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EXHIBIT B <br />Page 2 <br />3. A determination that the patient is acutely 111 or injured and that <br />hospitalisation 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 1w/4N awed County Health Department; <br />5. Payments for hospitalization from the "4166:1,1+ County.Indlgent. <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 />6. Payments for hospitalization from the " Id'au 1?,.0.Y 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 ofirdtcj River County whose hospitalization has been authorized <br />under the provisions of this program by the I,id,aa R+ver County Health <br />Department. <br />7. A record will be maintained by this Board of all expenditures made from <br />the "} iev., R%%le r County indigent Hospitalization Fund" and these records <br />shall include: <br />a. <br />b. <br />c. <br />d. <br />e. <br />f. <br />9. <br />and, <br />The patient's name, age, sex and race; and, <br />name of the patient's spouse. <br />The parents' full names. If the patient is a <br />Patient's address. <br />Name of physician who diagnosed patient and <br />essential to his treatment. <br />Physician's diagnosis. <br />The calendar days of 'hospitalization received. <br />A record of payment to this hospital; <br />if married, the full <br />minor. <br />certified hospitalization <br />BE IT FURTHER RESOLVED, that this Board will make all medical and financial <br />records supporting direct expenditures . from the " 1144, ';,,V,, • County Indigent Hospitali- <br />zation <br />ospitali- <br />zation Fund"-avallable 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 "1140:14 /i, v,rr <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 td the h1dkv+ Ruler County Board of <br />County Commissioners or other local official a envy from Ii/d ctu R;verCounty's share.of <br />the State appropriation for this propgram,:less any charges that may have been paid <br />to hospitals outside of bidk 1 liver County by the State Board.of Health for necessary <br />emergency treatment of indigent Wiaiv fltve,r County residents; and, <br />BE IT FURTHER RESOLVED, that all payments received.from the State of Florida <br />through this program shall augment the "Ij;t,,, River County Indigent Hospitalization <br />Fund," and shall be expended In addition to County Funds herein appropriated in <br />accordance with County Annual Budget Statute,'Chapter 129, Florida Statutes; and, <br />BE IT FURTHER RESOLVED, that a certified. copy of this Resolution be submitted <br />to the lx4m R1v94 Medical Society, the Hindi 41 JPi',yer County Health Department and the <br />State Board of Health. <br />JUN 5196816 <br />Hook 11via.,.t2'73 <br />