2015 Updated policy form / Updated to reflect listed changes
Policy 1002:
Governing Body / Added requirement to evaluate compliance program and compliance officer effectiveness / 4/13/2015
Policy 1002.2
Senior Management and Governing Body / Added Aliza Heching to Governing Body / 4/17/2015
Job Descriptions:
Director of Compliance and Quality
Chief Quality Officer / Updated to include elements from Compliance Plan and Corporate Integrity Agreement.
Stella J. Hardy appointed Chief Quality Officer. / 4/17/2015
Policy 4026: Ineligible Persons Screening / New policy to define ineligible persons screening (OIG and SAM) / 4/25/2015
Policy 1009:Standard of Conduct/Ethical Behavior / Revised to include Corporate Integrity Agreement elements. / 4/30/2015
Policy 1043:
Report and Return of Overpayments / New Policy to reflect that overpayments are returned to government within 60 days of identifying overpayment, / 4/30/2015
Protocol 86:
Staff Documentation / Added expectation that all documentation is accurate, complete and timely. / 4/30/2015
Policy 5001:
Clinical Record Creation / Added requirement for accurate, complete and timely documentation. / 4/30/2015
Policy 4017:
Management of Contracted Services / Added requirement that contracted agents are require to comply with all Federal, State and Corporate Integrity Agreement laws and requirements. / 4/30/2015
Criteria Based Performance Evaluation / Added Standard of Conduct compliance section / 4/30/2015
Application Form
Volunteer Application Form / Updated to include OIG/SAM attestation / 4/30/2015
Policy 1024:
Compliance Plan / Revised to expand plan / 4/30/2015
Policy 1002.1
Governing Body Organizational Chart / Update to senior management structure
Judith Grey from C.O.O to C.E.O
Milton Heching from C.E.O. to Governing Body Chairman. / 5/01/2015
Policy 3029:
Wound Dressing Change / 5/25/2015
Policy 2041:
Discontinuing Ventilator Support / Revised that in attendance may be either MD, NP or Respiratory Therapist
Revised that medications for discontinuation are ordered to meet individual needs. / 6/01/2015
Policy 2011 and Policy 2011.1 (MI)
Interdisciplinary Team Meeting / Added that in exceptional circumstances team member may conference or video call in to the IDG meeting at the discretion of the CD. / 06/01/2015
Policy 1018:
Facilitating Communication with Limited English Persons / Revised interpreter service to Optimal Phone Interpreters / 6/10/2015
Policy 1018.1
Communicating with Sensory and Speech Impaired / Revised interpreter service to Optimal Phone Interpreters / 6/10/2015
Revised 4/13/2015; 4/17/2015; 4/25/2015;4/30/2015; 5/01/2015; 5/25/2014; 6/01/2015; 6/10/2015