HomeMy WebLinkAboutMINUTES - 09162014 - C.14RECOMMENDATION(S):
Approve request for new medical staff appointments, additional privileges, modification of privileges, advancements,
reappointments, privileges and voluntary resignations, as recommended by the Medical Executive Committee at their
August 6, 2014 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.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/16/2014 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Candace Andersen, District II
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Mary N. Piepho, District III
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 16, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, C Rucker, Jeanette Peel
C. 14
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:September 16, 2014
Contra
Costa
County
Subject:Medical Staff Appointments and Reappointments – August 2014
ATTACHMENTS
Attachment
pediatric privileges
dental privileges
A=Active C=Courtesy PA=Provisional Active Aff=Affiliate
Credentials Committee Recommendations – August 2014 Page 1
A. New Medical Staff Members
Abid Ahmed, MD Internal Medicine
Alison Block, MD Family Medicine
Robert Buckley, MD Surgery
Yu-Ming Chang, MD Internal Medicine
Jeffrey Chen, MD Psychiatry/Psychology
Ahmed Farrag, MD Family Medicine
Jessica Kim, MD Family Medicine
Mercedes Kwiatkowski, MD Psychiatry/Psychology
Mary Maish, MD Surgery
Zita Shiue, MD Internal Medicine
Vincent Perez Psychiatry/Psychology
Priyanka Tulshian, MD Internal Medicine
Takenori Watanabe, MD Family Medicine
Courtney Wright, MD OB/GYN
B. New Affiliated Staff
Lesley Spilvalo, NP Family Medicine
C. Requests for Additional Privileges
Heather Cedermaz, NP Family Medicine
Maria Pagtalunan, MD Internal Medicine
Lisa Rodelo, MD OB/GYN
D. Advance to Non-Provisional
Melina Beaton, MD Family Medicine
Mark Borsody, MD Internal Medicine
Adam Buck, MD Internal Medicine
Melissa Ferguson, MD Internal Medicine
Michael Fidler, MD Psychiatry/Psychology
Karine Hajyan, DO OB/GYN
Dharmini Harichandran, MD Psychiatry/Psychology
Chenyin He, MD Internal Medicine
John Rostkowski, MD Psychiatry/Psychology
E. Biennial Reappointments
Jill Antoine, MD Anesthesia P/A
Roger Barrow, MD Family Medicine A
Fred Beck, MD Emergency Medicine A
Stacie Bennett, MD Pediatrics C
May Chiu, MD Internal Medicine C
Mario Curzi, MD Internal Medicine C
L. Evan Custer, MD Diagnostic Imaging C
Amarjit Dosanjh, MD Surgery A
A=Active C=Courtesy PA=Provisional Active Aff=Affiliate
Credentials Committee Recommendations – August 2014 Page 2
Golde Dudell, MD Pediatrics C
Kirstine Girard, MD Psychiatry/Psychology A
Thomas Hargrave, MD Internal Medicine C
Arun Haridas , MD Psychiatry/Psychology A
Priscilla Joe, MD Pediatrics C
Uzma Kahn, MD Psychiatry/Psychology A
Kalyani McCullough, MD Internal Medicine A
Jeffery Merrill, MD Pediatrics C
Karen Peterson, MD Psychiatry/Psychology A
David Raphael, MD Surgery A
Andrea Sandler, MD Family Medicine A
Rohit Sharma, MD Internal Medicine C
Anita Wang, MD Emergency Medicine C
Jonathan Weiss, MD Ob/Gyn C
F. Biennial Renewal of Privileges
Ruben Caballero, NP Family Medicine Aff
Sheryl Herron, NP Family Medicine Aff
Kerry Rogers, NP Family Medicine Aff
Elaine Seawell, NP Family Medicine Aff
G. Renewal of Teleradiologist (VRAD) Privileges
Joshua Morais, MD C
Conrad Wittram, MD C
H. Voluntary Resignations
Rakesh Chaudhari, MD Teleradiologist (Virtual Radiology-VRAD)
Thomas Jamison, MD Internal Medicine
Edward Jeffer, MD Psychiatry/Psychology
Pringl Miller, MD Surgery
Ziad Saba, MD Pediatrics
Updated / Added Pediatric Privileges
U = Unrestricted C = With Consultation D = With Direct Supervision
Removing PED 9
Added “Including
Frenotomy” to
preexisting PED 11
Removing SGN 17
PED 9 Care of CCS (California
Children’s Services ) Patients U
Certified that
provider is CCS
approved
N/A N/A
PED 11
Inpatient uncomplicated
newborn care (e.g. normal
term newborn and those with
indirect bilirubin ,15mg%);
including Frenotomy
C CA Lic. N/A N/A
U CA Lic. 20 3 cases in
last 2 years
SGN 17 Suprapubic Catheter Placement
D CA Lic. N/A N/A
U CA Lic. 20 3 cases in
last 2 years
Updated / Added Dental Privileges
SEN 11
Frenulectomy/Frenotomy
D DDS or DMD N/A N/A
C DDS or DMD 2 N/A
U
DDS or DMD 2 2 cases in
last year
ORS N/A N/A
D = With Direct Supervision
C = With Consultation
U = Unrestricted
DDS = Doctor of Dental Surgery
DMF = Doctor of Dental Medicine
ORS = Oral Surgery
Adding New Privilege SEN 11
“Frenulectomy/Frenotomy”