I understand that Homecare Agency has established a Corporate Compliance Program to ensure ethical business practices and compliance with applicable laws and regulations. As an employee of Homecare Agency, I agree to comply with the organizations policies and procedures. 

 

It is Homecare Agency’s policy (and in most cases a legal requirement) that all co-workers protect information regarding patients and other staff. No medical information, including the fact that a person has been treated by Homecare Agency, may be released except by authorized persons on a business need to know basis. Any information available to staff about patients, including staff members and their families who are patients, must be kept confidential and not discussed with others, including other staff, except as needed for medical treatment or to comply with legal processes or legal requirements.

 

 

I understand Homecare Agency’s Confidentiality policy applies to information pertaining to Homecare Agency operations, activities and business affairs, including but not limited to charges, reimbursement rates and contracts. All Homecare Agency information is to be maintained in strictest confidence and is not to be discussed with anyone other than appropriate personnel, and may not be shared with others outside the workplace, during my employment or post-employment.   Any questions with respect to specific instances of release or discussion of confidential information should be directed to your immediate supervisor(s).

 

 

I understand that with access to the Homecare Agency computer system, I am responsible to use the system only for work related functions for which I am directly responsible or requested to do by my superior(s). I may not share my system password with another person; leave the password in an unsecured place, nor sign on to the system for an unauthorized person’s use. I may only use the single valid system I.D. that has been assigned to me.

 

 

STAFF NAME (PRINT OR TYPE):

 

__________________________________________________________________

 

 

TITLE:

 

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SIGNATURE OF AGREEMENT FROM EMPLOYEE:

 

Name: __________________________________________           Date: ___________

 

 

WITNESSED BY: _________________________________            Date: ___________