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• <br />and, <br />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 <br />for each recipient of hospitalization under this program by a physician, <br />duly licensed to practice medicine in this State; <br />4. Authorizations for hospitalization under this program shall be made' <br />by the Indian River County Health 'Department; <br />Payments for hospitalization from the "Indian 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; <br />. Payments for hospitalization from the "Indian 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 Indian River County whose hospitalization has been authorized <br />under the provisions of this program by the Indian River County Health <br />Department. <br />AA record will be maintained by this .Board of all expenditures made from <br />the "indian River County indigent Hospitalization Fund" and these records <br />shall include: <br />a. The patient's name, age, Ox 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 hospitalization <br />essential to histreatment. <br />e. 'Physician's diagnosis. <br />f. The calendar days of hospitalization received. <br />g. A record of payment to this hospital; <br />BE IT FURTHER RESOLVED, that this Board will make all medical and financial <br />records supporting direct expenditures from the "Indian River 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 "Indian 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 />State Board of Health to authorize direct payments to thelndian Ryer County Board of <br />County Commissioners or other local official agency from Indian River County's share of <br />the State appropriation for this propgram, less any charges that may have been paid <br />to hospitals outside oflndian River County by the State Board of Health for necessary <br />emergency treatment of indigentJndian River County residents; and, <br />BE IT FURTHER RESOLVED, that all payments -received from the State of Florida <br />through this program shall augment the "Indian River County Indigent Hospitalization <br />• <br />Fund," and shall be expended in addition to County Funds herein appgpC°jathdfin <br />accordance with County Annual Budget Statute, Chapter 129, FlorX <br />.Statutes; and, <br />BE IT FURTHER RESOLVED, that a certified copy of this Resolution.'. be submitted'. <br />to thelndian River Medical Society, thelndian River <br />State Board of Health. <br />County Heaith.Department and the <br />Chairman",,,, <br />1967 Bd County Comm. Indian River County, Fla.. <br />MIT 11 l ni PArr C7 ',Ai <br />