Board policy manual & workplace conduct - Kingston General Hospital

ISSUED BY:AUTHORIZED BY:CATEGORY:COMMITTEE:KGH Board of DirectorsKGH Board of DirectorsQuality and EffectivenessAuditNUMBER: III-11ISSUE DATE: November 2010REVISION DATES:REVIEW DATE: May 2011PAGE: 1 of 1SUBJECT:REPORTING OF INAPPROPRIATE WORKPLACECONDUCTThe Board of Directors expects hospital management to have in place an administrative policyoutlining a process for the reporting of inappropriate workplace conduct. The administrativepolicy must be in place to assist individuals in disclosing information concerning inappropriateworkplace conduct within their role, and to ensure that those persons who report are notretaliated against.The Board expects the administrative policy will:i) Establish procedures for the reporting of inappropriate workplace conduct;ii) Establish procedures for the protection of any person who, in good faith, discloses anyconcern regarding a wrongdoing;iii) Establish procedures for breaches of non-retaliation, discrimination and harassment; andiv) Requires management to discuss all changes to the administrative policy with theBoard’s Audit Committee.Persons in the hospital are encouraged to report inappropriate workplace conduct or activities.In some cases there are professional and legal obligations to report. The administrative policyendorses a proactive environment of disclosure and protection to ensure that KGH meets andsustains our guiding principles.See Administrative Policy attached.