«f?z/74. -*-••-•? UF THE Uiit, - -OtS tH UReAfcMNCMAMPAIOet UNIVERSITY OF ILLINOIS BOARD OF TRUSTEES Fifty-Seventh Report 1972-74 UNIVERSITY ...»
Sixteen medical students were enrolled in the School of Basic Medical Sciences at Urbana-Champaign in the fall of 1971. The affiliated hospitals mentioned above were used by these students for part of their educational experience. All sixteen students satisfactorily completed the year in the School of Basic Medical Sciences at Urbana-Champaign. Thirty-two students will be enrolled in September, 1972, in the School of Basic Medical Sciences at Urbana-Champaign.
To implement further the recommendations of the Board of Higher Education with respect to the use of existing clinical facilities and to provide new resources for the increased number of medical students, the Executive Dean of the College of Medicine and the Chancellor at the Medical Center campus recommend that authorization be granted to execute affiliation agreements with two hospitals in Bloomington, Illinois (St. Joseph Hospital and Mennonite Hospital) ;
one hospital in Charleston, Illinois (Charleston Community Memorial Hospital) ;
two hospitals in Danville, Illinois (Lake View Memorial Hospital and St. Elizabeth Hospital) ; two hospitals in Decatur, Illinois (Decatur Memorial Hospital and St. Mary's Hospital) ; one hospital in Mattoon, Illinois (Mattoon Memorial Hospital) ; and one hospital in Normal, Illinois (Brokaw Hospital). Not only will these affiliation agreements provide a broader base for the support for the medical education program of the School of Basic Medical Sciences at UrbanaChampaign but also will permit planning for residency training programs in several hospitals in central Illinois (Governor's planning region 3-B). These hospitals and those with whom affiliation agreements have already been executed could form the nucleus of a new clinical school of medicine based at the UrbanaChampaign campus.
On motion of Mr. Pogue, authority was given as recommended.
Copies of the agreements are being filed with the Secretary of the Board for record.
66 [September 20
BOARD OF TRUSTEES
AGREEMENT BETWEEN T H E HEALTH A N D HOSPITALS GOVERNING
COMMISSION OF COOK COUNTY A N D T H E BOARD OF TRUSTEES
OF T H E UNIVERSITY OF ILLINOIS TO ESTABLISH A JOINT
TASK FORCE FOR HEALTH CARE PLANNING(16) The Chancellor at the Medical Center campus, in consultation with appropriate administrative officers at that campus, recommends that the Board of Trustees participate with the Health and Hospitals Governing Commission of Cook County in establishing a joint task force to facilitate health care planning in the Central and West Side sections of the City of Chicago.
The following numbered paragraphs describe the composition of the joint task force and the general agreements underlying its establishment. A more descriptive statement titled "Planning for Better Health Care" is appended.
The Board of Trustees agrees with the Health and Hospitals Governing
Commission of Cook County that:
(1) As public institutions with similar health care goals, neither Cook County Hospital nor the University of Illinois at the Medical Center will plan for the future without taking into account their mutually held goals and interests.
(2) The most logical goal of joint planning is the development of new health care resources which will serve the health care needs of the Central and West Side communities of Chicago.
(3) In order to implement planning which takes into account this mutuality of interest, the Health and Hospitals Governing Commission and the University of Illinois shall establish a joint task force charged with (a) exploring all options which have potential as plans for meeting the health care needs of the Central and West Side communities; (b) recommending the inpatient and outpatient facilities required considering existing resources in the area;
(c) recommending options for governance of these resources; and (d) recommending options for financing required additional or replacement facilities.
(4) The joint task force shall consist of thirteen members, four appointed by the Board of Trustees of the University of Illinois, four appointed by the Health and Hospitals Governing Commission of Cook County, four nominated by the West Side Health Planning Organization, and one nominated by the West Side Medical Center Commission. The chairman shall be elected by the task force at its first meeting. The task force shall be appointed no later than October 1, 1972, and shall hold its first meeting within two weeks of appointment.
(5) The Governing Commission must plan simultaneously for the remainder of Cook County, i.e., the North, South and far South Sides; and that the Commission staff will continue planning efforts for those other parts of the County, relating, as necessary, to the joint task force planning for the Central and West Sides of Chicago.
It is recommended that the four representatives to the joint task force to be appointed by the Board of Trustees be (1) a member of the Board of Trustees, (2) H. Martin Engle, M.D., Vice Chancellor for Health Affairs, (3) Alexander M. Schmidt, M.D., Dean of The Abraham Lincoln School of Medicine, and (4) Glen EL Tomlinson, M.D., Professor and Head of the Department of Family Practice.
To facilitate establishment of the joint task force, it is recommended that the Board of Trustees at its meeting on September 20, 1972, name one of its members to serve.
O n motion of Mr. Forsyth, these recommendations were approved and Trustee E a r l Neal was appointed to represent the Board of T r u s tees on the joint task force.
Planning for Better Health Care... a joint statement by the Health and Hospitals Governing Commission of Cook County and the University of Illinois.
IntroductionDuring the past several years an impressive array of studies, reports, conferences, informal meetings, demonstrations, newspaper editorials, work stoppages, 1972] UNIVERSITY OF ILLINOIS 67 and other means have been used by an increasingly concerned citizenry to try to effect needed change in the health care system for the poor and near poor of Cook County. Indeed, the creation of the Health and Hospitals Governing Commission was in part a response to the need for change. In recent months, through a series of conferences involving both the legislative and executive branches of State government, County and City officials, the Health and Hospitals Governing Commission, the Council of Medical Deans, State of Illinois, officials of hospitals and planning agencies throughout the county, and others, general agreement has been reached in a number of important areas. Such consensus should allow finite progress toward mutually held goals. This statement is to summarize certain of these agreements and to suggest means for solving some well-defined problems.
Areas of Consensus
Several areas of consensus are readily identified:
First, sufficient data are probably available from excellent studies of hospital utilization, patient origin, etc., to allow necessary decision making without further in-depth studies but if further information is found to be necessary, it can more than likely be collected quickly. While some differences remain as to conclusions drawn from the data, it is agreed that the data available are valid.
Second, the legislated obligations of the Health and Hospitals Governing Commission are central to any further planning by parties engaged in the health care system of Cook County.
Third, the legislated obligations of the Health and Hospitals Governing Commission include responsibilities for the health care of County residents beyond those carried out by Cook County Hospital. Thus, while governing Cook County Hospital and planning to meet the health care needs of residents of the Central and West sides of Chicago, the Governing Commission must also plan simultaneously for conveniently located health care facilities and services for residents of the North, South, and far South sides of the County. To do so requires negotiation between the Governing Commission and any agency or institution willing to pursue development of reasonable plans for the care of citizens throughout the County.
Fourth, certain changes seem inevitable within the West Side Medical Center. At one time accepted as the locus of most health care and health education concerns of the City, the West Side Medical Center is changing as a result of the need for regionalization of health care and education. Loyola University School of Medicine has moved out of Chicago to the western edge of the County. The Chicago Medical School is reported to be considering a move from the West Side Medical Center, leaving the Rush-PresbyterianSt. Luke's Medical Center, a private institution, and the two sister public agencies, Cook County Hospital and the University of Illinois at the Medical Center.
Fifth, with specific reference to the purposes of this statement, it is agreed that the two large, important, publicly financed health care institutions located in the West Side Medical Center — Cook County Hospital and the University of Illinois at the Medical Center — cannot and should not plan their futures independent of one another without taking into account the consequence of their interests and responsibilities. Indeed, it is now apparent to most that the legitimate interests and concerns of both institutions are parallel, and that logic dictates a rational merging of the resources of the two. This agreement is based on a number of premises — some obviously factual, others based on conclusions drawn from the aforementioned studies and surveys of patient origin, etc. Most premises will support the conclusion that distinctions between the roles of the University of Illinois Hospital and the Cook County Hospital are being erased bythe changing nature of the health care roles of both institutions, by changing modes of financing, and most importantly, by changing social perceptions of "old style charity hospitals."
Cook County Hospital and the University of Illinois Hospital are changing. The geographic areas served by the two institutions are becoming more congruent, and the need for research into and demonstration of new methods of health care delivery, especially ambulatory care, are acute and identical for both institutions.
As a partial response to the latter need, and as an example of benefits to be derived from joint programming, the two institutions have merged their interests in the development of family practice programs. The Department of Family Practice of The Abraham Lincoln School of Medicine of the University of Illinois College of Medicine is largely based at Cook County Hospital, and the resources of both institutions can thus be combined in a concerted effort to improve the care of citizens in Central and West Chicago. This arrangement provides for Cook County Hospital direct access to the resources of the University, such as the School of Public Health and its Center for the Study of Patient Care and Community Health, and the Urban Studies programs of the Chicago Circle campus of the University. The cooperative program gives the University means whereby development of better methods of health care can be worked through and demonstrated effective, and where the critically needed numbers of new health professionals of many types can learn to serve inner city needs.
Agreements It seems obvious that any future publicly financed hospitals on the West Side Medical Center must have as principal goals the provision of exemplary comprehensive health care of a kind not now available, and that to provide this care, the hospital must have as secondary goals the development and demonstration of more effective and efficient provision of care. Since these goals are identically those of the University of Illinois Hospital and the Cook County Hospital, they provide, along with the other premises listed above, the basis for the following
1. As public institutions with similar health care goals, neither Cook County Hospital nor the University of Illinois at the Medical Center will plan for the future wthout taking into account their mutually held goals and interests.
2. The most logical goal of joint planning is the development of new health care resources which will serve the health care needs of the Central and West Side communities of Chicago.
3. In order to implement planning which takes into account this mutuality of interest, the Health and Hospitals Governing Commission and the University of Illinois shall appoint together with the West Side Health Planning Organization a joint task force charged with: (a) exploring all options which have potential as plans for meeting the health care needs of the Central and West Side communities; (b) recommending the inpatient and outpatient facilities required considering existing resources in the area; (c) recommending options for governance of these resources; and (d) recommending options for financing required additional or replacement facilities. The West Side Medical Center Commission shall be requested to send a representative to the task force.