SAMPLE POLICY WORK

– Ensure that record keeping practices comply with TN.0357.R05.00, TennCare guidelines, HIPAA, and other regulatory mandates. • Key Actions: – Generate periodic audit reports and analyze data trends. – Work with department heads to implement corrective actions and update record keeping protocols based on audit outcomes.

Human Resources (HR) • Responsibilities: –

Oversee personnel records, training documentation, and performance evaluations. – Ensure that HR records are maintained in strict compliance with labor laws and internal policies. – Manage the retention and secure destruction of employee records. • Key Actions: – Collaborate with IT to maintain secure HR systems. – Conduct periodic reviews of personnel files and update retention policies as needed. h. Continuous Improvement: Monitoring, Audits, and Feedback Continuous monitoring and improvement of record keeping practices are essential for safeguarding compliance and optimizing operational efficiency. Our approach integrates regular audits, feedback systems, and technology updates to ensure that records are always accurate, secure, and accessible.

Regular Audits •

Internal Audits: –

The Quality Assurance Team audits record keeping practices on a monthly basis. These audits include spot checks of individual client files, service documentation, financial records, and personnel files. – Audit findings are summarized in monthly reports that highlight compliance levels and areas for improvement. • External Audits: – Periodic external audits are conducted by regulatory bodies and third ‑ party auditors to ensure adherence to TN.0357.R05.00, TennCare, HIPAA, and state licensing requirements. – All external audit requests are processed promptly, with complete reports generated for review by executive leadership.