EHD Policies and Procedures

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Personnel Manual
EQUAL OPPORTUNITY EMPLOYER
SELECTION AND HIRING
POSITION CLASSIFICATION
EMPLOYEE CONTACT WITH THE BOARD & PUBLIC
GENERAL EMPLOYEE ORIENTATION
PROBATIONARY PERIOD
APPLICANT BACKGROUND CHECK
EMPLOYEE ASSISTANCE PROGRAM
POLICY CHANGES
ACCEPTABLE USE OF INTERNET AND ELECTRONIC MAIL
UTILITY FAILURE
AGENCY CLOSING
EMPLOYEE BENEFITS
EMPLOYEE BENEFITS FMLA
INTERNSHIPS VOLUNTEERS
EXIT INTERVIEW/CHECKLIST
QUALITY AND PRODUCTIVITY
PERSONNEL PLAN STAFFING
TERMINATION OF EMPLOYMENT
COMPETENCY ASSESSMENT
STANDARDS OF CONDUCT-ETHICAL BEHAVIOR
CONFLICT OF INTEREST
CULTURAL DIVERSITY
MANDATED REPORTING
CORPORAL/DEGRADING PUNISHMENT
CRIMINAL CONDUCT
CONTINUOUS QUALITY IMPROVEMENT
DUTY TO WARN
 CONFIDENTIALITY OF INFORMATION
FREEDOM OF INFORMATION ACT
PERSONNEL RECORDS
CONSULTANT FEES/HONORARIA
ADVANCED DEGREE LOAN PROGRAM
ACCESS TO QUALIFIED CONSULTATION
PERFORMANCE EVALUATION
LICENSURE/CERTIFICATION/REGISTRATION
STAFF RECORD OF TRAINING
PERSONNEL DEVELOPMENT
ANNUAL TRAINING
STAFF TRAINING
EMPLOYEE ATTENDANCE
SNOW DAY
BREAKS
FLEXTIME
CALL IN PROCEDURE
ACCESSIBILITY
TOBACCO
24-HOUR EMERGENCY CRISIS
DEPARTMENTAL PROPERTY
SOLICITATION
TELEPHONE USAGE
CLIENT/PATIENT DRUG TESTING
LICE/SCABIES
VIOLENCE IN THE WORKPLACE
ERGONOMICS
NEPOTISM
TARDINESS
SECONDARY EMPLOYMENT
EMPLOYEE BREAKS
OVERTIME
WEEKEND WORK
TIME CLOCK
PROFESSIONAL APPEARANCE
SEXUAL HARASSMENT
INFECTIOUS DISEASE
EMPLOYEE AUTOMOBILE
VISITORS
SUPERVISION AND PERFORMANCE MONITORING FOR
INTERNS/VOLUNTEERS
 LEGAL ASSISTANCE TO PERSONNEL
DISCLOSURE OF INSURANCE COVERAGES TO THE BOARD
GRIEVANCE/COMPLAINT PROCESS
MANAGEMENT EMPLOYEE GRIEVANCE
REPORTING PRIVACY & SECURITY VIOLATIONS
SICK TIME POOL
EMPLOYEE DRUG TESTING
FAMILY AND MEDICAL LEAVE ACT
USE OF AGENCY VEHICLES
OFFICE OF INSPECTOR GENERAL
Behavioral Health Manual
SLIDING FEE SCALE FOR MI OUTPATIENT SERVICES
SCREENING AND INTAKE
LEVEL II (OBRA) SCREENING REQUIREMENTS
MENTAL HEALTH ADMISSION CRITERIA
COMPREHENSIVE MENTAL HEALTH ASSESSMENT
WAITING LIST
MENTAL HEALTH TREATMENT PLAN
ASSESSMENT OF HEALTH CARE NEEDS
ASSESSMENT OF PERSONS WITH SPECIAL NEEDS
COORDINATION OF CARE
DETERMINATION OF LEVEL OF CARE
CASE MANAGEMENT SERVICES
EMERGENCY PSYCHIATRIC SERVICES
CONTINUITY OF CARE-SOF DISCHARGE
LONG-TERM CARE MONITORING AND LINKAGE
DISCHARGE CRITERIA
DOCTOR SCHEDULING
MEDICAL REPORTS
MEDICATION STORAGE
RECORD KEEPING ON DISPENSED MEDICATIONS
MEDICATION ERROR REPORTING FORM
INDIGENT MEDICATION PROGRAM
EVALUATIONS FOR PSYCHOTROPIC MEDICATIONS
EXTENSION OF MEDICATIONS
MEDICATION EDUCATION
DISCARDING OF MEDICATION
MEDICATION USAGE
UTILIZATION REVIEW
DUI ADMISSION
DUI DISCLOSURE
SERVICE PLANNING
YOUTH SERVICE PLACEMENT CCBYS PROGRAM
YOUTH ASSESSMENT SCREENING INSTRUMENT
PLACEMENT VISITATION PLAN
ACT MONEY MANAGEMENT
EMERGENCY PSYCHIATRIC SERVICES CRISIS BEEPER
CLIENT CHARTS
 REVISED MEDICAID RULE 132
PERFORMANCE EXPECTATIONS
LOCAL AREA NETWORK WRAP PROCESS
CCBYS/DFI: LENGTH OF SERVICES
DCFS REFERRAL PROCEDURES
 
Family Planning
CLIENT CHARTS
PRESCRIPTION SUPPLY PICK-UP
PHARMACEUTICAL MANAGEMENT
SERVICES PROVIDED
BILLING INFORMATION
FACILITATING COMMUNICATION
Family Case Management
ADMINISTRATION
PRENATAL CASE MANAGEMENT
INFANT CASE MANAGEMENT
APORS PROCEDURE FOR FCM
CONFIDENTIALITY OF PERSONAL INFORMATION
MANDATED REPORTING TO DCFS
GUIDELINES FOR CASE MANAGERS
CARE PLANS
HOME VISIT
DEVELOPMENTAL SCREEN
RECORDING EPSDT SERVICES
TITLE XX PROGRAM
HIPAA
OVERALL POLICY STATING COMMITMENT TO SECURITY
PERSONNEL SECURITY AND CONFIDENTIALITY
PRINCIPLES OF INFORMATION MANAGEMENT
COMPUTERS
SECURITY AND CONFIDENTIALITY
INFORMATION SECURITY STRATEGY
SECURITY MANAGEMENT PROCESS
RISK ANALYSIS
RISK MANAGEMENT
INFORMATION SYSTEM ACTIVITY REVIEW
ASSIGNED SECURITY RESPONSIBILITY
WORKFORCE SECURITY
AUTHORIZATION AND SUPERVISION
WORKFORCE CLEARANCE
INFORMATION ACCESS MANAGEMENT
ACCESS AUTHORIZATION
ACCESS ESTABLISHMENT AND MODIFICATION
SECURITY AWARENESS AND TRAINING
SECURITY REMINDERS
PROTECTION FROM MALICIOUS SOFTWARE
LOGIN MONITORING
PASSWORD MANAGEMENT
SECURITY INCIDENT
RESPONSE AND REPORTING
CONTINGENCY PLAN
DATA BACKUP PLAN
DISASTER RECOVERY PLAN
EMERGENCY MODE OPERATION PLAN
TESTING & REVISION
APPLICATIONS & DATA CRITICALITY ANALYSIS
EVALUATION
BUSINESS ASSOCIATE CONTRACTS & OTHER ARRANGEMENTS
FACILITY ACCESS CONTROLS
CONTINGENCY OPERATIONS
FACILITY SECURITY PLAN
ACCESS CONTROL & VALIDATION
MAINTENANCE RECORDS
WORKSTATION USE
WORKSTATION SECURITY
DEVICE & MEDIA CONTROLS
DISPOSAL
MEDIA RE-USE
ACCOUNTABILITY
DATA BACKUP & STORAGE
ACCESS CONTROL
UNIQUE USER IDENTIFICATION
EMERGENCY ACCESS
AUTOMATIC LOGOFF
ENCRYPTION & DECRYPTION
AUDIT CONTROLS
INTEGRITY
MECHANISM TO AUTHENTICATE E-PHI
PERSON OR ENTITY AUTHENTICATION
TRANSMISSION SECURITY
INTEGRITY CONTROLS
ENCRYPTION
POLICIES & PROCEDURES STANDARD
DOCUMENTATION STANDARD
INFORMATION CLASSIFICATION
NETWORK SECURITY
E-MAIL SECURITY
PERSONNEL TRAINING
SECURITY ENFORCEMENT
FAX PROCEDURE
Home Health
CELL PHONE
CASE CONFERENCE/PROGRESS SUMMARY
ON-GOING ASSESSMENTS, RECERTIFICATIONS & FOLLOW-UP
PATIENTS/CLIENTS ON HOLD OR TRANSFERRED
RELEASE OF INFORMATION
MAINTAINING & MANAGING VACCINE STORAGE
PULSE OXIMETRY
EDUCATIONAL RESOURCES
MONITORING PATIENT'S/CLIENT'S RESPONSE REPORTING TO PHYSICIAN
PHYSICIAN ORDERS/PLANS OF CARE
ADMISSION CRITERIA & PROCESS
AUTHENTICATION OF PHYSICIAN ORDERS
INFORMED CONSENT/REFUSAL OF TREATMENT
TREATMENT PLAN/CARE PLANNING
FINANCIAL RESPONSIBILITY
PATIENT/CLIENT NOTIFICATION OF CHANGES IN CARE/SERVICE
ADVANCED BENEFICIARY NOTICE
PATIENT'S RIGHTS
ADVANCE DIRECTIVES
OUTCOME AND ASSESSMENT INFORMATION SET
NOTICE ABOUT PRIVACY
 SIGNIFICANT CHANGE IN CONDITION (SCIC)
RETENTION OF CLINICAL RECORDS
CONTENTS OF PATIENT/CLINICAL RECORDS
SAFEGUARDING/RETRIEVAL OF CLINICAL RECORDS
CONTENTS OF NOTES IN THE CLIENT'S RECORD
ENTRIES INTO PATIENT'S/CLIENT'S RECORD
CLINICAL RECORD REVIEW
COMPUTER ACCESS TO INFORMATION
CARE OF THE DYING PATIENT/CLIENT
POST-MORTEM CARE
WAIVED TESTING
HOME GLUCOSE MONITORING
INTRAVENOUS ADMINISTRATION OF MEDICATIONS/SOLUTIONS
FLUSHING PICC LINES
Infection Control Manual
BLOOD TESTING
CONSUMER INFECTIOUS DISEASES
AIDS
ACCIDENTAL EXPOSURE TO BLOOD
MANAGEMENT OF OCCUPATIONAL POST-EXPOSURE TO BLOODBORNE INFECTIOUS DISEASES
RECORD KEEPING
PERSONAL PROTECTIVE EQUIPMENT
HANDWASHING
ASEPTIC TECHNIQUE
STERILE TECHNIQUE
PRECAUTIONS FOR INVASIVE PROCEDURES
RESPIRATORY & TUBERCULOSIS PRECAUTIONS
TUBERCULOSIS EXPOSURE CONTROL PLAN
CONTAMINATED MATERIALS DISPOSITION
CONTAMINATED MATERIALS DISPOSAL
NURSING BAG TECHNIQUES
HOME HEALTH AIDE BAG TECHNIQUES
COMMUNICATION OF HAZARDS TO PERSONNEL
INFORMATION AND TRAINING
EDUCATIONAL RESOURCES
INFECTION CONTROL PRECAUTIONS
IDENTIFICATION, HANDLING AND DISPOSAL
OF HAZARDOUS WASTE
REPORTABLE DISEASES AND CONDITIONS
Leadership Manual
CERTIFICATE OF INSURANCE
CONFLICT OF INTEREST
APPREARANCE BEFORE THE BOARD OF DIRECTORS
BOARD MEETINGS
LEGAL COUNSEL
FINANCIAL AFFAIRS
OVERALL POLICY STATING COMMITMENT TO SECURITY
CHAIN OF TRUST PARTNER AGREEMENT POLICY
PRINCIPLES OF INFORMATION MANAGEMENT
AGENCY FINANCES AND DISCRETIONARY SPENDING
BYLAWS RULES AND REGULATIONS
MISSION STATEMENT
SCOPE OF SERVICES
LINES OF AUTHORITY/USE OF ORGANIZATIONAL CHART
GOVERNING BODY
GOVERNING BODY/COMMITTEE COMMUNICATION
PROFESSIONAL ADVISORY COMMITTEE
ORGANIZATIONAL PLANNING
POLICY DECISIONS
ANNUAL OPERATING BUDGET
ANNUAL AGENCY EVALUATION
SATISFACTION
UNIFORM QUALITY OF CARE/SERVICE
RECRUITMENT, RETENTION, DEVELOPMENT AND CONTINUING EDUCATION
WRITTEN AGREEMENTS FOR CONTRACTED SERVICES
APPOINTMENT OF CHIEF EXECUTIVE OFFICER
DESIGNATION OF INDIVIDUAL IN ABSENCE OF ADMINISTRATOR
RESPONSIBILITIES/SUPERVISION OF CLINICAL SERVICES
PERSONNEL MANAGEMENT RESPONSIBILITIES IN IMPROVING ORGANIZATIONAL PERFORMANCE
Nursing Manual
STANDARDS OF CARE & PRACTICE
CARE COORDINATION
ADMISSION CRITERIA
TREATMENT PLAN/CARE PLANNING
COMMUNICATION OF INFORMATION
COMMUNICATION WITH OFFICE
CONSULTATION FOR SPECIALTY SERVICE
VERIFICATION OF PHYSICIAN LICENSURE
AUTHENTICATION OF PHYSICIAN ORDERS
STATEMENT OF PHYSICIAN'S RIGHTS & RESPONSIBILITIES
ADMINISTRATION & DOCUMENTATION OF MEDICATIONS
MEDICATION MONITORING
MEDICATION PROFILE
IDENTIFICATION OF MEDICATION FOR ADMINISTRATION
MEDICATION
PATIENT/CLIENT SELF-ADMINISTRATION OF MEDICATION/SOLUTIONS
PULSE RATE DETERMINATION WITH CERTAIN DRUGS
CONTENTS OF THE PATIENT/CLINICAL RECORD
MEDICATION ERROR
ANAPHYLAXIS PROTOCOL
ADVERSE DRUG REACTIONS
LABELS
DRUG-FOOD INTERACTIONS
SAFE STORAGE OF MEDICATIONS
SAFE/EFFECTIVE USE OF MEDICATIONS
ENTRIES INTO PATIENT/CLIENT RECORDS
CONTENTS OF NOTES IN THE CLIENT'S RECORD
SCOPE OF ASSESSMENTS/QUALIFICATIONS
COORDINATION OF SERVICES WITH OTHER PROVIDERS
REHABILITATION TECHNIQUES
TRANSFER INFORMATION
CONDOM DISTRIBUTION
COMMUNICABLE DISEASE
ABBREVIATIONS AND SYMBOLS
BLOOD LEAD PROGRAM
WIC/FMC SCREENING FOR PERINATAL DEPRESSION
HEALTH SUPPORT PROGRAM
Safety Policy Manual
BIOTERRORISM
EMERGENCY PREPAREDNESS
INTERNAL DISASTER
EXTERNAL DISASTER PLAN
FIRE SAFETY
FIRE/DISASTER EVACUATION PLAN-ELDORADO SITE
FIRE/DISASTER EVACUATION PLAN-CARMI SITE
FIRE/DISASTER EVACUATION PLAN-RIDGWAY SITE
TORNADO
EXPLOSION
EARTHQUAKE
BOMB THREAT
CODE ADAM
VIOLENT CLIENT
HEATING OR COOLING FAILURE
BUILDING ACCESS
USE OF PROPERTY & FACILITIES
RISK MANAGAEMENT PROGRAM
MEASURING PERFORMANCE OF ENVIRONMENT OF CARE MANAGEMENT PROGRAM
ENVIRONMENTAL SAFETY-OFFICE
FIRE SAFETY-OFFICE
EQUIPMENT MANAGEMENT-OFFICE
ENVIRONMENTAL SAFETY-PATIENT/CLIENT
ACCIDENT PREVENTION
SAFETY & APPROPRIATE USE OF MEDICAL EQUIPMENT, HOME CARE SUPPLIES
MEDICAL EQUIPMENT MALFUNCTION
HAZARDOUS WASTE HANDLING
AGENCY PERSONNEL SAFETY-UNSAFE HOME VISITS
FUNDAMENTALS OF BODY MECHANICS
 INCIDENT REPORTING
INSECT & RODENT CONTROL
AFTER HOURS SECURITY
SAFETY IN THE WORKPLACE
MEDICAL EMERGENCY
MISSING PERSONS
THEFT
RAPE OR SEXUAL ASSAULT
HANDLING OF INCIDENTS OF SERVICE RECIPIENT ABUSE/NEGLECT (OR SUSPECTED INCIDENTS)
DEATH
SAFETY & SECURITY OF STAFF
BASIC HOME SAFETY-HOME HEALTH
STORAGE, HANDLING & ACCESS TO SUPPLIES & GASES-
HOME HEALTH
HOME USE & DISPOSAL OF CONTROLLED SUBSTANCE-
HOME HEALTH
FRAUD & ABUSE
WHISTLEBLOWERS
PREVENTION & DETECTION OF FRAUD & ABUSE
PMC Manual
STATEMENT OF PURPOSE
MISSION STATEMENT
SCREENING FOR ADMISSION
FEE FOR SERVICES
HOUSE RULES
DISCHARGE
CONFIDENTIALITY
DRUG TESTING
STRUCTURED THERAPEUTIC ENVIRONMENT
REFERRAL SERVICES
INCIDENT BOOK
BREATHALYZER
RESTRICTION
CRITERIA
HOUSE MEETINGS
CLIENT RECORDS
MEDICATION
OUTPATIENT COUNSELING
AA ATTENDANCE
TRANSPORTATION
MAIL
FOOD SERVICE PLAN
GRIEVANCES
STAFF PLAN
ORDERING OF SUPPLIES
VEHICLE MAINTAINENCE
VEHICLE OPERATION
SMOKING
DRUG SEARCHES
CASE CLOSING
PRIVACY
Rights Manual
RIGHTS/RESPONSIBILITIES
STATEMENTS OF RIGHTS MENTAL HEALTH/YIP/ACT
STATEMENT OF PATIENT RIGHTS - SUBSTANCE ABUSE PROGRAM
INFORMED CONSENT/REFUSAL OF TREATMENT
FINANCIAL RESPONSIBILITY
CARDIOPULMONARY RESUSCITATION
CLIENT GRIEVANCE/COMPLAINT PROCESS
FACILITATING COMMUNICATION
EXPERIMENTAL RESEARCH AND INVESTIGATIONAL STUDIES
CONFIDENTIALITY OF INFORMATION
RELEASING CONFIDENTIAL INFORMATION WITHOUT THE CONSENT OF CLIENT OR LEGAL GUARDIAN
CLIENT CONSENT FOR PUBLIC EXPOSURE
SAFEGUARDING/RETRIEVAL OF CLINICAL RECORD
REQUESTS FOR RECORDS OF DECEASED PERSONS SERVED
ACCESS TO INFORMATION BY FORMER PERSONS SERVED
REFERRAL DISCLOSURE
INVOLUNTARY COMMITMENT
PATIENT/CLIENT EDUCATION PROCESS
COMMUNITY ACCEPTANCE
RETENTION OF RECORDS
AIDS CONFIDENTIALITY
CONSUMER INFECTIOUS DISEASES
ENGAGEMENT
DUI ADMISSION
DUI DISCLOSURE
MEDICAL EMERGENCY
NO DECLINE
ADVANCE DIRECTIVES
RESOLUTION OF CONFLICTS/HUMAN RESOURCE COUNCIL
SASS

 

 
  

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