Graduate
Medical Education Policies – Section 1 |
A. Institutional Statement of Commitment |
B1. Organizational Chart |
C. Accreditation Standards |
D. Educational Affiliations – Rotations, Program Letters of Agreement and Master Affiliation Agreements |
E. Roles and Responsibilities of DIO |
F. Completion of Training and Final Verification |
G. Financial Support and Allocation of Training Positions |
H. Licensing of House Staff |
I. Supervisions |
J. HIPAA |
K. Clinical Observerships at UPHS
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Graduate
Medical Education Policies – Section 2 |
A. House Staff Compensation and Benefits |
B. Appropriate Treatment of House Staff |
C. Professional Liability for Housestaff |
D. House Staff Code of Conduct |
E. Vacation and Leave for House Staff |
F. House Staff Impairment |
G. Prohibited Harassment of House Staff including Sexual, Racial and Gender Discrimination |
H. Accommodation for House Staff with Disability |
I. House Staff Discipline, Non-renewal and Dispute Resolution |
J. Ombudsperson for House Staff |
K. House Staff Work Environment |
L. House Staff Evaluation and Promotion |
M. Roles and Responsibilities of House Staff |
N. House Staff Involvement in Performance Improvement |
O. House Staff Involvement in Hospital Affairs |
Q. Advanced Cardiac Life Support Certification |
R. Parking |
S. Counseling Psychological Support Services |
Graduate
Medical Education Policies – Section 3 |
A. Graduate Medical Education Committee (GMEC) |
C. Internal Review Process |
D. Duty Hours |
E. Requests for Duty Hours Exceptions |
F. House Staff Moonlighting |
G. House Staff Onboarding |
H. Sponsorship of New Training Programs |
I. Training Program Closure or Reduction in Size |
J. House Staff Agreement |
K. House Staff Eligibility |
L. Roles and Responsibilities of Program Directors |
Any printed copy of this policy is only as current as of the date it was printed; it may not reflect subsequent revisions. Refer to the on-line version for most current policy. Use of this document is limited to University of Pennsylvania Health System workforce only. It is not to be copied or distributed outside the institution without administrative permission.” |
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Administrative Policies |
Employee Photo Identification Badges |
Standards of Professional Appearance |
Employee-Health Service |
Hospital Provided Scrubs |
Identification & Treatment of Impaired Employee |
Creating a Workplace Free of Prohibited Harassment |
Substance Abuse |
Violence in the Workplace |
Participation in Incident/Occurrence Reporting Process |
Avoidance of Sexual Harassment in the Workplace |
Pre-Employment Background Investigation |
Pre-Employment Drug Screening |
Occurrence Assessment and Intervention |
Medical Record Documentation Practices |
Records Leaving Medical Record Services Department |
Management of Ethical Issues |
New and/or revised Administrative policies are posted on the Intranet once approved by the Administrative Policy Review Committee. New and/or revised policies effective from May 2003 and onward will not showactual signatures; rather, the designated signature(s) will be typed, preceded by /s/ . However, if needed, signed copies of the policies are available. |
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HIPAA Policies |
Patient's
Right To Access, Inspect Or Copy Their Protected
Health Information (PHI) |
Patient's
Right To Request An Accounting Of Disclosures Of
Protected Health Information (PHI) |
Patient's
Right To Request Amendment Of Their Protected Health
Information (PHI) |
Business
Associates |
HIPAA
Complaint Resolution |
Patient
Requests To Receive Protected Health Information
(PHI) By Alternate Means Or At Alternate Locations |
Disclosures
Of Protected Health Information (PHI) With Patient
Authorization |
Disclosures
Where No Form Of Patient Permission Is Required |
Disclosure
Of Information From The Patient Information System |
Disclosure
Of Protected Health Information (PHI) To Family And
Friends |
Development
(Fundraising) Activities |
Marketing
And Other Related Health Care Communications |
"Need
To Know" Determination (Minimum Necessary Requirements)
For Pennsylvania Hospital (PAH) |
Prohibition
On Intimidation Or Retaliatory Actions |
Policy
On Notice Of Privacy Practices |
Access
To Protected Health Information (PHI) By Personal
Representatives |
HIPAA
Policy And Procedure For Research |
Patient
Requests For Restrictions Of The Use And/Or Disclosure
Of Protected Health Information |
Workforce
Training For HIPAA |
Uses
And Disclosures Of Protected Health Information (PHI)
For Treatment, Payment, And Healthcare Operations |
Verification |
Infection Control Policies |
Standard
Precautions |
Exposure
Control Plan for Bloodborne Pathogens |
Blood
Culture Collection |
Central
Venous Catheter Insertion |
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