REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 11, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Non-Financial Memorandum of Understanding with Montclair Hospital Medical Center for Continuity of Care
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Memorandum of Understanding with Montclair Hospital Medical Center for the continuity of care of Federally Qualified Health Center patients, for a five-year period effective February 15, 2025 through February 14, 2030.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
The Memorandum of Understanding (MOU) is non-financial in nature and does not impact Discretionary General Funding (Net County Cost).
BACKGROUND INFORMATION
The Department of Public Health (DPH) currently operates Federally Qualified Health Centers (FQHC) located in Adelanto, Hesperia, Ontario, and San Bernardino. FQHCs are required to follow United States Department of Health and Human Services, Health Resources and Services Administration (HRSA) regulations. For patient continuity of care, HRSA requires FQHCs enter into arrangements with hospitals to establish procedures for direct patient care, the exchange of information, emergency department visits, and the hospitalization of FQHC patients including hospital admission and discharge planning for patients receiving treatment at such hospitals.
The MOU with Montclair Hospital Medical Center will establish the HRSA required procedures for any DPH FQHC patient visiting the hospital for direct patient care, emergency department visits or hospitalization to that facility. The MOU will be effective for a five-year term and may be terminated by either party with or without cause upon 30 days written notice. DPH has had a non-financial MOU with Montclair Hospital Medical Center since 2020.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on January 14, 2025; Risk Management (Gregory Ustaszewski, Staff Analyst, 386-9008) on January 15, 2025; Finance (Iliana Rodriguez, Administrative Analyst, 387-4205) on January 22, 2025; and County and Administration (Robert Saldana, Deputy Executive Officer, 387-5423) on January 27, 2025.