July 16, 2020 Dear Members of the Quality and Patient ... · Dela Cruz, Judy, MD Internal...
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Deb Santana Secretary to the Board Cook County Health July 16, 2020 Dear Members of the Quality and Patient Safety Committee of the CCH Board: Please be advised that the Executive Medical Staff Committee of John H. Stroger Jr., Hospital of Cook County, approved the attached list of medical staff action items 07-14- 2020, for your consideration. Thank you kindly. Respectfully Submitted, Trevor Lewis, MD President, EMS Page 1 of 10
Transcript of July 16, 2020 Dear Members of the Quality and Patient ... · Dela Cruz, Judy, MD Internal...
Deb Santana Secretary to the Board Cook County Health
July 16, 2020
Dear Members of the Quality and Patient Safety Committee of the CCH Board:
Please be advised that the Executive Medical Staff Committee of John H. Stroger Jr., Hospital of Cook County, approved the attached list of medical staff action items 07-14-2020, for your consideration. Thank you kindly.
Respectfully Submitted,
Trevor Lewis, MD President, EMS
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John H. Stroger, Jr. Hospital of Cook County
Medical Staff Appointments/Reappointments Effective July 23, 2020 Subject to Approval by the Cook County Health QPS Board.
Initial Applications
Name Category Department / Division Appointment Term
Almoghrabi, Anas MD Active Medicine/ Gastroenterology July 23, 2020 thru July 22, 2022 Benya, Ellen MD Consulting Radiology July 23, 2020 thru July 22, 2022 DeDonato, Emily Ann, MD Voluntary Emergency Medicine July 23, 2020 thru July 22, 2022 Erra, Amani, MD Active Medicine/Hospital Medicine July 23, 2020 thru July 22, 2022 Geynisman-Tan, Julia MD Active Ob/Gyn July 23, 2020 thru July 22, 2022 Graham, Finicia MD Active Family Medicine July 23, 2020 thru July 22, 2022 Dela Cruz, Judy Emil, MD Active Medicine/Hospital Medicine July 23, 2020 thru July 22, 2022 Levenson, Anne, MD Active Medicine/PCCM July 23, 2020 thru July 22, 2022 Mutneja, Hemant Raj, MD Active Medicine/Gastroenterology July 23, 2020 thru July 22, 2022 Nagireddy, Prathima MD Voluntary Family Medicine July 23, 2020 thru July 22, 2022 Reinoso, Jean Luis, MD Voluntary Medicine/Hospital Medicine July 23, 2020 thru July 22, 2021 Richardson, Carrie, MD Voluntary Medicine/Rheumatology July 23, 2020 thru July 22, 2022 Seares, Marie Jennifer, MD Active General Medicine/Medicine July 23, 2020 thru July 22, 2022 Tarbutton, Morgan, DO Voluntary Medicine/Hospital Medicine July 23, 2020 thru July 22, 2021
No Prescriptive Authority Xiong, Wenlu W. MD Active Medicine/Rheumatology July 23, 2020 thru July 22, 2022
TO: Quality and Patient Safety Committee FROM: Trevor Lewis, MD EMS President SUBJECT: Medical Staff Appointments and Other Business Recommended by the Executive Medical Staff Committee. Medical Staff Appointments/Reappointments Effective 04/30/2020 Subject to Approval by the CCH QPS Board.
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Executive Medical Staff to Quality and Patient Safety Committee 07/23/2020 Page 2 of 5
Reappointment Applications Physicians
Department of Correctional Health:
Name Category Division Reappointment Term Howard, Jonathan MD Active Psychiatry August 15, 2020 thru August 14, 2022 Menezes, Ralph MD Active Psychiatry August 25, 2020 thru August 24, 2022 Haq, Yaser MD Active Psychiatry August 15, 2020 thru August 14, 2022
Department of Emergency Medicine:
Name Category Division Reappointment Term
Chai, Austen-Kum, MD Active Emergency Medicine November 25, 2020 thru November 24, 2022 Hedayati, Tarlan, MD Active Emergency Medicine November 25, 2020 thru November 24, 2022 Lu, Jenny, MD Active Emergency Medicine July 23, 2020 thru July 22, 2022 Smith, Lauren MD Active Emergency Medicine September 23, 2020 thru September 22, 2022
Department of Family Medicine:
Name Category Division Reappointment Term Abiona, Titilayo MD Active August 9, 2020 thru August 8, 2022 Cambalik, Stephen MD Active August 25, 2020 thru August 24, 2022 Lyn, Whitney MD Active August 9, 2020 thru August 8, 2022
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Executive Medical Staff to Quality and Patient Safety Committee 07/23/2020 Page 3 of 5
Department of Medicine: Name Category Division Reappointment Term
Abrahamian, Frida, MD Voluntary Gastroenterology September 06, 2020 thru September 05, 2022 Amblee, Ambika, MD Active Endocrinology October 16, 2020 thru October 15, 2022 Atten, Mary Jo, MD Active Gastroenterology October 17, 2020 thru October 16, 2022 Clarke, Peter, MD Active General Medicine August 26, 2020 thru August 25, 2022 Manadan, Augustine, MD Active Rheumatology July 23, 2020 thru July 22, 2022 Mahapatra, Ena MD Active General Medicine September 06, 2020 thru September 5, 2022 Marinescu, Karolina K., MD Voluntary Cardiology July 23, 2020 thru July 22, 2022 Mason, Ellen MD Voluntary General Medicine September 28, 2020 thru September 27, 2022 Mohiuddin, Reshma DO Active General Medicine October 16, 2020 thru October 15, 2022 Nika, Ailda, MD Voluntary Rheumatology August 26, 2020 thru August 25, 2022 Norlock, Frances DO Active General Medicine October 27, 2020 thru October 26, 2022 Pierko, Krzysztof MD Active Hospital Medicine October 16, 2020 thru October 15, 2022 Polyakova, Elina MD Active Hospital Medicine November 16, 2020 thru November 15, 2022 Rohr, Louis MD Active General Medicine October 16, 2020 thru October 15, 2022 Smith, Pamela MD Active General Medicine November 13, 2020 thru November 12, 2022 Sonenthal, Kathy R. MD Voluntary PCCM October 17, 2020 thru October 16, 2022 Vargas, Sergio MD Active Hospital Medicine September 27, 2020 thru September 26, 2022 Vergara Rodriguez, Pamela, MD
Active Medicine/Pediatrics July 23, 2020 thru July 22, 2022
Department of Ob/Gyn:
Name Category Division Reappointment Term Davis, Carolyn MD Active Ob/Gyn September 21, 2020 thru September 20, 2022 Hansbrough, Valerie MD Affiliate Ob/Gyn August 9, 2020 thru August 8, 2022
Department of Psychiatry: Name Category Division Reappointment Term
Miller, Joyce, MD Active August 15, 2020 thru August 14, 2022
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Executive Medical Staff to Quality and Patient Safety Committee 07/23/2020 Page 4 of 5
Department of Surgery: Name Category Division Reappointment Term
Anderson-Nelson, Susan J., MD Consulting Ophthalmology September 23, 2020 thru September 22, 2022 Crowley, Richard W., MD Consulting Neurosurgery October 18, 2020 thru October 17, 2022 Fontes, Ricardo B., MD Consulting Neurosurgery September 20, 2020 thru September 19, 2022 Giovingo, Michael C., MD Active Ophthalmology December 18, 2020 thru October 28, 2022 Kacey, Daniel J., MD Active Surgical Critical
Care September 23, 2020 thru September 22, 2022
Laverdiere, Julie A., DDS Active Oral & Maxillofacial
September 28, 2020 thru September 27, 2022
Marcus, Elizabeth A., MD Active Breast Oncology December 9, 2020 thru October 19, 2022 Murphy, Adam B., MD Active Urology October 19, 2020 thru October 18, 2022 Prieto, Jorge J., MD Active Orthopaedic October 27, 2020 thru October 26, 2022 Pulla, Richard J., DPM Active Podiatry October 28, 2020 thru September 17, 2022 Richter, Harry M., MD Active General Surgery October 28, 2020 thru October 27, 2022 Sani, Sepehr, MD Voluntary Neurosurgery October 18, 2020 thru October 17, 2022 Seder, Christopher W., MD Active Cardiothoracic July 23, 2020 thru July 22, 2022 Shah, Biraj M., DDS Active Oral &
Maxillofacial September 21, 2020 thru September 20, 2022
Department of Trauma: Name Category Division Reappointment Term
Starr, Frederic L., MD Active Trauma October 28, 2020 thru October 27, 2022 Poulakidas, Stathis MD Active Trauma/Burn Unit September 6, 2020 thru September 5, 2022 Tatebe, Leah MD Active August 24, 2020 thru August 23, 2022
Additional Privileges:
Name Department Premkumar, Ashish MD OB/Gyn
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Executive Medical Staff to Quality and Patient Safety Committee 07/23/2020 Page 5 of 5
Stroger NPP INITIAL Application Name Department Supervisor/Collab Terms
Green, Valerie LCSW Psychiatry N/A July 23, 2020 thru July 22, 2022 Parrilli, Josephine LCSW Psychiatry N/A July 23, 2020 thru July 22, 2022 Sekulska, Dominika LCSW Psychiatry N/A July 23, 2020 thru July 22, 2022 Sourelis-Smith, Gina LCSW Psychiatry N/A July 23, 2020 thru July 22, 2022 Whipple, Christine LCSW Psychiatry N/A July 23, 2020 thru July 22, 2022
Stroger NPP REAPPLICATION
Name Department Supervisor/Collab Terms Altez, Carlos PA-C Correctional Health/Med Surg Yan Yu, MD August 26, 2020 thru August 25, 2022 Bales, Angela PsyD Correctional Health/Psychiatry N/A August 24, 2020 thru August 23, 2022 Biancalana-Marsh, Lisa, APN Medicine/General Medicine Sharon Irons, MD August 16, 2020 thru August 15, 2022 Carr, David PsyD Correctional Health/Psychiatry N/A August 24, 2020 thru August 23, 2022 Daniel, Shiny, CNP Medicine/Cardiology Javier Gomez Valencia, MD August 23, 2020 thru August 22, 2022 Falola, Eto CNP Ob/Gyn Mary Arlandson, MD August 16, 2020 thru August 15, 2020 Fernandez, Annie PsyD Correctional Health/Psychiatry N/A September 21, 2020 thru September 20, 2022 Heaslip, Patricia, PA-C Medicine/Infectious Disease Audrey French, MD/
Pamela Vergara-Rodriguez, MD
September 21, 2020 thru September 20,2022
Jimenez, Jose PsyD Psychiatry N/A August 25, 2020 thru August 24, 2022 Martinez, Salvador PA-C Correctional Health/Med Surg Stamatia Richardson, MD August 26, 2020 thru August 25, 2022
Mathew, Lizamma, NP Medicine/Cardiology Saurabh Malhotra, MD August 18, 2020 thru August 17, 2022
Songkum, Jantanee CNP Pediatrics/Neonatology Mopelola Akintorin, MD August 16, 2020 thru August 15, 2022
Wilkins, Brittany PA-C Correctional Health/Med Surg Connie Mennella, MD August 24, 2020 thru August 23, 2022
Stroger AGREEMENTS CHANGES/ADDITIONAL Privileges:
Name Department Supervisor/Collab Discussion Kaczrowski, Daniel PA-C Correctional Health/Med
Surg Connie Mennella, MD Change of
Collaborative/Additional Privileges Requested
Nwabudike, Sinchieze PA-C Ob/Gyn Justin Gandia, MD Change of Collaborative Semeyn, Marta Z., CNP Surgery Ray S. Sawaqed, MD Change of Collaborative
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Provident Hospital of Cook County
TO: Quality and Safety Committee FROM: Marlon Kirby, MD President, Medical Executive Committee SUBJECT: Medical Staff Appointments and Other Business Recommended by the Medical Executive Committee on July
10, 2020 Medical Staff Appointments/Reappointments Effective July 23, 2020 Subject to Approval by the CCH Quality and Patient Safety Committee New Business: Initial Applications
Initial Physician Appointment Applications:
Name Department/Specialty Category Appointment Term Almoghrabi, Anas, MD Internal Medicine/Gastroenterology Affiliate July 23, 2020 thru July 22, 2022 Dela Cruz, Judy, MD Internal Medicine/Hospital Medicine Affiliate July 23, 2020 thru July 22, 2022 Gauto, Estefania M., MD Internal Medicine/Hospital Medicine Voluntary July 23, 2020 thru July 22, 2021 Geynisman-Tan, Julia, MD OB/GYN Affiliate July 23, 2020 thru July 22, 2022 Kolkailah, Ahmed A., MD Internal Medicine/Hospital Medicine Voluntary July 23, 2020 thru July 22, 2021 Lanka, Lavanya, MD Internal Medicine/Hospital Medicine Voluntary July 23, 2020 thru July 22, 2021 Mutneja, Hemant Raj, MD Internal Medicine/Gastroenterology Affiliate July 23, 2020 thru July 22, 2022 Patel, Axi, MD Internal Medicine/Hospital Medicine Voluntary July 23, 2020 thru July 22, 2021 Patel, Urjeet A., MD Surgery/Otolaryngology Affiliate July 23, 2020 thru July 22, 2022 Pilati, Stamatoula, MD Radiology Affiliate July 23, 2020 thru July 22, 2022 Rivas Chicas, Oscar, MD Internal Medicine/Gastroenterology Affiliate July 23, 2020 thru July 22, 2022
Initial Applications for Non-Medical Staff:
Name Department/Specialty Category Appointment Term Green, Valerie, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022
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Medical Executive Committee Report to QPS 7/10/2020 Page 2 of 3
Hollister, Anne, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022 Parrilli, Josephine, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022 Sekulska, Dominika, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022 Sourelis-Smith, Gina, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022 Whipple, Christine, LCSW Psychiatry Social Worker July 23, 2020 thru July 22, 2022
New Business Reappointment Applications Physicians:
Department of Emergency Medicine:
Name Category Department/Specialty Appointment Term
Ampalloor, Sheba MD Active Emergency Medicine August 9, 2020 thru August 8, 2022
Murphy, Michael, DO Active Emergency Medicine August 21, 2020 thru August 20, 2022
Smith, Bridgette, MD Active Emergency Medicine August 9, 2020 thru August 8, 2022
Department of Family Medicine:
Name Category Department/Specialty Appointment Term
Billingslea, Camille, MD Active Family Medicine July 23, 2020 thru July 22, 2022
Donelson, Debbie, MD Active Family Medicine July 23, 2020 thru July 22, 2022
Lyn, Whitney, MD Active Family Medicine August 9, 2020 thru August 8, 2022
Department of Internal Medicine: Name Category Department/Specialty Appointment Term
Golzar, Yasmeen, MD Affiliate Internal Medicine July 23, 2020 thru July 22, 2022
Meier, Garnet, MD Affiliate Endocrinology July 23, 2020 thru July 22, 2022
Pierko, Krzysztof, MD Affiliate Internal Medicine October 16, 2020 thru October 15, 2022
Polyokova, Elina, MD Affiliate Internal Medicine November 16, 2020 thru November 15, 2022
Turner, Arnold, F., MD Active Internal Medicine August 16, 2020 thru August 15, 2022
Yamani, Naser, MD Affiliate Hospital Medicine October 8, 2020 thru October 7, 2022
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Medical Executive Committee Report to QPS 7/10/2020 Page 3 of 3
Department of OB/GYN: Name Category Department/Specialty Appointment Term
Davis, Carolyn, MD Affiliate OB/GYN September 21, 2020 thru September 20, 2022
Hansbrough, Valerie, MD Active OB/GYN August 9, 2020 thru August 8, 2022
Department of Radiology: Name Category Department/Specialty Appointment Term
Apunshkin, Michael, MD Affiliate Radiology August 15, 2020 thru August 14, 2022
Department of Surgery: Name Category Department/Specialty Appointment Term
Giovingo, Michael C., MD Affiliate Ophthalmology October 28, 2020 thru October 27, 2022
*Haddadin, Ramez I., MD Active Ophthalmology September 23, 2020 thru July 22, 2022
Marcus, Elizabeth A., MD Affiliate Surgery October 19, 2020 thru October 18, 2022
Pulla, Richard J., DPM Affiliate Podiatry September 17, 2020 thru September 16, 2022
Shah, Biraj M., DDS Affiliate Oral & Maxillofacial November 16, 2020 thru September 21, 2022
Medical Staff Appointment Provisional To Full/Status Change:
Name Category Department/Specialty Davis, Carolyn, MD Affiliate OB/GYN
Marcus, Elizabeth A., MD Affiliate Surgery Meier, Garnet, MD Affiliate Internal Medicine/Endocrinology
Patel, Dipika, MD Affiliate Pediatrics/Allergy-Immunology
*Ramez I. Haddadin, MD was presented and recommended at the Provident Hospital of Cook County Medical Executive Committee on June 5, 2020.
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