What prepares a physician for the pace of Cook County Hospital? For Jay Shannon, it started with growing up among 11 siblings. After training at Parkland Hospital, Dr. Shannon began his career at Cook County Hospital, fulfilling a scholarship commitment to work in a medically underserved community. He developed a deep connection to Cook County Hospital, appreciating its extraordinary diversity—patients, colleagues, housestaff, and clinical cases.

Dr. Shannon transitioned from primary care physician to lung specialist to CEO, navigating intense political and operational challenges for an uncommonly long six-year tenure. He spearheaded a critical transformation: shifting Cook County from a system centered on charity care to one designed to serve the newly insured under the Affordable Care Act. Under his leadership, the institution built the region’s largest Medicaid Managed Care Organization and embraced innovative programs that addressed the root causes of poor health that arise far beyond the hospital’s walls.

This episode explores what it takes to drive systemic change in one of the nation’s largest governmental safety-net health systems.

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