San Bernardino header
File #: 9823   
Type: Consent Status: Passed
File created: 4/1/2024 Department: Arrowhead Regional Medical Center
On agenda: 4/9/2024 Final action: 4/9/2024
Subject: Arrowhead Regional Medical Center Emergency Department/Trauma Services Policies and Procedure Manual
Attachments: 1. ATT - ARMC -4-9-24 - Att A Emergency-Trauma Department Summary of Revisions, 2. ATT - ARMC -4-9-24 - Att B Emergency-Trauma Department Certification, 3. ATT - ARMC -4-9-24 - Att C Emergency-Trauma Department New Policy ED-TR 513.00 v1, 4. ATT - ARMC - 4-9-24 - Att D ARMC Policy and Procedure Manual Approval List, 5. Item #9 Executed BAI, 6. Executed Attachment
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

April 9, 2024

FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center

SUBJECT
Title
Arrowhead Regional Medical Center Emergency Department/Trauma Services Policies and Procedure Manual
End

RECOMMENDATION(S)
Recommendation
Accept and approve the revisions of policy, report of the review, and certification of the Arrowhead Regional Medical Center Emergency Department/Trauma Services Policy and Procedure Manual (included and summarized in Attachments A through D).
(Presenter: William L. Gilbert, Director, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
Provide for the Safety, Health and Social Service Needs of County Residents.

FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). Revisions of Policy and Procedure Manuals of the Arrowhead Regional Medical Center (ARMC) Emergency Department are non-financial in nature.

BACKGROUND INFORMATION
The ARMC Operations, Policy, and Procedure Manuals are prepared in compliance with County policies, California Code of Regulations Title 22, Chapters 1 and 5, Centers for Medicare and Medicaid Services (CMS), The Joint Commission, and other appropriate regulations and guidelines. Per CMS and The Joint Commission, all ARMC Operations, Policy, and Procedure Manuals are reviewed and revised, as necessary a minimum of every one, two, or three years, depending on the type of manual, and require Board of Supervisors (Board) acceptance and approval.

The manuals and policies are necessary to maintain compliance with policy and regulatory bodies. Adherence to the standards set forth in these manuals will improve County government operations and provide for the safety, health and social service needs of County residents by ensuring policies and procedures are in place for hospita...

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