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Home My WebLink AboutMINUTES - 04142015 - C.29RECOMMENDATION(S): APPROVE request for medical staff appointments and reappointments, additional privileges, revisions to privileges, advancements to permanent staff, voluntary resignations regarding privileges as recommended by the Medical Executive Committee at the March 16, 2015 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: 04/14/2015 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 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: April 14, 2015 David Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: T Scott, C Rucker, Colby Steele C. 29 To:Board of Supervisors From:William Walker, M.D., Health Services Director Date:April 14, 2015 Contra Costa County Subject:Medical Staff Appointments and Reappointments – March 2015 ATTACHMENTS List Telerad attachment Med 25 attachment CC7 attachment MEC Recommendations – MARCH 2015 Definitions: A=Active C=Courtesy Aff=Affliate P/A= Provisional Active P/C= Provisional Courtesy A. New Medical Staff Members Lance Gee, MD Family Medicine Nicole Hickey, MD Internal Medicine Irina Pyrkova-Corotan, MD Internal Medicine Victor Torres-Collazo, MD Psychiatry/Psychology B. New Staff Affiliation Karla Ballesteros, NP Family Medicine Sonya Wyrobek, RN, CNM OB/GYN C. Request for Additional Privileges Katherine Goheen, MD Family Medicine Margaret Kray, FNP Family Medicine D. Advancement to Permanent Staff Allison Block, MD Family Medicine David Brody, MD Psychiatry/Psychology Catherine Do, DDS Dental David Piccinati, MD Family Medicine Rohan Radhakrishna, MD Family Medicine Margaret Rothman, DO Pediatrics E. Biennial Reappointments Stephen Arnold, MD Internal Medicine C William Berlingieri, MD Psychiatry/Psychology C Brian Blaisch, MD Pediatrics C Ralph Chase, MD Anesthesia A Charles Crane, MD Family Medicine C Huy Dao, MD OB/GYN A Gupta Etwaru, MD Surgery A Arnold Gilbert, MD Psychiatry/Psychology C Wei-Chun Goh, MD Internal Medicine C William Hallstein, MD Psychiatry/Psychology C Aaron Hayashi, MD Diagnostic Imaging A Michelle Holmes, MD Family Medicine A Kristin Hubert, MD Pediatrics C Geena Jester, MD Family Medicine A Lisa Keller, MD OB/GYN A Jessica Lee, MD Psychiatry/Psychology A John Lee, MD Family Medicine A Jennifer Levy, MD Pediatrics C Alice Lin, MD Family Medicine A Teresa, Madrigal, MD Family Medicine A MEC Recommendations – MARCH 2015 Definitions: A=Active C=Courtesy Aff=Affliate P/A= Provisional Active P/C= Provisional Courtesy Shelly Maramonte, MD Family Medicine A Kristin Moeller, MD Family Medicine A Thomas McDonald, MD Surgery A Tina Sarvi, DDS Dental A Nanda Sinha, MD Surgery A Alan Siegel, MD Family Medicine A Malaika Scott, MD Family Medicine A Lynette Stromberg, MD Internal Medicine A F. Teleradiology Renewal of Privileges Amir Fassihi, MD Diagnostic Imaging C Paul Sarai, MD Diagnostic Imaging C G. Voluntary Application Withdrawal Randall Black, MD Psychiatry/Psychology Christopher Evans, DO Emergency Department Aaron Frankel, MD Anesthesia Megha Miglani, MD Psychiatry/Psychology Lillian Pan, DO Emergency Medicine Jerome Terres, MD Anesthesiology H. Vountary Resignations Philipp Bannwart, MD Family Medicine Nancy Ciau, MD Pathology Richard Claveria, MD Surgery Brian Hauck, MD Internal Medicine Robert Pollard, MD Emergency Medicine H. Faith Wu, MD Pediatrics Eve Yalom, MD OB/GYN I. Revisions to Diagnostic Imaging Privileges for Teleradiologists attachment J. Modification of Critical Care Privileges (CC7, MED25) attachment Contra Costa Regional Medical Center Privileges Request Form DIA TEL TDIA 1 U DIA N/A 12 months in last 4 years DIA TEL TDIA 2 U DIA N/A 12 months in last 4 years DIA TEL TDIA 3 U DIA N/A 12 months in last 4 years U DIA N/A 12 months in last 4 years U DIA 5 2 cases in last 4 years DIA TEL TDIA 7 Arthrography (Read-only) ____________________________________________________ Date ____________________________________________________ Signature of Requesting Practitioner Practitioner Name: _______________________ GrantedD= Denied P= Pending CNM=Criteria Not Met Training/ Education D= With Direct Supervision C= With Consultation U= Unrestricted Date Current Competence Requested Departments (s) NumberTDIA 6 ExperiencePlain Film Reading Fluoroscopy, GI, GU Ultrasonography Signature of Department Chairperson Computed Tomography Privilege Descriptions D/C/UDIA TEL MRI and MRA Teleradiology * Separate proctoring required DIA VRAD Updated JAN 2015 Page 1 of 1