The Admitting Department Policy And Procedure Manual is part of MCN Healthcare’s ellucid® Policy Library. MCN Healthcare is the health care industry’s leading provider of TJC (formerly JCAHO) accreditation tools and CMS accreditation help, consisting of policy and procedure templates, forms, competencies and other compliance tools. MCN’s policy and procedure manuals are used in more than 25,000 healthcare organizations throughout the world to help with compliance, accreditation, and health care quality improvement.

All customizable policies, procedures, forms and compliance tools are provided as templates in Microsoft Word format. MCN’s policy and procedure library consists of 87 policy and procedure manuals and more than 18,000 compliance tools. This is the most comprehensive collection of customizable policy templates, policies, procedures, forms, competencies, job descriptions, and performance evaluations available anywhere—all kept up to date with the latest standards from CMS, Joint Commission, FDA, HIPAA, OSHA, ACHC, AAAHC, USP, and utilizing standards of practice from ANA, AORN, ENA, and more.

SECTION I - ETHICS, RIGHTS AND RESPONSIBILITIES

Patient Rights and Responsibilities

Pediatric Rights and Responsibilities of Parents/Guardians

Patient's Rights to Request Treatment

Confidentiality of Information - General Issues

Advance Directives

Sample Directives for Resuscitation

Conditions of Admission

Sample Conditions of Admission to Hospital

Consent for Treatment of Minors

Consent Requirements for Self-Sufficient Minors

Surrogate Decision Makers

Suspected Child, Adult, Disabled Person or Elderly Abuse/Neglect

Conflict Resolution

Conflict of Interest

Patient Grievance Process

Hospital Services Brochures

Sample Patient Brochure

SECTION II - IMPROVING ORGANIZATION PERFORMANCE

Admitting Department Performance Improvement Plan

Admitting Department PI Monitoring and Evaluation Plan

Admitting Department PI Trending Sheet

Admitting Department PI Outcome Evaluation

Admitting Department PI Volume Measures/Statistics

Incident Report Protocol

Performance Improvement Department Notification Form

SECTION III - LEADERSHIP

Mission

Philosophy

Scope of Services

Standards of Patient Service

Customer Service

Interdepartmental Relationships

Communication and Handling of Secured Patients

SECTION IV - MANAGEMENT OF THE ENVIRONMENT OF CARE

Admitting Department Safety

Sample Safety Training Outline - Admitting Department

Hazard Surveillance Detection Survey - Admitting Department

Body Mechanics

Electrical Safety

Electrical Extension Cords

Personal Electrical Equipment

Workplace Violence Prevention Plan

Recognizing Inappropriate Behavior

Conduct to Minimize Violence

Cashier Safety

Cashier Violence Prevention Checklist

Patient Valuables

Patient Property Inventory Form

Hazardous Materials and Waste Management Program

How to Read MSDS

Emergency Management - Admitting Department/Switchboard

Fire Safety

Fire Safety - General Fire Prevention and Management Duties of Personnel

Types of Fire Extinguishers

SECTION V - MANAGEMENT OF HUMAN RESOURCES

Position Description/Performance Evaluation - Admitting Department Manager

Performance Evaluation - Age-Related Competency - Admitting Department Manager

Annual Competency Skills Assessment - Admitting Department Manager

Position Description/Performance Evaluation - Admitting Department Supervisor

Performance Evaluation - Age-Related Competency - Admitting Department Supervisor

Annual Competency Skills Assessment - Admitting Department Supervisor

Position Description/Performance Evaluation - Admitting Department Clerk

Performance Evaluation - Age-Related Competency - Admitting Department Clerk

Annual Competency Skills Assessment - Admitting Department Clerk

Position Description/Performance Evaluation - Cashier

Performance Evaluation - Age-Related Competency - Cashier

Annual Competency Skills Assessment - Cashier

New Employee Orientation

Training for New Personnel

New Hire Processing Checklist

Admitting Department New Employee Orientation - General

Admitting Department New Employee Orientation - Department

Admitting Department New Employee Orientation to Work Area

Continuing Education

Performance Evaluations

Attendance and Tardiness

Employee Photo Identification Name Tag

Dress Regulations

Personal Telephone Calls To/From Employees

Employee Requests for Time Off

Harassment, Sexual (Either Sex)

Disciplinary Action

Progressive Discipline Memo

Medical Clearance Policy

Physician's Certification of Illness

Pre-Placement Physicals

Annual Health Screening

On-the-Job (Workers' Compensation) Injured Employee Processing

SECTION VI - SURVEILLANCE, PREVENTION AND CONTROL OF INFECTION

Infection Control

Standard Precautions

Hand Hygiene

Isolation Precautions

Admission of a Patient with a Communicable Disease

Registration of Patients with Known Drug-Resistant Organisms

SECTION VII - DEPARTMENTAL POLICIES AND PROCEDURES

Type and Source of Admission

Patient Admission

Admitting Process

Patient Classification

Ethnicity of Patient

Patient Identification for Clinical Care and Treatment

Admitting Department Patient Log Maintenance

Emergency Department Patient Registration

Emergency Department Log Maintenance

Medical Screening Examination

Emergency Department - Financial Status Treatment

Admitting Patients from Physician's Office

Admission Process Flowchart - Direct Admit from Physician Office, Home and/or Other Facility

Obstetric Patients Admission

Admission Process Flowchart - Direct Admit from Internal Medicine/ Cardiology, Nuclear Medicine, GI Lab and/or Outpatient Surgery

Outpatient Surgery - Admission

Admission Process Flowchart - Preop Admit

Registering Patients on Social Security Disability

Patient Medical Record Maintenance

Intrafacility Transfers

Admitting Patients of a Suspended Physician

Bed Assignments

Bed Assignment - Prioritizing Admits

Critical Bed Shortages

Bed Status

Pre-Registration Guidelines

Pre-Admission Testing - Insurance Verification

Determining Primary Insurance

Obtaining Insurance Pre-Authorization

Insurance Verification

HMO and PPO Insurance Plans

Commercial Insurance

Medicare

Medicare Secondary Payer Screening

Medicare - Primary vs. Secondary Insurance

An Important Message from Medicare

Copy of An Important Message from Medicare

Medicaid

Workers' Compensation

Liability Cases

Insurance Company Reference List

Self-Pay Admission

Cash Accounts - Collection of Deposits

Deductibles and Co-Insurance Payment Collection

Billing Rejection Log Maintenance

Cashier's Office