Deb Santana Secretary to the Board Cook County Health

August 16, 2021

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 by electronic vote, quorum met on August 16, 2o21 for your consideration.

Thank you kindly.

Respectfully Submitted,

Abayomi E. Akintorin, MD President, EMS

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John H. Stroger, Jr. Hospital of Cook County

Revised

TO: Quality and Safety Committee FROM: Abayomi E. Akintorin, MD EMS President SUBJECT: Medical Staff Appointments and Other Business Recommended by the Credentials Committee on 07/22/2021.

Medical Staff Appointments/Reappointments Effective August 19, 2021, Subject to Approval by Cook County Health Systems Board.

New Business

Initials Name Category Department/Division Discussion/Action Recommendation Follow-Up Cordova, Alejandra, MD Provisional Family Medicine Approved

Hankton, Stequita, MD Provisional Family Medicine Approved Hsu, Diane MD Temporary Correctional Health Approved Moeller, Darcie, MD Administrative Family Medicine Approved

Phelps, Paul O., MD Provisional Surgery/Ophthalmology Approved Sarran, Marc A., MD Provisional Surgery/General Surgery Approved Stein, Andrew P., MD Provisional Surgery/Otolaryngology Approved

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 2 of 7

Revised

New Business

Reappointments Name Category Department/Division Discussion/Action Recommendation Follow-Up Kartan, Usha MD Active Correctional

Health/Psychiatry Approved

Mason, Joseph MD Active Correctional Health/Psychiatry

Approved

Yu, Yan DO Active Correctional Health/Med Surg

Approved

Bishof, Christine P., MD Consulting Emergency Medicine Approved Cardona, Sully, MD Active Family Medicine Approved Forte, Berauer, Tiffany Jo Ellen, MD

Active Family Medicine Approved

Gans, Rhonda Y., MD Active Family Medicine Approved Leekha, Deepak MD Active Medicine/General

Medicine Approved

Rifkin, Shelby David, MD Consulting Medicine/Hematology/Oncology

Approved

Jasuja, Supriya, MD Active Medicine/Infectious Disease

Approved

Mercon Tezolin Barros Almeida, Monica, MD

Active Medicine/Infectious Disease

Approved

Popovich, Kyle J., MD Voluntary Medicine/Infectious Disease

Approved

Kumssa, Admasu, MD Active Medicine/Hospital Medicine

Approved

Margeta, Bosko, MD Active Medicine/Adult Cardiology

Approved

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 3 of 7

Revised

Reappointments Name Category Department/Division Discussion/Action Recommendation Follow-Up Mihailescu, Dan V., MD Active Medicine/Endocrinology Approved Vernik, Jane, MD Active Medicine/ Nephrology Approved Chennuri, Rohini, MD Active Pathology/Anatomic

Pathology Approved

Feng, Jingyang, MD Active Pathology/Anatomic Pathology

Approved

Ree, Nicholas, DO., Active Pathology/Anatomic Pathology

Approved

Patel, Dipika, MD Active Pediatrics/Allergy Immunology

Approved

Altiveros, Andrew, MD Active Pediatrics/Peds Medicine

Approved

Dudani, Rajesh, MD Active Pediatrics/Neonatology Approved

Kolluri, Harini, MD Active Pediatrics/Endocrinology

Approved

Prinz, Richard A., MD Provisional Surgery/General Surgery

Approved

Change in Category Status: Name Category From:

To: Department/Division Discussion/Action Recommendation Follow-Up

Straus, Helen Active to Voluntary Emergency Medicine Approved Prieto, Jorge Active to Voluntary Surgery/Orthopedic Approved

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 4 of 7

Revised

Change in Clinical Privileges (Additions/Removal) Name Privileges Department/Division Discussion/Action Recommendation Follow-Up Singh, Kamaljit MD Medicine/Infectious

Disease Pathology Approved

Resignations/Retirement Name

Effect date: Department/Division Discussion/Action Recommendation Follow-Up

Iqbal, Asneha, MD 7/1/2021 Pediatrics/Hematology Oncology

Basu, Anupam, MD 6/25/2021 Radiology

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 5 of 7

Revised

Non-Physician Providers

Old Business

Change in Clinical Privileges (Additions/Removal) Name Privileges Department/Division Discussion/Action Recommendation Follow-Up Sandoval, Diana, CNP Request to add:

AP Prescription Schedules II, III, IV, V

Family Medicine Approved

New Business

STROGER-Initials Name Category Department/Division Discussion/Action Recommendation Follow-Up Kegel, Stacy Jo, PA-C Provisional Surgery/Neurosurgery Approved

Stroger Renewals Name Category Department/Division Discussion/Action Recommendation Follow-Up Cano, Shabana, CNP Nurse Practitioner Medicine/Adult Cardiology Approved

Kuncheria, Jolly Sobin, CNP

Nurse Practitioner Medicine/Gastroenterology Approved

Wright, LaDonna D., PA-C

Physician Assistant Medicine/Dermatology /Musculoskeletal/Trauma

Approved

Miles, Alexis, PA-C Physician Assistant Pediatrics/Neonatology Approved

Ortiz-Estes, Ixchell, CNP Nurse Practitioner Pediatrics/Adolescent Medicine

Approved

Valiathara, Roji M., CNP Nurse Practitioner Surgery/Vascular Surgery Approved

Conant, James B., Psy.D. Clinical Psychologist Correctional Health Approved

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 6 of 7

Revised

Change in Category Status: Name Category From:

To: Department/Division Discussion/Action Recommendation Follow-Up

N/A

Change in Clinical Privileges (Additions/Removal) Name Privileges Request to

add: Request to remove:

Department/Division Discussion/Action Recommendation Follow-Up

N/A

Change of Collaborator Name Category/Collab Department/Division Discussion/Action Recommendation Follow-Up

Holden, Christina, PA-C From: Pamela Ganschow, MD To: Irene Aluen Metzner, MD

Medicine/General Medicine Approved

Roman, Latoya, CNP From: Ronald Lubelchek, MD To: Sabrina Kendrick, MD

Medicine/Infectious Disease Approved

Resignation

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Credentials Committee Meeting 07/22/2021 Professional Bldg. 12:30pm Page 7 of 7

Revised

Name Category Effect date: Department/Division Discussion/Action Recommendation Follow-Up N/A

Other Business:

SANCTION SCREENING:

IDFPR Disciplinary Action Report for May 2021 reviewed as of 7/20/2021 – No Findings.

CMS Preclusion Report reviewed as of 7/20/2021 – No Findings.

Medicare OPT OUT Affidavits report reviewed as of 7/20/2021 – No Findings.

Medical Staff Reappointment pending approval by the Credentials Committee and EMS, for inclusion in 7/22/21 Credentials Committee Meeting Minutes:

Reappointment Name Category Department/Division Discussion/Action Recommendation Follow-Up Mehta, Shilpa, MD Active Medicine/Dermatology Pending

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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 August 6, 2021

Medical Staff Appointments/Reappointments Effective: August 19, 2021 Subject to Approval by the Cook County Health and Hospitals Systems.

New Business

Initials Name Category Department/Division Discussion Recommendation Follow-Up Bobba, Aniesh, MD Provisional Medicine/Hospital

Medicine File reviewed and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

Hankton, Stequita, C., MD Provisional Family Medicine File reviewed and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

Phelps, Paul O., MD Provisional Surgery/Ophthalmology File reviewed and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

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Credentials Committee Report to MEC 07/27/2021 Page 2 of 2

New Business

Reappointments Name Category Department/Division Discussion Recommendation Follow-Up Margeta, Bosko, MD Affiliate Internal Medicine/Cardiology File reviewed

and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

Chennuri, Rohini, MD Affiliate Pathology/Clinical Pathology File reviewed and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

Rajagopal, Nimmi, MD Affiliate Family Medicine File reviewed and presented with no issues identified.

Recommendation for appointments made, seconded, and passed.

None

Inactivation(s) Name Effect date: Department/Division Discussion Recommendation Follow-Up Basu, Anupam, MD 6/25/2021 Radiology Request reviewed

and presented with no issues identified.

Informational None

Iqbal, Asneha, MD 7/1/2021 Pediatrics Hematology/Oncology

Request reviewed and presented with no issues identified.

Informational None

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