REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
August 20, 2019
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title v
Arrowhead Regional Medical Center’s Medical Staff Policy Manual Update
End
RECOMMENDATION(S)
Recommendation
Accept and approve the updated policy and certification of the Arrowhead Regional Medical Center Medical Staff Policy #16 Screening and Immunization (Attachment A).
(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 the updated policy and certification of the Arrowhead Regional Medical Center (ARMC) Medical Staff Policy, #16 Screening and Immunization, will not result in the use of Discretionary General Funding (Net County Cost) as there is no financial impact associated with acceptance of this policy.
BACKGROUND INFORMATION
The ARMC Medical Staff Policy is prepared in compliance with the Medical Staff Bylaws, Rules and Regulations, California Code of Regulations Title 22, Chapter 1 Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), and other appropriate regulations and guidelines. Per CMS and TJC requirements, all Medical Staff policies are reviewed and revised, as necessary. Following the Medical Executive Committee approval, the Board of Supervisors must review and approve any new or revised Medical Staff Policy.
The aforementioned policy is necessary to maintain compliance with the Medical Staff Bylaws, Rules and Regulations, and regulatory bodies. Adherence to the standards set forth in this policy will improve County government operations and provide for the safety, health and social service needs of County residents by ensuring policies and procedures are in place for hospital operations and quality patient care.
The policies, in the Medical Staff Policy and Procedure Manual are reviewed, revised and approved by the Medical Executive Committee, as necessary. Medical Staff Policy No. 16 - Screening and Immunization was updated to include the requirement that proof of tuberculosis test and flu vaccination are now required annually for medical staff. The updated policy is included in Attachment A, and certification is included in Attachment B.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by the Medical Executive Committee on June 25, 2019; County Counsel Runyan, Deputy County Counsel, 387-5455) on August 5, 2019; Finance (Amanda Trussell, Principal Administrative Analyst, 387-4773) on August 6, 2019; and County Finance and Administration (Katrina Turturro, Deputy Executive Officer, 387-5423) on August 6, 2019.