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CHILDREN’S HOSPITAL & MEDICAL CENTER CORPORATE COMPLIANCE PLAN - page 9 / 15

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qualified.

If you are not satisfied with the response from the hiring

comfortable discussing the situation with the hiring reporting steps. Discrimination in any form will not

manager, follow be tolerated.

the

manager or compliance

are not concern

Honesty and Integrity

Hospital Staff will at all times take personal responsibility for doing the right thing and acting in a manner that demonstrates a commitment to the Hospital’s compliance program to prevent illegal and unethical business practices.

  • Q.

    I recently observed a physician doing something I believe to be improper. I think I should tell someone about this, but I do not want to get in trouble for upsetting one of our doctors. How should I proceed?

    • A.

      It is important for you to come forward with information related to potential misconduct by any member of the Hospital Staff. You should initially discuss your concern using existing internal reporting processes. If you are not comfortable using existing reporting processes, you should contact the Compliance Officer directly or call the Compliance Hotline at 402-955-3250. If the concern involves a physician, the Compliance Officer will work with the Vice-President, Medical Affairs and the Medical Staff President to address the situation.

Wise Use of Resources

Hospital Staff will optimize the talents of people and the use of time, materials and equipment in order to preserve and protect Hospital assets.

The Hospital has established internal control standards and procedures to ensure that assets are protected and properly used. All Hospital Staff share in the responsibility for maintaining and complying with internal controls.

Travel and entertainment expenses should at all times be consistent with organizational needs and Hospital Staff is expected to exercise reasonable judgment when authorizing such expenditures. A Hospital Staff member should not suffer a financial loss nor receive a financial gain as a result of business travel and entertainment.

Hospital Staff will refrain from converting Hospital assets to personal use and are prohibited from unauthorized use or taking of Hospital equipment, supplies, materials or services.

  • Q.

    My supervisor allows staff to utilize the long distance access code for placing personal calls. I am concerned that this is inappropriate use of Hospital resources. Should I report my concern?

    • A.

      Yes, the use of Hospital assets for personal gain is not allowed and should be reported to your supervisor. If you do not feel that your supervisor has adequately addressed your concern or are not comfortable discussing the situation with the supervisor, you should follow the compliance concern reporting steps.

Cooperative Work Relationships

Hospital Staff will willingly work with others to identify and achieve common goals and to function as effective team members by providing specific, timely information to others as requested, listening carefully, checking for understanding before responding to others and accepting and offering feedback.

CORPORATE COMPLIANCE PLAN 5/6/10

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