Communication Training and Curriculum Development

Policies & Procedure

  • 1.  Policies & Procedure

    Posted 01-08-2020 07:53 PM
    I am curious as to how other healthcare organizations manage their policies and procedures. At what level does your organization approve policies and procedures (including department specific procedures and protocols)? Do you require that your Executives review and approve every document?

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    Alisha Hamilton
    Compliance Specialist

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    2020 SCCE Membership


  • 2.  RE: Policies & Procedure

    Posted 01-09-2020 10:18 AM
    ​We have two separate approval committees - Administrative Policy Steering Committee and Clinical Policy Steering Committee.  I sit on both.  The Administrative one also includes Chief Legal Officer, Chief Administrative Officer, and others.  The Clinical committee also includes Chief Clinical Officer, Chief Medical Officer, etc...

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    Tomi Hagan MSN, RN, CHC, CHPC
    Chief Compliance Officer
    Great River Health System
    Brentwood, TN
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    2020 SCCE Membership