Policies
Policies
Policies and compliance standards
The Office of Compliance and Corporate Integrity maintains the university's policy framework governing research, financial operations, privacy, conflicts of interest, and institutional conduct. These policies apply to all Rowan University faculty, staff, and affiliated personnel. Rowan community members are expected to be familiar with the policies relevant to their roles and responsibilities.
Rowan's institutional policies are maintained in Confluence, the university's central policy repository. Each policy document includes the effective date, responsible office, and scope of applicability. Policies are reviewed on a regular cycle and updated as regulatory requirements or institutional needs change.
Policy Links
Compliance
- Exclusion Individuals or Entities
- Fair Market Value Policy
- Focused Arrangement Database Policy and Procedure
- Fraud, Waste and Abuse Protection and Federal Deficit Reduction Act of 2005 Policy
- General Statement on Agreements with Referral Sources Policy
- Identity Theft Prevention Program - Red Flag Rules
- Professional Courtesies for Health Services Policy
- Professional Services Policy
- Responding to Suspected Violations of the Stark Law That Do Not Implicate the Anti- Kickback Statute
- Responding to Suspected Violations of the Anti-Kickback Statute or for Stark Law Violations that Potentially Implicate the Anti-Kickback Statute
- Whistleblower (Reporting Compliance and Ethics Concerns)
HIPAA
- Access of Individuals to Protected Health Information (PHI)
- Accounting of Disclosures of Health Information
- Disclosures of Personally Identifiable Health Information to Business Associates
- Fax Machine Transmittal of Confidential, Sensitive or Protected Health Information (PHI)
- Uses and Disclosures of Protected Health Information: With and Without Authorization
- Protection of Sensitive Electronic Information
- Request for Restriction of Uses and Disclosures of Protected Health Information
- Requests for Amendment of Protected Health Information
- Standards for Privacy of Individually Identifiable Health Information
- Workstation Use and Security Policy
Excluded Individuals or Entities
University Sanctions
Rowan University strives to conduct its operations in an ethical, lawful and responsible manner. Each employee is expected to adhere to this standard whenever he or she acts on behalf of the University.
The University Compliance Program has been established to define and govern the conduct expected of employees, to provide guidance on resolving questions related to business conduct and ethical issues, and to establish a mechanism by which employees can report possible violations.
Listed below are certain activities which are strictly prohibited. Staff members who engage in these or other prohibited activities may be disciplined and may be subject to termination even for the first offense, depending on the seriousness and intensity of the violation. This list is not intended to cover every possible situation that may arise, but is designed to give you a basic understanding of common types of unacceptable conduct or performance.
- Failure to adhere to the University's Code of Conduct.
- Failure to adhere to the University or its units policies and procedures.
- Failure to satisfy mandatory compliance training requirements.
- Failure to cooperate with internal attorneys, auditors and compliance officer during investigations and audits.
- Using and disclosing patient information in violation of the privacy rights of our patients as provided by state and/or federal laws and regulations (ex: HIPAA), and/or RowanSOM or its unit's policies and procedures.
- Engaging in unauthorized access to patient information or using authorized access to such information in an unauthorized manner or in violation of the University or its units policies and procedures.
- Failure to report possible violations of law or ethical standards.
- Failure to abide by the University's Conflict of Interest Policy.
- Failure to comply with Antitrust laws.
- Failure to comply with Anti-kickback/anti-referral laws.
- Failure to comply with EMTALA regulations.
- Failure to properly handle and dispose of hazardous materials and wastes; i.e. chemical, biological, and radioactive.
- Failure to comply with the proper distribution and handling of pharmaceutical products; including, but not limited to, prescription drugs, controlled substances, hypodermic needles and drug samples.
- Failure to follow policies and procedures that ensure that research grants and their implementation are consistent with federal, state, local, and the University's rules and regulations.
- Participating in concealing improper discharge or disposal of hazardous materials or pollutants.
- Failure to comply with all safety instructions and procedures which are established to prevent safety and health hazards.
- Retaliating in any form against an individual who in good faith reports a suspected violation of policy and/or law.
- Engaging in any type of scientific misconduct.
- Failure to adhere to all Medicare and Medicaid laws and regulations.
- Failure to abide by all applicable laws and regulations