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n EXHIBIT B <br />Page 2 <br />). A determination that the patient Is acutely III -)r Injured and that <br />hospitalization Is essential to the patient's treatment will tie made for <br />each recipient of hospitalization under this program by apfjylLrfalr, duly <br />licensed to practice medicine In this State; <br />b. Authorizations for hospitalization under this program shall be made <br />by the Indian iN v.County Health Department; <br />Indi.In <br />5. Payments for hospitalization from the "' ^lIviar County indigent <br />Hospitat Ization Fund" wilt be IImiled to tine cion- profit bat cost to <br />the hospital for providing essential hospital care to this medically <br />indIgent pat Ioot; <br />lnrfihn <br />&. Payments for hospitalization from, the RIvor County indi;ti# nt <br />Hospitalization Fund" will be magi's by this Board to the hospital providing <br />essential hospital Cara to medically Indigent and acutely IIi or injeired <br />::Id+snts of 110. Riv, unty *hi-) 10 hospitalization has been authorized <br />under the provisions of this program by the Ind. Rtpounty Health <br />Utpartoont . <br />7, A record will be M41 nt0;nod by thio Heard of a I I expenditures made from <br />the "ln<S.-"" County indigent Mospita►fiat tort Fund" and these records <br />shall include; <br />a. The patient's nam. age, sex and rata; and, If married, the full <br />n of the patients spouse, <br />h. The parents' full OVet% if than pat iant Is a minor, <br />c. Patient -'s ad.:Nass. <br />d. Mame of physic; in oho diariricisad Patient am,f eertIf;"Ai Nil;*;talfre- <br />tion essential to his treatment. <br />e. Phys ttsn's diagnosls. <br />f, Thr Cale+radar days of hospitatization received, <br />q. A record of payment to this liolpitAl; <br />and, <br />BE IT FUJITHIR R15OLM, that this board ti,It� i.ta Nit medical and flnanclat <br />records supporting direct .expenditures from this'" ii County tnstigant Htrapltali» <br />Cantl)fund" avaiisblei for r,ovir r tgy the State Board of litatth, anrf this Beard wi tl <br />sunt lea to the "itatt board of Health x cartificstion 1,fentitying <br />bospitalized ttitses and the st- Pts for the case ref ".aeht do from tnta tri.j. tf.yac <br />County Indigent Hospltalizatlon fund," together with a st,rt*ftot of exptoditoees <br />Certifying that all Such Pc.Ym*nts were made In aCcorelance „ith the provisions of <br />Chapter Wl, supra. and on the basis =,f such rcryw itit:;7 this board will r4ue<t the <br />€xrf. <br />State Board of Health to avtt, riza direct payment, tt, the rtty, Coun.y Bond of <br />I r"i . <br />County Com%tssidners or oShgr,_ Eot*I of f l� fr, � M t v , county"s that* of <br />the State appropriation for this progrem, less any chargoN than may have been pain <br />I no, <br />to hespitais outslda of Civ. County by this State Board of Health for necessary <br />I nI'. <br />emergency treatment of indlt;ent itIvrlr County residents; and, <br />BE IT FURTHER AESOLVEO, that ail payments received from the State of Florida <br />I rid. <br />through this progrAm shall augment the " Rivor County indigent Hospitalization <br />`„fit i£uRd _.and"shall he expended in addition to County Funds herein appropriated in <br />.S' ,raACQrdetttb,with County Annual Budget Statute, Chapter 129, Florida Statutes; and, C" <br />QBE IT FURTHER RESOLVED, that a certified copy of this Resolution ha submitted <br />Intl Ind. <br />tp th6 Ravi Medi,cat Society, the Rivor County Health Department and the c� <br />f' <br />{at <br />• :� �, •� ottrct,�bf Health, y '� <br />FSBH»D4BNH+liS1;200jt a rMan <br />%v .c•i d aunty Comm, Indiwn River County. pia, <br />