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C.40

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	January 26, 2010

Contra

Costa

County

Subject:

Approval of Medical Privilege Forms

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/26/2010

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
Federal D. Glover, District V Supervisor

Contact:	Steven Tremain, 370-5122
cc:	Tasha Scott Barbara Borbon juana fon

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: January 26, 2010
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve the recommended changes to the specified medical privileges and the attached Medical Privileges Forms which were approved by the Medical Executive Committee in December 2009, and as recommended by the Health Services Director.

FISCAL IMPACT:

None.

BACKGROUND:

The Joint Commission on Accreditation of Healthcare Organizations requires Board of Supervisors approval criteria that determine a practitioners’ ability to provide patient care, treatment, and service within the scope of the privilege(s) requested.

BACKGROUND: (CONT'D)

These Medical Privileges Forms were reviewed by the Credentials Committee and approved by the Medical Executive Committee. The new privileges will allow the following: (1) Anesthesiologists to do pre-operative History and Physicals (H&Ps) (2) Certified Nurse Midwives to assist with Caesarian Sections and ante-partum fetal heart rate monitoring third trimester ultrasounds; and (3) Obstetricians to do Dilation and Curretage for missed abortions (ie Natural miscarriages).