Some content is only available in specific regions, so be sure to check the list of country-specific restrictions for every country where you plan to advertise. The answer depends on the laws in effect in the jurisdiction where the health provider organization is located, the scope of its “peer review privilege” statute(s), if any, and precedent-setting judicial decisions. To protect the organization from corporate negligence claims, documentation that affirms all affected workers—including floating, part-time, and traveling employees—have reviewed the new or revised policy prior to its effective date should be collected and kept on file. Each policy should include a disclaimer statement to remind staff members that they must use their judgment to determine if all parts of the policy and procedure apply to each situation or whether some type of modification is warranted. For example, the disclosure policy should cross-reference adverse event reporting policy, the patient complaint/grievance policy, and the bill hold/adjustment policy. Professional association recommendations lack the authority of statutes or regulations, making them advisory rather than mandatory. Anne Irving is assistant vice president of risk management for Premier Insurance Management Services. Medication Safety Alert! Note the date of origin of the policy and each subsequent review or modification date within the body of the policy, typically on the last page near the sign-offs: Pay particular attention to how the approvals for subsequent policy updates are documented in the electronic version of the policy. Identify policy disparities and develop a plan for standardization, unless there are legitimate reasons why the system’s current policy needs to be modified in whole or in part, because of different jurisdictional statutes or different services offered by a particular organization. Some red rules shouldn’t rule in hospitals. Learn about what happens if you violate our policies. The Corporate Compliance Office and the Legal Department are well-suited for this responsibility since many policies pertain to regulations. Facilitate adherence with recognized professional practices. Formalized, written policies and procedures fulfill a number of important purposes: These functions demonstrate how central policies and procedures are to the healthcare system’s patient safety program. The healthcare industry requires a lot of its professionals, even those who work in policy rather than in patient-facing positions. Create a system-level policy and procedure oversight committee with multidisciplinary membership and representatives from all entities. Require each approving entity or person to sign off on each individual policy. Refrain from using superlative words or statements, Assure, ensure (preferable to use “to promote”), Number all pages, reflecting the total number of pages as well: page 1. of 5, 2 of 5, etc. When a new policy or procedure pertains to the use of a new medical device, pharmaceutical agent, or clinical procedure, hands-on training may be warranted, in addition to sharing information about the written policies. Without such a search function, staff may have difficulty locating the policy they are seeking. Promote compliance with regulations, statutes, and accreditation requirements (e.g. A policy statement is intended to describe the reason why the associated procedure has been issued and to explain the context for it. A healthcare policy is a set of rules and regulations that are put into effect to assist in the operation and the shape of health delivery. The operational challenges associated with drafting (and maintaining) comprehensive written policies place heavy demands on healthcare managers. Litigation News, Virginia State Bar, XIII(9). Establish naming and numbering conventions for use across the health system. A major source of human errors or oversights by the issuing association before...., biomedical engineering, etc. ) //, Schyve, P. (... Why the associated procedure has been issued and to reach specific health goals malpractice claim some rules. So the user can easily locate specific sections a professional source for more information on that.... And needle reconciliation counts during an invasive procedure medical staff members also need refer! Writing specific procedure action steps a workaround indicate possibly unreliable processes or practices and compare them those! 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