HomeMy WebLinkAboutMINUTES - 05182010 - C.70RECOMMENDATION(S):
Approve the new medical staff members, extensions to provisional members, advances to
non-provisional, biennial reappointments, and changes/additions to the list of Family,
Internal, and OB/GYN Privileges as recommended by the Medical Executive Committee at
their April 19, 2010 Meeting, and by the Health Services Director.
FISCAL IMPACT:
None.
BACKGROUND:
The Joint Commission on Accreditation of Healthcare Organizations has requested that
evidence of Board of Supervisors approval for each Medical Staff member will be placed in
his or her Credentials File. The above recommendations were reviewed by the Credentials
Committee and approved by the Medical Executive Committee.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/18/2010 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Susan A. Bonilla, District IV
Supervisor
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Anna Roth, 370-5101
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: May 18, 2010
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: Katherine Sinclair, Deputy
cc: Tasha Scott, Barbara Borbon, joanna Fon
C.70
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:May 18, 2010
Contra
Costa
County
Subject:Medical Staff Appointments and Reappointments for April 2010
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\Board - April 2010.pdf
G:\C&G DIRECTORY\NON CONTRACTS\HIV Privileges - Attachment 1.pdf
G:\C&G DIRECTORY\NON CONTRACTS\Int. Med. Privileges - Attachment
2.pdf
G:\C&G DIRECTORY\NON CONTRACTS\Ob-Gyn Privileges - Attachment 3.pdf
Board of Supervisors – April 2010 Page 2 of 3
A. HIV Specialist – Privilege to add to the Family and Internal Medicine forms
Attachment 1.
B. New Internal Medicine privileges to be added to the request form
Attachment 2.
C. Changes/Additions to the Ob/Gyn Privileges Request Form
Attachment 3.
E. New Medical Staff Members
Madeline Andrew, MD Psychiatry/Psychology
Dino Elyassnia, MD Surgery
Jessamyn Meyerhoff, LM Ob/Gyn
Richard McIlroy, MD Surgery - Urology
Annie Thomas, MD Psychiatry/Psychology
Dayton Young, MD Surgery - Otolaryngology
F. 12-Month Provisional Status – Request to extend for an additional 3/12-Month
due to limited activity
Lesley Gillis, NP Family Medicine
John Lipson, MD Family Medicine
Alison Perry, NP Family Medicine
Lawrence Vierra, MD Surgery - Ortho
G. Advance to Non-Provisional
Neary Arpajirakul, MD Family Medicine A
Uzma Anwer, MD Psychiatry/Psychology A
Kevin Bergman, MD Emergency Medicine A
Sloane Blair, MD Surgery – Ortho C
Lily George, MD Pediatrics C
Erica Hansen, MD Family Medicine A
Ada Ho, MD Pediatrics A
Hanna Kang, MD Family Medicine A
Daniel Lee, MD Family Medicine C
D. Frank Osborne, MD Surgery – Ortho C
Chiu Tung, MD Anesthesia C
Lili Wang, MD Internal Medicine A
Patrice Yang-Sharma, MD Family Medicine
H. Biennial Reappointments
Agustin Argenal, MD Internal Medicine C
Charles Barnett, MD Diagnostic Imaging C
Jon Beauchamp, MD Emergency Medicine A
Rachel Bratlie, DO Psychiatry/Psychology A
Marisha Chilcott, MD Emergency Medicine A
Brett Curtis, MD Surgery C
Board of Supervisors – April 2010 Page 3 of 3
Kimberly Duir, MD Family Medicine C
Priscilla Hinman, MD Family Medicine A
Pria Joglekar, MD Psychiatry/Psychology A
Ben Kim, DDS Dental A
Ralph Koo, MD Emergency Medicine C
Elise Lewis, MD Family Medicine A
R. Jeffrey Lindsay, MD Anesthesia A
Ogo Mbanugo, MD Ob/Gyn A
Paul McWhirter, MD Internal Medicine C
Howard Min, MD Internal Medicine C
Arwen Mohr, MD Family Medicine A
Michele Montandon, MD Family Medicine C
Ellen Morrissey, MD Internal Medicine C
David Osborne, MD Surgery – Ortho C
David Safianoff, MD Internal Medicine C
Saunaz Sarvi, DDS Dental A
Sonika Shah, MD Internal Medicine A
Jason Shey, MD Internal Medicine C
Chiyo Shidara, DDS Dental C
Lee Shratter, MD Diagnostic Imaging C
James Tysell, MD Family Medicine A
Pauline Velez, MD Surgery C
Samuel Wong, MD Internal Medicine C
` Attachment 1
Contra Costa Regional Medical Center
Privileges Request Form
Practitioner: ________________________________
Department(s) Number Privilege Description
D=With Direct Supervision
C=With Consultation
U=Unrestricted D/C/U Training/ Education Experience Current Competence Requested Granted D =Denied P =Pending CNM =Criteria Not Met Internal Medicine
FM MED
45 HIV Specialist. U
Ca.
Lic or
NP
Meet
Requirements
or AB 2168
(attached)
N/A
I certify that I have reviewed the Contra Costa Regional Medical Center Privilege Criteria, and that I meet the specified criteria
for education/training, experience, and current competence for the privilege, which I have indicated above.
________________________________________ _______________________
Signature of Requesting Practitioner Date
________________________________________ _______________________
Signature of Department Chairperson Date
Attachment 2
Contra Costa Regional Medical Center
Privileges Request Form
Practitioner: ________________________________
Department(s) Number Privilege Description
D=With Direct Supervision
C=With Consultation
U=Unrestricted D/C/U Training/ Education Experience Current Competence Requested Granted D =Denied P =Pending CNM =Criteria Not Met Internal Medicine
MED
46 Cardiac Stress Testing using Persantine.
D FP or IM N/A N/A
U FP or IM
10 and
MED 28
(Exercise
Stress
Testing)
5
cases
in last
2 yrs.
MED
47 Cardiac Stress Testing using Dobutamine.
D FP or IM N/A N/A
U FP or IM
20 and
MED 28
(Exercise
Stress
Testing)
10
cases
in last
2 yrs.
MED
48 Tranesophageal Echocardiogram and Interpretation
D FP or IM
or Cardiology N/A N/A
C
FP or IM
or Card. & Airway
Management skills
ANE 11
(Eendotracheal
Intubation) or
inservice &
MED 27
(Echocardiogram
interpretation)
25
10
cases
in last
2 yrs.
U
FP or IM or Card.
& Airway
Management skills
ANE 11
(Eendotracheal
Intubation) or
inservice &
MED 27
(Echocardiogram
interpretation)
50
10
cases
in last
2 yrs.
Attachment 3
Department(s) Number Privilege Description
D=With Direct Supervision
C=With Consultation
U=Unrestricted D/C/U Training/ Education Experience Current Competence Requested Granted D =Denied P =Pending CNM =Criteria Not Met Ob/Gyn
OBG
14
Cesarean section, Cesarean Hysterectomy,
Repair of uterine laceration*
D FP or Ob 15 N/A
C FP or Ob 30 N/A
U FP or Ob 50
8 cases
in last
2 yrs.
OBG
14
Cesarean section, Repair of uterine laceration*
D FP or Ob 15 N/A
C FP or Ob 30 N/A
U FP or Ob 50
8 cases
in last
2 yrs.
OBG
17
Multiple Pregnancy*
D FB or OB N/A N/A
C
FP or OB &
unrestricted
privileges for
C-section
5 N/A
U
FP or OB &
unrestricted
privileges for
C-section
10
2 cases
in last
2 yrs.
OBG
17
Delivery of Multiple Pregnancy*
D FB or OB N/A N/A
C
FP or OB &
unrestricted
privileges for
C-section
5 N/A
U
FP or OB &
unrestricted
privileges for
C-section
10
2 cases
in last
2 yrs.
OBG
25
Laparotomy for ectopic pregnancy, Salpingo-
oophorectomy, Abdominal Hysterectomy, Myomectomy,
Repair of bladder rent, Lymphadenectomy,
Aappendectomy, Incisional hernia repair, Umbilical hernia
repair, etc.*
D FP or OB N/A N/A
C FP or OB 20 N/A
U FP or OB 30
8 cases
in last
2 yrs.
OBG
25
Laparotomy for ectopic pregnancy, Salpingo-
oophorectomy, Abdominal Hysterectomy, Myomectomy,
Repair of bladder rent, Lymphadenectomy,
Aappendectomy, Incisional hernia repair, Umbilical hernia
repair, Cesarean hysterectomy, etc.*
D FP or OB N/A N/A
C FP or OB 20 N/A
U FP or OB 30
8 cases
in last
2 yrs.