HomeMy WebLinkAboutMINUTES - 09112012 - C.125RECOMMENDATION(S):
Approve the following: Medical Staff Members, Staff Affiliations, Critical Care Privileges, CCRMC Family
Medicine Residents and Travis AFB Residents, Advancements to Permanent Staff, requests for Additional Privileges,
Biennial Reappointments, Biennial Renewal of Privileges, and Resignations, as recommended by the Medical
Executive Committee at their August 20, 2012 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 for appointment/reappointment were reviewed by the Credentials Committee and approved by the
Medical Executive Committee.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, Contra Costa Regional Medical and Contra Costa Health Centers' medical staff would
not be appropriately credentialed and not be in compliance with the Joint Commission on Accreditation of Healthcare
Organizations.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/11/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
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: September 11, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: Tasha Scott, Demetria Gary, Joanna Fon
C.125
To:Board of Supervisors
From:William Walker, M.D.
Date:September 11, 2012
Contra
Costa
County
Subject:Medical Staff Appointments and Reappointments – August 2012
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
G:\NON CONTRACTS\Sorted by year\2012\BO Page 1. . . - August 2012.doc
G:\NON CONTRACTS\Sorted by year\2012\Attachment 1.pdf
Page 1 of 3
MEC Recommendations – August 2012.
Definitions:A=Active C=Courtesy Aff=Affiliate P/A=provisional Active P/C=Provisional Courtesy
A.Critical Care Privileges
Attachment 1
B.New Medical Staff Members
Marianne Greene, MD Pathology
Rae Joselson, MD Pathology
R. Harry McIlroy, MD Family Medicine
Sarah McNeil, MD Family Medicine
Arash Mohebati, MD Surgery
Julie Pham, DO Family Medicine
Annelies Rainer, MD Psychiatry/Psychology
Bradley Randles, MD Family Medicine
Ik Sung, MD Anesthesia
Jennifer Tsang, MD Family Medicine
Daniel Thwaites, MD Family Medicine
C.New Staff Affiliation
Analisa Miranda, NP Family Medicine
Melanie Austin, CNM Ob/Gyn
D.CCRMC Family Medicine Residents 2012
Ashley C. Ballard, DO Western University of Health Sciences
Kimberly A. Butler, MD University of Utah
Stephanie W. Cheng, MD Oregon Health and Science
L. Emily Cotter, MD George Washington University
Danielle D. Draper, MD University of Arizona
Stephen A. Merjavy, MD Mt. Sinai Medical School
John T. Nelson, MD University of Kansas
John D. Parr, MD Medical College of Wisconsin
David J. Piccinati, MD University of CA, San Diego
Brent L. Porteous, DO Western University of Health Sciences
Mena Ramos, MD Latin American School of Medicine
Erin M. Stratta, MD Loyola University
Tina Toosky, MD St. Louis University
Lauren Wondolowski, MD University of Teledo
E.David Grant Family Medicine Residents – Travis AFB
Matthew Brown, MD Uniformed Services University
Stephanie Carroll, MD SUNY Buffalo School of Medicine
Jessica Gamboa, MD Brown University
Nicolas Garcia, DO Rocky Vista University
Kyle Kutsche, MD Michigan State University
Nicolas Longstreet, MD Uniformed Services University
Jesse Mix, DO A.T. Still School of Osteopathic Med.
Ryan Rahman, MD Tulane School of Medicine
William Valencia, MD University of Texas
Page 2 of 3
MEC Recommendations – August 2012.
Definitions:A=Active C=Courtesy Aff=Affiliate P/A=provisional Active P/C=Provisional Courtesy
F.Advance to Non-Provisional
Victoria Agnost, MD Pediatrics A
William Berlingieri, MD Psychiatry/Psychology C
David Brody, MD Internal Medicine A
Kenneth Brooks, MD Family Medicine A
Jaison James, MD Surgery A
Michael Knoll, DDS Dental A
Mark Kogan, MD Internal Medicine C
Gerard Schaffer, MD Internal Medicine C
Robin Wallace, MD Family Medicine A
G.Request for Additional Privileges
Family and Internal Medicine, and OB/Gyn
Sergio Urcuyo, MD
H.Request for Nexplanon Privileges
Annie Cherayil, MD
Huy Dao, MD
Michelle Fahlsing, NP
Sarah McNeil, MD
Lisa de la Fuente, CNM
Rebecca Lee, MD
Kerry Rogers, NP
Michelle Tomasulo, NP
I.Biennial Reappointments
Roger Barrow, MD Internal Medicine A
Martin Bauman, MD Internal Medicine C
Fred Beck, MD Emergency Medicine A
Stacie Bennett, MD Pediatrics C
L. Evan Custer, MD Diagnostic Imaging C
Amarjit Dosanjh, MD Surgery A
Golde Dudell, MD Pediatrics C
Thomas Hargrave, MD Internal Medicine C
Priscilla Joe, MD Pediatrics C
Jonathan Kalkstein, MD Psychiatry/Psychology C
Uzma Khan, MD Psychiatry/Psychology A
Michelle Lee, MD Surgery C
Jeffrey Merrill, MD Pediatrics C
Pringl Miller, MD Surgery C
Cynthia Pagmanua, MD Psychiatry/Psychology A
Leena Ray, MD Internal Medicine C
David Raphael, MD Surgery A
Thomas Warne, MD Family Medicine C
Jonathan Weiss, MD Ob/Gyn C
Page 3 of 3
MEC Recommendations – August 2012.
Definitions:A=Active C=Courtesy Aff=Affiliate P/A=provisional Active P/C=Provisional Courtesy
J.Biennial Renewal of Privileges
Ruben Caballero, NP Family Medicine Aff
Kerry Rogers, NP Family Medicine Aff
Elaine Seawell, NP Family Medicine Aff
K.Voluntary Resignations
David Bass, MD Diagnostic Imaging
Cynthia Carmichael, MD Family Medicine
Carol DiRaimondo, MD Internal Medicine
Helene Holbrook, NP Family Medicine
Jeffrey Jednacz, MD Diagnostic Imaging
Gregory Klisch, MD Diagnostic Imaging
Shanda Smith, MD Psychiatry/Psychology
Brian Wong, MD Internal Medicine
Walter Zaks, MD Surgery
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