To report an ethics or compliance concern, call 1-877-867-7325
1
To report an ethics or compliance concern, call 1-877-867-7325
Allegheny Health Network
HMPG, Inc.
Jefferson Hospital
Lake Erie Medical Group
Premier Medical Associates, PC
Saint Vincent Health System
West Penn Allegheny Health System, Inc
All affiliated physician entities and controlled affiliates of above entities
2
To report an ethics or compliance concern, call 1-877-867-7325
TABLE OF CONTENTS
MESSAGE ........................................................................................................................................... 6
INTRODUCTION.................................................................................................................................. 7
Standards of Business Conduct ........................................................................................................ 7
Publication and Amendments ........................................................................................................... 7
CORPORATE VALUES, MISSION, AND VISION ................................................................................ 7
Values .............................................................................................................................................. 7
Mission ............................................................................................................................................. 7
Vision................................................................................................................................................ 7
PRINCIPLES OF INTEGRITY .............................................................................................................. 8
OUR CODE OF BUSINESS CONDUCT .............................................................................................. 8
GUIDEPOST 1 - COMMITTING TO INTEGRITY AND COMPLIANCE ................................................. 9
The Allegheny Health Network Integrity and Compliance Program ................................................... 9
Ethical Leadership and Accountability............................................................................................... 9
Management Responsibilities ........................................................................................................... 9
Workforce Members Responsibilities ................................................................................................ 9
Integrity and Compliance Program Responsibility ........................................................................... 10
GUIDEPOST 2 - SEEKING ADVICE AND REPORTING CONCERNS WITHOUT FEAR OF
REPRISAL ......................................................................................................................................... 10
How Should I Seek Guidance or Report a Concern? ...................................................................... 10
Making the Right Decision .............................................................................................................. 11
Personal Obligation to Report ......................................................................................................... 11
Protection from Retaliation and Intimidation .................................................................................... 11
Disciplinary Action .......................................................................................................................... 12
GUIDEPOST 3 - COMPLYING WITH LEGAL AND REGULATORY REQUIREMENTS ..................... 12
Strict Compliance with All Applicable Laws, Contractual Obligations, and Regulations ................... 12
Competition and Antitrust Laws ...................................................................................................... 13
Detecting and Preventing Fraud, Waste, and Abuse ....................................................................... 13
Federal False Claims Act ................................................................................................................ 13
Kickbacks and Referrals ................................................................................................................. 14
Controlled Substances .................................................................................................................... 14
Political Activities ............................................................................................................................ 15
Government Investigations and Interacting with Government Personnel ........................................ 15
GUIDEPOST 4 - CONDUCTING BUSINESS IN THE BEST INTEREST OF ALLEGHENY HEALTH
NETWORK, OUR PATIENTS, AND CUSTOMERS ............................................................................ 16
Committed to Quality Patient Care .................................................................................................. 16
3
To report an ethics or compliance concern, call 1-877-867-7325
Trained Professionals ..................................................................................................................... 16
Research Compliance .................................................................................................................... 16
Proper Use of Company Assets ...................................................................................................... 17
Accurate and Timely Records and Financial Reporting ................................................................... 17
Public Representation of Allegheny Health Network ....................................................................... 18
Interacting with the Media ............................................................................................................... 18
Participating in Social Media ........................................................................................................... 18
Endorsing Other Organizations or Products .................................................................................... 18
Protecting Allegheny Health Network¡¯s Confidential Information ..................................................... 18
Public Information ........................................................................................................................... 19
Government Information ................................................................................................................. 19
Confidential Information .................................................................................................................. 19
Competitively Sensitive Information ................................................................................................ 19
Protected Health Information .......................................................................................................... 20
Acceptable Use of Electronic Communication and Information ....................................................... 21
Personal Use .................................................................................................................................. 21
No Expectation of Privacy ............................................................................................................... 21
Monitoring ....................................................................................................................................... 22
Social Networking ........................................................................................................................... 22
Acceptable and Impermissible Content ........................................................................................... 22
Restrictions and Prohibitions on Use and Access ........................................................................... 23
Gathering Information about Competitors ...................................................................................... 23
Marketing and Advertising .............................................................................................................. 23
Conflicts of Interest ......................................................................................................................... 24
Gifts, Gratuities, and Entertainment ................................................................................................ 24
Vendor Gifting ................................................................................................................................. 25
Patient Gifting ................................................................................................................................. 25
Gifts/Grants from Pharmaceutical or Device Manufacturing Companies ......................................... 25
GUIDEPOST 5 - MAINTAINING A SAFE, RESPECTFUL, AND DIGNIFIED WORKING
ENVIRONMENT ................................................................................................................................. 26
Diversity and Inclusion .................................................................................................................... 26
Equal Employment Opportunity ...................................................................................................... 26
Workforce Members/Applicants with Disabilities ............................................................................ 26
Harassment-Free Work Environment .............................................................................................. 26
Dealing with Excluded or Ineligible Persons.................................................................................... 26
Safe and Healthy Environment ....................................................................................................... 27
Sustainability .................................................................................................................................. 27
4
To report an ethics or compliance concern, call 1-877-867-7325
CONCLUSION ................................................................................................................................... 27
What is Expected of You?............................................................................................................... 27
Amending the Code ........................................................................................................................ 27
INDEX ................................................................................................................................................ 28
5
To report an ethics or compliance concern, call 1-877-867-7325
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