HomeMy WebLinkAboutAgenda - 06-06-1994-IX-E 1
ORANGE C O U N T Y
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: JUNE 6, 1994
Action Agenda
Item # =Y-E
SUBJECT: EMERGENCY HOSPITAL COSTS
DEPARTMENT: SHERIFF PUBLIC HEARING: Yes —X—No
ATTACHMENT(S) : INFORMATION CONTACT:
SHERIFF LINDY PENDERGRASS
HOSPITAL STATEMENT EXTENSION 2910
TELEPHONE NUMBERS:
Hillsborough - 732-8181
Durham - 688-7331
Mebane - 227-2031
Chapel Hill - 967-9251/968-4501
PURPOSE: To pay the emergency hospital costs incurred by a
county jail inmate who was injured during an escape
attempt at the County Courthouse.
BACKGROUND: On April 6, 1994, the inmate, a 17 year old female,
was incarcerated in the Orange County Jail with
several misdemeanor charges. During a court
appearance, she made an escape attempt by jumping out
of a bathroom window at the courthouse. When the
inmate landed on the ground, she injured herself. She
was transported to N.C. Memorial Hospital in Chapel
Hill where it was determined she had a broken back.
. During her stay of 13 days in the hospital, the inmate
had surgery on her back and pins were placed in her
back.
The costs incurred, during her stay, amounted to
$24,946.92. These costs have been billed to Orange
County, pursuant to North Carolina General Statute
153A-225 which makes county jails responsible for
emergency medical care for those persons in custody.
RECOMMENDATION The Manager recommends that these expenses be paid
from the County Contingency Fund. The Fund has a
present balance of $29,700.
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519—•;66-1?34 04G694' C41994 131
_%ATIENT NAME 13 PATIENT ACw•c35
4 31RTHDATE hS:E.Q 16 MS ^C',4!SciCv .V ?i OHS 2'STAT 2J VEDICAL RECCPC NO I CON ES T --
17O 'e�1 3" Pc,23 SPS N
F I Sl 040694 2.33 1 1 1 71 131 C3
OCCURRENCE _ �� 74 CCCURR^.NC E I ,.•t' ' _.__�. 6 CC%;;F;ENCE SPAN 37
DATE CODE :A'E ACC =QCU T,R000n /�
r,5 94 11 040694 Al U72976IA2 010494 g
39 VALUE CODES t, . 41 vAwECCCes
CC DE AM" cooE x r
a V i 46000
b
c
d
]^nc^/.CO. 43 DESCR!PPCN 44 HCPCS I RATES 45 SERV.DA c 46 SERV.UNITS 47 TOTAL CHARGES 48 NCN-COVERED 3NARGL: 49
110 RGGA—ri:ARD/PVT 475.00 13 617500
250 PHARMACY 219 3101742
256 IV SOLUTIONS 1 3750
270 M ED—SLR SUPPLIES , 24 96000
272 STERILIZE SUPPLY 32 257100
278 SUPPLYJIMPLANTS 2 315000
3GO LASORATORY 32 57000
320 DX X—RAY 6 48400 '
352 CT SCANYBODY 6 1772-00
360 OR SERVICES 1 414500
370 AAES7hESIA 2 104000
412 INHALATION SVC 3 6800
420 PHYSICAL ThERP 4 13700
430 OCCUPATION THER 1 300
450 EMERG RGOii 1 475CO
I
710 RECOVERY ROOM 1 31400
OCI TOTAL CHARGES 2494492
I
PAYER 51 PROVICER NO. 54 PRICK PAYMENTS 55 EST.AMOUNT DUE 56 -
'4EiMBUR ;LCE N-000C 340061 Y Y
NSURED'S NAME 59 P.REL 60 CERT.-SSN_HIC._ID NO. 61 GROUP NAME 62 INSURANCE GROUP NO.
01 IORANGE COUNTY ATT - CAPT. DILKL
TREATMENT AUTHORIZATION CODES N ESC 6S EMPLOYER NAME 66 EMPLOYER LOCATION
1 ORANGE CCUNTY JAI
'ROa DuG.CO. Be CODE 7o CODE
=.Q O CODES I 74 CCCE 78 ADM.DIAG.CO.177 E-COCE 78 ..
30000 7806 8054
190 PRINCIPAL PR00EDURE c, UTnER rROCECURE r.•-tA r4:N l...-:J!_•4'* ;�saY- 82 ATTF-NDING PMY&!D --
CODE 1 DATE COOE CATF 1 _
"i 810 a I 7779 104099 0353 " 1040694 C83437 DAHNERS LAURENCE' E
G,rcR PRC;ZouF;E V I r CZL nc OTHER PHYS.!D
COLE DArF 1 1 cOCE I OAr- _
I o411941 1715 I C; 09S 083437 DAHNERS -sLAURENCE r
_j3 1 C40694 8833 MMARKS OTHER PHYS.10 .• ,
da SRC: NThTiVE c6 Gam" ,? a
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