#20-013 - illinois.gov · 6/15/2020 · (20-013 exhibit 3 marked for identification and attached...

Transcript of HearingDate: June 15, 2020

Case: Project #20-013-Northwestern Medicine Bloomingdale Medical OfficeBuilding

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ILLINOIS DEPARTMENT OF PUBLIC HEALTH HEALTH FACILITIES AND SERVICES REVIEW BOARD BEFORE HEARING OFFICER COURTNEY AVERY - - - - - - - - - - - - xIN RE: :Public Comments :Regarding :Establishing a : Project No. 20-013Medical Office :Building at 235 :South Gary Avenue, :Bloomingdale. : - - - - - - - - - - - - x HEARING in accordance with requirements of the Illinois Health Facilities Planning Act George W. Dunne Cook County Office Building 69 West Washington Street, 22nd Floor Chicago, IL 60602 Monday, June 15, 2020 11:30 a.m. CST

Job No.: 300953 Pages: 1 - 13 Reported By: Courtney Petros, RPR, CSR

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PRESENT: ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD, by COURTNEY AVERY, Public Hearing Officer ANN GUILD, Compliance Manager 525 West Jefferson Street Second Floor Springfield, IL 62761

Transcript of HearingConducted on June 15, 2020 2

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C O N T E N T SHEARING PAGEBY HEARING OFFICER AVERY 4

E X H I B I T S (Attached to transcript.)

Exhibit 1 Written Comments by 8 Anne Igoe Exhibit 2 NM Facilities versus 10 Community Need Index (CNI) Exhibit 3 Comment Cards 11 Exhibit 4 Comment Cards 11 Exhibit 5 Comment Cards 11



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P R O C E E D I N G S HEARING OFFICER AVERY: Good morning.Thank you for participating in today's publichearing for Northwestern Memorial Hospital,Bloomingdale. I am Courtney Avery, Administrator, andHearing Officer for the Illinois HealthFacilities and Services Review Board. Presentwith me today is Ann Guild, Compliance Manager.On behalf of HFSRB, thank you for attendingtoday's proceedings. As per the rules of the Illinois HealthPlanning Act, the previously published legalnotice - Notice of Review and Opportunity forPublic Hearing and Written Comment; and PublicHearing and Opportunity for Written Commenthave been submitted to the court reporter andwill be included in today's record: "Legal Notice of Public Hearing andOpportunity for Written Comment. "In accordance with the requirements ofthe Illinois Health Facilities Planning Act and77 Illinois Adm. Code Part 1130, notice isgiven of a public hearing to establish a



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Medical Office Building in 48,822 GSF ofleased/renovated space, located at 235 SouthGary Avenue, Bloomingdale. The estimatedproject cost is $28,903,127. Project#20-013-Northwestern Medicine BloomingdaleMedical Office Building. "The public hearing is being conductedby the Illinois Health Facilities and ServicesReview Board pursuant to the Illinois HealthFacilities Planning Act. The hearing is opento the public with opportunity to presentrelevant verbal and written comments on theproposed project. "The public hearing will be held onMonday, June 15, 2020, beginning at 11:30 a.m.and concluding at 2:30 p.m. at George W. DunneCook County Office Building, 69 West WashingtonStreet, 22nd Floor, Chicago, Illinois. "No later than Wednesday, June 10th at5:00 p.m., information detailing how to accessthe public hearing virtually and/or viaconference will be posted on the HFSRB websiteat www.hfsrb.illinois.gov. Any questions,please leave a voicemail message at



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312-590-6511. In accordance with public healthguidelines, anyone entering and remaining inthe George W. Dunne Cook County Office Buildingwill be required to wear a face covering at alltimes and adhere to social distancingstandards. "For additional information call(217) 782-3516 (TTY # 800-547-0466 for hearingimpaired only). "Notice: The meeting will be accessibleto persons with special needs in compliancewith executive order #5 and pertinent state andfederal laws upon notification of anticipatedattendance. Persons with special needs shouldcontact Courtney Avery by telephone at(217) 782-3516 (TTY # 800-547-0466 for hearingimpaired only) or by letter no later than twodays prior to the meeting date." This ends the previous legal notice. MS. ORTH: This is CON 20-013,Bloomingdale Medical Office Building. Good morning, again. I'm Bridget Orth,director of regulatory planning forNorthwestern Medicine. Northwestern Medicine



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looks forward to moving ahead with our proposedBloomingdale Medical Office Building. Whileour legacy has had a presence in this area for14 years, this project allows us to consolidatethree medical office sites into one larger,modernized location. Northwestern Medicine continues toinvest in the Chicagoland area to provideenhanced access to health care for all of thecommunities that we serve. This includesinvestments in our facilities, our programs,our community partnerships, and our people. We believe the proposed project willprovide the residents of the western suburbsand beyond more convenient and enhanced accessto Northwestern Medicine, while supportingimproved health care delivery and costefficiencies. We look forward to our review bythe Health Facilities and Services Review Boardon June 30th. Thank you. MS. IGOE: My name is Anne Igoe, and I'mthe health systems director at SEIU Healthcarewhich represents 1,200 workers at NorthwesternMemorial Hospital.



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As a critical stakeholder, we areconcerned about Northwestern Medicine’s planover $100,000 million on two new constructionprojects. Our union, however, opposes NM’sdecision to invest $30 million in a MOB inaffluent Bloomingdale while many NMH patientsstruggle with racial and economic healthdisparities and cannot access basic healthservices in their communities. Bloomingdale has: An abundance ofhealth services, including existing NMfacility; life expectancy, Census Tract wherefacility will be located, 79.6; uninsured rate,4.2 percent; median household income, $85,105. Meanwhile, hundreds of NMH patients andworkers from communities like Chatham,Roseland, and South Shore face daunting healthdisparities and a dearth of subacute healthservices. See Exhibit 1 for NMH ICU and Med/SurgAdmissions by ZIP Calendar Year 2018. (02-013 Exhibit 1 marked foridentification and attached to the transcript.)



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NM has more than 600 patient care sites.Zero of these sites are located in themedically underserved communities on Chicago’ssouth and west sides. Now, NM proposes to add yet anothersuburban facility while continuing to shunChicago’s neediest communities. We say enoughis enough. NM is one of the largest anddeepest pocketed health systems in Illinois. NM FY 2019 financials: Assets, $12.2billion; excess revenue over expenses, profit,$347.7 million; investments, $6.2 billion. NM has the resources to expand access tocare in Chicago’s poor neighborhoods. Itsimply chooses not to. NM’s decision to shun Chicago’smedically underserved communities whileinvesting billions in the suburbs is a slap inthe face to SEIU members that help make NMH anelite hospital but can't access NM facilitieswhere they live. The COVID-19 outbreak has exposedshameful racial health disparities inChicagoland.



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Major health systems like NM that enjoygenerous tax exemptions and Medicaid subsidiesfrom the state now, more than ever, have anobligation to provide care to the medicallyunderserved and expand access to healthservices where they are most needed. The need for such services is greateston Chicago’s south and west sides, not awell-to-do suburb. See Exhibit 2 for NM Facilities versusCommunity Need Index (CNI). (02-013 Exhibit 2 marked foridentification and attached to the transcript.) The CNI aggregates socioeconomicindicators long known to contribute to healthdisparity and then applies that data tohospital admissions. CHW's research has shownthat residents of communities with the highestCNI scores, ZIP codes shown in red on theonline maps, are twice as likely to behospitalized for manageable conditions such asasthma, pneumonia, or congestive heart failureas communities with the lowest CNI scores, ZIPcodes shown in blue.



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(20-013 Exhibit 3 marked foridentification and attached to the transcript.) (20-013 Exhibit 4 marked foridentification and attached to the transcript.) (20-013 Exhibit 5 marked foridentification and attached to the transcript.) HEARING OFFICER AVERY: Please note thatthis project is tentatively scheduled forconsideration by the Board at its June 30thmeeting. As of this date, the meeting isscheduled to be held at the Bolingbrook GolfClub; located at 2001 Rodeo Drive, Bolingbrook,Illinois. HFSRB staff is in consult with theIllinois Department of Innovation andTechnology regarding providing a virtualmeeting platform. Please refer to the HFSRBwebsite at www.hfsrb.illinois.gov for moredetails and agenda changes/updates. I ask that you please prepare to takenote of the following dates and times regardingExemption 005-20: "The State Board Staff Report forProject 20-013 will be posted online at:www.hfsrb.illinois.gov/sars.htm on Tuesday,



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June 16th. "Written responses to the State BoardStaff Report must be submitted by 9:00 a.m. onMonday, June 22nd. "Written comments and responses must besent to the Illinois Health Facilities andServices Review Board, Attention: CourtneyAvery, Administrator, 525 West JeffersonStreet, Second Floor, Springfield, Illinois62761; or [email protected]. "In the subject line please label: NMHProject 20-013. Thank you." (Off the record at 2:30 p.m.)



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CERTIFICATE OF SHORTHAND REPORTER - NOTARY PUBLIC

I, Courtney Petros, RegisteredProfessional Reporter, Certified ShorthandReporter and Notary Public, the officer beforewhom the foregoing deposition was taken, dohereby certify that the foregoing transcript isa true and correct record of the testimonygiven; that said testimony was taken by me andthereafter reduced to typewriting under mydirection; that reading and signing was notrequested; and that I am neither counsel for,related to, nor employed by any of the partiesto this case and have no interest, financial orotherwise, in its outcome. IN WITNESS WHEREOF, I have hereuntosigned this 15th day of June, 2020.My commission expires May 6th, 2023.

______________________________ COURTNEY PETROS, RPR NOTARY PUBLIC IN AND FOR THE STATE OF ILLINOIS



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#20-013

Anne’s Talking Points

June 15, 2020

My name is Anne Igoe and I’m the Health Systems Director at SEIU Healthcare which represents 1,200

workers at Northwestern Memorial Hospital

As a critical stakeholder, we are concerned about Northwestern Medicine’s plan over $100,000 million

on two new construction projects.

Project #20‐011

While we agree with NM’s decision to expand its ICU service at NMH (after multiple warnings from IDPH

about abusing ED bypass), we fear that NMH management will not adequately staff the new beds.

NMH consistently understaffs its ED and ICU and fails to fill vacant positions in a timely fashion.

We assert that unless NM commits to safely staff the new ICU beds and to promptly fill all vacancies in

the ED and ICU, the NMH will continue to struggle with capacity and be forced to continue turning away

hospitals at higher rate than any other hospital in the Chicago area.

As the union that represents the employees at Northwestern and specifically the housekeepers we are

all to aware of the problems around short staffing. Northwestern continues to staff to have a skeleton

staff and supplements with temporary workers. Over the past year vacancies in the housekeeping

departments have been upwards of 20‐25% of the department, placing a burden on current employees,

resulting in over 50,000 hours of overtime and work done by temporary employees.

Building additional beds is great, but cleaning the beds is the problem and Northwestern has yet to

show it will fill its vacancies and adjust it starting wages to address the high turn over in the department.

Starting wages in the housekeeping department just increased to $15.25, a mere $1.25 over the

minimum wage in just two weeks.

We also believe that NMH needs to commit to treating more Medicaid patients as a condition of our

support for the ICU expansion.

According to IDPH, only 7.4% of Northwestern Medicine patients were on Medicaid in CY 2018. And at

their flagship hospital Northwestern Memorial Hospital the percentage was only 20%.

Despite this meager percentage, NMH receive tens of millions in annual Medicaid subsidies intended for

safety‐net hospitals under the Illinois Hospital Provider Assessment. Yes, Northwestern Medicine treats

the largest number of Medicaid Patients in the state, but as % of its overall care, the number is less than

impressive. For comparison, University of Chicago (also an Academic Medical Center has a payer mix of

42%.

We are hear today to discuss the expansion of ICU beds at Northwestern that will in theory open up

more beds in the ER so that the days spend on bypass is reduced. Currently the ER is on diversion 30%

of the time. That is 30% of the year ambulances that come from all over the city do no have the option

of stopping at Northwestern. When looking at utilization of the ER by zip code we can see what that

four neighborhoods, Chatham, South Shore, Kenwood, and Roseland are amongst the higher utilizers of

Exhibit #

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#20-013

the hospital and ER. It is these communities that are effected when the hospital goes on bypass, but

also when the hospital makes decisions about where to locate additional facilities and follow up care.

SEIU Healthcare believes that NM should commit to increase its Medicaid Inpatient Utilization Ratio

(MIUR) as a condition of approval of this project.

Should NM agree to address ongoing staffing concerns and to increase MIUR, we offer our conditional

support for the NMH ICU expansion.

Project #20‐013

Our union, however, opposes NM’s decision to invest $30 million in a MOB in affluent Bloomingdale

while many NMH patients struggle with racial and economic health disparities and cannot access basic

health services in their communities.

Bloomingdale has:

An abundance of health services (including existing NM facility).

Life Expectancy (Census Tract where Facility will be Located) – 79.6

Uninsured Rate – 4.2%

Median Household Income ‐ $85,105

Meanwhile, hundreds of NMH patients (and workers) from communities like Chatham, Roseland, and

South Shore face daunting health disparities and a dearth of subacute health services.

NMH ICU and Med/Surg Admissions by ZIP Calendar Year 2018

ZIP Neighborhood

Total ICU & Med/Surg Admissions ZIP Rank

ZIP % African American

60619 Chatham 511 6th 96.1%

60649 South Shore 384 14th 92.9%

60615 Kenwood 341 17th 55.2%

60628 Roseland 337 18th 93.8%

Census Tract Neighborhood Life Expectancy

17031440102 Chatham 67.7

17031431301 South Shore 67.8

17031381800 Kenwood 70.2

17031491000 Roseland 65.8

NM has more than 600 patient care sites.

Zero of these sites are located in the medically underserved communities on Chicago’s South and West

sides.

#20-013

No NM proposes to add yet another suburban facility while continuing to shun Chicago’s neediest

communities.

We say enough is enough.

NM is one of the largest and deepest pocketed health systems in Illinois.

NM FY 2019 Financials:

Assets ‐ $12.2 billion

Excess Revenue over Expenses (Profit) ‐ $347.7 million

Investments ‐ $6.2 billion

NM has the resources to expand access to care in Chicago’s poor neighborhoods. It simply chooses not

to.

NM’s decision to shun Chicago’s medically underserved communities while investing billions in the

suburbs is a slap in the face to SEIU members that help make NMH an elite hospital but can’t access NM

facilities where they live.

Th COVID‐19 outbreak has exposed shameful racial health disparities in Chicagoland.

Major health systems like NM that enjoy generous tax exemptions and Medicaid subsidies from the

state now more than ever have an obligation to provide care to the medically underserved and expand

access to health services where they are most needed.

The need for such services I greatest on Chicago’s South and West Sides, not a well‐to‐do suburb.

NM Facilities versus Community Need Index (CNI)

The CNI aggregates socioeconomic indicators long known to contribute to health disparity and then

applies that data to hospital admissions. CHW's research has shown that residents of communities with

the highest CNI scores (ZIP codes shown in red on the online maps) are twice as likely to be hospitalized

for manageable conditions — such as asthma, pneumonia, or congestive heart failure — as communities

with the lowest CNI scores (ZIP codes shown in blue).

#20-013

#20-013

Exhibit #

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Organization: ________________________ _

PROJECT #20-013 Northwestern Medicine Medical Office Building-Bloomingdale

DfES, I support Project #20-013.

~ NO, I oppose Project #20-013.

Comments: -A Vw-~ r!- ~+-E C- v (C

•

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Name:--U V'-l ~ Organization: S f \ l_)

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D YES, I support Project #20-013.

Ei(No, I oppose Project #20-013.

/ comments: \,J (, ~e d ,tV e ~+VV'-'€ V\- +- \V\ ~ c.. ~ OJ{, 0> vd c/:; e~kde 6' \2 cit! i c ~ 8 b c to cl p~ '( vJYKcV' ' ~v:---e

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Organization: _____________________________ _

I support Project #20-013.

~ NO, I oppos Project #20-013. ~

Comments: , MC2'9~ ~~~~~~~~~~~~~~~~~~~~~~ h~

#20-013

Name: ____________________________________________________________ __

Organization: ________________________________________________________ _


o V,(, I support Project #20-013.

~o, I oppose Project #2 -013.

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#20-013

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#20-013

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!](No, I oppose Project #20-013. 1

comments::I: 0 ' OSc ),.., bQCDUS~ Ou rL ()~)+S . }J)LZ, OUfL YOI DU uru

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· Name~~~ Organization:


1;1 YES, I support Project #20-013.


Comments ~~ chwf10vX= M-J ifl rr." \JJjpi1i' Atr1 AD" f'

#20-013

Name: Oe b~v~ lV\uvlc,(,~ Organization: (VO(~h \Ak$~ t-{{\ \-\ o¥ ' th)


o YES, I support Project #20-013 .

~o, I oppose Project #20-013.

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o YES, I support Project #20-013.

~O, I oppose Project #20-013.

Comments: ____________________________ _

#20-013

Name A Qdfi! If} wi IIi4 It 5 /

Organization: I\.J W 1= W L.lf J ) t ( N


D;?s, I support Project #20-013.


Comments: ___________________________ _

#20-013

Organization: ____________________________ _


D?-' support Project #20-013.

If2I NO, , oppose Project #20-013.

Comments: ____________________________ _

#20-013

._-_ .. --_.-.---._._._---------_ .. _-----------------------------------------------_._--------------------_ ... -------------------_ ._-------------------_ . .. _ .... _--------.----------.-- .. -- ... -------.-. ---.-~-.. -.-------_ .. -'--

Organization: ____________________________ _



~ NO; I oppose Project #20-013.

Comments: ____________________________ _

#20-013

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)'l.NO, I oppose Project #20-013.

Comments: ____________________________ _

#20-013

Name: - __ vtA1-"-"---~~~~..:.,.<----I' ~ -""-----___ _ Organization: ____________________________ _




Comments: ____________________ _ _ ______ _

#20-013

Name: ______________________________________________________ ___

Organization: __________________________________________________ _


#20-013

Name: __ ~~~~~~~~~=================-____________________________ __ • •• ••


o ~I support Project #20-013.


Comments: __________________________________________________________________ __

#20-013

Name: -#-A-----f"p~r ~__'__~ ----"-'-~ .............,:O lJ-"-=}e..----=----_______ _ Organization: ___________________________ _


o ~S, I support Project #20-013.

~NO, I oppose Project #20-013.

Comments: ___________________________ _

#20-013



ql NO, I oppose Project #20-013.

Comments: ____________________________ _

#20-013

------- - -- - - - - - - ---- - ------ - - - -------- --- --- --- -- ----- --- - -- ------------- -~------~~-----___ ~~ _ _____l


~ES. I support Project #20-013.

o NO, I oppose Project #20-013_

Com me nts: A,> \l:.!) ",1'1\]210 i -e 'f.

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~NO. I oppose Project #20-013.

Comments: ___________________________ _

#20-013

Name khv5Mrt Organization: _________________________ _



aa' NO, I oppose Project #20-013.

Comments: __________________________ _

#20-013

Na~OJl0Cl~ "

Organization:C-=-..lLY--=S~.,---________________ _

YES, I support Project #20-013.

D NO, I oppose Project #20-013. r;<.\ Comments: m~7 $c.p(;xrt tU\1)3 4-G [1:. . ~ ncrrJ to .sup:rrt 9,tDf)£ maE/, 7 , led dale el) tn~ o«Ofi2-

#20-013

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121 NO, I oppose Project #20-013.

Comments: ____________________________ _

#20-013

----------------~--- .......... _ .. -- .... .

Name: \.sr~ mlY1( i!- ::)Qn es Organization: --'-'~'I-.I -,-N-+-+it-+------:-----------------------



~, I oppose Project #20-013.

Comments: _____________ --;-__ -'--__________ _

#20-013

Organization: ____________________________ _




Comments: ____________________________ _

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----.-.~ .. ~.--...... --.................................................... ........... ............................................................................. .

Name: 6'V(~{~/4Jj Vi Bvr (,[( ~. Organization: -"-'t~v--"~"'--_____________________ _


o ~s, I support Project #20-013.

rs( NO, I oppose Project #20-013.

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#20-013

Name:~~~~~~~~ ____ ~ __________________________________ __

YES, I support Project #20-013.

D NO, I oppose Project #20-013.

Comments: ~~ all hr Jrou2id <::7,,) dei/e.~I'r-eI7i; --rh e 5'e j?P"0' ItJ J' [lIS , 'l4Hcld Cfe4le

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#20-013


DIEs, I support Project #20-013.

d' NO, I oppose Project #20-013.

Comments: ___________________________ _

#20-013

Name: £ fladvwl4fYl Organization: -=.7 ___________________________ _




Comments: ___________________________ _

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Name: bt* i-L\ Organization: -1 ..... >\'-"--fS-------------------------




Comments: ___________________________ _

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Name: QQ~~A(~% Organization: +J¥--:::---"-\J-",,,~~--------------------



~O.I oP~r Project #20-013. . fu 'C..-o--v-cl-C0.s

Comments: :t \\9 e cl ~EKfC'0t]d \lU\~eJO< UJ8 "ee d~ y~ ~y- £~\Q't:s~ . 1\\0 JJob.s oxe, -@-±ereJ 'ib.,\dQCJC..Or I Q t vJ (~COV)Jm v ill (.f--te.-8,

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#20-013 - illinois.gov · 6/15/2020 · (20-013 exhibit 3 marked for identification and attached...

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