Request for Time Off Form

Reimbursement Form

ADMINISTRATION

A-1 Affirmative Action
A-2 Client Rights and Responsibilities
A-3 Client Satisfaction Surveys
A-4 Compliance Plan
A-5 Confidentiality of Medical Records
A-6 Death Certificates
A-7 Patient Travel Assistance A-8 Internal Controls
A-9 Liability Insurance Coverage
A-10 Misappropriation of Funds - Irregular Practices
A-11 Patient Grievances
A-12 Procurement Procedures
A-13 Property and Equipment Security
A-14 Pt Request to Amend Record
A-15 Records Retention
A-16 Risk Management Plan
A-17 Scheduling Appointments
A-18 Standards of Conduct
A-19 Treatment of Minors
A-20 Pharmacy and Therpeutics Committee
A-21 Informed Consent
A-22 HIPAA Security Plan
A-23 HIPAA Training Manual

CLINICAL

C-1 Appropriate Supervision and Backup of Clinical Staff
C-2 Credentialing Process
C-3 Chronic Pain Management
C-4 Drug Samples
C-5 Donated Pharmacy Vouchers
C-6 Drugs and Biologicals C-7 Emergency Contraceptive Pills
C-8 Medical Chart Audits and Peer Review
C-9 Not Used
C-10 Medical Records
C-11 Patient Services
C-12 Pharmacy Voucher System
C-13 Laboratory Quality Assessment
C-14 Medical Records Dictation and Coding
C-15 Quality Insurance Plan
C-16 Referral Assistance Programs
C-17 Referring Provider Orders for Laboratory Procedures
C-18 Scheduling and Reporting Out Patient Referrals to Specialist
C-19 Informed Consent
C-20 Triage Of Walk-in and Telephone Patients
C-21 Patient Medication Contracts

FINANCIAL

F-1 Allowance for Contractual Adjustment
F-2 Billing and Collections
F-3 Budget Planning and Control
F-4 Capital Property
F-5 Contract Review and Approval
F-6 Donations & In-Kind Contribution
F-7 General Accounting Policies
F-8 General Financial Policies and Procedures
F-10 Independent Financial Audits
F-11 Large Procurement
F-12 Outstanding Check Policy
F-13 Patient Registration
F-14 Payroll
F-15 Receipts and Collection
F-16 Reduction in Fees
F-17 Requisition and Receiving
F-18 Unbudgeted Expenditures

GOVERNANCE

G-1 Governing Body Conflict of Interest
G-2 SMC Policy Development & Approval
G-3 By-laws

MANAGEMENT AND INFORMATION SYSTEM

M-1 Computer Backup
M-2 Data Security
M-3 Email and Internet Policy

PERSONNEL

P-1 Sweet Medical Center, Inc. Organizational Chart
P-2 Not Used
P-3 Disciplinary Measures
P-4 Not Used
P-5 Drug-Free Workplace
P-6 Employment Eligibility
P-7 Not Used
P-8 Employee Orientation
P-9 Employee Records and Inquiries
P-10 Employment Status
P-11 Equal Employment Opportunity
P-12 Not Used
P-13 Grievance Procedures
P-14 Health Insurance
P-15 Not Used
P-16 Not Used
P-17 Not Used
P-18 Not Used
P-19 Employee Time Off
P-20 Not Used
P-21 Employee Standards of Conduct
P-22 Payroll Procedure
P-23 Performance Management Plan
P-24 Not Used
P-25 Professional Conduct
P-26 Not Used
P-27 Not Used
P-28 Simple IRA Plan
P-29 Not Used
P-30 Termination of Employment
P-31 Training time and expense
P-32 Wage and Salary Admin
P-33 Not Used

SAFETY AND OCCUPATIONAL HEALTH

S-1 Disaster Prep and Response
S-2 Exposure Control Plan
S-3 Facility Maintenance Plan
S-4 Hazardous Materials and Waste Management Plan
S-5 Infection contro
S-6 Ionizing Radiation
S-7 Occupational Health & Safety Plan
S-8 Report of Incident
S-9 Workplace Emergencies & Evac Plan
S-10 Workplace Violence Prevention
S-11 Safety Training Manual