Attachment J -- Illustrative example of no-retaliation policy

Illustrative
 example
 of
 a
 no-­‐retaliation
 policy
 for
 participating
 in
 the
 pilot
 of
 the
 CRSPS

POLICIES
 AND
 PROCEDURES

SUBJECT:
 NO-­‐RETALIATION
 POLICY

ISSUE
 DATE:
  May
 2013

POLICY

As
 an
 organization
 participating
 in
 the
 CRSPS
 research
 project,
 XXXXXXX
 is
 committed
 to

conducting
 its
 affairs
 honestly,
 ethically
  and
  in
  compliance
  with
  applicable
  all
  laws
  and

regulations.

  P a tie n ts
 of
  XXXXXXX
 are
 encouraged
 to
 report
 good
 faith
 concerns
 about
 the

quality
 and
 safety
 of
 the
 care
 provided
 by
 XXXXXXX.

Retaliation
  against
  a
  patient
 of
  XXXXXXX
 for
  making
  a
  good
  faith
 report
  about
 a
 negative

effect
 or
 potential
 medical
 mistake
 ( or
 someone
 making
 such
 a
 report
 on
 behalf
 of
 a
 patient)
 is

prohibited
  and
  will
  not
 be
 tolerated.

DEFINITIONS

·∙

·∙

Good
 Faith
 Report:
  A
 report
 made
 with
 the
 honest
 and
 reasonable
 belief
 that
 the

reported
 negative
 effect
 or
 potential
 medical
 mistake
 might
 be
 related
 to
 care
 received
 at

XXXXXXX.

Retaliation:

  Materially
 adverse
 action
 against
 a
 patient
 because
 of
  the

patient’s
 good
 faith
 report.

NO
 RETALIATION

In
 the
 context
 of
 the
 CRSPS
 research
 project,
 the
  g o o d
  f a i t h
  reporting
  of
  a
  n e g a t i v e

e f f e c t
  o r
  p o t e n t i a l
  m e d i c a l
  m i s t a k e
  will
  not
  reflect
  negatively
  on
  the
  patient
 or
  t he

person
  s ubmitting
  a
  r eport
  o n
  t he
  p atient’s
  b ehalf
  o r
  affect
  their
 h ealth
 care.

  Retaliation
 of

any
  kind
  will
 not
 be
 tolerated.
  Any
  staff
  member
  who
  retaliates
  against
  someone
  for
  reporting

a
  good
  faith
 concern
 or
 for
  cooperating
 with
 an
 investigation
 will
 be
 subjected
 to
 disciplinary

actions
 as
 defined
 by
 the
 participating
 organization.

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