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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
Electronic Mail Policy 5.01.02
Identity Theft Prevention, Detection and Response (aka Red Flag Policy) 1.02.21
Information Security and Confidentiality 5.01.04
Remote Access 5.01.07
Facsimile Policy for Documents Containing PHI Access 5.01.25
Gifts and Endowments 3.03.02
Guidelines for Industry Representatives 3.05.07
HIPAA Business Associates 1.02.15
Marketing Ethics 1.03.06
Organ and Tissue Donation 6.05.08
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
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/

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