San Bernardino header
File #: 1118   
Type: Consent Status: Passed
File created: 10/1/2019 Department: Arrowhead Regional Medical Center
On agenda: 10/8/2019 Final action: 10/8/2019
Subject: v Arrowhead Regional Medical Center Operations, Policy and Procedure Manuals
Attachments: 1. ATT - ARMC - 10-8-19 - Att B Sterile Processing Department Manual Certitifcation, 2. ATT - ARMC - 10-8-19 - Att C Environment of Care Summary of Revisions, 3. ATT - ARMC - 10-8-19 - Att D Environment of Care Manual Certification, 4. ATT - ARMC - 10-8-19 - Att E Behavior Health Summary of Revisions, 5. ATT - ARMC - 10-8-19 - Att F Behavior Health Manual Certification, 6. ATT - ARMC - 10-8-19 - Att G ARMC Policy and Procedure Manual Approval List, 7. ATT - ARMC - 10-8-19 - Att A Sterile Processing Department Summary of Revisions, 8. Item #8 Executed BAI, 9. Executed Attachment A, 10. Executed Attachment C, 11. Executed Attachment E
REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION

October 8, 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 G.):
1. Sterile Processing
2. Environment of Care
3. Behavior Health
(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, 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 require Board of Supervisors (Board) acceptance and approval.

The aforementioned manuals are necessary to maintain compliance with policy and regulatory bodies. Adherence to the standards set forth in these manuals will improve County government operati...

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