Board policy manual & workplace conduct - Kingston General Hospital

KINGSTON GENERAL HOSPITALADMINISTRATIVE POLICY MANUALSubject: Reporting of Inappropriate Workplace ConductPrepared/Reviewed by: Audit Committee, Board of DirectorsIssued by: President & Chief Executive OfficerNumber: 01-218Page: 3 of 10Original Issue: 2011.09Revised:NEWProcedureSECTION A1. Reporting Inappropriate Workplace Conduct & Existing Policies and Procedures1.1 Existing Policies and Procedures. This policy is not intended to replace existing KGHpolicies (see related documents) that have a process that should be referenced andfollowed to resolve related concerns.1.2 In the ordinary course, it is expected that concerns will be reported through normalreporting practices, policies and procedures. In most cases, the employee’s leader orthe hospital’s primary contact (if not an employee), is in the best position to address anarea of concern. If there is reluctance to report the wrongdoing to those individuals, theperson(s) can report the concern to individuals listed in Appendix A. Additionally, thereare separate procedures outside this policy available for person(s) to raise issuesrelating to:1.2.1 grievances in respect of employment and the terms and conditions ofemployment;1.2.2 the quality of clinical care provided to the hospital’s patients by those membersof the credentialed staff;1.2.3 workplace anti-harassment and discrimination; Code of Behaviour (Be REAL),Workplace Violence Prevention, and Physician Behaviour policies; and1.2.4 occupational health and safety concerns.1.3 Any person, who submits a report regarding a wrongdoing, or suspected wrongdoing, isprotected by the safeguards set out in Article 4. Any person receiving a report orsuspected violation report can redirect a complainant to an appropriate person.2. Procedure for Reporting Inappropriate Workplace Conduct2.1 Reporting Wrongdoings. Each person has an obligation to report any good faithconcern in respect of a wrongdoing. If a person reasonably believes that he or she hasinformation about an inappropriate behaviour or activity that could show that awrongdoing has been committed, or is about to be committed, the person may reportthis in accordance with the process set out below.2.2 Submissions of Allegations of Wrongdoing2.2.1 Any person may submit a report, on a confidential basis, detailing any concernsregarding a wrongdoing. In the ordinary course, such a concern should bereported to the employee’s leader or the hospital’s primary contact (if not anemployee). In such an event, the report shall be dealt with through thoseindividuals hereinafter referred to as the receiver. If the primary hospitalcontact is not listed in Appendix A, then that primary hospital contact will referto an individual on Appendix A.