HIGH PEAKS HOSPICE

PERSONNEL POLICIES AND PROCEDURES

ALPHABETICAL INDEX
As of October 16, 2018

Policies are listed in alphabetical order regardless of policy number; revision date is indicated after the title.  

 

  Introduction HPH-100 (Rev 10/16/18)

      Form: Mission Statement Rev 11/18

  Annual Report-Hospice Program Evaluation HPH-102 (Rev 10/16/18)
  Attendance HPH-103  (Upd 08/18)

  Budget Process HPH-101 (Upd 08/18)

  Bulletin Boards HPH-106 (Upd 08/18)

  Compensation HPH-109 (Upd 02/28/19)

  Competency of Hospice Care Providers HPH-110 (Upd08/18)

  Compliance Program HPH-111  (Upd 08/18)

      Form- Compliance Reporting (Rev 07/18) 

  Computer Use and Information Technologies HPH112 (Upd 08/18)

      FormComputer Use Policy Agreement (Rev 07/18)

  Computers – Laptops and Other Portable Devices HPH-156 (Rev 03/21/17)

      Form - Laptop Computer Use Agreement (Rev 07/18)

  Conflicts of Interest HPH-147 (Upd 08/18)

     Form - Annual Conflict of Interest Statement (Rev 07/18)

     Form - Disclosure of Conflict of Interest (Rev 07/18)

  Criminal Background Checks HPH-159 (Upd 08/18)

      Form - Background Check Memo (Rev 12/18)
      Form - Background Check Permission (Rev 12/18)
      Form - Correction Law Article 23-A

  Development and Fundraising HPH-148 (Upd 08/18)

      Form - Release Form (Rev 07/18)

  Disability HPH-113 (Upd 08/18)

  Disciplinary Procedures HPH-114 (Rev 10/16/18)

      FormDisciplinary Counseling (Rev 02/19)

  Dress Code HPH-115 (Upd 08/18)

  Education Programs for Staff HPH-124 (Upd 10/18)

      Form - Mandatory In-Service for All Staff (Rev 1/19)

      Form - Sign In Sheet for In-Service (Rev 07/18)

      Form - Community Outreach In-Service Sign In Sheet (Rev 11/18)

  Employee Benefits HPH-116  (Upd 08/18)

      Form: Pre-Tax Premium Plan Enrollment Decline Form (Rev 07/18)

  Employee Problem Review- Grievance Process (Upd 08/18)

      Form - Employee Concern Problem Review (Rev 07/18)

  Employment Reference HPH-120  (Upd 08/18)

   Fax Policy HPH-122 (Upd 08/18)

      FormFax Cover Sheet (Rev 07/18)

      Form:  Fax  Internal Cover Sheet (Rev 07/18

  Financial – Check Writing Limitation HPH-149  (Upd 08/18)

  Gift Acceptance HPH-151 (Upd 08/18)

  Gratuities HPH-161 (Upd 08/18)
  Health Commerce System (HCS) HPH160 (Upd 08/18)

  Health Rquirements for Staff HPH117 (Upd 08/18)

      Form - Annual Health Reassessment for Employee/Volunteer (Rev 10/18)

      Form - Flu Vaccine Release (Rev 07/18) 

     Form - Flu Vaccine Waiver (Rev 07/18)

      Form - Incident Report Employee/Volunteer (Rev 07/18)

      Form - Initial Employee/Volunteer Physical (Rev 07/18)

  Hiring Practices HPH-123  (Upd 08/18) 

      Form: Application for Employment (Rev 07/18)    
      Form: New Employee 30 Day Checklist (Rev 04/19)

      Form:  Refernece Check (Rev 07/18)

      Form: Survey for New Employees (Rev 07/18)

  Insurance for Transport of Patients HPH-146 (Upd 08/18)

  Job Descriptions HPH-163 (Upd 08/18)
  Job Posting HPH-125 (Upd 08/18)

  Leave Holiday, and Other Absences HPH132 (Upd 02/19)

      Form - Leave Donation Form (Rev 07/18)
      Form -  Leave Request (Rev 01/19)

  Marketing Materials  HPH-129 (Upd 08/18)

      Form - Release Form (Rev 07/18)

  Performance Evaluation HPH-133 (Upd 08/18)

  Personnel File HPH-118 (Upd 08/18)

       Form - Emergency Contact Information (Rev 07/18)

       Form - Personnel File Requirements (Rev 07/18)

  Policies: Review and Approval HPH 136 (upd 08/18)

      FormClinical Policy Review by IDT Sign In Sheet (Rev 03/19)

  Productive Work Environment HPH-121 (Upd 08/18)

  Quality Assessment and Performance Improvement Program (QAPI) HPH-157 (Rev 10/16/18)

      FormPatient Satisfaction Questionaire 2 and 8 Week (Rev 01/2018)  

  Receipt of Income HPH-107 (Upd 08/18)

  Records Retention with Schedule HPH-150  (Upd 08/18)

  Reimbursments HPH 130 (Rev 08/18)

      Form - Check Request Form (Rev 04/19)

  Sexual Abuse HPH-137  (Upd 08/18)

  Smoking HPH-138 (Upd 08/18)
  Social Media:Ethical Use HPH-155 (Upd 08/18)

  Staff Requests to be Excluded from Patient Care HPH-139 (Upd 08/18)

  Staffing Management HPH-140  (Upd 08/18)

  Standards of Conduct HPH-141(Upd 08/18)

      Form - Mission Statement Ethics Code (Rev 07/18)

  Termination of Employment HPH142 (Upd 11/01/18)

      Form - COBRA Continuation or Termination (Rev 04/19)

      Form -  Consent to Release Information (Rev 07/18) 

      Form -  Exit Interview Quenstionnaire  (Rev 07/18)

      Form -  Exit Processing Checklist (Rev 04/19)

  Timekeeping Records and Pay Process HPH-143 (Upd 08/18)

  Vehicle Use - Company Owned HPH-153 (Upd 08/18)

      Form - Vehicle Use Agreement (Rev 04/19)

  Verbal/Non-Verbal Abuse and Sexual Harassment HPH-144 (Upd 08/18)

  Volunteers HPH-145  (Upd 10/18)

      Form - Volunteer Activity Log (Rev 08/18)

      Form - Volunteer Application (Rev 07/18)

      Form - Volunteer Documentation (Rev 07/18) 

      Form - Volunteer Evaluation (New 11/2018)

      Form - Volunteer File Requirements (Rev 11/18)  

      Form - Volunteer Job Descriptions (Rev 11/18)

      Form -  Volunteer Narrative Patient Visit (Rev 07/18)

      Whistleblower HPH158 (Upd 08/18)