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EXHIBIT B <br />Page 2 <br />3. A determination that the patient is acutely ill or injured and that <br />hospitalization is essential to the patient's treatment will be made for <br />each recipient of hospitalization under this program by a o ysician, duly <br />licensed to practice medicine in this State; <br />4• Authorizations for hospitalization under this program shall be made <br />by the Indian Riv. County Health Department; <br />Indian <br />5. Payments for hospitalization from the " River County indigent <br />Hospitalization Fund" will be limited to the non-profit basic cost to <br />the hospital for providing essential hospital care to the medically <br />indigent patient; Indian <br />6. Payments for hospitalization from the " River County Indigent <br />Hospitalization Fund" will be made by this Board to the hospital providing <br />essential hospital care to medically indigent and acutely ill or injured <br />residents of Ind. R iv•County whose hospitalization has been authorized <br />under the provisions of this program by the Ind. Rigounty Health <br />Department. <br />7. A record will be maintained by this Board of all expenditures made from <br />the "Ind.Riv County Indigent Hospitalization Fund" and these records <br />shall include: <br />a. The patient's name, age, sex and race; and, if married, the full <br />name of the patient's spouse. <br />b. The parents' full names if the patient is a minor. <br />c. Patient's address. <br />d. Name of physician who diagnosed patient and certified hospitaliza- <br />tion essential to his treatment. <br />e. Physician's diagnosis. <br />f. The calendar days of hospitalization received. <br />g. A record of payment to this hospital; <br />and, <br />BE iT FURTHER RESOLVED, that this Board willmaike all medical and financial <br />Riv. / <br />records supporting direct expenditures from the " County Indigent Hospitali- <br />zation Fund" available for review by the State Board of Health, and this Board will <br />submit at least monthly to the State Board of Health a certification identifying <br />hospitalized cases and the payments for the case of each made from the " Ind. River <br />County Indigent Hospitalization Fund," together with a statement of expenditures <br />certifying that all such payments were made in accordance with the provisions of <br />Chapter 401, supra, and on the basis of such requisition this Board will request the <br />Ind. <br />State Board of Health to authorize direct payments to the Riv. County Board of <br />Ind. <br />County Commissioners or other local official aged from Riv. County's share of <br />the State appropriation for this program, less any charges that may have been paid <br />Ind. <br />to hospitals outside of Riv. County by the State Board of Health for necessary <br />Ind. <br />emergency treatment of indigent River County residents; and, <br />-BE --IT FURTHER RESOLVED, that all payments received from the State of Florida <br />Ind. <br />'Ithrough,thi.s•p rogram shall augment the " River County Indigent Hospitalization it <br />,UJ <br />l,,\ �sFinns• �anCshe1.1 be expended in addii t ion to County Funds herein appropriated i n U <br />•• ,aecOr'dance, vii tai ',Corbnty Annual Budget Statute, Chapter 129, Florida Statutes; and, C <br />: ,..,. !.BE 1T- URTHER RESOLVED, that a certified copy of this Resolution be submitted <br />t.• :.._ _ Tnd€: Ind. <br />to ;the• '.R1•u ti ,�` Medi.cal Society, the River County Health Department and the <br />J 1 •d _ / <br />PS.tate-Bot4r40af Health p •, <br />�'..• ____ fe tie' --4,74:--; �'%! .�^-rte./ - <br />F58H �HSF41-1=H S 10 200J c Ch za rman <br />AN €3mA.Bd Oounty Comm, Indian River County, Pia. <br />