Compliance and Risk Manager Project Owner: Last Updated: Compliance Program % done 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 90% 90% 100% 0% 0% 0% 0% 100% 100% 0% 0% Phase Due By New Hire Orientation - Update CompliancePhD Compliance Training - Quarterly Contract Management/Procurement Policy Disciplinary Action Policy 01/01/20 01/02/20 12/15/19 12/15/19 12/15/19 12/15/19 12/15/19 12/15/19 12/15/19 10/15/19 12/15/19 12/15/19 10/15/19 12/15/19 08/15/19 08/15/19 08/15/19 08/01/19 01/01/20 12/15/19 12/15/19 Ongoing Qaurterly Monthly 12/15/19 12/15/19 Annual Work Plan to focus on high-risk areas Annual Risk Assessement 0% Annual Evaluation of Compliance Program 0% Monitoring 0% Auditing 20% Total Percentage Complete 12/15/19 Ongoing Ongoing Privacy and Security Program % done Phase 100% Notice of Privacy Practices Policy 100% Privacy/Security Walk-Through Checklist 80% Authorization for Release of PHI Policy 0% 0% Due By 08/15/19 08/15/19 10/31/19 01/01/20 02/15/20 0% 0% 100% 75% 0% 0% 0% 0% 80% 80% 80% 0% 0% 0% 0% 0% 0% 0% 30% Verification of Identity Policy Monitoring Auditing Total Percentage Complete 10/31/19 09/15/19 08/01/19 10/31/219 01/01/20 01/01/20 12/15/19 10/31/19 08/15/19 09/15/19 09/15/19 12/15/19 12/15/19 12/15/19 12/15/19 12/15/19 Ongoing Ongoing Risk Management Program % done 90% 80% 100% 90% 100% 100% 100% 100% 100% 0% 0% 0% 80% 0% 0% 0% 59% Phase Due By Incident Report Form 08/15/19 08/15/19 10/15/19 08/15/19 08/15/19 08/15/19 08/15/19 08/15/19 08/15/19 10/15/19 01/01/20 Ongoing 09/15/19 01/01/20 Ongoing Ongoing Incident Report Policy Patient Grievance Process/Policy Annual Risk Management Goals Monitoring Auditing Total Percentage Complete Other Regulatory Requirements (OSHA, Safety) % done Phase 0% Pharma Waste Plan 0% Exit and Evacuation Plan 0% Exposure Control Policy Due By 01/01/20 12/15/19 12/15/19 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% Workplace Safety Policy OSHA Requirements Binder/drive Update - for Admin Request Consultation from CalOSHA SDS Policy PPE Policy Annual Safety and Health Program Review Develop a Safety Culture Survey for Staff Monitoring Auditing Total Percentage Complete 12/15/19 12/15/19 01/31/20 01/30/20 01/30/20 01/01/20 01/01/20 Ongoing Ongoing t Status Report Notes Column1 Column2 Column3 First year will be this status report. Will begin to evaluate in 2020 Notes Column1 Column2 Column 3 Notes Notes Agency/ Column Colum Column1 Area 2 n3 Agency/ Column Colum Column1 Area 2 n3 OSHA OSHA OSHA OSHA OSHA OSHA OSHA OSHA OSHA OSHA