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CookCountyat aGlanceToni PreckwinkleCook County Board President1

2018CookCountyat aGlanceContentsA Letter from the President.2Cook County Policy Roadmap. 3Healthy Communities.4Vital Communities.5Safe and Thriving Communities.6Sustainable Communities.7Smart Communities.8Open Communities.9Mission, Vision, Values and Organizational Chart.101

A Letter From the PresidentJanuary 22, 2019To the residents of Cook County:Cook County government plays a pivotal role in serving and supporting the needs of the 5.2million residents of Cook County. We oversee the criminal justice system, provide healthcareto all regardless of the ability to pay, build and maintain critical infrastructure and administerproperty taxes. Under my administration, the Offices Under the President (OUP) providesmany direct services, as well as supports fellow Cook County offices in achieving operationalexcellence. As we do every year, we would like to take this time to reflect on improvedservices, notable achievements and operational milestones in 2018.The need for a caring and compassionate government has never been greater. Countygovernment provides a crucial safety net that protects and cares for residents when othersystems fail. In 2018, we kept that safety net intact by providing grants through the JusticeAdvisory Council and Bureau of Economic Development, funding employment programs foropportunity youth and opening a new Professional Building at Stroger Hospital to replace theaging Fantus Clinic.We also reformed and reshaped Cook County government and came into full compliancewith the Shakman Consent Decree, a 50-year-old lawsuit that alleged widespread politicalpatronage. This momentous achievement reflects our commitment to transparency andaccountability.This year we released the Cook County Policy Roadmap: Five-Year Strategic Plan for OfficesUnder the President, the first strategic plan since my 2011 transition plan. The PolicyRoadmap identifies the principles that will guide our activities, including a focus on racialequity to ensure that all Cook County residents have opportunities to prosper, participate andreach their full potential no matter their race, gender, geography or socio-economic status.This ambitious plan is organized into six policy priorities: health and wellness, economicdevelopment, criminal justice, environmental sustainability, public infrastructure and goodgovernment.As we reflect on the great work all OUP team members have and will continue to carry out,the following sections highlight just some of the notable successes throughout 2018.Sincerely,Toni PreckwinkleCook County Board President2

Cook County Policy RoadmapIn November, we officially released the Cook County Policy Roadmap: Five-YearStrategic Plan for Offices Under the President. This comprehensive, ambitious planestablishes a mission, vision, foundational values, objectives and strategies in sixkey policy priorities. Moving forward, we will align our improvements and serviceswith these policy priorities to streamline efforts and maximize impact. The PolicyRoadmap was developed throughout 2018 in partnership with many organizationsand incorporates feedback from thousands of residents, Cook County employeesand community organizations.6 POLICY PRIORITIES29 OBJECTIVES 131 STRATEGIESovNtcOep61 EXTERNAL PARTNERS68 COUNTY EMPLOYEESdeveloped2018ideas in38 MEETINGSFOCUS TEAM12PUBLIC COMMENT PERIOD1,579 RESIDENTS submittedCOMMUNITY SURVEYS253 EXTERNAL STAKEHOLDERSand 67 COUNTY EMPLOYEESparticipated in 8 POLICY ROUNDTABLES278 RESIDENTS participated in7COMMUNITYCONVERSATIONS717 EMPLOYEEScompleted Y PARTNERSprovided FEEDBACK in324PHILANTHROPIC andCOMMUNITY PARTNERSattendedwith TONI PRECKWINKLE

HealthyCommunitiesHealth and WellnessGoalImprove the physical, mental andsocial wellbeing of Cook Countyresidents and communities.In June, the Department of Real Estatespearheaded the beginning of construction toredevelop the long-vacant Old Cook CountyHospital (photo above), a beautiful beaux-artsbuilding with historical landmark status. Thisbuilding will provide amenities to residentsof the area and patients at nearby StrogerHospital.Cook County Health (CCH) opened thenew Professional Building, a nine-storyoutpatient clinic providing a variety ofhealth services. CCH also opened adedicated Women and Children’s Centerat Stroger Hospital and unveiled aspectacular community-created mosaic(close-up above) at the opening.374,123Low-costrabies clinicsAnimalsvaccinatedThe Department of Adoptionand Family Supportive Services(DAFSS) reduced the averagenumber of days for adoptionsubmissions over FY2017and right-sized caseloads soCasesresources are maximized andper workerefficient. DAFSS surpassed theFY2018 target average of 25cases per caseworker, trendingtoward 14 cases per caseworker.14The Department of Animal and Rabies Controlheld 37 low-cost rabies and microchip clinicsthroughout the County for a total of 4,123animals vaccinated. The department alsosponsored professional growth classes foranimal wardens, community service officersand law enforcement, taught by the NationalAssociation of Animal Control Officers. Morethan 90 attendees from 10 municipalities and15 animal control agencies participated.4

VitalCommunitiesEconomic DevelopmentGoalPursue inclusive economic andcommunity growth by supportingresidents, growing businesses, attractinginvestment and nurturing talent.Through the work of the CalumetManufacturing Industry Sector Partnership,Cook County leveraged more than 500,000in supplemental funds to support workforcetraining, increase sales for participatingbusinesses and strengthen relationshipsbetween local schools and manufacturers. 10M556Federal fundsleveraged to buildunits of affordablehousingin Harvey, Chicago Heights,Park Forest and Robbins.In 2018, the Chicago Regional GrowthCorporation (CRGC) launched to furtherthe region’s collective economic growth.BED provided assistance and 75,000 insupport. Forming a corporation will greatlyexpand the impact of this partnership withthe surrounding counties to provide exportassistance and draw businesses to theregion.The Bureau of Economic Development (BED)held more than 65 events to promote careersin manufacturing, including organizing a bustour for south suburban high school guidancecounselors to local manufacturers in the region.In the photo above, President Preckwinkle visitsstudents on Manufacturing Day.Continuing a special focus on the southsuburbs, BED invested 10 million toensure affordability of 556 units in thesouth suburban communities of Harvey,Chicago Heights, Park Forest and Robbins.BED also participated in a leadership groupincluding private, public and civic leadersto develop a framework for the creation ofa South Suburban Development Authorityto lead to more strategic planning andinvestment for the south suburbs.82 247M4,3305Tax incentivesresulted in anestimatedin capitalinvestment andjobs createdand supported.

Safe andThrivingNEED PHOTOCommunitiesCriminal JusticeGoalCreate safe communities and anequitable and fair justice system forall residents.Law Library Highlights91% Satisfactionrating from patronseducationalprograms30 PublicIncrease in Westlaw5% subscriptionsThe Bureau of Technology (BOT) rolledout a new Automated Court ReminderSystem (ACRS) in 2018. Cook County’s newInteractive Voice Response System (IVR)provides the automated calling features ofthe new system and communicates withthe databases of the County’s public safetyagencies to notify defendants of upcomingcourt dates, times and locations. ACRShas the potential to make a tremendousdifference in communities with high rates ofinvolvement in the criminal justice system.The Medical Examiner’s Office (MEO)and BOT partnered to create first-of-theirkind interactive dashboards, maps and anopen data-set providing the public with ageographic visualization of every MEO casesince 2014. This open data set earned CookCounty several national awards.DHSEM hosted a Preparedness Fair in September 2018 inDaley Plaza along with the City of Chicago OEMC (above)and other community partners.Justice Advisory CouncilGrant HighlightsGrants were awarded in three program areas:Violence Prevention, Recidivism Reductionand Restorative Justice.496,750 3.9MProviders servingall 17 districtsIndividualsservedTotal grantsgivenThe Department of Homeland Security andEmergency Management (DHSEM) partneredwith the Cook County Forest Preserve Policeand the Sheriff’s Department to train morethan 1,900 officers from 30 suburban policedepartments to fight the opioid crisis. Officerswere trained to administer Narcan when theyencounter an opioid overdose, with DHSEMproviding funding to purchase this medicationfor participating agencies.1,900 Officerstrained frompolice30 suburbandepartments6

SustainableCommunitiesEnvironmental SustainabilityGoalSupport healthy, resilient communitiesthat thrive economically, socially andenvironmentally.The Department of Environment andSustainability (DES) partnered with theBureau of Technology to implement powermanagement policies for all Offices Underthe President in 2018.148vehicles8%reductionThe County vehiclefleet has beendownsized by 148vehicles, an 8 percentreduction.DES received the highest total federalbrownfield grants amount in the nationin 2018 ( 1.3 million) to expand thebrownfield redevelopment programto the south suburbs and to seed arevolving loan fund for site cleanup andremediation.Cook Countyreduced greenhousegas emissions by32%between 2010 and 2017 ,ahead oftarget by18%.Through the Bureau of Asset Management(BAM) Green Buildings Program, the Countyreduced carbon emissions by 10 percentin 2018, reduced water usage by 6 percent(the equivalent of 91 Olympic-size swimmingpools) and avoided utility costs of more than 4 million per year from energy efficiencyprojects. In the photo above, Jamie Meyers,an energy manager in BAM, answersquestions about energy efficiency at anoutreach event.DES created online systems for permits andinspections and simplified the process forresidents and families in suburban CookCounty so they can apply and pay forpermits online, eliminating the need to traveldowntown.20%The Cook County Board of Commissionersapproved purchasing Green Energy certifiedrenewable energy certificates (REC’s) sourcedfrom wind generation equivalent to 20 percentof its electricity needs for 2019 and 2020. Thisaction moves the market, and the County, awayfrom reliance on fossil fuel power plants, whichcontribute to greenhouse gas emissions and airpollution.7