About This Site    Contact Us    Help   

SEARCH
 
Sign In
   < Back
Special Feature:
Sample Personnel Documents

Practice Management Online features a collection of sample personnel documents that your practice can review to assist in developing personnel materials for your own office. See also Sample Office Documents.

A Medical Practice Guide for the Security Official to Identify Business Associates That Access PHI

This flowchart guide shows a Security Official how to identify business associates who need access to protected health information.

Back Office General Procedures

This sample document can be used as general procedures for back office staff.

Back Office Training Guide

This checklist can be used and/or adapted when training back office staff.

Business Associate Contract

Sample contract to be signed by business associates who may perform a function or activity on behalf of the practice involving the use and/or disclosure of protected health information, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.

Contingency Plan Steps

Outlines the step-by-step contingency plan for practices to analyze the criticality of their data, backup plan for their data, and the disaster recovery plan, as well as the steps to activate the contingency plan through the response phase, resumption phase, recovery phase, and restorations phase.

Curriculum Vitae Builder

Simply enter the information into the fields and, once completed, a curriculum vitae will be provided.

Facility Maintenance Log

This sample facility maintenance log records the date, maintenance issue, who performed the repair, and date of repair.

First Amendment to Business Associate Agreement

This template is for the practice and contractor to complete, but it does not reflect requirements of state laws and suggests a practice consult with advisors familiar with their state's privacy laws regarding third-party beneficiaries.

Internal Privacy Checklist

Sample checklist to help determine whether your practice's current procedures comply with the HIPAA Privacy Rule, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.

Job Description: Back Office Assistant (Assisting a Practitioner)

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Front Office Clerk

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Laboratory Technician

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Licensed Practical Nurse

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Medical Assistant

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Office Coordinator

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Office Lead

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Patient Representative/Billing

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Patient Scheduler

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Practice Administrator

This sample job description may be used/adapted to fit the needs of your practice.

Job Description: Registered Nurse

This sample job description may be used/adapted to fit the needs of your practice.

Job Descriptions for Front and Back Office Staff

Each pediatric practice needs competent staff to ensure that the office runs smoothly and efficiently. As a pediatrician, it is important to know when it is appropriate to delegate work so that the work and the practice are successful. This document provides an overview of what should be included in a job description. Sample job descriptions are included.

Privacy Officer Job Responsibilities

Sample list of Privacy Officer job responsibilities, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.

Sample Combined Time Off Policy

This sample document can be used as a guideline to create time-off policies for staff.

Sample Contingency Policy and Procedure

This sample policy and procedure establishes contingency plans to protect the confidentiality, integrity, and accessibility of a practice's EPHI from vulnerability in the event of an emergency.

Sample Curricula Vitae

Use these samples to create your Curricula Vitae or visit CV builder to build your own.

Sample Employee Handbook

This sample document can be used or modified as an employee manual for your practice.

Sample Employment Contract

This sample employment contract can be used or adapted to fit the needs of your practice.

Sample Policy and Procedures on Workstation Use

Sample policy on workstation use to comply with HIPAA, including sections on operating environment, passwords, content, log-off, backup procedures, device and media controls, destruction procedures, sanctions, portable computers, e-mail, internet access, PDA, and remote access.

Sample Sanction Policy

Sample policy for efficient and professional performance of employees' duties to protect integrity and confidentiality of medical and other sensitive information.

Sample Security Incident Log

This sample log records information for reporting a security incident: description of the incident, time/date reported, time/date of occurrence, reported by, handled by, practice individuals notified, and details of the response to the incident.

Sample Security Incident Policies and Procedures

Procedures for individuals within a practice responsible for implementing and adhering to the practice's security incident policies and procedures.

Sample Workforce Termination Procedures

Sample checklist of procedures to follow immediately upon an individual's termination from the practice to revoke the individual's access to the physical office and computer system.

Security Policy Training Checklist

Checklist of tasks to be completed by a practice to ensure compliance with the Security Policy.

Staff Evaluations: Guidelines and Instructions

This sample office document provides guidelines and instructions for conducting staff evaluations.

Staff Evaluations: Template

This sample staff evaluation form can be used to assess various staff positions. The document has tabbed sections for evaluating registered nurses, licensed practical nurses, medical assistants, front and back office personnel, office coordinator, administrative assistant, collections personnel, laboratory personnel, and referral coordinators.

Training Documentation Form

Sample form to be signed by staff and physicians after the completion of training on the practice's privacy policies and procedures, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.

Workforce Confidentiality Agreement

Sample confidentiality agreement to be signed by staff and physicians requiring them to keep protected health information confidential, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.

Workforce Termination Checklist

Checklist of tasks to be completed by a practice to ensure appropriate procedure is followed upon termination of an individual from the practice.

Click to view other special features
Newsletters Resources
Manuals Documents and Tools
Peer Discussions



©2008 COPYRIGHT AMERICAN ACADEMY OF PEDIATRICS, ALL RIGHTS RESERVED Site map | Contact us | Privacy statement | About us | Home
American Academy of Pediatrics, 141 Northwest Point Blvd., Elk Grove Village, IL, 60007, 847-434-4000
Use of this Web site signifies acceptance of our Terms of Use