Banner System Policies
Learn more about:
|Policy #||Title||Effective Date and Comments|
|Policy 6015||Facility Emergency/Incident Code Naming Conventions
To provide Banner Health with a standardized system-wide naming convention and designation for codes used in the facilities that are not apparent based upon the name of the code. To assure that when a code is announced, staff will have a clear understanding of the emergency/incident being designated.
|Health Care Personnel|
|Policy 13740||Influenza Vaccination of Health Care Personnel
To decrease the risk of transmitting the influenza virus to patients, staff, and visitors and to comply with applicable laws and regulations.
|HIMS and HIPAA|
|Policy 678||HIMS: Medical Record Documentation
This policy outlines general guidance to support accurate and complete medical record documentation in all Banner system clinical applications and EMR.
EMTALA – Medical Screening Examination and Stabilization Treatment
|Policy 2859||EMTALA – Qualified Medical Personnel Authorized to Perform Medical Screening Examinations
This policy is to designate those categories of providers who, in addition to physicians, are deemed qualified to perform medical screening examinations in order to comply with the Emergency Medical Treatment and Active Labor Act (EMTALA).
|Policy 2861||Compliance: Excluded Staff Professionals and Disallowed Doctors
The purpose of this policy is to assure that (a) Excluded Staff Practitioners do not provide items or services to patients enrolled in any Government Sponsored Health Care Programs and Banner Health facilities do not submit a claim for any such item or services, and (b) Disallowed Doctors do not refer any patient to the relevant Banner facility and the facility does not submit any claim to any Stark Related Programs for such services.
Equal Employment Opportunity & Affirmative Action Policy
|Policy 9494||Medical Interpreter Services
This policy provides meaningful access to appropriate communication for patients, patients’ legally authorized representative(s), and other individuals whom the patient authorizes, who are Limited English Proficient (LEP) or who demonstrate Limited English Proficiency.
Compliance: OIG/GSA Exclusion Review
|Policy 13458||Patient Photography, Videotaping, and Other Visual Imaging in the Clinical Setting for Treatment or Training
This policy is to protect the privacy of patients and provide guidance to staff when obtaining a patient photograph for treatment or training and provide photo documentation when appropriate of a patient’s care during initial assessment and at scheduled intervals to monitor progress in response to treatment.
*Currently being revised
Code of Conduct
|Medical Staff and Peer Review|
Indemnification of Claims Arising from Medical Staff Activities
Sharing of Peer Review Information
Medical Staff Professional Liability Insurance Requirements
Disclosure of Unanticipated Outcomes
Access to Confidential Strategic and Business Information by Medical Staff Members with Significant Adverse Relationships
|Policy 11853||Photo Identification Badges for Physicians and Allied Health Practitioners
To establish a photo identification badging process to ensure consistency of look of photo ID badges and access for providers across Banner facilities.
|Policy 13606||Focused Professional Practice Evaluation
To define a process to evaluate performance of all providers when 1) new privileges are requested, or 2) when there is a question regarding a currently privileged provider’s ability to provide safe, high quality patient care.
|Policy 13607||Ongoing Professional Practice Evaluation
To define a process to evaluate the performance of all Providers on an ongoing basis.
|Policy 12419||Provision of Appropriate End of Life Care (Allowing Natural Death)Provide a framework for the provision of appropriate end of life care/withdrawal of life support in compliance with legal and ethical standards of care. Promote respect for the patient’s rights in the decision to withdraw/withhold life-sustaining procedures. Delineate a framework for decision-making in clinical situations in which conflicts exist relating to the initiation or continuation of medical treatment. Provide guidance to a treating physician who is contemplating the withdrawal or withholding of life-sustaining treatment of a patient, including where the patient/surrogate disagree. Define the role of physicians, nurses, clinical personnel, patients, family members, and surrogates in the decision to withdraw/withhold treatment. Provide for the inclusion of patients’ spiritual and cultural beliefs in decisions whether or not to withdraw life support or withhold treatment.||01/02/12|
Restraint Use in Non-Violent Situations
Restraint Use in Violent Situations