Skip to main content
File #: 13751   
Type: Consent Status: Passed
File created: 2/27/2026 Department: Arrowhead Regional Medical Center
On agenda: 3/10/2026 Final action: 3/10/2026
Subject: Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
Attachments: 1. ATT - ARMC - 3-10-26 - Att A - Ambulatory Primary Care Clinics (PCC) Summary of Revisions 2025, 2. ATT - ARMC - 3-10-26 - Att B - PCC 515.00 v1 Laboratory Presyncope Episodes, 3. ATT - ARMC - 3-10-26 - Att C - PCC 550.00 v1 Afinion HbA1c Analyzer, 4. ATT - ARMC - 3-10-26 - Att D - PCC 555.00 v1 LeadCare® II Blood Lead Analyzer, 5. ATT - ARMC - 3-10-26 - Att E - PCC 567.00 v1 Manual Urine Pregnacy Testing, 6. ATT - ARMC - 3-10-26 - Att F - PCC 580.00 v1 Medication Refill Standing Order, 7. ATT - ARMC - 3-10-26 - Att G - 2025 Mobile Medical Clinic (MMC) Summary of Revisions, 8. ATT - ARMC - 3-10-26 - Att H - 2025 Mobile Medical Clinic (MMC) Certification, 9. ATT - ARMC - 3-10-26 - Att I - ARMC Policy and Procedure Manual Approval List, 10. Item #12 Executed BAI, 11. Executed Attachment
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

March 10, 2026

FROM
ANDREW GOLDFRACH, ARMC Chief Executive Officer, Arrowhead Regional Medical
Center

SUBJECT
Title
Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
End

RECOMMENDATION(S)
Recommendation
Accept and approve the revisions of policies and the report of the review and certification of the Arrowhead Regional Medical Center Operations, Policy, and Procedure Manual, included and summarized in Attachments A through I:
1. Ambulatory Primary Care Clinics Policy and Procedure Manual
2. Mobile Medical Clinic Policy and Procedure Manual
(Presenter: Andrew Goldfrach, ARMC Chief Executive Officer, 580-6150)
Body

COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Improve County Government Operations.
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). Revisions of policies and the report of the review and certification of the Arrowhead Regional Medical Center (ARMC) Operations, Policy, and Procedure Manual are non-financial in nature.

BACKGROUND INFORMATION
The ARMC Operations, Policy, and Procedure Manual are prepared in compliance with County policies, the California Code of Regulations Title 22, Chapters 1 and 5, the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other appropriate regulations and guidelines. Per CMS and TJC, all manuals are reviewed and revised, as necessary, a minimum of every one, two, or three years, depending on the type of manual, and require Board of Supervisors (Board) acceptance and approval.

The manual and policies are necessary to maintain compliance with policy and regulatory bodies. Adherence to the standards set forth in these manuals improve County government operations and provide for the safety, he...

Click here for full text