OO14 The policies and procedures that permit and encourage nurses to confidentially express their concerns about their professional practice environment, without retribution.
Policies
Policy Title |
Location |
Purpose |
Compliance Hotline |
BHSF |
Describes the purpose of the Compliance Hotline and the procedures for handling reports received (OO14 01 BHSF-823 Compliance Hotline) |
Code of Ethics |
BHSF |
Delineates employee responsibility and access to Code of Ethics which is a key component of the Corporate Compliance Program (OO14 02 BHSF-819 Code of Ethics policy; OO14 03 Code of Ethics brochure) |
Non-Retaliation for Reporting of Potential or Actual Violations of the Code of Ethics |
BHSF |
Outlines organizational philosophy against retaliation or retribution on staff who in good faith reports Code of Ethics violations (OO14 04 BHSF-822 Non-Retaliation for Reporting of Potential or Actual Violations of the Code of Ethics) |
Mandatory and Professional Development Employee Education |
BHSF |
Provides guidelines to employees and leaders for ensuring compliance with initial and ongoing mandatory education requirements; Procedures and resources about reporting professional practice concerns are included in this annual update (OO14 05 BHSF-HR 4300 Mandatory and Professional Development Employee Education) |
Exhibit OO14a: Screenshot of Annual Required Education Computer-Based Training (CBT)
Procedures
The corporate Audit and Compliance department provides independent and objective consulting services designed to add value, improve organizational operations, and promote good business practices. It also administers the Corporate Compliance program that offers employees, physicians and vendors information and resources needed to adhere to the highest ethical standards in all areas of practice. Employees can report violations to the Code of Ethics without fear of retribution in several ways:
- anonymously by contacting the Compliance hotline or online reporting
- by contacting the Compliance officer or staff via phone or email
- by speaking to a Compliance liaison on site
OO14 06 Audit and Compliance Intranet Site Screenshot