the DSH payments for 2009 and 2010.

Year to date through July 2010 2009 Medicaid Collections $4.645 million $14.418 million DSH Collections $10.810 million $2.349 million Recoupment $3.890 million $2.299 million Total $19.375 million $19.066 million

In total , Medicaid revenues, inclusive of current year DSH payments and taking into consideration the recoupment for retroactive payments, result in total Medicaid payments to Provident Hospital through July of each fiscal year to be virtually the same. The confusion that currently exists lives in the $3.9 million revenue offsets being taken from current budgeted revenue and managements inability to calculate the impact of a change in rate and a change in volume for the FY201 0 budget.

File: MDAICounty Commissioner MaterialIProvident Hospital Revenue Analysis 9. 10. 10

Page 48 of 97

..

Cook County Health & Hospitals System

Revenue Cycle Transformation Update

Finance Committee Meeting September 2010 Draft for Discussion Purposes Only

, (' COOK COUNTY HEALTH o c & HOSPITALS SYSTEM-..4. o \/~~::.; COflHS

Page 49 of 97

Highlights to Date

• Training & Education Plan

• Siemens Migration Plan

• ICD 1 0 Compliance

• Financial Plan

• Operations Approach & Plan

• Priority Activities

• Appendix

- Training Plans by Functional Area

- Siemens Migration and Training Plan

Draft for Discussion Purposes Only

2

Page 50 of 97

Highlights

Training & Education Plan (refer to Appendix for detail plans)

Approach

• One-on-one and group training

• Competency testing

• Qual ity and productivity monitoring

• Refresher training as required

Functional Areas

• Patient Access

• Coding

• Patient Financial Services

• Siemens Migration End-user

• Charge Capture

• Clinical Documentation Improvement

Draft for Discussion Purposes Only

3

Page 51 of 97

Highlights

Siemens Migration Plan (refer to Appendix for milestone details)

• Migrating three platforms to single platform

• On target for Go Live 12/1/10

ICD 10 Compliance

• Education and awareness regarding impact to CCHHS

• Session planned for presentation to the Medical Staffing Group

Financial Plan • Revenue Cycle Benefit over 24 month period is estimated to be $202M broken

down as follows:

• FY10: $S.2M one-time cash

• FY11 : $86.2M ($17.2M one-time cash , $69M recurring net revenue)

• FY12: $11 0.7M recurring net revenue

• Ongoing validation will be performed and estimates refined throughout the engagement period

4

Page 52 of 97

• , •• • , COOK COUNTY HEALTH _0 ,'l!° & HOSPITALS SYSTEM

Highlights . "'::4~ 0

' CCHHS"~I~~O'~·: ~

Operations Approach and Plan • The following transformation activities will be performed concurrently across all

revenue cycle workstreams

• Priority Quick Hits (high impact)

• VIP Priority Activities

• IT involvement in integration/Siemens migration

• Interim Resource Assistance

• Long term sustainable performance improvement

• Items escalated will be quickly triaged and impact assessed. Priority will be established based on triaged assessment.

5

Page 53 of 97

--- ---- ------ ---------- ---- ---------------------------------------- ---- --- ----------------- ----------- ----- ----------- ----- --------

~ COOK COUNTY HEALTHCCHHS Revenue Cycle Transformation Approachr-------------------- -- ------------------------------- _________________ _________________ ___ ___________ _____ ~~~ H_~=P~I~~ ~jflr~_~~ 5~ A~L5

~ II) II)

4J C'l c:0'1 c:c: 0'1 - 0(J) -c: ~ _ c: 4J ~ en .- c:U t'Il 4J4J "C.c ~ E 0 C t'Il .~ C'lu 0 c:- 4J E Q) c: u c:« oE _ :'S Q) - 4J Q) .~en Q) 0 en ~ E en_t'Il C'l t'Il 0 :;:'S» t'Il t'Il ».c: ~~ -(J) o t'Il ~ Q.. u -a:: -c: .cal:EO .c ~ ~ 0.- c: :E u Q..t\I C Ea::Q..~ - :E :I: « .~ -t\Ia.. 0 a::a::

On-Going Communication & Feedback

Concurrent Transformation Activities and Results

Quick Hits -- Items escalated will be quickly triaged and impact assessed. Priority wtH be established based on triaged assessment.

VI P Priority Items

IT Involvement and Integration

Teamwork to Make the Dream Work! Messaging document used for department employees

Draft for Discussion Purposes Only 6

Page 54 of 97

Priority Activities (High Impact)

Based on Preliminary Findings to Date

Physician Billing

• Community Hospital Contracts

• Developing plan to implement professional fee billing at St. Anthony's

• Services provided to St. Anthony without contract

- 2 FTE Residents without reimbursement

- Clinic staffing

• Obtained hours needed to bill for clinic services back to 2009 at St. Mary's and Elizabeth

• Additional analysis underway

• Cook County Health System

• State statute change required for Medicaid

• Irreversible election required for Medicare (cost-benefit due diligence required and in-process)

• Developing plan to implement professional fee billing for all allowed services and payers under current reimbursement arrangements

Draft for Discussion Purposes Only 7

Page 55 of 97

Priority Activities (High Impact)

Based on Preliminary Findings to Date (continued)

• Siemens Platform Migration

• Coding Backlog Reduction

• Billing Backlog Reduction

• ED Charge Ticket

• Dialysis Charge Capture &Billing Backlog

• Chemo Drug Charge Capture Billing

• Pain Management Charge Capture & Billing

• Outpatient Pharmacy Billing/Rebilling

• Radiology Charge Capture and Billing/Rebilling

• Radiation Therapy Charge Capture and Billing/Rebilling

• OR Charge Capture and Billing/Rebilling

Draft for Discussion Purposes Only 8

Page 56 of 97

-->< -c

c

CD

Cl.

Cl.

Training & Education: Patient Access

CCHHS Patient Access

and Education Tlmeline Q3201'0 Q42010

Tasks

ducat ion Sessions: Rewnue Cycle Introduction/OwNew Registrat ion Best Pract ices Refresher Insurance Verificat ion Coordination of Benefits Medicare Secondary Payor Questionnaire Illinois Health Connect

Patient Access areas th is will include formali zed training on h",nsformational processes, and will include the following areas (will be

pleted during months 6-24): Scheduling Pre-reg istration Insurance Verificat ion Medical Necess ity I Adllance Benefic iary Notices Prior Authorization, Pre-Cert ificat ion Point-of-SeNce Collections

• Outpatient Registration • Inpatient Adm iss ions • Emergency Department Registrat ion • Reg istrat ion Quality Assurance • Patient Access Related Denials

*Resources are estimated at 200- analysis in process **Reflects near to mid-term training Draft for Discussion Purposes Only 9

Page 58 of 97

Training & Education: COM/Charge Capture

CCHiS CDtIII Cllarge Captllre Trainina and Education Timeline Q3 2010 Q4 2010 012011

Tasks

Training and Education Sessions relatoo to charge ~ure to Physicians , Nurses and I or HIM personnel, v.ren CiWicable, for OJck Ht I VIP departments:

o Erregency Cepc:rtrrent o Q::erating RooTl o Pain Manaaerrent o OlemJtherapy I Infusion o Radiation ~ o Dalysis

ning and ilTllierrentation of daily charge reconciliation reports and I r1YT'P!

Training & Education: Coding

CCHHS Cod on Timeline 032010 042010

Basic Inpatient Coding Principles (PDx , Sdx, Procedures , COll'lolication and Co-morbid r.onci ition!'; \

** Phase 1 completed during end of Q1 2010 and beginning of Q2 2010 11

Draft for Discussion Purposes Only Page 60 of 97

•• oo .~ COOK COUNTY HEALTHTraining & Education :

Patient Financial Services- Follow-up Staff (~)CeHHi

CCHHS Patient Accounting Staff will receive comprehensive accounts receivable follow-up

training over the next 3~-days . This will provide the knowledge necessary to allow

representatives to meet industry productivity and quality standards within the next gO-days.

CCHHS AIR Follow-UD Staff Trainina Timeline Sep. 2010 I Oct. 2010 I Nov. 2010

Tasks

Excel Training

Worklist Roill-out Training I Activity Code Training<

ccount Documentation Training

Quality Review Process Roll-out and Training

Payor I Follow-up Training A_ ... __ _

One-on-one Coaching

Daily Productivity Tracking

Weekly Quality Review

• Training is scheduled to be completed in September, giving staff 60 additional days to meet industry standard productivity and quality metrics

• Staff will be offered overtime, one-on-one coaching, and additional specific training as requested

Draft for Discussion Purposes Only 12

Page 61 of 97

Siemens Migration Plan

CCHHS Siemens Consolidation Project Executive Report Card Week Ending 9-14-10

1 - Project Status Areas:

Overall Project Status

Project Schedule

Project Budget

Major Issues

Project Risks

Staffing

IChanl!'e Status

Major Accomplishments :

./ Contract signature obtained

./ Hardware Order Complete; expedited deli..ery targeted for October 1 .

./ New Consolidated En'virionment deli..ery complete; SW tumo..er for customer validation in progress

Major Issues:

None reporled

Major RiSkslMitigation:

None reporled

Draft for Discussion Purposes Only 13

Page 62 of 97

--

Siemens Migration Plan

SIEMENS

Cook County Health and Hospitals System High Level Accelerated Consolidation Implementation Status

Updated: 813012010

Status Legend: Timeline Legend :

_ Target Dale Pushed contract Signature unitJlntegrated Testing H= Onsile Ha rdware _ Satisfactory, on schedule • Test/Prod Software Delivery P&P/End User Training

c:::J Below Expectations, behind schedule, or at risk PlanninglDesign Live Implementation Post LiveTransition- Unacceptable ~ ~

c:::J Not Starfed

COpyright © 2010 Siemens Medical Solutions USA, Inc. All rights reserved .

Draft for Discussion Purposes Only 14

Page 63 of 97

, r COOK COUNTY HEALTH

Siemens - Staff Training Plan {.i.~cei;;i

Cook County Health and Hospitals System High Level Accelerated Consolidation Tra i n i ng Plan

Oct-2010 1-5 8-12 15-19 22-26 29-3 1 1-5 1 8-1 2 115-19 122-26 1 29-3

1 1 1 1 1 1

N ew Consolida ted Envir onment Tlmellne: Phase ~

INVISION PA/PM/OAS/ECHO/Denial Management

P&P/End- UserTroininq Develop Traininq Strateqy End Users

Identify Resources to be trained Identify Superusers / Tra iners

Develop Training Curriculum

Develop training tracks

Develop course curriculum

Develop tra i ni ng materia I s

Approve Trai ni ng Materia I s

Confirm Training Facilities

Develop training space requirements

Confi rm Tra i ni ng Space Technology -Training Area

Develop_ technology requi rements

Physical Wiring. Workstation Deplovment

Network requi rements

Training Environment

Tra i ning Schedule Confirm Super User Training Schedule

Confirm Departmental Training Schedule

Complete "Train the Trainer " Training

Complete End-user Training

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Timeline Legend:

S Training: Plannin, g/De~gn/Build Training to "Train the Trainer" ·Super User Trainers will include key PFS staff members from all facilities including Billers , Account Follow Up , Charge Entry staff.

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Status Legend : - Target Date Pushed Satisfactory, on schedule -~ Below Expectations, behind schedule, or at risk Unacceptable

c=:J Not Started -

Draft for Discussion Purposes Only 15

Page 64 of 97

Cook County Health and Hospitals System Minutes of the Finance Committee Meeting

September 17, 2010

ATTACHMENT #5

Page 65 of 97

August 30, 2010 MEMORANDUM TO: Joseph Mario Moreno

County Board Commissioner FR: Betty Hancock Perry Director, Office of Contract Compliance RE: Board Item #5 Requested July 13, 2010 Health and Hospital Systems ________________________________________________________________________ This report will detail the level of compliance for Cook County’s Minority and Women Owned Business Enterprise Ordinance as applied at the Health and Hospital System. GPO (Group Purchasing Organization) an organization that utilizes the collective purchasing power of a large number of organizations. The GPO’s purpose is to secure better pricing for it members. The hospital is presently engaged in six (6) GPO contracts. Contract No. H10-25-026 (Linen and Textiles) was awarded to Standard Textile Co., Inc. The amount of the contract is $6,504,000.00. The contract list, American Dawn, Inc., MBE (8) for $1,504,200.00 (23%) and Chicago Mini-Bus Travel, WBE (9) for $850,200.00 (13%). Contract No. H10-25-093 (Computer Equipment) was aw