REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
March 25, 2025
FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Agreement with Leland Stanford Junior University
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Participation Agreement No. 22-03 with the Board of Trustees of the Leland Stanford Junior University, on behalf of the California Maternal Quality Care Collaborative/California Perinatal Quality Care Collaborative, for access to resources to improve health outcomes in maternal and perinatal care, increasing the contract by $36,000, from $60,000 to $96,000, and extending the contract term by three years, for a total contract term of April 19, 2016 through April 19, 2028.
(Presenter: Nanette Buenavidez, ARMC Chief Operating Officer, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
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). The cost of $36,000 is funded by State Medi-Cal, Medicare, private insurances, and other departmental revenue. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in the Arrowhead Regional Medical Center (ARMC) 2024-25 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
The California Maternal Quality Care Collaborative (CMQCC) was founded at Stanford University School of Medicine (School of Medicine) in 2006 as an organization that seeks to end preventable deaths and racial disparities in maternity care. CMQCC uses research, quality improvement tools, outreach and its Maternal Data Center database to improve health outcomes for mothers and babies. Participation Agreement No. 4400010784, which was subsequently renamed to Participation Agreement No. 22-03 (Participation Agreement) after the Board of Supervisors (Board) approved Amendment No. 2 on January 11, 2022 (Item No. 5), between the Board of Trustees of the Leland Stanford Junior University, on behalf of the CMQCC/California Perinatal Quality Care Collaborative (Stanford University) and ARMC for the CMQCC has been effective since 2016 and the extension of the Participation Agreement will allow the hospital to continue to have access to the organization’s statewide registry for tracking and analyzing outcomes for maternal and perinatal care. ARMC’s continued participation with CMQCC meets regulatory requirements as well as setting benchmarks against other comparable hospitals to prioritize ARMC’s process improvement activities.
On April 19, 2016, as the result of a non-competitive procurement, the Purchasing Agent executed the Participation Agreement between the County, on behalf of ARMC, and Stanford University within the School of Medicine with a three-year term of April 19, 2016 through April 19, 2019. The Purchasing Agent executed Amendment No. 1 to the Participation Agreement to extend the term by three years, effective April 19, 2019 through April 19, 2022, as well as specified payment and fiscal provisions.
The Board approved Amendment No. 2 to the Participation Agreement with Stanford University, on behalf of the CMQCC/California Perinatal Quality Care Collaborative, for access to resources to improve health outcomes in maternal and perinatal care, increased the amount by $30,000, from $30,000 to $60,000, and extended the term by three years, for a total term of April 19, 2016 through April 19, 2025.
Approving Amendment No. 3 extending the Participation Agreement by three years establishes a non-standard 12-year term through Stanford University’s template agreement for participants in the CMQCC. This is a sole source participation agreement for hospitals in the State of California.
ARMC recommends approval of Amendment No. 3 as the hospital’s participation will provide for the safety, health and social service needs of county residents through the improvement of health outcomes for mothers and their babies who receive care at ARMC.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Bonnie Uphold, Supervising Deputy County Counsel, 387-5455) on February 25, 2025; Purchasing (Veronica Pedace, Buyer III, 387-2464) on February 27, 2025: ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on February 28, 2025; Finance (Jenny Yang, Administrative Analyst, 387-4884) on March 3, 2025; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387- 5423) on March 6, 2025.