REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 14, 2021
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
SUBJECT
Title
Amendment to Medical Staff Committee Manual
End
RECOMMENDATION(S)
Recommendation
Approve Amendment, as recommended by the Medical Executive Committee, to the Arrowhead Regional Medical Center Medical Staff Committee Manual, a component of the Medical Staff Bylaws, which are on file in the office of the Clerk of the Board as detailed in Attachment A, effective September 14, 2021.
(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 the amendment to the Medical Staff Committee Manual will not result in the use of Discretionary General Funding (Net County Cost) as there is no financial impact associated with amending the manual.
BACKGROUND INFORMATION
The Arrowhead Regional Medical Center (ARMC) Medical Staff Bylaws consist of three components: the Bylaws of the Medical Staff, Medical Staff Rules and Regulations, and the Medical Staff Committee Manual. The Medical Staff Committee Manual describes the makeup and duties of each committee within the medical staff at ARMC, except the Medical Executive Committee and the Dispute Mediation Committee, which are described in the Bylaws of the Medical Staff. The Medical Staff Committee Manual is reviewed, at a minimum of every three years, and all amendments are taken to the Board of Supervisors (Board) for approval as they are completed. The Board is the governing body of ARMC and is responsible for all aspects of the operation of ARMC, including the quality of medical and professional care rendered at the institution.
The Medical Executive Committee recommends amending the Medical Staff Committee Manual in accordance with Attachment A for the creation of the Cardiac Care Committee, with the corresponding description of responsibilities, composition, duties, and meeting requirements, effective as of September 14, 2021. The amendment to the manual will align ARMC with current healthcare practices, and compliance with the regulations and/or standards of The Joint Commission, Centers for Medicare and Medicaid Services Conditions of Participation, Department of Health and Human Services, and California Code of Regulations Title 22. Additionally, approval of the amendment to the Medical Staff Committee Manual provides for the safety, health, and social service needs of County residents by ensuring continued patient care services at ARMC according to the level of care established in the ARMC Medical Staff Bylaws.
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.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by the Medical Executive Committee (Webster Wong, MD, Chairman, 580-3380) on July 22, 2021; County Counsel (Charles Phan, Deputy County Counsel, 387-5455) on August 6, 2021; ARMC Finance (Chen Wu, Budget and Finance Officer, 580-3165) on August 23, 2021; Finance (Yael Verduzco, Administrative Analyst, 387-5285) on August 24, 2021; and County Finance and Administration (Matthew Erickson, County Chief Financial Officer, 387-5423) on August 26, 2021.