Policies and Procedures

UCSF Medical Center Policies and Procedures

Policy Description	Policy Number
Academic Affiliation Agreements	1.01.02
Adverse Publicity or Incidents	1.03.01
Code of Conduct and Principles of Compliance	1.02.09
Code of Ethical Behavior	1.02.02
Confidentiality, Access, Use and Disclosure of PHI and Patient Privacy	5.02.01
Contracting Ethics	1.03.05
Control of Access to and Release of Information from UCSF Medical Center Information Systems for Research Purposes	5.01.06
Electronic Mail Policy	5.01.02
Facsimile Documents Containing PHI	5.01.25
Gifts and Endowments	3.03.02
Guidelines for Industry Representatives	3.05.07
HIPAA Business Associates	1.02.15
Identity Theft Prevention, Detection and Response (aka Red Flag Policy)	1.02.21
Information Security and Confidentiality	5.01.04
Marketing Ethics	1.03.06
Organ and Tissue Donation	6.05.08
Password Management Procedures	60.018
Patient Access to Protected Health Information	6.04.03
Patient Complaints and Grievances	6.04.04
Patient Participation in Research Protocols	6.07.11
Patient Rights and Responsibilities	6.04.10
Press Code	1.03.07
Remote Access	5.01.07
Sentinel / Adverse Event Reporting and Review Process	3.06.10

Medical Center Policies
http://manuals.ucsfmedicalcenter.org/index.shtml
Information Technology Policies and Procedures
http://it.ucsfmedicalcenter.org/policies_and_procedures/