San Bernardino header
File #: 8790   
Type: Consent Status: Passed
File created: 9/18/2023 Department: Arrowhead Regional Medical Center
On agenda: 9/26/2023 Final action: 9/26/2023
Subject: Arrowhead Regional Medical Center Operations, Policy, and Procedure Manuals
Attachments: 1. ATT - ARMC - 9-26-23 - Att E - NRS 580.30 v2 Ultrasound Guided Intravenous Catheter Insertion, 2. ATT - ARMC - 9-26-23 - Att F - Rehabilitation Services Summary of Revisions, 3. ATT - ARMC - 9-26-23 - Att G - Rehabiliation Services Certification, 4. ATT - ARMC - 9-26-23 - Att H - Specialty Care (SPC) Summary of Revisions, 5. ATT - ARMC - 9-26-23 - Att I - Specialty Care (SPC) Certification, 6. ATT - ARMC - 9-26-23 - Att J - Specialty Care (SPC) New Policies, 7. ATT - ARMC - 9-26-23 - Att K - ARMC Policy and Procedure Manual Approval List, 8. ATT - ARMC - 9-26-23 - Att A - Information Management Summary of Revisions, 9. ATT - ARMC - 9-26-23 - Att B - Information Management Certification, 10. ATT - ARMC - 9-26-23 - Att C - NRS Manual Aummary Changes, 11. ATT - ARMC - 9-26-23 - Att D - NRS 564.00 V7 Patient Transfers, 12. Item #14 Executed BAI, 13. Executed Attachments
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION

September 26, 2023

FROM
WILLIAM L. GILBERT, Director, 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 following Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals (included and summarized in Attachments A through K):
1. Information Management Department Policy and Procedure Manual
2. Department of Nursing Policy and Procedure Manual
3. Rehabilitation Services Department Policy and Procedure Manual
4. Ambulatory Services Specialty Care Policy and Procedure Manual
(Presenter: William L. Gilbert, Director, 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 Manuals are non-financial in nature.

BACKGROUND INFORMATION
The ARMC Operations, Policy and Procedure Manuals are prepared in compliance with County policies, the California Code of Regulations Title 22, Chapters 1 and 5, and the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other appropriate regulations and guidelines. Per CMS and TJC, all ARMC Operations, Policy, and Procedure 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 manuals and policies are necessary to maintain compliance wit...

Click here for full text