SHA Online Compliance Attestation

CODE OF CONDUCT AND ETHICS – Reference Policy AW1084

  • I have received and read the Summit Healthcare Association Code of Conduct and Ethics.
  • I understand the Code of Conduct and Ethics applies to my employment/contract with Summit and that following all applicable laws, regulations, policies, and the Code of Conduct and Ethics are conditions of my employment/contract.
  • I will utilize the Code of Conduct and Ethics to guide my decisions and behavior.
  • I will speak up and seek guidance from Summit's Managers, Administration, the Compliance Officer, or contact the Compliance Hotline with any compliance questions or concerns.
My electronic signature below reflects I have received, read and agree to comply with the Summit Healthcare Association Code of Conduct and Ethics

WORKFORCE MEMBER HIPAA AND CONFIDENTIALITY AGREEMENT
Reference Policy AW1415

  • I have received and read the Summit Healthcare Association Workforce Member HIPAA and Confidentiality Agreement.
  • I understand the Workforce Member HIPAA and Confidentiality Agreement applies to my employment/contract with Summit and that following all applicable HIPAA laws, regulations, policies, and the Workforce Member HIPAA and Confidentiality Agreement are conditions of my employment/contract.
My electronic signature below reflects I have received, read and agree to comply with the Summit Healthcare Association Workforce Member HIPAA and Confidentiality Agreement.

SHA ONLINE COMPLIANCE AND REGULATORY TRAINING

I certify I have completed the Summit Healthcare Association Online Compliance and Regulatory Training as required by Federal regulations. I confirm it my responsibility to understand the content, seek clarification for anything I don’t, and report potential non-compliance. I have been provided Summit Healthcare Association contact information and phone numbers should questions or concerns arise.

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
(Allowed file extensions jpg, png, pdf)
If you would like copies of the referenced policies, please contact:
Natalie Roehlk CHC, CHPC
Privacy Officer
Office: (928) 537-6939
natalie.roehlk@summithealthcare.net

OR

Laura Nicks RN, BAN, ACM, CHC
Compliance Officer
Office: (928) 537-6510
lnicks@summithealthcare.net

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