BROCKTON AREA MULTI-SERVICES, INC. ADMINISTRATIVE POLICY AND PROCEDURE MANUAL TABLE OF CONTENTS
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1 BROCKTON AREA MULTI-SERVICES, INC. ADMINISTRATIVE POLICY AND PROCEDURE MANUAL TABLE OF CONTENTS Organizational Policies (OR) 1. Mission Statement 2. Organizational Chart 3. Agency By-Laws 4. Code of Ethics 5. Person Served Advisory Board Policy 6. Affiliation/Linkage Agreement Format and Procedure Strategic Plan, Agency Affiliations and Memberships, and Board of Directors Policies on file at BAMSI Administration Office, 10 Christy s Drive, Brockton. Administrative Policies (AD) 1. Policy on Accessibility 2. Outcomes Management for CARF Accredited Programs 3. Corporate Compliance Program 4. Agency and Program Policy Development and Review 5. Quality Management 6. Person Served Information Network 7. Internal Program Review Policy and Procedure 8. Persons Served Input 9. Administrator-on-Call Policy 10. Media and Press Policy 11. Policy Regarding Commitment to Cultural Competency 12. Policy on BAMSI Program Sign 13. BAMSI Cultural Competency Plan 14. Program Operations and Internal Referral Feedback Policy 15. Policy on BAMSI Publications and Printed Materials 16. BAMSI Events Policy 17. Social Media Policy 1
2 Personnel Policies (PE) 1. Agency Benefit Overview 2. Policy Regarding Employee Reference Verifications 3. Policy and Procedure on Recruitment and Hiring Practices 4. Affirmative Action/Equal Opportunity and Programmatic Access Plan 5. Employment and Reasonable Accommodation Policy for Disabled Persons 6. Policy on Employment of Relatives 7. Policy Regarding Immigration Reform and Control Act of Tuition Remission Policy and Procedure 9. Employment Classifications 10. Attendance Policy 11. Reportable Illness and Communicable Disease Policy 12. Criminal Offense Record Information (CORI) Policy 13. Policy on Employee Credentials and Licensure 14. Policy Regarding Employee Orientation Period 15. Drug Free Work Environment Policy 16. BAMSI Orientation Attendance Policy 17. Policy on Maintenance, Accessibility, and Security of Personnel Records 18. Plan for Staff Supervision and Problem Resolution 19. Policy for the Management of Conduct Between Staff and Persons Served 20. Policy and Procedure Regarding Employee Insurance Benefits 21. Workplace Conduct Policy 22. Policy and Procedure on Shift Changes 23. Policy and Procedure Regarding the Submission of Time Sheets and Distribution of Payroll 24. Policy and Procedure Regarding Overtime Wages and Timesheet Approval for Developmental Disabilities and Mental Health Services 25. Policy and Procedure for Conducting Performance Appraisals 26. Vacation Time Policy for Bargaining Unit Members 27. Holiday Policy and Procedure 28. Personal Time Policy for Bargaining Unit Members 29. Sick Time Policy for Bargaining Unit Members 30. Paid Vacation Time Policy 31. Paid Personal Time Policy 32. Paid Sick Time Policy 33. Policy on Payroll Practices and Payroll Complaint Resolution ( Fair Labor Standards Act Safe-Harbor Policy ) 34. Policy and Procedure for Bereavement 2
3 Personnel Policies (PE) (continued) 35. Court Leave 36. Policy and Procedure for Employee Unpaid Leave 37. Student Internship 38. Volunteer Service 39. Policy for the Prevention and Elimination of Sexual Harassment in the Workplace 40. Policy and Procedure for Handling Industrial Accidents 41. Policy on Employee Personal Relationships 42. Employee Grievance Policy 43. Policy and Procedure Regarding Progressive Disciplinary Action 44. Employee Resignation 45. Consolidated Omnibus Budget Reconciliation Act (COBRA) 46. Policy Review and Distribution 47. Emergency Operations Policy 48. Safe Driver Policy 49. Return To Work Program/Restricted Duty Policy 50. Conflict of Interest Policy 51. Family Medical Leave Act Policy and Procedure 52. Policy and Procedure for Military Leave of Absence 53. Employee Dress Code Policy 54. Policy for the Prevention of Violence and Harassment in the Workplace 55. Policy for Professional Development and Training 56. Policy and Procedure Regarding Supervisor/Subordinate Relationships Emergency Policies - Health and Safety (HS) 1. Statement of Safety Policy 2. Smoke/Tobacco Free Work Environment Policy 3. Emergency Care and Equipment 4. BAMSI Safety Committee 5. Security Policy 6. Policies and Procedures for Maintaining a Safe Environment 7. Policy to Ensure Compliance with Facility Standards Including State and City Building Codes 3
4 Emergency Policies - Health and Safety (HS) (continued) 8. Policy and Procedure Regarding Storage, Documentation, Administration, and Disposal of Medication for Staffed Apartments and Community Residences 8a. Policy and Procedure for Medication Administration Certification 9. Procedure for Off-Site Medication Administration or Leave of Absence (LOA) Administration 10a. Procedure for Medication Occurrences 10b. Procedure for Medication Incidents 11. Bloodborne Pathogen Exposure Control Plan 12. Policy on Oxygen Therapy Administration by MAP-Certified Staff 13. Policy and Procedure to Prevent Transmission of Human Immunodeficiency Virus (HIV) 14. Policy on Life-Sustaining Treatments, Health Care Proxy, and Advance Directives 15. Disaster Plan for all of 10 Christy s Drive BAMSI Administration Offices 16. Vehicle Use and Maintenance Policy 17. Monitoring of Vital Signs 18. Policy on Property Maintenance and Upkeep 19. Procedures to Support Staff in Caring for Terminally Ill Individuals or Unexpected Death 20. Posting and Verification of a Health Care Provider Order 21. Over the Counter Medications 22. Procedure for Preparing Stock Medications 23. Policy on PRN Medications 24. Self-Administration of Medications 25. Refusal of Medications 26. Procedure for Exhausting the Current Supply of Medication 27. Policy on Blood Glucose Monitoring by MAP-Certified Staff 28. Medication Emergencies 29. Medication Security 30. Monitoring and Evaluation of the MAP Program 31. Personal Care Assistant Policy 32. Personal Protective Equipment Policy 33. Crisis Stabilization and Support Team 34. Protection of Personal Information and Written Information Security Program (WISP) 4
5 Legal Policies (LE) 1. Protection of Person Served Rights 2. Policy on Legal Requirements 3. Confidentiality Notice of Privacy Practices 4. Electronic Communications Policy 5. Retention of Records 6. Liability Insurance 7. Policy Prohibiting the Mistreatment, Neglect, and Abuse of Persons Served 8. Policy on Human Rights Officer Responsibilities and Duties Human Rights Committee By-Laws Human Rights Committee Members 9. Minor Consent and Privacy Policy Massachusetts 10. Policy on Investigation of Adverse Incidents 11. Residential Services Policy on the Handling of Person Served Funds 12. Persons Served Photograph/Media Release 13. Persons Served Grievance Policy 14. Policy on Behavior Modification (CMR ) 15. Policy and Procedures Governing the Use of Restraint in Developmental Disabilities Programs (115 CMR 5.11) 16. Disaster Recovery Policy 17. Policy and Procedures on the Use of Emergency Interventions 18. Procedures for Obtaining Emergency Guardianship 19. Agency Records 20. Prevention of Fraud Policy 5
6 Business Office Policies (BO) 1. Accounting Procedures Cash Management Policy Receipt of Funds 6. Billing Gifts and Donations Policy 9. Universal Expense Request Utilization of Signatory Stamps 12. Policy on Reimbursement for Employee Expenses 13. Invoice Approval 14. Policy and Procedure Regarding Petty Cash 15. Policy on Capitalization and Inventory of Agency Equipment 16. Protection of Agency Funds, Equipment, and Materials Policy and Procedure Regarding Gift Cards and/or Gift Certificates 19. Policy and Procedure Regarding Grocery Corporate Voucher Cards 20. Policy and Procedure Regarding Vehicle Fuel Cards These policies represent standards, practice, and procedures for all agency programs, where applicable. A signed copy of each policy is available at the BAMSI Administration Office at 10 Christy s Drive, Brockton. Program-specific policies are available at each program location. 6
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