MEDICAL STAFF AND PEER REVIEW

• Influenza Vaccination of Health Care Personnel
• Indemnification for Claims Arising from Medical Staff Activities
• Peer Review, Medical Staff Policy
• Request to Refrain from Performing Privileges
• Sharing of Peer Review Information
• Disclosure: Communication and Optimal Resolution (CANDOR) of Unanticipated Outcomes
• Medical Staff Focused Professional Practice Evaluation
• Medical Staff Ongoing Professional Practice Evaluation
• Professional Conduct
• For Cause Drug and Alcohol Testing for Medical or Allied Health Staff
• Arizona - Access to Confidential Strategic and Business Information by Medical Staff with Significant Adverse Relationships
• Western Region - Access to Confidential Strategic and Business Information by Medical Staff with Significant Adverse Relationships
• Conflict of Interest
• Chain of Command

HIMS

• HIMS: Medical Record Documentation

HIPAA/PRIVACY

• Workforce Confidentiality
• HIPAA: Disclosures of Protected Health Information (PHI) to Family Members and Persons Involved in an Individual's Care

• HIPAA: Patient Photography, Videotaping, and Other Visual Imaging in the Clinical Setting for Treatment or Training

• HIPAA: Patient Requests for Records
• HIPAA: Physical Safeguards for Protected Health Information
• HIPAA: Media Relations
• HIPAA: Individual Right of Access Training

EMTALA

• EMTALA - Medical Screening Examination and Stabilization Treatment

• Guidelines for Patients with Communication Barriers
• Compliance-Business Courtesies to Potential Referral Sources

• Provision of Appropriate End of Life Care
• Pain Management 

RESTRAINTS

• Restraint Use for Non-Violent and Violent Situations

• Safe Surgery Policy
• Counts: Sponge, Sharp and Instrument
• WIS-Vaginal Birth Sponge, Sharps and Instruments Count Policy

• Antimicrobial Stewardship Program, Adult and Pediatric 

CYBERSECURITY

• IT Cybersecurity Awareness Training 
• IT Acceptable Use Policy