Training Requirements To ensure that all employees and physicians understand their compliance obligations, Cape Cod Healthcare (CCHC) has established a comprehensive compliance training program. (A) Employees • New Employees : All new employees, including employed physicians, receive compliance training during orientation. Training covers the Code’s goals, standards and objectives, and introduces CCHC’s Compliance Program. Each new employee must sign a written acknowledgement agreeing to abide by the Code. • Active Employees: All employees must complete follow-up compliance training at least once per year. Training may be delivered through live sessions, recordings, webcasts, written materials, mandatory education modules or interactive computerized modules. • Mandatory Participation: Annual compliance training is required and is part of each employee’s performance evaluation. Additional training may be assigned based on role, disciplinary needs or remedial action plans. (B) Physicians • Non-Employed Physicians: Encouraged to participate in CCHC’s compliance training programs. Whenever possible, training will be offered for risk management credits required for licensure and reappointment. • Medical Staff Requirements: Compliance education is mandatory for all physicians—employed or non-employed— as part of initial credentialing and ongoing reappointment. Additional training may be required to meet government obligations. • Commitment to the Code: Non-employed physicians must agree to abide by the Code and compliance policies as part of credentialing. (C) Monitoring • The Chief Compliance Officer (or designees) is responsible for developing, coordinating and monitoring all compliance training sessions. • Written records of all training sessions and attendance must be maintained to ensure accountability.
Workplace Environment Cape Cod Healthcare (CCHC) is committed to maintaining a healthy, safe and productive environment for employees, physicians, vendors, patients and visitors. Everyone must comply with all applicable federal, state and local health and safety laws.
(A) Non-Discrimination • Treat all individuals with honesty, dignity and respect. • Discrimination or exclusion based on race, color, national origin, citizenship, religion, creed, sex, sexual orientation, gender identity, age or disability is prohibited. • Remarks, gestures, slurs or jokes that demean others are not tolerated. (B) No Harassment or Sexual Misconduct • CCHC prohibits all forms of harassment, sexual misconduct and abusive behavior. • Conduct that creates a sexually intimidating or offensive environment will not be tolerated. • Racial, religious or disability-related slurs are strictly prohibited. • Retaliation against individuals who file complaints or cooperate in investigations is forbidden and may result in termination. • Questions about policies or complaint procedures should be directed to the Senior Vice President of Human Resources.
(C) Violent Behavior and Illegal Activities • Violence or threats of violence are prohibited on CCHC property. • Firearms or weapons may not be possessed or stored in any facility. Report violations immediately to a supervisor or the Executive Director of Security . • Alcohol, illegal drugs or controlled substances may not be possessed, used or distributed on CCHC property. • Employees may not work or remain on premises while impaired or intoxicated, except to seek medical assistance. • Alcohol may be permitted at approved events but must be consumed responsibly and in moderation. • CCHC may investigate suspected misconduct, including theft, drug or weapon possession, or other prohibited activities. Employees must cooperate fully in such investigations. (D) Environmental Safety • CCHC is committed to clean, safe and accessible facilities and to sound environmental practices. • Report hazardous conditions immediately to a supervisor, the Director of Facilities or the Chief Compliance Officer . • Hazardous substances, medical waste and infectious materials must be handled and disposed of safely and lawfully. • Employees must be familiar with and prepared to implement relevant safety and emergency procedures.
3 | Cape Cod Healthcare
Code of Conduct | 4
Made with FlippingBook - Online catalogs