Policy and Procedures

Question 1

Organizations develop policies and procedures to

Answer 1

Reduce confusion and inconsistencies with various practices

Question 2

Hierarchy

Answer 2

Laws
Regulations
Bylaws
Policies
Procedures
Guidelines

Question 3

Hierarchy - Laws

Answer 3

First

Mandatory rules developed by authorities or governmental bodies

Question 4

Hierarchy - Regulations

Answer 4

Second

Detailed requirements or provisions developed by regulatory and/or accreditation bodies

Question 5

Hierarchy - Bylaws

Answer 5

Third

Rules approved by an organization that are a basis for managing and operations.
How it will conduct its business.
Helps to define the mission

Question 6

Hierarchy - Policies

Answer 6

Fourth

Plan or course of action developed by an organization and driven by laws, regulations, and bylaws
Concise, formal statements on how an entity will meed laws and regulations

Question 7

Hierarchy - Procedures

Answer 7

Fifth

Step by step requirements to complete so a policy is met
Also called standard operating procedures

Question 8

Hierarchy - Guidelines

Answer 8

Sixth

Best practice
General statements or recommendations to complete or implement procedures

Question 9

Actions and decisions are influenced by

Answer 9

Policies

Question 10

Four basic reasons that policies are developed

Answer 10

Operational
Compliance
Risk Management
Quality Management

Question 11

Policies state

Answer 11

what an organization will do in a given situation and who is responsible for the action
They influence our decisions and actions while we go about our day

Question 12

Four basic reasons that policies are developed - Operational

Answer 12

Provide information on how day to day activities or functions of a business are completed
How to consistently meed the needs of the consumer

Question 13

Four basic reasons that policies are developed - Compliance

Answer 13

Indicate how the organization is following or aligning with laws, rules, regulations

Question 14

Four basic reasons that policies are developed - Risk Management

Answer 14

Policies assist in decreasing the potential hazards or risks that could occur for a business or organization

Dec the liability risks
Prevent losses
Defend the organization if legal proceeding occur

Question 15

Four basic reasons that policies are developed - Quality Management

Answer 15

Policies are utilized to ensure effective and efficient processes are consistently followed in an organization
When improvements are obtained, policies assist in maintaining those improvement

Question 16

Development of a policy - A policy is a ___ ___ ___ that does what

Answer 16

General, broad statement

That guides thinking, shapes the bx and established limitations

Question 17

Development of a policy - it sets

Answer 17

the standard for actions and decisions

Question 18

Development of a policy - It should provide

Answer 18

Flexibility with changing situations while at the same time providing sufficient details to be useful and provide information about what to do in a situation

Question 19

Development of a policy - A policy should be ____ and ____ and written in a way that

Answer 19

Current and relevant
Written in a way that it can remain in force for long periods of time

All policies should have a consistent format

Question 20

Development of a policy - A policy focuses on the

Answer 20

who, what, when, where

Question 21

Examples of policy topics

Answer 21

Scope of service
Staffing
Emergency plan
Dress code
Employee orientation and training
Employee promotion

Question 22

Questions to ask when looking at a policy

Answer 22

If you were an employee wondering about a promotion, can you read the policy to determine requirements to request one?

Who, What, When, Where

Question 23

Good policies are

Answer 23

Well thought out and reasonable
Communicated to all who need to know
Correlated with department objectives or mission

Question 24

Policies are written for

Answer 24

an entire organization or for a department within an organization
There must be congruence with these policies

Question 25

Procedures - A procedure is a

Answer 25

Detailed statement on how an activity should be accomplished

Question 26

Procedures - A procedure is a description of

Answer 26

How to carry out a policy and complete business for an organization

Question 27

Policies vs. Procedures over time

Answer 27

Policies are more timeless and likely do not have to be modified when new technology is developed Procedures evolve over time. They provide details or steps in dealing with a specific situation and change when tasks change to efficiently meet the intent of the policy

Question 28

Procedures not only provide instruction about a process but also ensure

Answer 28

Uniformity of processes between employees Facilitate training Can be used to appraise one's work and how they perform in a position

Question 29

Scope of policies and procedures

Answer 29

Administrative Interdepartmental Departmental

Question 30

Scope of policies and procedures - Administrative

Answer 30

Rules for an entire organization

Question 31

Scope of policies and procedures - Administrative examples

Answer 31

Policies for unscheduled absences, vacation time, and performance evaluations

Question 32

Scope of policies and procedures - Interdepartmental

Answer 32

Rules for multiple departments

Question 33

Scope of policies and procedures - Interdepartmental - Examples

Answer 33

Policy for scheduling a patient for preoperative teaching that includes multiple departments

Question 34

Scope of policies and procedures - Departmental

Answer 34

Those that pertain to a single department

Question 35

Scope of policies and procedures - Departmental examples

Answer 35

Policy on cleaning rehab equipment or the clinical site policy for the DPT program (process only pertains to the DPT program and the other clinical programs at DMU have their own policies)

Question 36

Rules of thumb for policies and procedures

Answer 36

``` 1 Readily available 2 Revised and updated 3 Concise 4 Specific 5 Reviewed annually 6 Understandable 7 Used at orientation 8 Written to assist in consistency ```

Question 37

Rules of thumb for policies and procedures - Readily available

Answer 37

Policies and procedures should be readily available to staff so that they can access them at anytime They should not be put in a binder on a shelf and forgotten about - or on a website that is not well known by employees

Question 38

Rules of thumb for policies and procedures - Revised

Answer 38

They should be revised and updated when necessary Any time a process changes or when it is determined that they are outdated Imperative that staff is included in this process

Question 39

Rules of thumb for policies and procedures - Concise

Answer 39

Should not be verbose | Written so easy to read and find information easily

Question 40

Rules of thumb for policies and procedures - Specific

Answer 40

Contain specific info to provide guidance (not contain personal names) - job positions when indicating responsible parties who complete that procedure of a policy

Question 41

Rules of thumb for policies and procedures - Reviewed

Answer 41

Should be reviewed on an annual basis by management and with staff to ensure they are accurate Good time to review with staff to ensure compliance too

Question 42

Rules of thumb for policies and procedures - Understandable

Answer 42

Written so all who need to refer to the policy and procedure can understand the process Should be clear and to the point

Question 43

Rules of thumb for policies and procedures - Orientation

Answer 43

Used for new employee orientation and assist in training of staff

Question 44

Rules of thumb for policies and procedures - Written to assist in consistency

Answer 44

And avoid allegation of favoritism | Also important in preventing implied policies

Question 45

What is an implied policy

Answer 45

Where a process is in existance but it was never written down or went through formal process or review Not the best practice for development of policies and should be avoided

Question 46

Typical layout of a policy and procedure

Answer 46

``` Title and number to track Effective and last reviewed/revised date Policy statement Purpose statement Scope and background Procedures Definitions Approval signatures ```

Question 47

Employees role - an eployee should

Answer 47

Know the policies and procedures that pertain to them - or at least know where to find them Refer to the policies and procedures when unsure of a process Challenge out dated policies and procedures Assist in developing or updating policies and procedures as needed