GSCH CORPORATE COMPLIANCE PLAN ACKNOWLEDGEMENT
Greater Seacoast Community Health (GSCH) is committed to providing high quality primary health care in a coordinated and responsive manner. In this commitment, we strive to ensure an ethical approach to healthcare delivery and management. We must demonstrate consistently that we act with absolute integrity in the way we provide healthcare and conduct our business.
I, understand that I have the following responsibilities in relationship to my employment at GSCH:
1. Behave ethically in all of my relationships with co-workers, patients and clients, including but not necessarily limited to behaviors outlined in the GSCH Employee Handbook- Values, Ethics and Code of Conduct.
2. Follow the various guidelines, procedures and protocols of:
A.) GSCH Clinical Operations Policies and Procedures Manual, Financial Policies and Procedures Manual, HIPAA Manual, IT Policies & Procedure Manual, WIC Policies and Procedures Manual, and the GSCH Employee Handbook;
B.) Any funding source guidelines (e.g. HRSA, DHHS-NH, etc.) that are pertinent to my role at GSCH;
C.) Any professional licensing or certification requirements, guidelines, etc. which apply to my position within GSCH.
3. Any other guidelines, protocols, procedures, regulations, laws, etc. that apply to my position of business while employed at GSCH.
I will abide by GSCH's Code of Conduct. I acknowledge that I have an obligation as required by Corporate Compliance Standards to report any behavior that appears to violate applicable laws, rules, regulations or the Code of Conduct. I understand that as part of GSCH's Code of Conduct, I may report said behavior without fear of sanction or reprisal. I understand that appropriate channels of reporting include my supervisor, manager, the Compliance Officer, and/or any member of the GSCH Corporate Compliance Committee.
I acknowledge that in the course of my employment or affiliation with GSCH, I have access to paper and/or electronic records, correspondence, reports, and other information/ communications, which by their very nature concern patients, vendors, clients, employees and the general business operations of GSCH. I understand such information is confidential and that I have no right to disclose or disseminate such information in any manner, to any person, unless specifically authorized by a properly executed Authorization to Release Information form under the guidelines of HIPAA Privacy Standards if that information concerns a patient or client, or unless otherwise specifically authorized by applicable law.
This information may include contents of the patient's or client's record, employee information, incident reports, quality improvement reports, computer passwords, and any or all information, electronic records, data, and documents regarding client care provided at GSCH.
I acknowledge that GSCH has informed, cautioned and instructed me that the information concerning patients or clients received by me during the course of my employment or affiliation at GSCH is strictly confidential and is NOT to be disclosed to any unauthorized person or entity no matter what the nature of the information. I fully understand that I may not communicate to other persons or entities, information received in my capacity as an employee, or that might have otherwise come to my attention concerning patients or clients during my employment with GSCH, unless specifically authorized by a properly executed Authorization to Release Information form or as allowed by law or GSCH policy.
I understand that the confidentiality provisions referenced in this document shall survive my termination of employment from or affiliation with GSCH.
I understand that in the event I might disclose any such confidential information without authorization, either intentionally or inadvertently, that I could be legally responsible for breach of confidentiality of such information. Further, I also acknowledge that any willful release of information shall result in immediate disciplinary action up to and including termination of employment or affiliation with GSCH,
I understand that this acknowledgement form is only a clarification of current policies and procedures. I acknowledge that I have received a copy of GSCH's Corporate Compliance Plan, have read it, and understand its contents.