HomeMy WebLinkAboutMINUTES - 11062012 - C.24RECOMMENDATION(S):
Approve new medical and administative staff members, provisional staff extensions, additional privileges for medical
staff, advancement to permanent staff, biennial reappointments, biennial renewal of privileges, resignations and
changes to the OBG 4 privileges; as recommended by the Medical Executive Committee at their October 15, 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
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 11/06/2012 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: November 6, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Carrie Del Bonta, Deputy
cc: Jonna Fon, Tasha Scott, Demetria Gary
C. 24
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:November 6, 2012
Contra
Costa
County
Subject:Medical Staff Appointments and Reappointments – October 2012
CONSEQUENCE OF NEGATIVE ACTION: (CONT'D)
Costa Health Centers' medical staff would not be appropriately credentialed and not be in compliance with the
Joint Commission on Accreditation of Healthcare Organizations.
ATTACHMENTS
G:\NON CONTRACTS\Board - October 2012. Pages 1-2.doc
G:\NON CONTRACTS\OBG 4.doc
Definitions: A=Active C=Courtesy Aff=Affiliate P/A=provisional Active P/C=Provisional Courtesy
A. OBG 4 – Written Exam
B. New Medical Staff Members
Devneet Auluck, MD Psychiatry/Psychology
Swapnaja Chandrachood, MD Family Medicine
Brian Hathcoat, DDS Dental
Edward Lau, MD Psychiatry/Psychology
David Longstroth, MD Family Medicine
Ayonija Maheshwari, MD Anesthesia
Jeffrey Pierce, MD Family Medicine
Srikanth Reddy, MD Internal Medicine
Shobha Sadasivaiah, MD Internal Medicine
Smriti Shrestha, MD Family Medicine
C. New Administrative Staff Member
R. Jonathan Stanger, MD
D. 12-Month Provisional Status – Request to extend for an additional 3-12 Month
Blair Thedinger, MD Internal Medicine
Sergio Urcuyo, MD Family Medicine
E. Request for additional Privileges
Teresa Madrigal, MD Nexplanon A
Denis Mahar, MD Internal Medicine A
Arash Mohebati, MD ENT/Oral Surg. P/C
F. Advance to Non-Provisional
Robert Eskuchen, MD Psychiatry/Psychology C
Randell Gardner, DDS Dental C
Stuart Gluck, MD Psychiatry/Psychology C
Gordon Lum, MD Emergency Medicine C
Katherine Porter, DO Family Medicine A
Suzanne Powell, MD Ob/Gyn A
Shyni Subash, MD Family Medicine A
Sherif Wassef, MD Diagnostic Imaging C
MEC Recommendations – October 2012 Page 2 of 2
G. Biennial Reappointments
Jason Appel, MD Surgery C
Mitchell Appelgate, MD Intensive Care/Surgery A
Justin Chatten-Brown, MD Emergency Medicine A
Robert Davies, MD Internal Medicine C
David Durand, MD Pediatrics C
Krista Farey, MD Family Medicine, MD A
Daniel Forkin, MD Psychiatry/Psychology C
Oliver Graham, MD Internal Medicine A
Charles Harris, MD Emergency Medicine A
Liam Keating, MD Surgery A
Olga Kelly, MD Pediatrics A
Michael Knoll, DDS Dental A
Pradeep Kumar, MD Psychiatry/Psychology A
Daniel Lee, MD Family Medicine A
Faisal Mirza, MD Surgery C
Linda Nakell, PhD Psychiatry/Psychology C
Greta Perez, MD Family Medicine A
Roobal Sekhon, MD Psychiatry/Psychology P/C
Charlotte Standefer, MD Family Medicine A
David Stone, MD Internal Medicine A
Steve Tremain, MD Internal Medicine C
Patrice Yang-Sharma, MD Familyb Medicine C
Gary Yee, DDS Dental A
H. Biennial Renewal of Privileges
Marcia Furtado, NP Family Medicine Aff
Ellen Nurkse, CNM Ob/Gyn Aff
I. Voluntary Resignations
Carol DiRaimondo, MD Internal Medicine
Michael Feddersen, DO Psychiatry/Psychology
George Gharda-Ward, MD Psychiatry/Psychology
Maya Shaw, MD Emergency Medicine
Cheryl Uberman, NP Psychiatry/Psychology
Christiana Weng, MD Family Medicine
+++++++++++++++++++++++++++++++++++++++++++++++++
Contra Costa Regional Medical Center
Privileges Request Form
Practitioner: _____________________________________
Ob/Gyn Page 1 of 1 09/2012
* Separate proctoring required. 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 Meet OBSTETRICS & GYNECOLOGY
FAM
OBG
4
Antepartum, intrapartum and postpartum
management of pregnancy with minor complications (such as mild pre-eclampsia, prior cesarean section) and uncomplicated vaginal delivery including amniotomy, episiotomy, second degree laceration repair and manual removal of placenta*
D
CA lic. or
CNM.
Recommend
NRP
certification
30 N/A
U
FP or OB.
Recommend
NRP
certification or
50 8 cases in last 2
yrs. & CME in
fetal monitoring
within last 2 yrs. or written exam
CNM or CA
lic.
Recommend
NRP
certification
100
Name and date of CME course which included Fetal Monitoring:
__________________________________________________________________________________
If you have not completed a course in the last 2 years, please contact the Medical Staff Office for the written exam.