REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
December 17, 2019
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title v
Appointments for Medical and Advanced Practice Professional Staff Membership and/or Clinical Privileges at Arrowhead Regional Medical Center
End
RECOMMENDATION(S)
Recommendation
Approve changes within the following Membership and/or Clinical Privileges categories requested in Attachment A, as recommended by the Medical Executive Committee:
1. Applications for Initial Appointment - Medical Staff
2. Applications for Initial Appointment - Advanced Practice Professional Staff
3. Applications for Reappointment - Medical Staff
4. Applications for Reappointment - Advanced Practice Professional Staff
5. Completion of Focused Professional Practice Evaluation (FPPE) with Advancement - Medical Staff
6. Completion of Focused Professional Practice Evaluation (FPPE) - Medical Staff
7. Extension of Focused Professional Practice Evaluation (FPPE) Period - Medical Staff
8. Completion of Focused Professional Practice Evaluation (FPPE) - Advanced Practice Professional Staff
9. Request for New Clinical Privileges - Medical Staff
10. Request for New Clinical Privileges - Advanced Practice Professional Staff
11. Request to Change Staff Status - Medical Staff
12. Rescind Voluntary Resignation - Medical Staff
13. Voluntary Resignation of Membership and/or Clinical Privileges - Medical Staff
14. Voluntary Resignation of Membership and/or Clinical Privileges - Advanced Practice Professional Staff
(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 these changes to membership and/or clinical privileges will not result in the use of Discretionary General Funding (Net County Cost) as there is no financial impact associated with the appointments of membership and/or clinical privileges.
BACKGROUND INFORMATION
The Medical Executive Committee at Arrowhead Regional Medical Center shall forward a written report and recommendation to the Board of Supervisors (Governing Body) concerning Medical Staff membership to the specific medical practice specialty, Department affiliation, privileges to be granted, and any special conditions attached to the membership. Upon receipt of the recommendation, the Governing Body shall act on the matter. The Governing Body may adopt, reject, or modify a recommendation from the Medical Executive Committee, or refer the recommendation back to the Medical Executive Committee for further consideration. Approval by the Governing Body is required to appoint all practitioners for membership and/or clinical privileges who provide patient care services at ARMC, based on the affirmative recommendation of the Medical Executive Committee.
The recommendations included in Attachment A have been reviewed and approved as applicable by the: Department Chair, Credentials Committee, Committee on Interdisciplinary Practice, and Medical Executive Committee.
This approval process is in accordance with the Medical Staff Bylaws; Centers for Medicare and Medicaid Services; California Code of Regulations Title 22; and the standards of The Joint Commission.
Approval of the changes to membership and/or clinical privileges in the categories identified in Attachment A provide for the safety, health, and social service needs of County residents by ensuring appropriate patient care services at ARMC.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by the Medical Executive Committee (Rodney Borger, MD, Chairman, 580-6370) on November 21, 2019; County Counsel (Michael Markel, Principal Assistant County Counsel, 387-5455)on November 26, 2019; Finance (Amanda Trussell, Principal Administrative Analyst, 387-4773) on December 2, 2019; and County Finance and Administration (Katrina Turturro, Deputy Executive Officer, 387-5423) on December 2, 2019.