Copy of CCHC-Code-of-Conduct-eBook-2026

Table of Contents Introduction Messages . ....................................................................... 1 Training Requirements ........................................................................ 3 (A) Employees (B) Physicians (C) Monitoring Workplace Environment ...................................................................... 4 (A) Non-Discrimination (B) Anti-Harassment (C) Violent Behavior/Illegal Activities (D) Environmental Safety Anti-Trust Laws and Competitive Conduct .................................... 5 (A) Physicians (B) Employees (C) Examples of Potentially Anti-Competitive Conduct Suppliers and Competitors ................................................................. 6 Physician Recruitment . ....................................................................... 6 Kickback .................................................................................................. 7 No False Claims . ................................................................................... 8 Research Compliance .......................................................................... 8 (A) Research Misconduct (B) CCHC’s Institutional Review Board Emergency Services and Patient Transfers . .................................. 9 Conflict of Interest .............................................................................. 10 (A) Employees (B) Non-Employed Physicians Confidential Information . .................................................................. 10 (A) General Obligations (B) Confidentiality of Patient Information Social Media ......................................................................................... 11 Skilled Nursing . ................................................................................... 11 Clinical Laboratory .............................................................................. 11 Assets and Resources ........................................................................ 11 Documentation (Proper recording) ................................................. 12 Political Contributions . ...................................................................... 12 Gifts, Favors and Entertainment ..................................................... 13 Fundraising ........................................................................................... 13 Government Investigation ................................................................. 14 Record Retention ................................................................................ 15 Reporting Requirements . .................................................................. 15 (A) Reporting (B) Non-Retaliation Compliance Reviews and Audits . ................................................... 16 Enforcement and Discipline ............................................................. 16 Acknowledgement ............................................................................... 17 Corporate Compliance Office ........................................................... 17

Our Vision | The goal as we look ahead to a promising future. We will be the health service provider of choice for Cape Cod residents and visitors by achieving and maintaining the highest standards in healthcare delivery and service quality. To do so, we will partner with other health and human service providers as well as invest in needed medical technologies, human resources and clinical services. Above all, we will help identify and respond to the needs of our community. In pursuit of excellence The healthcare industry continues to evolve every day. We continually seek ways to navigate and adjust to these changes. Strategic clinical affiliations with entities like Beth Israel Lahey Health, Boston Children’s Hospital, Dana-Farber Cancer Care Collaborative and others have supported our mission by enabling us to advance the breadth and depth of our clinical services while remaining an independent healthcare system. The Barbey Pavilion at Cape Cod Hospital is a transformative step which redefines future clinical care on the Cape with advanced, specialized medicine. Investments in state-of-the-art technology, accessible and modern facilities and the expert team that comprises Cape Cod Healthcare are key facets in our evolution. Our commitment to our community is at the core of everything we do — we will continue to work alongside community partners to identify the Cape’s greatest health needs and help improve the health, well-being and quality of life for all in our region. Our Values | The principles that guide every aspect of our work. Compassion – To be compassionate, respectful and professional in the way we deliver care Quality – To be relentless in pursuing the highest standard of quality through continuous improvement, emphasizing the power of teamwork Transparency – To be honest, ethical and open in all our relationships Resourcefulness – To be responsible stewards of the community’s resources by working efficiently and cost-effectively Inclusion – To serve all without regard to sex, race, creed, residence, national origin, sexual orientation or ability to pay

Cape Cod Healthcare | Code of Conduct

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