REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
July 28, 2020
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Budget Adjustments for Cardiovascular Program
End
RECOMMENDATION(S)
Recommendation
Authorize the Auditor-Controller/Treasurer/Tax Collector to post budget adjustments in the amount of $600,000 as detailed in the Financial Impact section below to the Arrowhead Regional Medical Center for expenses related to the implementation of a Cardiovascular Program. (Four Votes Required).
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of the item will not result in the use of Discretionary General Funding (Net County Cost). The additional costs of $550,000 are funded by State Medi-Cal, Federal 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.
Arrowhead Regional Medical Center (ARMC) is requesting a budget adjustment in the amount of $550,000 to cover expenditures for medical supplies related to the implementation of a Cardiovascular Program. The additional expenses associated with this item were not identified in the initial budget request. This item authorizes the Auditor-Controller/Treasurer/Tax Collector to post the following adjustments to the 2020-21 budget:
|
SAP Cost Center |
SAP General Ledger |
Description |
Action |
Amount |
|
9110004200 |
52004100 |
Other Medical Supplies |
Increase |
$600,000 |
|
9110004200 |
40408865 |
State Revenue- Managed Care Program |
Increase |
$600,000 |
BACKGROUND INFORMATION
ARMC is a state-of-the-art, acute care facility. ARMC offers the latest in patient care by providing a full range of inpatient and outpatient services, four off campus community health centers, behavioral health inpatient services and numerous specialty services. ARMC is fully accredited by the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission (TJC).
ARMC has identified the need for and taken steps to fund a Cardiovascular Program, which is a new service line to provide coronary artery bypass grafting and valve replacements. These mid-year budget adjustments are needed to ensure ARMC is appropriately equipped with medical supplies to treat any potential San Bernardino County patients who require specialized Cardiovascular care. The costs in this request specifically pertain to Hemosphere Advanced Monitoring systems, Infusion Pumps, Specialized Operating Room Surgical Trays, a Body Cavity Retractor System, a Simulation Manikin, and Vein Harvesting Cameras, which were not identified in the initial request and are needed for a successful program.
Approval of this item will provide for the health and safety of County residents by ensuring the readiness of ARMC staff and facilities to treat any potential patients facing a Cardiovascular health crisis.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Michael Markel, Principal Assistant County Counsel, 387-5289) on June 29, 2020; Auditor-Controller/Treasurer/Tax Collector (Erika Gomez, General Accounting Manager, 382-3196) on July 10, 2020; ARMC Finance (Chen Wu, Budget and Finance Officer, 580-3165) on July 7, 2020; Finance (Yael Verduzco, Administrative Analyst, 387-5285) on July 10, 2020; and County Finance and Administration (Matthew Erickson, County Chief Financial Officer, 387-5423) on July 13, 2020