REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
May 19, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Non-Financial Reciprocal Transfer Agreement with FMC/RAI Care Centers of Beaumont, LLC for Transfer of Dialysis Patients
End
RECOMMENDATION(S)
Recommendation
Approve Non-Financial Reciprocal Transfer Agreement with FMC/RAI Care Centers of Beaumont, LLC to allow for the transfer of dialysis patients between facilities, receive dialysis treatment and patient care services for a five-year period from October 6, 2020, through October 5, 2025.
(Presenter: William L. Gilbert, Director, 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 Non-Financial Reciprocal Transfer Agreement will not result in the use of Discretionary General Funding (Net County Cost) as costs for patient care services provided at Arrowhead Regional Medical Center (ARMC) will be funded through State-Medical, Federal Medicare, private insurances, and other departmental revenue. No funds will be exchanged for the transfer of patients and the care of patient services. Each facility will be responsible for the costs associated with patient care provided at their facility. Sufficient appropriation and revenue will be included in the ARMC 2020-21 recommended budget and will be included in future recommended budgets for patients who receive services at ARMC.
BACKGROUND INFORMATION
Approval of this Non-Financial Agreement will allow Arrowhead Regional Medical Center (ARMC) to accept and transfer patients who require dialysis treatment to and from RAI Beaumont. The agreement will facilitate the continuity of care and timely transfer of patients and their records between facilities should an emergency render ARMC or RAI Beaumont either inoperable or inaccessible to some or all of its enrolled dialysis patients. All patient transfers shall be in accordance with applicable federal and state laws and regulations, standards of regulatory agencies, and reasonable policies and procedures of the facility.
State and federal law mandates that when a specialized healthcare facility with the ability to provide a patient with a higher level of care is contacted by an admitting hospital that is unable to provide the specific care that is needed, the specialized healthcare facility must accept the transfer of the critically ill patient.
The agreement outlines the responsibilities of each healthcare facility. These responsibilities include, but are not limited to: physician communications, transfer of patient medical records and transportation requirements. Each facility will pursue payment for services on their own behalf via State Medi-Cal, Federal Medicare and private insurances.
This transfer agreement may be terminated by either party, for any reason, upon 90 days prior written notice to the other party.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Scott Runyan, Deputy County Counsel, 387-5455) on March 24, 2020; Finance (Yael Verduzco,Administrative Analyst, 387-5285) on April 19, 2020; and County Finance and Administration (Matthew Erickson, County Chief Financial Officer, 387-5423) on May 4, 2020.