Archive

Sample Policies & Procedures Developed By AWPHD

Model Initiative 1033 Resolution

• Microsoft Word version

 

Billing Standards of Conduct

• Microsoft Word version

 

CEO Compensation And Contracts

• Adobe Acrobat version
• Microsoft Word version

 

Desk Policy and Procedure for Coding of Intravenous Medications and Substaces

• Microsoft Word version

 

Electronic Records Policy

• Microsoft Word version

 

Employee Educational Assistance Policy

• Adobe Acrobat version
• Microsoft Word version

 

Employment Application

• Adobe Acrobat version

 

False Claims

• Microsoft Word version

 

Family Planning

• Adobe Acrobat version
• Microsoft Word version

 

MOU Policy

• Microsoft Word version

 

Policy Regarding Public Records Requests

• Adobe Acrobat version
• Microsoft Word version

 

Public Records Act Sample Policy and Flow Chart
Sample Policy:

• Adobe Acrobat version
• Microsoft Word version

Flow Chart:

• Adobe Acrobat version

Public Records Act Policy For Electronic Records

• Adobe Acrobat version
• Microsoft Word version

 

Model Public Records Policies

• Health Care Information Addendum
• Model Policy Regarding Public Records Requests

 

Redistricting Commissioner Districts

• Adobe Acrobat version
• Microsoft Word version

 

Resolution and Procedure for Indemnification of Hospital District Officers, Employees and Volunteers

• Adobe Acrobat version
• Microsoft Word version

 

Resolution For Presenting Claims For Tortious Conduct

• Adobe Acrobat version
• Microsoft Word version

 

Small Works Roster Resolution

• Adobe Acrobat version
• Microsoft Word version

 

Workplace Violence Sample Implementation Plan

• Adobe Acrobat version
• Microsoft Word version

 

Sample Policies & Procedures Developed By AWPHD

Sample Substance Abuse Policies

• Drug Free Work Place Policy [doc]
• HR 2440 Drug and Alcohol Abuse (Fitness for Duty) [doc]
• HR 1004 Standards of Service [doc]
• HR 2135 Pre-Employment Drug Testing [doc]
• HR 2135.a Employee Consent to Alcohol & Drug Screening [doc]
• HR 2405 Employee Expectations and Conduct [doc]

 

Employment Agreement for CRNA Services

• Adobe Acrobat version

 

Employee Recognition Resolutions

• Employee Recognition – Resolution, Sample 1 (doc)
• Employee Recognition – Resolution, Sample 2 (doc)
• Employee Recognition – Celebration (pdf)
• Employee Recognition Projects Handout (pdf)

 

Existing Practices Contract

• Adobe Acrobat version
• Microsoft Word version

 

Exit Interview Questionnaires

• Cascade Valley Hospital – Exit Interview Questionnaire (General) January 07 (doc)
• Cascade Valley Hospital Exit Interview Questionnaire (Nursing) July 06 (doc)
• Columbia Basin – Exit Interview Questionnaire January 07 (doc)
• Ferry County – Exit Interview Questionnaire January 07 (doc)
• Good Samaritan – Exit Interview Questionnaire January 07 (doc)
• Kennewick General Hospital – Exit Interview Form January 07 (doc)
• Kittitas Valley – Exit Interview Questionnaire (Sections 1,3,4) January 07 (doc)
• Kittitas Valley – Exit Interview Questionnaire (Section 2) January 07 (doc)
• Lincoln Hospital – Exit Interview Questionnaire January 07 (doc)
• Lincoln Hospital – Separation Form January 07 (doc)
• Mark Reed – Exit Interview Questionnaire January 07 (doc)
• Ocean Beach Hospital – Exit Interview Questionnaire January 07 (doc)
• Pullman Regional Exit Conference Report January 07 (pdf)
• WSHA – Exit Interview Questionnaire January 07 (doc)
• WSHA – Exit Interview Questionnaire Supplement January 07 (doc)
• WSHA – Exit Interview January 07 (doc)

 

Procedures for Dealing With the Media

• Access and Confidentiality Agreement (doc)
• Consent for Publicity (doc)
• Consent of Release of Information to Media (doc)
• Consent to Admit Observers (doc)
• Model Procedures for Dealing With the Media/Release of Patient Information to News Media and the General Public (doc)
• Video Taping Camera Policy (doc)

 

Policy Regarding Placentas

• Adobe Acrobat Version
• Microsoft Word Version

 

Public Hospital District Sample Bond Resolution

• Adobe Acrobat Version
• Microsoft Word Version

 

Public Meeting Process

• Adobe Acrobat version
• Microsoft Word version

 

Public Use of District Facilities

• Sample 1
• Sample 2
• Sample 3
• Sample 4

 

Quality Review of Contract Service Providers Form

• Adobe Acrobat version
• Microsoft Word version

 

Resolution for the Institute for Healthcare Improvement’s Measures and Committing the Board to the Board Engagement Indicator for IHI’s Five Million Lives Campaign

• Microsoft Word version

 

Resolution and Policy on Discounts for District Residents

• Adobe Acrobat version
• Microsoft Word version

 

Transfer Agreement

• Part 1
• Part 2
• Part 3
• Sample 1
• Sample 2

 

Sample Legal Blood Alcohol Policy

• Sample 1
• Sample 2
• Sample 3