POLICY AND PROCEDURE Medical/Dental TITLE: Medical/Dental Staff Conduct POLICY : It is the policy of Westside Healthcare Association, Inc. to treat all individuals within its facility with courtesy, respect and dignity. With this in mind, it is the expectation that all individuals, employees, physicians, and other medical staff conduct themselves in a professional and cooperative manner in the clinic. PURPOSE: The purpose of this policy is to ensure optimum patient care by promoting a safe, cooperative and professional healthcare environment and to eliminate, to the extent possible, conduct that: Disrupts the operation of the clinic Affects the ability of others to do their jobs Creates a hostile work environment for clinic employees or other medical/dental staff members Interferes with an individual’s ability to practice competently Adversely affects or impacts the community’s confidence in the clinic’s ability to provide quality patient care Behavior Expectations: A. Team Relationships: Treats all team members with courtesy and respect at all times. B. Communications: Communication is clear and constructive and occurs in a manner that allows all team members to feel comfortable providing feedback without retribution. Maintains self-control in tense situations, and refrains from derogatory, sarcastic, abusive or intimidating remarks. C. Contributes to a positive work environment: Acknowledges team members. Works directly with medical assistants, dental assistants, nurses, and other staff as appropriate. POLICY AND PROCEDURE Medical/Dental Staff Conduct Medical/Dental Page 1 of 4 D. Support of Learning: Contributes to the successful development of team members. Demonstrates patience as team members learn their roles, responsibilities, and gain experience. Willingly responds and contributes to teaching situations and positively contributes to an environment that ensures all team members have the opportunity to learn. Unacceptable Behavior: Whenever the professional activities or conduct of a Practitioner are considered to be unacceptable, or are judged to be disruptive of the operations of the clinic, corrective action may be requested. Activities not involving clinical issues that are considered disruptive to the operations of the clinic can consist of, but are not limited to: A. Any behaviors that are in conflict with Section I above. B. Attacks – verbally or physically – leveled at other team members, patients or families that are personal, irrelevant, or beyond the bound of fair professional conduct. C. Impertinent and inappropriate comments (or illustrations) made in patient medical records or other official documents that impugn the quality of care in the clinic or attack particular physicians, clinic personnel, or clinic policies. D. Criticism leveled at the recipient in such a way that it intimidates, undermines confidence, belittles, or implies stupidity or incompetence. E. Participation in committee or departmental affairs is done in an unprofessional and inappropriate manner. F. Negligence or conduct which endangers patients. G. Unauthorized access to or disclosure of patient information. H. Sexual harassment or physical or verbal abuse of patients, staff or others. I. Criminal, fraudulent or other improper business conduct relating to activities of the clinic. J. Providing medical or dental care while the Practitioner’s professional ability is impaired, whether through illness, accident, addiction, abuse, or from any other source. POLICY AND PROCEDURE Medical/Dental Staff Conduct Medical/Dental Page 2 of 4 K. Abusive or intimidating behavior. L. Fighting or threatening violence in the work place. Unacceptable Behavior Follow-up: A. Reporting and Documentation: All inappropriate behavior should be reported, in writing, to the direct supervisor and copied to the CEO. The documentation shall include: 1. The date and time of the questionable behavior. 2. A statement of whether the behavior affected or involved a patient in any way, and, if so, information identifying the patient. 3. The circumstances that precipitated the situation. 4. A factual and objective description of the questionable behavior. 5. The consequences, if any, of the disruptive behavior, as it relates to the patient care or clinic operations. 6. A record of any action taken to remedy the situation, including the date, time, action, and name(s) of those intervening. B. Follow up: POLICY AND PROCEDURE Medical/Dental Staff Conduct 1. First offense: The direct manager/designee will follow up with physician/dentist and documentation will be sent per IIIa. (see above). 2. Second offense: The direct manager/designee and CEO will follow up and documentation as listed in IIIa. (see above). Offender will receive a written warning. 3. Third offense: Consequences may include suspension for a designated period of time without pay or termination for cause. 4. Depending on the severity of the offense, the follow up may be moved to a higher level. A single egregious incident; such as physical or sexual harassment, assault, a felony conviction, a fraudulent act, stealing, damaging Medical/Dental Page 3 of 4 clinic property, or inappropriate physical behavior, may result in immediate termination. Adopted: 6/07/07 Reviewed Jenni Sevenich Signature __________________________________________ Revised Date Signature Date Signature Date Signature Date Signature Date Signature Date Signature POLICY AND PROCEDURE Medical/Dental Staff Conduct Medical/Dental Page 4 of 4