REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 8, 2023
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Physician Service Agreement with CEP America - California
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2 to Physician Service Agreement No. 20-1199 with CEP America - California, to add a physician and physician assistant for street medicine, and a Designated Institutional Officer, increasing the total contract amount by $318,198, from $49,626,312 to $49,944,510 plus variable costs, with no change to the contract term of January 1, 2021 through December 31, 2023.
(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). The agreement includes fixed costs, as well as variable costs that are dependent on the number of medical students that participate in rotations at ARMC, the volume of utilization of services for disaster response, and the number of hours of services provided by the street medicine physician and physician assistant. Costs for services are funded by State Medi-Cal, Federal Medicare, and private insurances, and, in some cases, reimbursed by County departments. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Adequate appropriation and revenue have been included in Arrowhead Regional Medical Center's (ARMC) 2023-24 budget.
BACKGROUND INFORMATION
Approval of this amendment will add a physician and physician assistant for street medicine, along with the duties and responsibilities of a Designated Institutional Officer (DIO). The Accreditation Council for Graduate Medical Edu...
Click here for full text