San Bernardino header
File #: 886   
Type: Consent Status: Passed
File created: 8/13/2019 Department: Arrowhead Regional Medical Center
On agenda: 8/20/2019 Final action: 8/20/2019
Subject: v Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals
Attachments: 1. ATT - ARMC - 8-20-19 - Att E Administrative - Summary of Revisions.doc, 2. ATT - ARMC - 8-20-19 - Att F Administrative - Certification, 3. ATT - ARMC - 8-20-19 - Att G Administrative New Policy No. 670.30, 4. ATT - ARMC - 8-20-19 - Att H - Rehabilitation - Summary of Revisions, 5. ATT - ARMC - 8-20-19 - Att I - Rehabilitation - Certification, 6. ATT - ARMC - 8-20-19 - Att J Human Resources - Summary of Revisions, 7. ATT - ARMC - 8-20-19 - Att K Human Resources - Certification, 8. ATT - ARMC - 8-20-19 - ATT L Specialty Care - Summary of Revision, 9. ATT - ARMC - 8-20-19 - Att M Specialty Care - Certification, 10. ATT - ARMC - 8-20-19 - Att N New Specialty Care Policy - High Level Disinfection, 11. ATT - ARMC - 8-20-19 - Att O Primary Care Summary of Revision, 12. ATT - ARMC - 8-20-19 - Att P Primary Care - Certification, 13. ATT - ARMC - 8-20-19 - Att Q Primary Care New Policy No. 592, 14. ATT - ARMC - 8-20-19 - Att A Infection Control and Employee Health Summary Changes, 15. ATT - ARMC - 8-20-19 - Att AA Environmental New Policy No. 2029, 16. ATT - ARMC - 8-20-19 - Att B Infection Control and Employee Health Certification, 17. ATT - ARMC - 8-20-19 - Att BB ARMC Policy and Procedure Manual Approval List, 18. ATT - ARMC - 8-20-19 - Att C - IC and EH New Policy 801 - Annual Employee Influenza Vaccination, 19. ATT - ARMC - 8-20-19 - Att D - IC and EH New Policy 315 - Shared Toys Pediatric Areas, 20. ATT - ARMC - 8-20-19 - Att Z Environmental - Certification, 21. ATT - ARMC - 8-20-19 - Att Y Environmental - Summary of Revisions, 22. ATT - ARMC - 8-20-19 - Att X Medical Imaging - Certification, 23. ATT - ARMC - 8-20-19 - Att W Medical Imaging - Summary of Revision, 24. ATT - ARMC - 8-20-19 - Att V Sterile Processing - Certification, 25. ATT - ARMC - 8-20-19 - Att U Sterile Processing - Summary of Revision, 26. ATT - ARMC - 8-20-19 - Att T Emergency - New Policies No. 504.30, 506.00, 508.00, 509.10, 27. ATT - ARMC - 8-20-19 - Att S Emergency - Certification, 28. ATT - ARMC - 8-20-19 - Att R Emergency - Summary of Revisions, 29. Item #15 Executed BAI, 30. Infection Control Executed Manual, 31. Administrative Operations Executed Manual, 32. Rehabilitation Services Executed Manual, 33. Human Recources Policies & Procedures Executed Manual, 34. Specialty Care Services Executed Manual, 35. Primary Care Services Executed Manual, 36. Emergency Departmant Executed Manual, 37. Sterile Processing Department Executed Manual, 38. Medical Imaging Executed Manual, 39. Environmental Services Executed Manual
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 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 Manuals (included and summarized in Attachments A through BB):

1. Infection Control and Employee Health
2. Administrative Operations
3. Rehabilitation Services
4. Human Resources
5. Specialty Care Clinics
6. Primary Care Clinics
7. Emergency Department
8. Sterile Processing Department
9. Medical Imaging Department
10. Environmental Services
(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 revisions as well as the addition of new 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, and will not result in the use of Discretionary General Funding (Net County Cost).

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

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