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Policies and Procedures

01. Behavioral Health
Mission Statement & Philosophy
01. Philosophy of Behavioral Health Services
01. Behavioral Health
Mission Statement & Philosophy
02. Vision, Mission and Values
01. Behavioral Health
Personnel
03. Commitment of Cultural Competency
01. Behavioral Health
Mission Statement & Philosophy
04. Ethical Issues
01. Behavioral Health
Mission Statement & Philosophy
05. Creating Positive Change in the Community
01. Behavioral Health
Records & Operations
06. Advanced Directives
01. Behavioral Health
Personnel
07. BHS Organization, Duties, and Responsibilities
01. Behavioral Health
Admin-Government
08. YCHC- Behavioral Health Services Organizational Chart
01. Behavioral Health
Admin-Government
09. Reference to YCHC Administrative Policies
01. Behavioral Health
Admin-Government
10. Policy and Procedure Review
01. Behavioral Health
Personnel
11. Code of Conduct
01. Behavioral Health
Personnel
12. Reference to YTT/YCHC Personnel Policies
01. Behavioral Health
Personnel
13. Licensure, Certification and Continuing Education
01. Behavioral Health
Personnel
14. Interdepartmental Communication
01. Behavioral Health
Personnel
15. Behavioral Health Clinical Supervision and Peer Review
01. Behavioral Health
Personnel
16. Yakutat Tlingit Tribe Employee Performance Evaluation
01. Behavioral Health
Services
17. Client Permission for Observation
01. Behavioral Health
Personnel
18. Mandatory Reporting
01. Behavioral Health
Personnel
19. Specific Competencies Training
01. Behavioral Health
Risk Management
20. Adverse Incident Report
01. Behavioral Health
Risk Management
21. Safety- Aggressive or Violent Client
01. Behavioral Health
Risk Management
22. Reference to YCHC Safety Policies
01. Behavioral Health
Risk Management
23. Disaster Plan
01. Behavioral Health
Risk Management
24. Infection Control
01. Behavioral Health
Risk Management
25. Fire Safety
01. Behavioral Health
Services
26. Community Crisis Response
01. Behavioral Health
Finance
27. Reference to YCHC Finance Policies
01. Behavioral Health
Finance
28. Sliding Fee Discount Program
01. Behavioral Health
Planning & Evaluation
29. Client Satisfaction & Needs Assessment
01. Behavioral Health
Planning & Evaluation
30. Continuous Quality Improvement
01. Behavioral Health
Services
31. Behavioral Health Outpatient Services
01. Behavioral Health
Services
32. Delivery of Behavioral Health Services
01. Behavioral Health
Services
33. Responding to Referrals
01. Behavioral Health
Services
34. Depression Screening Workflow
01. Behavioral Health
Services
35. Client Scheduling & Triage
01. Behavioral Health
Services
36. Management of Patients Presenting Under the Influence of Substances
01. Behavioral Health
Services
37. Client Intake Process
01. Behavioral Health
Services
38. Tele-Health Visits Flow
01. Behavioral Health
Services
39. Psychiatric Services
01. Behavioral Health
Services
40. Medical Referrals
01. Behavioral Health
Services
41. Onsite Urine Test & Collection
01. Behavioral Health
Services
42. Clients at Risk for Suicide
01. Behavioral Health
Services
43. Education for Clients with Substance Use Disorder
01. Behavioral Health
Services
44. Treatment Relapse
01. Behavioral Health
Services
45. Ensuring Continuity of Care
01. Behavioral Health
Services
46. After Hours & Urgent Care
01. Behavioral Health
Services
47. Medication Management
01. Behavioral Health
Services
48. Medication Management
01. Behavioral Health
Services
49. Management of No-Show Appointments
01. Behavioral Health
Services
50. Case Review and Presentation
01. Behavioral Health
Services
51. Home Visit
01. Behavioral Health
Services
52. Consent for Home Visits
01. Behavioral Health
Services
53. Ambulatory Detoxification
01. Behavioral Health
Services
54. Alcohol Withdrawal Assessment Scoring Guidelines (CIWA-Ar)
01. Behavioral Health
Services
55. Clinical Opiate Withdrawal Scale (COWS)
01. Behavioral Health
Patient Rights
56. Client Rights and Responsibilities
01. Behavioral Health
Patient Rights
57. Consent to Treatment
01. Behavioral Health
Patient Rights
58. Release of Behavioral Health Record to Client
01. Behavioral Health
Patient Rights
59. Use and Disclosure of Psychotherapy Notes
01. Behavioral Health
Patient Rights
60. Minors' Privacy Rights
01. Behavioral Health
Patient Rights
61. Release of records for SUD clients (42 CFR Part 2)
01. Behavioral Health
Records & Operations
62. Confidentiality of Client Record
01. Behavioral Health
Records & Operations
63. Client Records
01. Behavioral Health
Records & Operations
64. Client List
01. Behavioral Health
Records & Operations
65. Documentation
01. Behavioral Health
Records & Operations
66. Treatment Plan
01. Behavioral Health
Records & Operations
67. Community Outreach
01. Behavioral Health
Miscellaneous
68. Conference Area and Guest on Premises
01. Behavioral Health
Miscellaneous
69. Facility Environment
02. Compliance
Compliance
01. Standards of Conduct and Compliance Program
02. Compliance
Compliance
02. Staff Compliance Committee Charter
02. Compliance
Compliance
03. Implementing & Revising Policies and Procedures
02. Compliance
Compliance
04. Exclusion and Debarment Screening
02. Compliance
Compliance
05. Record Retention
02. Compliance
Administration
06. Contract Management
03. Clinical
Clinical
01. Clinical Policy Approval
03. Clinical
Clinical
02. Access to Care
03. Clinical
Clinical
04. After Hours Medical Emergency Response
03. Clinical
Clinical
05. Appointment Protocols
03. Clinical
Clinical
06. Appointment Policy and Procedure
03. Clinical
Clinical
07. Hearing Screening
03. Clinical
Clinical
08. Consent and Treatment of Minors
03. Clinical
Clinical
09. Informed Consent for Treatment, General
03. Clinical
Clinical
10. Involuntary Consent
03. Clinical
Clinical
11. Requirements for Presence/ Consent for Clinic Visits
03. Clinical
Clinical
12. Immunizations, Availability
03. Clinical
Clinical
13. Patient and Family Education
03. Clinical
Clinical
14. Referral Policy
03. Clinical
Clinical
15. Refusal of Treatment
03. Clinical
Clinical
16. Clinical Summary of the Patient Self-Determination Act 0f 1991
03. Clinical
Clinical
17. Supplies and Equipment
03. Clinical
Clinical
18. Clinical Transportation of Patient for Hospital Admission
03. Clinical
Clinical
19. Reporting Sentinel Events and Incidents
03. Clinical
Clinical
20. Clinical Summary Policy on Clinical Assessment and Reassessment
03. Clinical
Clinical
21. Code Blue
03. Clinical
Clinical
22. Communication with Persons of Limited English Proficiency
03. Clinical
Clinical
23. Communicating Information to Persons with Sensory Impairments
03. Clinical
Clinical
24. Consultant Referrals
03. Clinical
Clinical
25. Medical Provider Acknowledgement of Diagnostic Results
03. Clinical
Clinical
26. Reporting Patient Abuse- Adult
03. Clinical
Clinical
27. Reporting of Injuries Related to Criminal Conduct
03. Clinical
Clinical
28. Reporting Patient Abuse- Child
03. Clinical
Clinical
29. Triage Walk-in Protocol
03. Clinical
Clinical
30. Triage of Walk-ins, Urgent/Non- Urgent Patients
03. Clinical
Clinical
31. Telephone Triage
03. Clinical
Clinical
32. Community Health Aide Procedure List
03. Clinical
Clinical
33. Critical Pediatric Vital Signs
03. Clinical
Clinical
34. Deaths Occurring in the Health Center
03. Clinical
Clinical
35. Documentation, minimal
03. Clinical
Clinical
36. Pediatric Exams
03. Clinical
Clinical
37. Provider Protocols
03. Clinical
Clinical
38. Patient Care Emergencies
03. Clinical
Clinical
39. Treatment Allergic Reactions
03. Clinical
Clinical
40. Visitors, Traffic Control
03. Clinical
Clinical
41. Pain Protocol
03. Clinical
Clinical
42. Advanced Directives
03. Clinical
Clinical
43. Code Yellow
03. Clinical
Clinical
44. Medical- Ordering and Administration
03. Clinical
Clinical
45. Effective Communication among Caregivers- Critical Lab Results, Medications and Treatment
03. Clinical
Clinical
46. Prohibited and Potentially Problematic Abbreviations National Patient Safety Goal #2b
03. Clinical
Clinical
47. Appendix A-Forms
04. Drug Free Workplace
Drug Free Workplace Policy
01. Drug-Free Workplace Policy
05. Environmental Cleaning
Environmental Cleaning
01. Guidelines, Best practices & Standard Operating Procedures
06. Finance
Finance 1.10
01. Biometric Security Information Security
06. Finance
Finance 1.20
02. Grant Billing and Cash Receipt (Draw Downs)
06. Finance
Finance 1.30
03. Legislative Mandates Restricting the Uses of Federal Grant Funds
06. Finance
Finance 1.30
04. Grants Policy Bulletin- Legislative Mandates in Grants Management for FY 2019
06. Finance
Finance 1.40
05. Cost Principles, Audit and Administrative Requirements for Federal Awards
06. Finance
Finance 1.50
06. Billing and Collection Policy
06.a Finance Contract Management
Administration
01. Contract Management
06.b Financial Management Systems
Finance
01. Table of Content
06.b Financial Management Systems
Financial Management
02. Introduction
06.b Financial Management Systems
Financial Management
03. Budgeting
06.b Financial Management Systems
Financial Management
04. Cash Management
06.b Financial Management Systems
Financial Management
05. General Ledger
06.b Financial Management Systems
Financial Management
06. Travel Policy
06.b Financial Management Systems
Financial Management
07. Accounts Payable
07. Front Desk Management of No Shows
Patient Services
01. Management of No Show
08. HR Credentialing & Privileging
Human Resources 1.20
01. Medical Staff Credentialing & Privileging Policy
08. HR Credentialing & Privileging
Human Resources
02. Medical Staff Credentialing Procedure
08. HR Credentialing & Privileging
Human Resources
03. Medical Staff Privileging Procedure
09.a HIPAA Privacy
HIPAA Privacy
01. Accounting of Disclosures
09.a HIPAA Privacy
HIPAA Privacy
02. Individual's Right to Request Amendment of Protected Health Information
09.a HIPAA Privacy
HIPAA Privacy
03. Business Associate Agreements
09.a HIPAA Privacy
HIPAA Privacy
04. Charging for Copies and Summaries of Protected Health Information
09.a HIPAA Privacy
HIPAA Privacy
05. Communication of Protected Health Information
09.a HIPAA Privacy
HIPAA Privacy
06. Fundraising and Protected Health Information
09.a HIPAA Privacy
HIPAA Privacy
07. Patient Right to Request Confidential Communications
09.a HIPAA Privacy
HIPAA Privacy
08. HIPAA Privacy Program
09.a HIPAA Privacy
HIPAA Privacy
09. Identity Verification
09.a HIPAA Privacy
HIPAA Privacy
10. Use and Disclosure of PHI for Judicial & Administrative Proceedings
09.a HIPAA Privacy
HIPAA Privacy
11. Use/Disclosure of Protected Health Information For Marketing Purposes
09.a HIPAA Privacy
HIPAA Privacy
12. Minumum Necessary
09.a HIPAA Privacy
HIPAA Privacy
13. Minor's Privacy Rights
09.a HIPAA Privacy
HIPAA Privacy
14. Patient Right to Request Restrictions
09.a HIPAA Privacy
HIPAA Privacy
15. Patient Right to Access, Inspect and Copy Protected Health Information
09.a HIPAA Privacy
HIPAA Privacy
16. Use and Disclosure of Psychotherapy Notes
09.a HIPAA Privacy
HIPAA Privacy
17. Uses and Disclosures for Which and Authorization is Required
09.a HIPAA Privacy
HIPAA Privacy
18. Uses and Disclosures for Which an Authorization or Opportunity to Agree or Object is not Required
09.a HIPAA Privacy
HIPAA Privacy
19. Uses and Disclosures of PHI; General Rules
09.a HIPAA Privacy
HIPAA Privacy
20. Use and Disclosure of Protected Health Information for Workers' Compesation Purposes (Providers)
09.a HIPAA Privacy
HIPAA Privacy
21. Breach Notification Policy
09.b HIPAA Privacy
HIPAA Security
01. Assigned Security Responsibility
09.b HIPAA Privacy
HIPAA Security
02. User Access Management
09.b HIPAA Privacy
HIPAA Security
03. Authentication & Password Management
09.b HIPAA Privacy
HIPAA Security
04. Facility Access Controls
09.b HIPAA Privacy
HIPAA Security
05. Workstation Access Controls
09.b HIPAA Privacy
HIPAA Security
06. Device & Media Controls
09.b HIPAA Privacy
HIPAA Security
07. Audit Controls
09.b HIPAA Privacy
HIPAA Security
08. Incident Response & Reporting
09.b HIPAA Privacy
HIPAA Security
09. Transmission Security
09.b HIPAA Privacy
HIPAA Security
10. Protection from Malicious Software
09.b HIPAA Privacy
HIPAA Security
11. Contingency Plan
09.b HIPAA Privacy
HIPAA Security
12. Business Associate
09.b HIPAA Privacy
HIPAA Security
13. Monitoring Effectiveness and Assurance
09.b HIPAA Privacy
HIPAA Security
14. Security Awareness & Training
09.b HIPAA Privacy
HIPAA Security
15. Sanctions
09.b HIPAA Privacy
HIPAA Security
16. Policy Creating and Documentation
10. IT Policies
IT
01. Laptop Policy
10. IT Policies
IT
02. Cellphone Policy
11. Patient Grievance Policy
Patient Rights
01. Patient Grievance Policy
12. Personnel Policy YTT
Personnel
01. Personnel Policies YTT
12.a Personnel Policy YTT- COVID
Personnel
01. COVID
13. PRC Policy
Purchase and Referred Care (PRC)
01. Priority Funding Levels
13. PRC Policy
Purchase and Referred Care (PRC)
02. Alternative Resources- Compliance, Screening & Application Requirements
13. PRC Policy
Purchase and Referred Care (PRC)
03. Escort Responsibilities
13. PRC Policy
Purchase and Referred Care (PRC)
04. Dental Services
13. PRC Policy
Purchase and Referred Care (PRC)
05. Patient & Escort Travel Agreements
14. Procurement Policy
Procurement Policy
01. Procurement Policy
14.a Procurement BID Score Sheet Blank
Procurement BID Score Sheet Blank
01. Procurement BID Score Sheet Blank
14.b Procurement Quote Score Sheet Blank
Procurement Quote Score Sheet Blank
01. Procurement Quote Score Sheet Blank
15. Risk Management Policies
Risk Management
01. Infection Control / Sharp Injury Prevention Policies & Procedures
15. Risk Management Policies
Risk Management
02. Bloodborne Pathogen Exposure Policy
15. Risk Management Policies
Risk Management
03. Hazard Communication Standard
15. Risk Management Policies
Risk Management
04. Fire Safety Policy & Procedure
15. Risk Management Policies
Risk Management
05. Exit Route Standard
15. Risk Management Policies
Risk Management
06. Controlled Substance Prescribing & Handling
15. Risk Management Policies
Risk Management
07. Prescription Drug Monotoring Program and SB74
15. Risk Management Policies
Risk Management
08. Disruptive Patient Policy
15. Risk Management Policies
Risk Management
09. Annual Training Policy
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