The midterm report of Cook County Board President Toni Preckwinkle

1. COOK COUNTY
ANNUAL REPORT 2012
Toni Preckwinkle | President
Cook County Board of Commissioners
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services

3. Table of Contents
Where Has Toni Been 2
A Letter from The President 3
Where Has Toni Been 2
Performance Management 4
A Letter from The President 3
Economic Development 6
Performance Management 4
Finance & Administration 8
Economic Development 6
Healthcare 10
Finance & Administration 8
Property & Taxation 12
Healthcare 10
Public Safety 14
Property & Taxation 12
Forest Preserve District 16
Public Safety 14
Forest Preserve District 16

4. Where Toni Has Been

5. A Letter from President Preckwinkle
3

6. Performance
Management
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
$
The Set Targets, Achieve Results (STAR) performance management program provides a forum
for county agencies to work jointly to set priorities, identify opportunities, address problems, and measure
performance transparently.
Since its establishment the STAR Performance Management program has increased visibility into the
County’s operations and generated substantial returns through increased revenue, decreased costs and
improved services. STAR is a partnership of the Board of Commissioners, County Agencies, employees,
and residents. All County offices and agencies report progress toward stated goals, and work together to
improve performance.
The efforts of each office within the County have been linked to countywide goals in the areas of public
safety, healthcare, property and taxation, and economic development. Through STAR, the County has
published 6 performance reports and collected monthly performance data from County agencies for the
past 20 months, creating a culture of transparency and accountability. Over 70 weekly performance
management review sessions of County agencies have been held since March 2011. During internal reviews
with senior County leadership and the quarterly reports, agencies demonstrate successes and highlight
areas for improvement. In those sessions, County leadership has identified and implemented over 300
action items.
In addition, performance data provides decision makers valuable information in deciding how
best to direct tax dollars. Quality performance data is important to understanding how budget
decisions will impact operations and is a critical component to performance based budgeting.
In total, STAR lead to over $12 million in either increased revenue or decreased costs in 2012
alone.
4

7. President’s leadership team reviews the Comptroller’s performance metrics at a weekly STAR session.
what’s next
$
The STAR program is deepening its engagement with agencies to support the
use of performance data as a management tool. The effort will include facilitating
internal goal-setting discussions within agencies at the group and team levels, as
well as training and regular monitoring.
In addition to efforts to build on and improve the use of performance data within
departments, the performance management team seeks to improve on existing
processes in place, including:
Improving public access and visibility into STAR performance data
Increasing collaboration with the Budget Department to identify cost savings
and efficiency improvements
Promoting a data-driven culture within Cook County focused on measurable
goals and targets
Increasing internal visibility into overall County performance
5

8. Economic
Development
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
Redesigned the capital
$
planning process to
Pursue additional Reduced costs by
focus on long term
resources to replace consolidating leased
planning; implement
declining federal space into county
technology to manage
grants. owned facilities
projects more
effectively.
Launched a $200
Created the Council of Created a $5 million
Economic Advisors million Small Business Unincorporated Cook
Financing Initiative bringing
A group of more than 20
distinguished business and
together a group of leading
financial institutions to build
Infastructure
Improvement Fund
civic leaders who will advise relationships with small, (UNIIF) to incentivize
on how to promote minority and women-owned municipalities to fund
long-term economic growth businesses doing business Infastructure
within the county. with Cook County improvements.
Produce daily content Developing an
through blog posts, Enhance and expand electronic revenue
photos, and e-newsletter strategic outreach to system that will allow
highlighting Economic suburban leadership residents to purchase
Development across the and municipalities. permits and pay fees
County online
Enacted the Formed the Land
Created the City-County
Workforce Partnership,
Vacant Building Bank Advisory
increasing the uniformity Ordinance Council which is
and consistency in to eliminate blight in advising on a responsi-
service delivery communities hit hardest ble, legal, & effective
by the foreclosure crisis. model for a County
Land Bank.
6

9. Healthcare
what’s next
President Preckwinkle cuts the ribbon on an affordable housing project in Lynwood, Illinois. Along with her is Mayor Eugene Williams and Bishop Claude Porter of
PLCCA (Proviso Leyden Council for Community Action), (left part of photo), along with others from the community who came out to celebrate this achievement.
what’s next
Completion of two
key capital projects: Develop plan for
$
Oak Forest Hospital Increase participation long-term
Renovations & in the newly-created consolidation of
Residential HOME Consortium, county functions to
Treatment Unit and pursue reduce underused
(RTU) at the Cook competitive grants space and save money
County Jail
Continue to provide a Use the fund to make
Develop
leading role in strategic investments
recommendations for
promoting a to improve
returning vacant and
collaborative and infrustructure in
adandoned property
strategic approach to unincorporated Cook
to productive use
regional growth County
Expand our capacity to Implement the Building
inform residents on Continue to work with and Zoning's case
projects, plans, public suburbs to develop management system,
comments & afford- regional economic which will allow
able housing through development plan residents to track their
new media permits online
Continuing to Expand outreach to Create a Cook
streamline workforce municipalities to County Land Bank,
development efforts to explain benefits of to help return vacant,
increase the uniformity Vacant Building abandoned, and
and consistency in Ordinance and forclosed properties
service delivery encourage to productive use
organization
7

10. Finance &
Administration
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
Implementing a
Rolled back the 1%
$
Solved for over sustainable financial path
Stroger sales tax
$1 Billion
by closing the FY2013
increase – saving
budget gap with
taxpayers over
$440 million
in budget gaps in under
2 years 99%
structural solutions
Launched the Cook Successfully migrated
Jointly saved Cook County’s mainframe
County Reorganization
$39 million and Investment (CCROI)
program to invest in
computer to a more
secure environment,
to date through the reducing the risks and
City-County Collaboration proven solutions that will
lead to future savings or costs associated with an
increased revenue unsupported computing
platform
Established a more Created and Launched an absence
effective, efficient implemented an management program
budget process that employment plan to reduce sick time and
includes preliminary that will move the inappropriate leave
budgeting, a hearing, live County toward through training,
video streaming of Board compliance with the monitoring and better
proceedings, and court appointed hiring management
on-time passage monitor
Implemented $10 million Streamlined the
Reduced the time to in sustainability grants to M/WBE certification
pay vendors who do programs such as process by implement-
business with the installation of wind ing reciprocal certifica-
County from 60 days turbines, energy efficient tion with the City of
to 47 days windows, home Chicago and online
weatherization, and filing
efficient HVAC systems
8

11. Healthcare
what’s next
Cook County Board President Toni Preckwinkle Presents the 2013 Executive Budget Recommendation
what’s next
Lowering the sales Presenting balanced
$
tax increases budget Focusing on
economic activity, recommendation to structural solutions
which raises business the Board of to further reduce the
income and increases Commissioners in budget shortfall going
residents spending advance of fiscal year forward
power end
Implement a Wide
Investing in key Area Network (WAN)
Integrating initiatives that refresh, which will
collaboration into the promote replace aging
County’s operating innovation and infrastructure
mindset long term financial throughout Cook
stability County’s sophisticated
computer network
Continuing to Achieving Improved County
implement substantial productivity through
interactive budget compliance with the tighter personnel
tools to engage federal consent oversight that will
residents in the decree that governs lower personnel costs
budget process county hiring and reliance on
overtime
Achieving prompt Becoming a leader in Increasing
pay discounts by sustainability through engagement with
paying vendors implementation of the minority and
within 30 days Sustainability women owned
through electronic Advisory Council’s firms to achieve
payment methods recommendations M/WBE goals
9

12. Healthcare
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
$1.2 million
$100 million
$
Implemented
Completed capital electronic data
acquisition negotiation. software from Global
More money collected $1.197 million has been Healthcare Exchange
through improved identified as savings on (GHX). It will go live in
revenue collection than already purchased January 2013
in FY 2011 and/or awarded capital
Prepared and submitted
application for 1115 Clinical Transformation
Waiver Demonstration to the Patient-Centered Expedited hiring of
Project CountyCare in
January 2012. The waiver
Medical Home (PCMH). more than 200 staff
was granted 10/12 allowing
Training at 5 pilot sites, positions including
early enrollment of patients 44 primary care physicians
eligible for Medicaid under physicians and 60
the Affordable Care Act additional staff
Implementation of the
Medical Event Report Developed a Labor
System (MERS) software Improved patient Management
product to collect , satisfaction Council that includes
manage, analyze & report survey scores CCHHS and Union
information on adverse Leadership
events
In 2012, wait times
reduced by an
In 2012, patients who
left the Stroger Hospital 34 Days
Emergency Amount of time reduced
hour at Stroger Department without for outstanding claims in
Hospital Emergency being seen decreased Accounts Recievable from
Department to 7.9% beginning of FY 2012
10

13. Healthcare
what’s next
Cook County Board President Toni Preckwinkle & Dr. Ramanathan Raju, CEO of the Cook County Health and Hospitals System
tour the re-development of the Oak Forest Health Center.
what’s next
FY 2013 supply chain
$
management projected a FY 2013 physician
Set a goal to resolve total supply savings of billing projected to
outstanding claims $25 million, $14 million of bring in
within 100 days that savings will be
realized through GHX
$12 million
management system
Enroll 115,000
members to the Completion of the
Implement CountyCare plan with Oak Forest Health
the assistance of the Center Ground Floor
CountyCare Design/Build
Community Outreach
Campaign Services Renovation Project
provider.
A Multi-Disciplinary Develop and Developing general
team meets weekly to implement an outreach principles of
address and improve and education plan on engagement
the Emergency the CountyCare between CCHHS and
Department program Union Leadership
throughout
Newly renovated
Oak Forest Health Behavioral health and
Transform to a patient Center creates a new substance use
centered home Diagnostic Imaging disorder services
medical model Center that will covered under the
include screening 1115 wavier
mammographies
11

14. Property & Taxation
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
$
Implementing a case
Mailed out property Identified
management system
tax bills on time for resource-sharing
that will allow for
the first time in opportunities by
greater office
33 years efficiency in The
offices in the
property system
Board of Review
Through the STAR
performance Established stakeholders
management process, meetings to foster cross Institute office space
stakeholders convene on office colaboration to timelines to hold
a quarterly basis to make promote efficiency, employees
sure tax bills are out on transparency, and accountable for
time and discuss ways to improved customer on-time
improve the customer service performance
experience
Provided 5 years of
history from over 5 Cross-trained staff of
County agencies to the separate property Posted foreclosure
form a single Property tax agencies so they data on the Cook
Tax Portal without are able to answer
County Open
having to surf from common taxpayer
website to website to questions about the Data Portal
determining what is entire system.
owed and paid.
Implemented online Improved online filing
property tax appeals of appeals to allow Allocated additional
to provide greater residents to resources to ensure
access for taxpayers by pre-register before speedy completion of
The Board of Review. opening a township tax appeals process
12

15. Healthcare
what’s next
Cook County Board President Toni Preckwinkle’s Chief of Staff GA Finch and Cook County Treasurer Maria Pappas hold a late meeting.
what’s next
$
Stakeholders are Once implemented the Offices will continue
meeting on a quarterly case management to deepen their
basis to make sure that system will allow for collaboration by
tax bills go out on time quicker processing of looking at ways to
again this year property tax appeals cross-train staff.
The Board of Review Increased data
will continue to Reviewing data earlier sharing to better
encourage the in the taxation process coordinate
expanded use of inter-office
online filling. communication
Improve the Continue working to
Developing a plan for
customer experience automate property
cross-office auditing
online and tax information
functions
to improve accuracy
Consolidate
The County is Develop an
cross-office taxation
examining the inter-office training
process Frequently
creation of a unified system to streamline
Aasked Questions
customer call tax preparation
from across offices
center
into one list
13

16. Public Safety
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
Awarded
$
Adoption & Child
$400,000
Adopted new
Custody Advocacy
standards for grants
(ACCA) has worked to
management in grant dollars for
ensure cases are
including a policy and Anti-Violence and
processed in a timely
procedures manual Recidivism Reduction
manner
grants
Launched the
Community
Anti-violence and Funded Safer
Held community Restoration Effort Foundation support
forums to build a (CARE) in for the Public
shared agenda collaboration with the Defender's efforts to
Mayor’s office to reduce reduce bonds
violence and stabilize
communities
Supported
collaborative efforts
Helped communities with all justice Sought data to explain
measure the real impact stakeholders to reduce increasing length of
of detention the population of the pretrial jail stays
Juvenile Temporary
Detention Center
Launched
Co-chairing effort to Committed to $1
cross-sector Bond
Court study and provide state million matching
began implementing identification to court grant to support Sheriff's
recommendations involved citizens. alternatives with serivces.
14

17. Healthcare
what’s next
Cook County Board President Toni Preckwinkle and Chief Judge Timothy Evans joined the Honorable George N. Leighton and his family
on Friday, June 29th for the renaming and dedication ceremony at the Cook County Criminal Court Building..
what’s next
Dedicate
$2 million
$
Broadening the pool Work to build
of applicants for collaborative efforts to
in grants for non-profit
Anti-violence and tackle the increasing
organizations for
Recidivism Reduction cost of detention and
violence prevention,
grants. trial delay
intervention & reduction
programs
Work to obtain Continued project
technical assistance for Explore street level management of CARE
community based diversion to reduce initiatives and support for
organizations to build costs community-based
community support leadership teams
Targeted timeframes
will be reviewed
Continue tracking to Creating an automated
quarterly and
determine impact of phone system in both
discussed with
diversion programs on English and Spanish to
management to
reducing court determine how best to manage and direct
involvement calls more efficiently
improve and enhance
production
Continue to explore
Further reducing jail more cost effective Provide more
population through housing services to community-based
expansion of alternatives support alternatives to alternatives to
to dentention dentention for pre-trial detention for adults
detainees
15

18. Forest Preserve
District
$ Fiscal Responsibility Innovative Leadership Transparency & Accountability Improved Services
what we are doing
Secured Raised more than
$110 million
$4.4 million $75,000
$
received in new project
proceeds by in state and federal by supporting the
refinancing and issuing funding for important Forest Preserve
bonds. Saved $3 million habitat restoration, Foundation and the 1st
in the 2013 operating education and outreach Annual Conservation
budget projects Cup
Implemented Hosted first Science &
Created the first
Performance Research Symposium
Recreation &
Management to present the scientific
Campground Master
measures to critically and academic work
Plan. Upated the Land
evaluate District done by FPDCC and
Acquisition Master
finances, programs partnership organizai-
Plan
and operations tons
Expanded public Implemented
participation through Posted quarterly performance
focus groups, web-based desk audit updates evaluation for all
surveys, webinars and on the website employees
outreach events requirements
Used new media tools
Produced the
to increase resident Expanded youth
monthly
awareness and opportunities
e-newsletter
engagement, through internships,
including a public “The Forest job training, and
photo contest run
through Flickr and
Way” programing
Facebook
16

19. Healthcare
what’s next
Forest Preserve District of Cook County Board President Toni Preckwinkle joins General Superintendent Arnold Randall, Sand Ridge Nature Center Director
Jim Carpenter, and volunteers at the ribbon-cutting for the Nature Center’s newly-renovated pioneer living cabins.
what’s next
Work with Forest Preserve
Foundation to expand
$
Generate funding capacity by supporting
through a creation of Update user fees for
efforts in strategic
sponsorship and permits, special events,
planning, board
Giving/Tribute golfing & field rentals
development &
programs establishment of an
Endowment Fund
Develop and implement
a strategic centennial Design a Habitat
plan to increase public Create the Next Restoration Master Plan
engagement and Century Conservation for approximately
reestablish our role as a
leader and innovator in
Plan with Openlands
and Metropolis 55,000
conservation,
environmental educaiton
Strategies acres
& outdoor recreation
Establish a Land Provide transparent
Steward Advisory Achieve full
budgeting with actual compliance with the
Committee & and budgeted item
Centennial Shakman decree
reports
Commission
Enhance
Launch a Green Team
communication efforts Introduce a
to evaluate
through web videos & streamlined permit
sustainability policies
diversification of system
and implement best
programming at nature
practices
centers
17