REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 22, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Non-Financial Affiliation Agreement with Total Longterm Care Inc. DBA InnovAge California PACE - Inland Empire for Specialized Clinical Training
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Affiliation Agreement with Total Longterm Care Inc. DBA InnovAge California PACE - Inland Empire, for Resident Physicians to obtain geriatric psychiatry clinical experience at Total Longterm Care Inc. DBA InnovAge California PACE - Inland Empire, for the five-year period of August 22, 2023 through August 21, 2028.
(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 item will not result in the use of Discretionary General Funding (Net County Cost) as this Affiliation Agreement with Total Longterm Care Inc. DBA InnovAge California PACE - Inland Empire (InnovAge) is non-financial in nature.
BACKGROUND INFORMATION
The Affiliation Agreement with InnovAge will enable Arrowhead Regional Medical Center (ARMC) resident physicians to obtain specialized clinical training in geriatric psychiatry at InnovAge. The volume and patient mix at InnovAge will provide a suitable educational opportunity to the ARMC resident physicians. The accreditation bodies for medical residency programs have specific requirements as to the numbers and types of patients to whom a resident physician must provide care in order to complete the residency program and become eligible for board certification. In order to meet these requirements, it is customary for hospitals that operate residency programs to provide their residents with educational opportunities at other facilities to supplement those available at their sponsoring hospital.
As a teaching hospital, ARMC has a number of agreements with other hospitals to provide on-site clinical training for its residents. The Affiliation Agreement with InnovAge ensures that ARMC’s resident physicians will receive specialty training that will enable them to meet requirements for geriatric psychiatry and specialty board eligibility.
On July 10, 2018 (Item No. 10), the Board of Supervisors approved a non-financial Affiliation Agreement with InnovAge for ARMC resident physicians to obtain specialized clinical training at InnovAge for the period of July 10, 2018 through July 9, 2023.
ARMC recommends approval of this Affiliation Agreement to provide clinical training and experience to ARMC’s resident physicians, which will result in the provision of specialized medical care to County residents.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Charles Phan, Deputy County Counsel, 387- 5455) on July 21, 2023; ARMC Finance (Chen Wu, Finance and Budget Officer, 580-3165) on July 28, 2023; Finance (Jenny Yang, Administrative Analyst, 387-4884) on July 31, 2023; and County Finance and Administration (Valerie Clay, Deputy Executive Officer, 387- 5423) on July 31, 2023.