1 CATSKILL REGIONAL MEDICAL CENTER EMPLOYEE HANDBOOK POLICIES AND PROCEDURES Revised 1/29/07 2 MISSION STATEMENT The mission of Catskill Regional Medical Center is to provide the highest quality health care services to the residents of Sullivan County and surrounding communities, in a patient and family environment. The care we render shall address the physical, emotional and spiritual needs of the community and enhances the quality of life for our patients, staff and their families by continually evaluating and improving our performance. VISION Catskill Regional Medical Center (CRMC) is committed to becoming the health care provider of choice for the patients in our service area. This will be achieved by: Creating a culture that is patient centered, focused on excellence and community oriented. Empowering employees to become agents of change. Developing new services and expanding existing services to meet the needs of the community, employing traditional as well as complementary and alternative approaches to patient care. Providing qualified professional staff in a coordinated and planned fashion to meet the changing needs of our patients. Acquiring the latest in technology to support our caregivers, our clinical services and our administrative and support staffs. Improving access to services, continuity of care and convenience for patients. Providing care in a holistic, safe and healing environment, which embraces the Planetree model of patient care, respecting the confidential nature of the patient-hospital relationship. Assuring the financial viability of CRMC. 3 CATSKILL REGIONAL MEDICAL CENTER PRINCIPLES We believe that: The community we serve is our reason for being. Both the Harris and Callicoon divisions of CRMC provide needed services for our community. The highest level of patient care is achieved when patients and families are empowered through information and education to be partners in their care. All our business and inter-personal relations are conducted at the highest levels of honesty, integrity and professionalism. All members of the CRMC family (medical staff, employees and volunteers) are “caregivers” and we value the pride and commitment they bring to the community. We recognize the central role of the physician as the leader of our healthcare delivery system. Our patients are best served when CRMC caregivers create a workplace culture of shared responsibility, mutual respect and support. All members of the CRMC family share responsibility for the thoughtful management of Hospital resources. The creation of mutual trust and collaboration with our community will improve both access and continuity of care for all those we serve. Provide access to quality care regardless of ability to pay. Our Centers of Excellence; the Women’s Health Center; the Diabetes Wound Care Center; the Skilled Nursing Facility; the Upstate Rehabilitation Center, our Family Health Clinics and all of our service areas provide accessible, focused, state of the art care for our patients directed to their specific needs. Approved by the Board of Trustees On March 3, 2004. 4 TABLE OF CONTENTS SECTION I - INTRODUCTION & GENERAL INFORMATION MISSION……………………………………………………………………… FORWARD......................................................................................................... THE HOSPITAL'S ATTITUDE TOWARD COLLECTIVE BARGAINING….. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT............ 2 6 7 7 SECTION II - FOR THE NEW EMPLOYEE THE HUMAN RESOURCES DEPARTMENT................................................... ORIENTATION OF NEW EMPLOYEES.......................................................... EMPLOYMENT PHYSICAL............................................................................. 8 9 9 SECTION III -WORK TIME POLICIES HOURS OF WORK............................................................................................. WORK SCHEDULES.......................................................................................... OVERTIME........................................................................................................ TIME CLOCKS................................................................................................... PAY PERIOD AND PAYDAY............................................................................ MEAL AND REST PERIODS............................................................................. CALL TIME........................................................................................................ 10 10 11 11 11 12 13 SECTION IV - PERFORMANCE AND ADVANCEMENT ORIENTATION PERIOD-“PROBATION”………………..…............................ GETTING AHEAD: PROMOTIONS & TRANSFERS....................................... PERFORMANCE EVALUATION -- KNOWING YOUR JOB SCORE.............. STAFF DEVELOPMENT AND IN-SERVICE EDUCATION............................. LICENSES, REGISTRATIONS AND CERTIFICATIONS................................. TUITION REIMBURSEMENT........................................................................... IDENTIFICATION CARDS................................................................................. 13 13 14 14 15 15 16 SECTION V - GENERAL POLICIES WHEN YOU ARE OFF DUTY.............................................................................. EMPLOYMENT OF RELATIVES......................................................................... NO SMOKING ...................................................................................................... MAINTENANCE OF CONFIDENTIALITY......................................................... ACCEPTANCE OF GIFTS AND GRATUITIES................................................... BULLETIN BOARDS............................................................................................. 17 17 17 17 18 18 5 GIFT SHOP.......................................................................................................... 19 MEDICAL LIBRARY........................................................................................... 19 RECORDS AND STATUS CHANGE................................................................. 19 LOST & FOUND .................................................................................................. 19 SECTION VI - BENEFITS AND LEAVES HOLIDAYS........................................................................................................... VACATIONS........................................................................................................ LEAVES OF ABSENCE....................................................................................... FAMILY AND MEDICAL LEAVE ACT................................................................ BEREAVEMENT LEAVE.................................................................................... JURY DUTY......................................................................................................... TRAVEL EMERGENCY DAYS……………………………………………….. EMPLOYEE HEALTH SERVICES...................................................................... EMPLOYEE AWARDS PROGRAM................................................................... 20 20 21 21 22 22 23 23 23 SECTION VII - CONDUCT AND BEHAVIOR MAINTAINING DISCIPLINE AND DECORUM……………………………… GRIEVANCE PROCEDURE................................................................................ ATTENDANCE..................................................................................................... SEXUAL HARASSMENT/HARASSMENT........................................................ SOLICITATION & CHARITIES........................................................................... PERSONAL APPEARANCE................................................................................. IN THE EVENT YOU LEAVE THE HOSPITAL’S EMPLOY............................ HOSPITAL SAFETY PROGRAMS....................................................................... STAFF RIGHTS………………………………………………………………….. CORPORATE COMPLIANCE PROGRAM…………………………………….. 24 24 25 27 28 28 29 29 30 30 SECTION VIII – INSURANCE HOSPITAL AND MEDICAL INSURANCE....................................................... 31 LIFE INSURANCE................................................................................................ 31 WORKER'S COMPENSATION............................................................................ 32 IN CASE YOU ARE DISABLED......................................................................... . 32 6 INTRODUCTION AND GENERAL INFORMATION FORWARD Catskill Regional Medical Center provides excellent hospital care. And, in an era when patients have increasing choices as to who they want to have as their healthcare providers, your Hospital intends to build on this excellence. Our reputation only can be achieved if the hundreds of men and women who truly are the Hospital, are highly motivated and satisfied with what they do and the environment in which they do it. To this end, the Hospital has developed and maintained employee relations, policies and practices designed to make this a good place in which to work. This Employee Handbook contains an overview of the hospital’s policies. You are urged to become familiar with them. By knowing the various rules and regulations, benefits and other important employee relations practices, you will get the most from your job and from your part as a member of the Hospital's healthcare team. Keep the handbook handy; it is yours to use. Should you ever misplace or lose it, be certain to get a replacement from the Human Resources Department. The information contained in this handbook about our personnel policies, benefits, and rules of conduct are in a condensed form and do not detail every condition of employment or personnel policy; however, it gives an excellent review of information concerning what you can expect from the hospital and what the hospital expects in return. Because the handbook does not answer every question or cover every detail, be certain to speak to your supervisor if you ever have any questions or want further information. If your supervisor is unable to supply the information you seek, he or she will obtain it, or, direct you to a member of the Human Resources Department. 7 Be sure to keep in mind that this set of policies and procedures is not a “contract of employment.” Any individual may voluntarily leave employment and may be terminated from employment, at will, at any time subject to the terms of any collective bargaining agreement or specific contract which might cover the person’s position. This means that any oral or written statements or promises which are contrary to hospital policies are not valid. THE HOSPITAL'S ATTITUDE TOWARD COLLECTIVE BARGAINING Catskill Regional Medical Center recognizes its responsibilities to the community and to its employees. It also recognizes its legal obligations and as a good corporate citizen, always will fulfill its civic responsibilities, and deal responsibly with any bargaining agents with which it has collective bargaining agreements. The Hospital also recognizes that all employees whether or not they are members of a bargaining unit are first and foremost employees of the Hospital and always will be treated equitably. The Hospital also believes that employees who are not covered by collective bargaining agreements should not have to turn to the outside for representation since the Hospital is voluntarily committed to providing a responsive and positive work environment as outlined in its code of employee relations. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Catskill Regional Medical Center has earned its reputation for high quality care because of the contributions of men and women from widely diverse backgrounds. It is the policy of the Hospital to provide equal employment opportunities to all employees and applicants for employment without regard to race, creed, color, national origin, age, sex, marital status, or handicapped (disabilities). This non-discriminatory policy is an important expression of the hospital’s philosophy to recognize the individual contributions made by employees of diverse backgrounds. 8 SECTION II - FOR THE NEW EMPLOYEE THE HUMAN RESOURCES DEPARTMENT The Human Resources (“HR”) Department at Catskill Regional Center is there to serve all employees. One of its primary missions is to continually plan actions to make your Hospital a continually better place to work. The staff is committed to provide assistance to you in order that your career at CRMC is a satisfying and enriching one. Your supervisor always should be the first person to whom you should talk whenever you have a question or concern. He or she will give you the information and guidance or refer you to the Human Resources Department where the staff of the HR Department can give you help and information in a wide range of areas. Members of the department can interpret personnel policies and procedures, assist with job-related problems, and provide guidance and advice on training and development matters, answers to questions regarding compensation and benefits and help process insurance claims among issues of importance to you. You will also be able to discuss problems which may be of a nature that cannot be discussed with your supervisors or others. In some cases you may be referred to other hospital services including the Employee Health Nurse. The Human Resources Department has regular hours from 8:00 am to 5:00 p.m., Monday through Friday; though from time to time it will vary the hours and open earlier, or remain open later, in order that it can better serve employees on all shifts. Or, you can make an appointment for a specific time. Give them a call if you want to learn more. You always will be welcome. The first person an employee should talk with when there is a question, problem, or other situation to be resolved, is his or her supervisor or department head. Maintaining the proper line of authority always is important to an organization. Members of the HR Department have been trained to inquire whether an employee first has seen departmental supervision; however, there will be times when the question or situation makes it appropriate for an employee to come directly to the HR Department, or it might be recommended by departmental supervision themselves. 9 ORIENTATION OF NEW EMPLOYEES During your first weeks of employment at CRMC, there is an opportunity for getting acquainted. During this time you will learn about your job, the work we do and have the opportunity to decide if you want to become a regular member of the team. The Hospital will also have an opportunity to get to know you and to determine how well you are learning and performing the job. As part of the orientation for new employees, there is a special, formal program presented by the Human Resources Department. This is a carefully designed series of discussions and presentations to help a new employee become familiar with the benefits and privileges enjoyed and also to learn of the rules, regulations and requirements of members of the staff. Most of the orientation actually is provided by departmental supervision and includes the necessary job training associated with the job. EMPLOYMENT PHYSICAL In Catskill Regional’s effort to safeguard its patients, and provide for the welfare of its employees, and to comply with the New York State Health Code, we provide a physical exam to all those who have been hired to work at the hospital. This physical exam is provided at no cost after you are hired but prior to the time when work actually begins. You also will be scheduled for a yearly physical assessment. Should any health problems or disabilities be discovered, the Hospital, if feasible, will make reasonable accommodations to meet the needs of the employee as long as he or she is able to do the essential elements of the job. Employees have the right to access to their health records. Requests for copies should be made in advance to the Employee Health Office. SECTION III - WORK TIME POLICIES 10 HOURS OF WORK A hospital never sleeps. The care we provide means there always are employees at work, 24 hours a day, 7 days a week. Accordingly, the work shifts of different departments vary and are tailored to the nature of the department, the services provided, and the hours of operation. Your department manager will discuss your specific hours of work. There are different lengths of work week determined by your general classification as employee and if you are covered by the terms of a collective bargaining agreement, the hours of your work week might be covered in the agreement. If you are scheduled to work less than the hours for your general classification, you are considered a part time employee. This will affect some of the benefits and other privileges you have as an employee and will be discussed throughout the Handbook. If you have been hired on only a temporary, or casual, basis, you will work the specific days and hours as are assigned to you from time to time. Your supervisor will explain this to you further. WORK SCHEDULES The Hospital's reputation depends heavily on the services we perform and the quality of how we perform them. Our work schedules are designed to ensure we can be the best. This is the reasoning behind our policy regarding our scheduling practices. Your department manager will explain your specific work schedule, though there may be times when the hospital may find it necessary to change your schedule and, depending upon the department in which you work, require you to work a different shift or to begin and end your shift at different times. On occasions, it also may be necessary for you to work at a different location in order that the Hospital delivers on its commitment to our community. Your department manager or supervisor normally will tell you in advance what your schedule will be. The schedules for bargaining unit employees are posted in accordance with the respective contracts. It is our practice, in most departments, to rotate holiday and weekend assignments. Request for Days Off: There may be times when you want to be certain to have specific days off for purposes of your own. Should this occur, it is necessary for you to give your supervisor at least two weeks notice in advance of the time schedule posting covering the period you want off. If an emergency occurs, be certain to talk with your supervisor immediately to determine whether your needs can be accommodated. OVERTIME 11 In nearly every department there will be times when the work load or other unanticipated circumstance requires an employee to come in prior to the beginning of his/her normal shift or to work beyond the end of his/her shift. Should overtime be necessary, the hospital will give you as much advance notice as possible. Overtime, the same as holiday and assignments, will be rotated among employees when operations make it feasible. In the event that you believe overtime is required to complete your work, be certain to get approval from your supervisor or department head. Approval must be given in order for the Hospital to maintain control. If you are a non-exempt employee, payment for overtime is at the rate of 1.5 times your hourly rate for time worked over forty hours of worked time in a week. In the event you are covered by a collective bargaining agreement, other overtime provisions may apply. TIME CLOCKS In any organization which employs many hundreds of employees, record keeping of time worked needs to be accurate. It is for this reason that the Hospital uses a time recording system. As part of maintaining controls, it is a must that employees do not “clock in” in more than seven minutes prior to the beginning of a shift nor punch out within seven minutes after completion of work. Your supervisor will discuss this policy with you in order that enforcement can be monitored. This is an important policy for legal reasons and requires disciplinary action when it is violated. Our time and attendance system pays at seven minute intervals, so if you clock in within seven minutes after the start of your shift, you will be paid for the full amount; however, this would still be counted as a lateness and will be treated as such. This point is covered further in Section VII. PAY PERIOD AND PAYDAY Every other Friday is payday at Catskill Regional Medical Center. Your paycheck will cover the two week period which begins with the beginning of the 11:00 shift on Saturday night (Sunday workday). The method of paycheck distribution will depend on the manner on which your department operates. Normally, your supervisor will give you your check during your work shift. In the event you are not scheduled on a Friday payday, the Hospital tries to have your check available to you after 4:00 pm on the preceding Thursday. Please keep in mind that the Hospital does everything it can to prepare the paychecks by Thursday, but due to holidays or other circumstances, it may not always be able to do so. MEAL AND REST PERIODS Taking a break from the job for either a rest or a meal is an important part of the workday. Of course, much of the scheduling depends on the nature of your department and the work it performs, but as a general rule, you are eligible for two 15-minute breaks, plus 45 minutes for a lunch period. A number of departments combine one of the 15-minute breaks with lunchtime 12 thereby making the lunch period one hour, and the other 15-minute break is taken at another time. If your department follows this practice, you will be advised by your supervisor. Please note that the two 15-minutes breaks are considered work time and you are paid for them. The three- quarter-hour period of time for meal is non-paid time. Employees covered by a collective bargaining agreement may have some differences negotiated. CALL TIME A hospital always is “on call” in the event of emergencies and when services are needed with little notice. By their nature, emergencies are unpredictable and at times, they occur when a department may be closed or be operating with minimal staffing. To meet the possible demands on it, a number of departments have established an “on-call” schedule to ensure availability of qualified personnel at all times. “On-call” means that an employee stays within reach of a telephone or can be reached by electronic pager and is available for work when required. Should you work in a department with an “on-call” schedule, it will be discussed with you so that you are familiar with the procedures for your department and your specific job. Hourly employees who are “on-call,” are also eligible for a special “on-call” payment and this too will be explained to you. If you are covered by a collective bargaining agreement, its provisions will apply. SECTION IV - PERFORMANCE AND ADVANCEMENT ORIENTATION PERIOD -- “PROBATION” 13 The orientation period is planned in order that the Hospital and a new employee can get to know each other. This is also a time which is considered probationary so that a decision can be made by the Hospital as to whether the new employee's performance is meeting required standards. The length of this time will vary for each classification or as determined by the collective bargaining agreement which covers the position. Employees are notified of this probationary period prior to the time of hire. Near the completion of the probationary period, a performance appraisal is made by the supervisor which helps to determine whether the employee will be asked to stay with the Hospital. GETTING AHEAD: PROMOTIONS & TRANSFERS You are always encouraged to learn and grow on the job. And the hospital is always interested in providing guidance and help. You can help yourself by letting your supervisor know of your interests--the type of work you prefer, even if it means a job to which you would only transfer and not be promoted. If it benefits your career and your personal interest, you will find greater satisfaction. Most open jobs are posted outside the Human Resources Department, and you never should hesitate to visit the Human Resources Department to let them know of your interests and career plans. Under normal circumstances it is required that the employee be with the Hospital for at least six months before being considered for a promotion or transfer unless the change is initiated by the hospital. PERFORMANCE EVALUATION -- KNOWING YOUR JOB SCORE Everyone wants, and is entitled, to know how he or she is performing. It is important for your personal satisfaction and to enable you to continue to learn and grow in your job and that you have a regular opportunity to learn how you're doing and steps you can take to continue progressing. 14 A supervisor or department head always is available to discuss performance on the job. In any case, at the completion of a new employee's probation period, on the first anniversary date of employment, and annually thereafter, your areas of strength will be highlighted and those areas where further development and improvement is necessary will be covered. And, you will have an opportunity to discuss your future in your job and at the Hospital. STAFF DEVELOPMENT AND IN-SERVICE EDUCATION The health care industry is changing rapidly. This is reflected in many changes taking place in various clinical processes and procedures as well as in every other specialty. Computers have revolutionized administrative work and new types of equipment and facilities continually require new methods. Within this reality the Hospital encourages you to continually upgrade your knowledge and skills and supports your efforts to improve your career with the hospital. First, in-service programs are conducted by the Hospital. You should consider your development as a part of your job description and it is for that reason that many in-service programs provided by the Hospital require mandatory attendance. When given during your off hours, you are paid for the time worked at your regular rate of pay. The individual collective bargaining agreements give additional details for those covered by a contract. Second, attendance at courses, seminars and other education away from the Hospital also might be of help and you may be eligible to have the Hospital pay for such programs based upon a review of your performance and work with the hospital. If you know of a particular program that you are required to take in order to maintain a license, certification or other credentials, be certain to speak with your department head for details. Check also with your collective bargaining agreement to determine whether this is covered under the contract. LICENSES, REGISTRATIONS AND CERTIFICATIONS In a highly specialized industry such as health care, many disciplines require specific licenses, registrations and certifications in order to meet various standards. When you are employed, these licenses or registrations and certifications were verified to be current and in good standing. The 15 Hospital maintains a record of licenses, registrations and certifications, but it is each employee’s personal responsibility to take the steps needed to keep any licenses or registrations, or certifications are up-to-date. Should this policy apply to you, be certain to renew your license or registration in a timely manner, bring the original document into your Department Manager or Human Resources, have a copy of the original placed in your personnel record in Human Resources with a signed note that your original document has been viewed. Licenses, registrations and certifications are verification that an employee has the necessary credentials for the job and must be kept current. If such a license, registration, or certification expires, action is required including immediate removal from the job. TUITION REFUND Education is a multifaceted activity, thus in addition to in-service programs, attendance at outside seminars and workshops, Catskill Regional Medical Center has a tuition refund program which reimburses employees for college courses. Payment for schooling is covered by collective bargaining agreements, for those who are subject to those provisions, and in general, eligibility is for courses which support the employee's type of work. For example, a nurse may want to advance in career by completing schooling for a Baccalaureate or professionals in a number of specialties may be seeking advanced degrees. A discussion with the Human Resources Department will be helpful in answering your questions and giving you the full parameters of the criteria used. The amount of tuition reimbursement for employees not covered by a collective bargaining agreement is up to $1,000. If employed more than 7 years, employees can be reimbursed up to $2,250. Note: Any schooling for which reimbursement will be provided requires the employee to pass the course with at least a grade of "C." Eligibility 1. Full and part time non-union/management employees: after one year. 2. The proposed course or program should be held outside of regular working hours so that the work schedule is not disrupted. 16 3. The course or program must be taken at an accredited educational institution or be part of a vocational training, or work towards a college degree. 4. The course load, in the view of the supervisor or department head, should not be so great as to reduce the employee's effectiveness on the job. 5. The course or program must be directly related to the work being performed or will make the individual more valuable to the Hospital in some way. IDENTIFICATION CARDS As part of the Hospital's efforts to make it secure and safe to patients, visitors and employees, every employee is provided with a personal identification card (which is used for payroll time and attendance reporting, security card access and other purposes) on the first day of employment to ensure our security policies are successful. Be certain to wear your ID card. It is required by several regulatory agencies including the NYS Department of Health. It also makes it easier for you to be identified as an employee and changes you from a stranger to someone that can be identified as a "hospital friend." A good reminder to have your card is the practice to provide you with an employee discount in the Hospital's cafeteria. Discounts are available only when an employee can show the card. In the event that your card is ever lost or mutilated, be certain to obtain a replacement in the Human Resources Department. The replacement cost of $15.00 covers the cost of the card which must have new electronic data imprinted into it and a new photograph for placement on the card. SECTION V - GENERAL POLICIES WHEN YOU ARE OFF DUTY It is part of the Hospital's efforts to make it safe and secure. Employees should avoid being on Hospital property when not on duty. As a general rule of thumb, an employee not scheduled to be at the Hospital for work or a scheduled meeting should follow the same practices as any 17 visitor. For example, if an employee is visiting a patient, the same visiting policy and procedure should be followed. EMPLOYMENT OF RELATIVES In a community hospital where many people and their families have lived for long periods of time, it is expected that there will be friends and relatives at an organization which is one of the largest employers in the area. The Hospital recognizes this and permits the employment of relatives within the same department as long as there is Administrative approval; however, to ensure all employees believe they are being treated fairly and equitably, it is the Hospital's policy that a relative will not be in a position to supervise a relative. NO SMOKING In full recognition of the Hospital's obligation to help people stay healthy as well as to help them recover from accidents and illnesses, the Hospital maintains a strict, No Smoking policy. We also recognize that there are some employees who prefer to smoke and have provided areas outside of the building for this purpose. Should you wish to smoke, your supervisor will advise as to where the designated smoking areas outside the building are located. Always keep in mind that even in the designated areas an employee must not smoke within 30 feet of any entrance. This will ensure that any employees, visitors or patients visiting the building will not be subjected to secondhand smoke. MAINTENANCE OF CONFIDENTIALITY Catskill Regional Medical Center respects the right of privacy to anyone under our care. In your work you might have access to information about patients--even if you don't administer direct patient care. One of our most important policies deals with our need to fulfill this promise to patients which is even more important in a small community where so many people know each other. This pledge of confidentiality must be an obligation fulfilled by every employee. In addition, you will receive training on the federal laws and regulations (HIPAA) regarding Patient Health Information, what it is, and how it can and cannot be use or released. ACCEPTANCE OF GIFTS AND GRATUITIES The Hospital receives many letters of appreciation and commendation from visitors and patients who receive good care and courtesies while they are with us. Those letters always are shared with employees; however, there may be times when a patient or visitor who is particularly pleased and grateful for their care and service may offer an employee a gift or a gratuity. 18 Certainly, such a gesture should be appreciated, but since our business is to provide good care and service, the acceptance of any such offers must be denied. The taking any cash gift or gratuity from patients, their families, visitors, or even sales representatives is considered unethical and against the Hospital’s Corporate Compliance policy. If you are placed in such an awkward position, extend a gracious "thank you" and explain why you cannot accept the offer. Items which are permissible include gifts such as flowers, or the sharing by all employees of a box of candies which may have been given to a nursing unit with a value of less than $50. Should you ever be in a particularly difficult situation, talk to your supervisor about the best way to decline the gift BULLETIN BOARDS A traditional method of keeping you informed of happenings at the Hospital is to check the bulletin boards located in and just outside of the cafeteria, outside the Human Resource Department and elsewhere throughout the Hospital as well. On the cafeteria bulletin board you will find general information posted by the Hospital and information posted by employees, including items they may have which are for sale. Should you wish to post something on the bulletin boards outside the cafeteria or the Human Resource Department, be certain to first get approval from the Human Resources Department. There are some restrictions on what might be posted, such as personal notes, solicitations, and defamatory, obscene or political material. The bulletin boards located outside of the cafeteria has been set aside for the use by the organizations with whom there are collective bargaining agreements and for special postings by Administration. The NYSNA, LPN/Technical and District 1199 each have their own board for posting of information specifically for employees covered by collective bargaining agreements. The material posted is governed by the respective collective bargaining agreements, and also must receive approval from the Human Resources Department. The bulletin board outside of the Human Resources Department contains a variety of employment-related information and should be checked periodically by all employees. GIFT SHOP You will find the Gift Shop operated by the Hospital's Auxiliary to be worthwhile visiting. In addition to food snacks, they offer a number of gifts at very reasonable prices. Making purchases from the gift shop will be convenient for you, and also helps the Hospital since Gift Shop profits are all turned back in the form of purchases of equipment and other items, some of which would not have been bought if it wasn't for the efforts of the volunteers who operate the shop. 19 In addition the Shop's newspapers, magazines, greeting cards, toiletries, candy, and jewelry are very popular items with the visitors and employees. MEDICAL LIBRARY The Hospital has an excellent medical library which is used by medical professionals, and is also available to any employee who wants to take advantage of the many books and periodicals available. Catskill Regional encourages continuing education and it is for that reason the medical reference library is available for anyone's use. When you visit the library, the proper loan and online procedures will be explained to you. RECORDS AND STATUS CHANGE There is a need for the Hospital to ensure that all its personnel records are current and complete. You play a key role in making certain your file is current. Whenever there is a change in your personal status, such as number of dependents, a change in address or telephone number, your marital status, or other pertinent information you are required to notify Human Resources so that the necessary changes can be made in our records. Some of these changes might affect the amount of taxes withheld, changes in beneficiary for insurance, or other legal obligations. And, even if you leave the employ of the Hospital, it is important to keep in touch with the Human Resources Department so that any notices, including end-of-year tax forms, can be sent to you. Failure to keep the Hospital informed or apprised of your status may result in denial of certain benefits or privileges and under certain circumstances (e.g., loss of license, certification, etc.) could result in disciplinary action. LOST AND FOUND It is not uncommon in a large organization such as ours for patients, visitors, or employees to misplace or lose some possession. Should you ever find an item and are uncertain to whom it belongs, bring it to the Security Department which is the center for lost and found articles. Security will seek to find to whom any lost item belongs and will take steps to locate the owner. SECTION VI - BENEFITS AND LEAVES HOLIDAYS While it is traditional for an employer to observe certain legal holidays, a hospital never closes. Accordingly, there are no specific designated paid holidays for most employees. Time is provided for employees to take a number of paid holidays off throughout the year which can be taken on traditional days (such as New Year’s Day, President’s Day, Memorial Day, Labor Day, Thanksgiving Day, Christmas Day , 4th of July and Columbus Day) and at your choice of time. 20 These holidays also are taken when your department is closed, which might occur on a number of recognized legal holidays such as Labor Day, July 4th, Christmas Day, etc. The total number of "holidays" for most employees is twelve (12) days per year. If you are covered by a collective bargaining agreement, you will find details spelled out. VACATIONS We believe that every person needs the rest and relaxation away from the job provided by vacations. At Catskill Regional Medical Center there are a number of different time allocations for different categories of jobs. The specific amount will be explained to you by your supervisor. For those covered by a collective bargaining agreement, the amount and other factors relating to eligibility and usage of earned vacation will be covered in the particular contract. As a general rule, the Hospital provides longer vacations as your length of service increases. If you work only part time, the amount of your vacation time would be pro rated based on the total amount for which you are eligible and the number of hours for which you were hired. Though most people take vacation blocks of a week at a time, with your supervisor's permission, you may be permitted to take individual days. Vacation time may also be taken to pay for a work day you might miss because of weather problems. In order to help in scheduling and as the best way to ensure you will get the days off you prefer, be certain that you make your vacation request as early as possible. This normally should be as much as several months prior to the vacation time you anticipate. See your supervisor or department head for more specifics on scheduling of vacation time as well as other details of your vacation benefit. LEAVES OF ABSENCE There may be times when you want or believe you need to take a leave of absence from the Hospital for reasons other than the Family and Medical Leave Act. If you are covered by a collective bargaining agreement, the contracts will spell out the details the reasons for which LOA’ are permitted as well as the procedures to be followed. If you are not covered by a contract, talk with your department head immediately to determine what arrangements you are permitted to make and what, if any, can be made. Please keep in mind that unless specifically spelled out in a collective bargaining contract, when you are out on an unpaid LOA, your seniority with the Hospital continues but you will not be accruing time for holidays and vacations. 21 The union contracts cover the specifics regarding leaves of absence. In general, leaves should be approved if they are in the best interest of both the Hospital and the employee and, if proper coverage of the job can be assured. FAMILY and MEDICAL LEAVE ACT The Family and Medical Leave Act will provide you up to 12 weeks of unpaid leave during any 12-month period in the event of certain family emergencies or several other situations as defined by law. You become eligible for this benefit once you have been employed for 12 months and have worked at least 1,250 hours during the 12-month period immediately preceding the event under question. These last 12 months and are known as a “rolling 12 months.” The specific reasons for requesting such a leave includes the birth a child and the need to take care of the child, the adoption of a child or the placement with you of a foster child. It applies if you need to care for your spouse, child or parent who has a serious health condition or, if you are unable to perform your job due to a serious health condition which requires hospitalization or some form of continuing treatment by a health care provider. Should you seek to use this benefit, be aware of the need for you to give at least 30 days notice if your leave is foreseeable, such as with the birth of a child. And, it may first be necessary for you to use any vacation, sick pay or other time off allowance. BEREAVEMENT LEAVE Whenever the unfortunate happens and there is a death in your immediate family, the Hospital has several policies to aid you during this trying time. Each of the collective bargaining agreements has a bereavement leave clause which will apply if you are covered by that particular contract. If you are not covered by a collective bargaining agreement, you will be permitted four consecutive days off from scheduled work, with pay, in the event of the passing of a member of your immediate family which is defined as spouse, sibling, children, your own parents and grandparents and mother and father-in-law; this time must be taken consecutively beginning with the day or day after the loss. 22 If you are a temporary employee you may be excused from work for bereavement, though there would not be pay for time away from the job. And, if you work part time on a regular basis, you will receive paid time off but for only those days you would have worked if they fell during the time of bereavement. Additional unpaid time off may be granted in special situations such as your need to attend the funeral of a relative close to you, though not a member of your immediate family. Or, in general, you may use any holiday or vacation time due. Always be sure to talk with your supervisor who will help you make the necessary arrangements for the time you need. JURY DUTY There is an obligation everyone has as a citizen; to serve on a jury whenever called. Should you receive a jury notice, discuss the dates with your supervisor so that arrangements can be made to cover your job during any time you may be serving. At times, because we are a health care facility and serving may be difficult, you may want or be asked to request a postponement to a later time. It is for this reason you should also contact the Human Resources Department immediately after receiving your jury duty notice. Serving on a jury is a major responsibility; the Hospital recognizes this obligation by paying you your full, straight-time salary for whatever time you may be serving on a jury that you would have been at work. This, obviously, is far higher than jury duty pay and, under state law you will not receive any additional pay from the court. If your hours of work are different from jury duty time, talk to the Human Resources Department about special arrangements regarding the amount you will be paid. TRAVEL EMERGENCY DAYS Unlike many types of businesses, hospitals continue to service their patients regardless of weather conditions which might cause private companies to close. Hospital employees must be relied on to report for duty as scheduled, or as soon after as possible even in adverse conditions. There will be times, however, when heavy snows or other weather problems might prevent you from getting to work on time or not at all. In such instances and at the discretion of your supervisor, you may be eligible to make up for any lost wages by using benefit days such as a holiday or vacation day. If you arrive late and the work of your department permits it, your supervisor can authorize you to make up the time missed, but this is not always practical or possible. In any event, you are expected to call your department manager at least two hours 23 before the start of your shift if you will be unable to come to work, or will be arriving to work late. EMPLOYEE HEALTH SERVICES An important way we take care of employees is by operating an Employee Health Service staffed by a full time registered nurse. The Employee Health Service is where employment physicals/ assessments are arranged and where you should seek help in the event of any medical problem or non-emergent injury that occurs while you are on the job. The Employee Health Service is located in the Human Resources Department and you either can visit during normal office hours, or you can make an appointment for a specific time. In the event of a medical problem during times the Employee Health Service office is closed, talk with your supervisor about the situation. Please remember that the referral of employees to Employee Health or the Emergency Department can only take place while an employee is on duty, for work-related illnesses or injuries, and does not apply for illnesses and injuries that are incurred while an employee is off duty. EMPLOYEE AWARDS PROGRAM It is your service and the service of every man and woman at Catskill Regional Medical Center which gives us our reputation for quality care. To honor this service, the Hospital hosts a reception each year at which employees with at least five years of service receives a special award. It has been a tradition at CRMC to have a full recognition dinner in the spring for those to be honored that year. In addition to the dinner, awards are given to employees on each fifth year anniversary. It really is an occasion to look forward to and to enjoy. SECTION VII - CONDUCT AND BEHAVIOR MAINTAINING DISCIPLINE AND DECORUM Wherever large numbers of people work together, the security and peace of mind of each person requires the organization maintain the necessary discipline to keep operations running smoothly. It is for that reason we have the need for policies which will ensure good patient care, safe working conditions and the protection of the Hospital's property and operations. In general, rules of conduct are good, common sense. Should an employee be unable or unwilling to observe Hospital policies or should the individual be found to act in a manner which 24 may be unethical, insubordinate, or illegal, disciplinary steps would be taken. Your supervisor always will be available to discuss the rules and regulations which enable the Hospital to maintain order. Should disciplinary action take place, it would generally follow a three-step process. First, an oral warning, in private, will be given by the supervisor in an effort to correct the employee's behavior. A record of the conference will be placed into the HR file. Second, a written warning is given as part of the serious attempt at correction. This record is kept in the personnel file in the Human Resources Department. The third step would follow if the problem has not been corrected or not expected to be corrected. Action might range from suspension up to termination of employment. The nature of the infraction will determine the specific disciplinary steps taken and, if you are covered by a collective bargaining agreement, you should become familiar with those provisions of the contract which might apply. GRIEVANCE PROCEDURE In any organization employing hundreds of men and women with different backgrounds and experience, some misunderstandings or disagreements are bound to arise--about work, about a policy or action or about a decision. Should that happen to you, you have a right to ask questions and get answers. Of course, the first step would be to talk with your supervisor and/or Department Head. It would be hoped that the matter could be cleared up to your satisfaction at that point. However, if you are not satisfied, you have the right to use the grievance procedure which is outlined in the collective bargaining agreements or, if you are not a member of a union, as described below; guidance from the Human Resources Department is always available to you. The Hospital believes that prompt attention to employee problems is of a high priority and that you have the right to get your concerns reviewed openly and fairly. The procedure will give you a fair and impartial resolution and you never will be adversely affected, in any way, should you use this procedure. 1. To your department head: Put your grievance in writing. At your request your supervisor or the Human Resources Department will help you put your concern in writing. Forward your grievance to your department head and to Human Resources. Your Department Head will review your position, consult with others as appropriate, talk with you, investigate the facts and, if necessary, hold a hearing with you. At that point you can present any support of your position and if you desire, you may have another employee of your choice come and help you present your position. 25 Your department head will give you a written answer within ten business days after the completion of your conference. 2. To Administration: If you still disagree with the decision, you may, within one week from the time you receive the decision, request that the matter be submitted to Administration for final determination. The Hospital’s Human Resources Department will explain the procedures in order that you can prepare your position. This is the final step of the grievance process. You will receive a response informing you of the Hospital’s position. ATTENDANCE Perhaps more important to a hospital than any other type of organization is the need to have employees on the job when they are scheduled to work. Hospital operations are truly an example of teamwork. One shift must pick up the momentum of another and patient care itself is continual. It is for that reason the Hospital puts the highest priority on employees maintaining a good on-time--at work record; even if the reason for absence or tardiness is for good reason what is critical to the Hospital is whether or not an employee is on the job. Because work schedules are maintained for an around-the-clock operation, it is an important requirement that employees who are going to be absent to notify their department before the beginning of the shift. If a department has not yet opened, the call should be made at whatever time there would be someone available to take the call immediately after the department opens; your supervisor will advise you of the particular arrangements within your department for reporting off duty and may designate the specific person within the department to receive such calls when he or she is not available. An employee is required to notify his/her supervisor each day that he/she is out of work unless the illness or other absence requires extended leave. Employee must provide documentation from a physician that validates the need to miss work due to illness or injury on the 4th day of absence. Collective Bargaining Agreements may provide 26 different terms. In cases of an extended absence of greater than eight (8) calendar days, the employee is to follow the Leave of Absence procedures. Employees may be required to provide documentation from a physician when an occasion of an unscheduled absence falls adjacent to a Holiday, Vacation, scheduled week-end off, or other staffing situations deemed appropriate by your supervisor. Failure to do so will result in an unexcused absence, and may lead to disciplinary action. You receive sick time benefits to provide income protection in the event that you are ill. NonUnion/Management employees accrue sick leave each payroll period and are eligible to be paid for earned and available sick time after completing three (3) months of employment, providing the proper reporting procedures have been followed. The collective bargaining agreements will explain the details for sick accrual for those employees covered under a collective bargaining agreement. For Hospital purposes, excessive use of unscheduled time off is defined as follows and is grounds for initiating the Hospital’s progressive disciplinary process: Guidelines 1. Employees who are excessively late or absent, or employees who are absent without authority unnecessarily burden fellow employees with additional work and interfere with the efficient delivery of health care. Employees found to be abusing these policies will first be counseled, than if improvement is not evident, appropriate disciplinary action will be taken. 2. An occasion is defined as one or more successive scheduled work days absence for a single illness or injury (e.g., if an employee is out sick Friday and Monday for the same illness and the employee’s regular days off are Saturday and Sunday, this is considered one (1) occasion). 3. Progressive discipline will begin when a supervisor has identified instances of noncompliance as follows: Verbal Warning – Issued on the 4th occasion of unscheduled time off during a six-month period. Written Warning – Issued when one additional, unscheduled day is taken within two months of the initial verbal warning. 27 Suspension – Issued when on additional unscheduled day is taken within two months of the initial written warning. Termination – Action is taken if an additional unscheduled day is taken beyond the limits stated above. 4. Unauthorized absence is absence for reasons other than authorized sick or maternity leave, marriage days, military duty, excused personal leave, jury duty, educational leave, death in family, or paternity leave. Employees will receive no compensation from the Hospital for unauthorized absences and subject themselves to disciplinary action. SEXUAL HARASSMENT/HARASSMENT Catskill Regional Medical Center always has been committed to policies that reflect high standards of employee relations. The Hospital is committed to providing an environment where employees work free from all forms of discrimination and harassment including sexual harassment. Specifically, the Hospital's work environment must be free of any intimidating, hostile, or other offensive conditions, expressed verbally or in other ways, either explicitly or implicitly. Moreover, employees are protected so that reports of any matters relating to sexual harassment will be handled in confidence and without any recrimination. Should you ever believe you have been the subject of harassment by an employee, supervisory or non-supervisory, or by anyone who visits or does business with the hospital, report the matter to your department manager or to the Human Resources Department. An investigation will take place immediately and appropriate remedial action taken. Catskill Regional Medical Center’s Sexual Harassment/Harassment policy is accessible to all employees. All new employees receive a copy of the policy at General Orientation. Regular employees are able to receive a copy anytime by contacting Human Resources. SOLICITATION AND CHARITIES The Hospital has an enormous amount of traffic. In addition to the hundred of employees, there are many patients, visitors, and others, who do business with the Hospital. Accordingly, this policy has been developed to reduce the possibility of disruption of our operations, littering and unnecessary traffic. With the exception of Hospital-sponsored and approved activities and charity drives or activities associated with hospital organizations such as the Auxiliary, solicitation of any nature or the 28 distribution of literature for the sale of goods and services is not permitted. In addition, the need to maintain good order throughout the Hospital also means that solicitation of employees by nonemployees or outside organizations, including distribution of literature for any purpose or at any time in working in public areas of the Hospital, is not allowed. And, to ensure patient areas are as quiet as possible, employees are not permitted to solicit other employees in such areas as: patient rooms, operating and treatment rooms and any other area where patients need care or service. It is also important to know that employees who are not on duty are not authorized to return to the Hospital for the purpose of soliciting or distributing materials anywhere inside the Hospital or in outside work areas. PERSONAL APPEARANCE In a service organization such as ours which plays such an important part in the lives of members of our community, personal appearance does much to convey a sense of well being and efficiency to patients and visitors. It is for that reason every employee is expected to project the professional, business-like and caring image at all times. Your personal appearance and hygiene influences the impression the community has of us. Your Employee Identification Badge must be worn at all times while you are at work. You are expected to wear the approved uniform for your specialty or profession. If no specific dress code has been established, you are expected to wear proper business attire and footwear. Of course, clothes should always be clean and fresh. Your supervisor will guide you should you have any questions about dress or the uniforms which are part of your department. If you are required to wear a uniform, it will be supplied to you or paid for by the Hospital. IN THE EVENT YOU LEAVE THE HOSPITAL'S EMPLOY While we hope every job is satisfying and rewarding, there will be times when an employee will leave the hospital. Under such circumstances the Hospital tries to ensure smooth transition and enable us to maintain operations and services. If you resign, it is necessary to give advance notice to your supervisor. Management/ non-union employees who resign are required to give at least one-month's notice. For other employees, the amount of notice is stipulated within the collective bargaining agreements. If proper notice is given, and you are employed for a period of more than one year, you may be eligible to receive certain terminal benefits for unused holiday, vacation and sick time. Human Resources will be able to provide the details to you should the occasion arise. In addition, you can contact the Human Resources Department to make arrangements to convert any health insurance that you wish to continue and learn about your pension entitlement, if you are vested. The arrangements will be explained to you at that time. 29 Employees covered by a collective bargaining agreement may be eligible for other provisions. It is also important to keep in mind that before receiving a final paycheck all hospital property, including ID card, uniforms, and keys must be returned to your Department Manager or to Human Resources when you pick up your final paycheck. HOSPITAL SAFETY PROGRAMS The Hospital safeguards its patients and employees by following a number of special safety procedures. During a new employee's orientation, and each year thereafter, the Hospital's fire and disaster plans are reviewed. In addition, a copy of each plan is in every department. You should be well informed of the plans and your specific duties in case of an emergency. The fire plan designates specific evacuation routes and emergency manpower. You'll be instructed on your assignment in the event a fire or disaster occurs, but always be aware of fire exits, alarms and extinguishers which are located throughout the Hospital. In addition, there are drills held periodically throughout the year to ensure we have the readiness to deal with an emergency in the Hospital or to respond to an emergency anywhere in our community. Employees frequently take the fire and disaster policy lightly. Though the odds of any major emergency always are slim, they also always are present. Be certain you and your co-workers are familiar with the fire and disaster plan. STAFF RIGHTS The Hospital recognizes that aspects of patient care may cause conflict with an individual’s religious, ethical or cultural values or beliefs. The Hospital will evaluate any request made by an employee to not participate in an aspect of patient care, including treatment, because of a conflict of this nature. Management will make a reasonable effort to offer the employee an opportunity in another unit. Position availability and clinical abilities will be considered in reaching this decision but under no circumstances will the Hospital compromise patient care. CORPORATE COMPLIANCE PROGRAM The Hospital has a Corporate Compliance Program. As part of that Program, the Hospital has instituted various policies and procedures, which are set forth in Section III of the Hospital’s Compliance Manual, to assist the Hospital in preventing fraud, waste and abuse in Federal health care programs and to ensure the Hospital’s compliance with all applicable federal and state laws, 30 regulations and rules. All personnel (including employees, management, physicians, consultants and other agents) are required to comply with the Hospital’s Corporate Compliance Program. The Hospital and all of its personnel (including employees, management, physicians, consultants and other agents) shall also comply with all Federal and State laws, including false claims laws and regulations, that apply to the Hospital’s operations. The Hospital has a non-retaliation policy for personnel who raise compliance concerns or who report known or suspected violations of the Corporate Compliance Program or of federal or state laws. Concerns or reports about suspected violations can be made anonymously. Personnel are also afforded protection by law for reporting known or suspected violations of Federal and State false claims laws and regulations. A summary of the federal and state false claims laws, as well as a summary of federal and state whistleblower protection laws, are summarized in a Hospital Policy and Procedure on Compliance with Applicable Federal and State False Claims Acts, in Part III of the Hospital’s Compliance Manual and the Compliance Program Brief Summary. A copy of the Brief Summary is provided to all employees upon hire and at annual employee training sessions. Additional copies of any of these documents are also available to any employee upon request from either the Compliance or Human Resources Departments. SECTION VIII - INSURANCE HOSPITAL AND MEDICAL INSURANCE You may be eligible for hospitalization and medical insurance. The specific plan for which you may be eligible varies depending upon your position, your normal commitment of hours worked, and the terms of any collective bargaining agreement which covers your position. New employees receive a full explanation of the arrangements, and are signed up by the completion of the probationary period. Should you wish to review what your insurance covers, be certain to visit the Human Resources Department. They will explain the coverage and the amount of any payment you are required to make. The specific details of the benefits to which you may be eligible are explained in the Summary Plan Description. 31 Under a federal law called Cobra, you may be eligible to continue insurance for a designated length of time in the event you leave the Hospital. At the time of separation, you will be appropriately instructed, and any necessary forms will be provided at that time. 1. 2. 3. 4. All employees eligible to participate in any of the health insurance plans are signed up prior to the completion at their probation period. The time at which insurance takes effect is determined by the individual plan. When employees change marital status or have children, be sure to remind them to review their insurance coverage. Upon termination employees will be given the necessary forms to continue their insurance under the Cobra legislation if they decide to do so. LIFE INSURANCE Every full time management/non-union employee at Catskill Regional Medical Center is protected with a non-contributory, term life insurance policy at the conclusion on your probationary period. Collective bargaining agreements may have other provisions for life insurance benefits. It is important for you to make certain that your beneficiaries are kept current. If there is any change in your marital status, number of children, be certain to visit the Human Resource Department either to complete the necessary Change Form or to verify what the life insurance coverage entails. Many complications have arisen when an employee does not keep the beneficiary card current. Though this is a responsibility of the employee, it is appropriate for you to remind any individual who gets married or has children, to make changes in beneficiaries, if appropriate. WORKERS COMPENSATION An important "safety net" is the protection you have in the event you become injured or incur a work-related illness on the job. In general, under the state's Workers Compensation Program, medical costs due to work related injuries or illnesses are covered, and under certain conditions, a percentage of lost wages may be paid to you. Should you ever be injured while at work, you are required to report the incident and details to your supervisor immediately and to fill out any required incident report. This will eliminate any questions or problems should the effects of the injury arise at a later time. Unless you have reported your work-related illness or injury as required, it is possible a claim made at a later date might be denied. 32 The processing of claims by employees who are injured or sick as a result of employment is critical in order that the Hospital meet it legal and moral obligations. A cardinal rule should be that all injuries, no matter how slight, should be reported. This prevents legal problems for claims that are filed at a later time and is protection to the employee if a problem arises from an incident which does not appear to be significant. IN CASE YOU ARE DISABLED The New York State Disability Insurance Provision is an additional protection in case of a medical disability. In the event that you are medically disabled, you may be eligible for the benefits of disability insurance on eighth day of continuous absence. However, under the provisions of the law, you would be paid any sick time that you've accumulated and then receive payments under the state plan after your sick leave entitlement expires. The percentage of payment you receive is determined by New York State law, or, in some cases, by collective bargaining agreement. It is a legal requirement that employees do not make a profit of being out ill. It is for this reason that employees must first use up all their sick leave before getting disability checks from the state. Employees should also be reminded that New York State Disability is for injuries or illness not caused on the job though medical problems by Worker's Compensation Provisions.