- Relocation Assistance Policy (v3)
As a part of AUMC’s commitment to recruiting the most qualified candidates, we also
recruit candidates from locations outside of the immediate area. Therefore, we may
provide monetary assistance and reimbursement to new employees who accept an offer
of employment with us and may choose to relocate from another area. Under the IRS
guidelines, AUMC has a Non-Accountable Plan.
- Serious Reportable Events Policy (v1)
THE NQF-ENDORSED® SERIOUS REPORTABLE EVENTS are an ongoing effort to enable healthcare
quality and safety improvement through introduction of tools for assessing, measuring,
and reporting organizational performance. The purpose of the NQF-endorsed list of
Serious Reportable Events in Healthcare is to facilitate uniform and comparable public
reporting to enable systematic learning across healthcare organizations and systems
and to drive systematic national improvements in patient safety based on what is learned—both
about the events and about how to prevent their recurrence.
AUMC is committed to reducing and eliminating Serious Reportable Events. As such,
this policy is intended to standardize AUMC’s response to a potential Serious Reportable
Event and to facilitate the investigation, response to the patient and reporting of
- Adult Patient Elopement Policy (v5)
The purpose of this policy is for AUMC to enact the proper and appropriate procedures
for maintaining the safety of patients, staff and others at all times. It is the policy
of AUMC that the medical center shall take responsibility for individuals placed in
its inpatient facilities for treatment regardless of voluntary or involuntary status.
Patients who have eloped, that is absent themselves from the treatment modality without
permission, are interrupting their treatment. This interruption is detrimental to
the patient, and shall be viewed as a serious matter. It is the responsibility of
AUMC to respond appropriately in the event of an elopement of patients with various
- Workplace Violence Prevention Policy (v3)
AUMC is committed to keeping the workplace safe where employees, patients, families,
and visitors are free from the threat of workplace violence. AUMC’s policy on workplace
violence is a zero tolerance policy. This policy defines behavior that constitutes
workplace violence and defines procedures for responding to and resolving workplace
- Transport between Charlie Norwood Veterans Affairs Medical Center and AU Medical Center
This policy outlines the process for safe transport, while executing a facility-to-facility
transfer, between the CNVAMC and AUMC. In most cases transport occurs by utilization
of the 2nd floor crosswalk that links both institutions. All transfers follow the
same process to ensure consistency and standardization between the two institutions.
Transfers can occur for various reasons, i.e. inpatient admissions, emergent conditions,
or utilization of each institution’s procedural areas.
This policy also contains addendums that map out the process in detail for various
specific types of situations. These situations include the AUMC to CNVAMC process,
the CNVAMC to AUMC Non-Emergent process, the CNVAMC to AUMC Emergent process, the
CNVAMC to AUMC Transfers for Imaging process, and the CNVAMC STEMI Alert process.
- Utilization Review Plan (v3)
AUMC strives to delivery safe, quality patient centered care in order to achieve improved
patient health outcomes in an efficient and cost effective manner. The Utilization
Review Plan is designed to align with the Quality Indicators of the hospital and enhance
the patient care process through the systematic assessment and continuous improvement
of both clinical and operational performance. This plan is developed in accordance
with the requirements of the Health and Human Services, Centers for Medicare and Medicaid
Services (CMS) Conditions of Participation and Georgia Medicaid Conditions of Participation.
- Purchasing Card Policy (v1)
The Purchasing Card (PCard) provides an efficient method for making business related
purchases. Purchases are charged directly to the department's designated cost center
and AUMC issues one monthly payment for all PCard purchases. The card may be used
for most small dollar purchases.
- Indoor Air Quality Policy (v2)
AUMC is committed to ensuring that pollutants/contaminants from other sources are
reported and investigated in order to provide a safe indoor environment for patients,
visitors and staff. This policy addresses issues of Indoor Air Quality (IAQ) on a
proactive, maintenance and emergency response basis and commits the facility to the
correction of IAQ deficiencies.
- Rules and Regulations FY 19 (v6)
- Medication and Tubing Labeling in Patient Care Areas Policy (v4)
All personnel must label any medication, medication container or other solution that
is prepared on and off the sterile field with the name of the medication/solution,
the concentration/strength, the amount (i.e., if not apparent from the container),
expiration date when not used within 24 hours and expiration time when expiration
occurs in less than 24 hours. Items prepared and immediately administered by the same
person not to leave that individual’s hands (e.g., IV push, etc.) are exempt from
the labeling requirement.
Items prepared by the Department of Pharmacy are outside of the scope of this policy.
- Focused Professional Practice Evaluation (FPPE) Policy (v4)
To enhance the quality and safety of patient care, each clinical department is responsible
for monitoring and evaluation of the professional practice of their privileged staff.
The process for ongoing professional practice evaluation (OPPE) is outlined in Policy
No. 164. In addition to the OPPE, a period of appropriate focused professional practice
evaluation (FPPE) occurs in certain circumstances.
- Patient Rights and Responsibilities Policy (v4)
AUMC is committed to providing safe, quality medical care to every patient. It is
our policy to respect the individuality and dignity of every patient. We support the
patient’s right to know about their medical condition and the right to participate
in the decisions that affect their well-being.
Each patient, or when appropriate, the patient’s legal representative, will be informed
of the Patient Rights and Responsibilities in a language or manner that the patient
or the patient’s representative can understand. Whenever possible, this notice will
be provided before providing or stopping care.
- Family Presence Visitation Policy (v3)
AUMC promotes and supports a patient- and family-centered approach to care. Patients
and their families (spouse, life partner, or partners in care) are respected as essential
members of the health care team, helping to ensure quality and safety. Patients define
their family and how they will be involved in care, care planning, and decision-making.
Family members, as identified by patients when possible, provide support, comfort,
and important information. While we strongly encourage the presence of family and
care partners, occasional limitations and/or exceptions are at the discretion of the
interdisciplinary team responsible for the patent’s care and include consideration
of the following: the patient’s request, care and treatment, patient’s safety and
sense of security or to enhance the patient’s response to treatment.
The purpose of this policy is to define and set expectations for family presence with
families, guests, and partners in care. Our commitment is in accordance with AU Health’s
nondiscrimination statement which provides access without regard to race, color, sex,
national origin, disability, age, religion, marital status, citizenship, gender identity,
gender expression, sexual orientation, and/or other legally protected classification.