POLICIES & RESOURCES

This page provides copies of samples, templates, policies, procedures, and guidelines that are intended to support local programs in achieving compliance with regulation and accreditation. Staff should access their local Policy and Procedure Manual to review policies pertaining specifically to their role at their location.

Additional resources, such as templates, forms, or examples, can be found throughout Compliance Central under specific topics such as patient safety, Joint Commission chapters, or in the External Policy Resources tab.

PolicY Resources

 

Some policy resources may appear on Vivant letterhead to illustrate formatting and template techniques only; they are not operational policies for Vivant. Program leadership is responsible for creating and maintaining operational policies and procedures tailored to their specific program needs. This includes adapting any base policies or resources provided to ensure full compliance with local regulatory or contractual requirements.

Artificial Intelligence AI:

Guidelines for Artificial Intelligence AI010120 UD.11.2025

Care, Treatment, and Services CTS:

Assessing Outcomes of Care CTS-10022021

Comprehensive Biopsychosocial Assessment CTS-10072021

Emergency Medical Procedures CTS-10012020

Food Services for individuals CTS-09012021

Suicide Risk Assessment and Management Home CBS Services CTSC-06012020

Suicide Risk Assessment and Management Residential MHU CTSC-07012023

Transfer or Discharge Planning Policy CTS-10062021

Treatment planning & Treatment Team Meetings CTS-10042021

Compliance Policies CQR:

OIG-GSA Exclusion Screening CQR-02172021 RD.2024

Compliance Corrective Action CQR-05302021 RD.2024

Compliance Oversight, Infrastructure, & Authority CQR-09022021 RD.2025

Compliance Risk ASSESSMENT CQR-07022023 RD.2024

Conflicts of Interest CQR-09052021 RD.2024

Corporate Complaince & Ethics CQR-09012021 RD.2024

Facilitating Reporting & Investigating Suspected Compliance Violations CQR-09072021RD.2024

Incident Reporting CQR-09092021 RD.2024

Internal Control Systems, Accountabilities CQR-09032021RD.2024

Quality Assurance & Performance Improvement Program CQR-07032023 RD.2024

Reporting to the Compliance CQR-07012023 LD RD.2024

Sentinel Event Reporting & Response CQR-09082021 RD.2024

Whistleblower Protection CQR-09042021RD.2024

Environment of Care EC, EM, LS:

tESTING AND INSPECTING MEDICAL EQUIPMENT ec-04232024 ec-02-04-03

oCCUPATIONAL iNJURY & iLLNESS ec-04242024 ec-02-04-03

pROPERTY dAMAGE ec-04252024 ec-01-01-01

sECURITY rESPONSE ec-07092016 ec-01-01-01

HAZARDOUS MATERIALS SAFETY EC-09022021 ec-02-01-01

eMERGENCY PREPAREDNESS AND BUSINESS cONTINUITY ec-09012021 em-01-01-01

fIRE eMERGENCIES ec-09032021 ec-02-03-01

MAINTENANCE OF FIRE SAFETY EQUIPMENT AND BUILDING FEATURES EC-09042021 EC-02-03-05

ELECTRICAL UTILITY MAINTENANCE AND DOCUMENTATION EC-09052021 EC-02-05-01

MANAGING UTILITY SYSTEM DISRUPTIONS EC-09062021 EM-01-01-01 EC-02-05-01

INVENTORY OF UTILITY SYSTEMS EC-09072021 EC-02-05-01

INSPECTION, TESTING, AND MAINTENANCE OF EMERGENCY POWER SYSTEMS EC-09082021 EM-01-01-01 EC-02-05-07

SUPPORTIVE ENVIRONMENT OF CARE EC-09092021 EM-01-01-01 EC-02-06-01

COMPLIANCE AND SAFETY COMMITTEE EC-09102021 EC-04-04-01

PERSONAL BELONGINGS AND KEY CONTROL EC-09112021 EC-02-01-01

WEAPONS FREE ENVIRONMENT EC-09122021 EC-02-01-01 EC-01-01-01

TOBACCO FREE ENVIRONMENT EC-09132021 EC-02-01-03

Human Resources Policies HRM:

Workers Compensation HR-02082022 RD.2024

Corporate Flexible Paid Time Off & Holidays for Exempt Staff HR-03222024 RD.2024

Personnel Corrective Action HR-05022022 RD.2024

Clinical Peer Review HR-09012021 RD.2024

Employee Engagement In Sports HR-09022021 RD.2024

Transportation Of Clients in Private-Owned Vehicles HR-10022021 RD.2024

Use of Facility Vehicles HR-10032021 RD.2024

Bereavement Leave HR-10042021 RD.2024

Equal Employment Opportunity HR-10052021 RD.2024

Conflicts of Interest & Outside Employment HR-10062021 RD.2024

Diversity & Inclusion HR-100072021 RD.2024

Workplace Accommodations, ADA, & ADAAA HR-10092021 RD.2024

Family Medical Leave Act HR-10102021 RD.2024

Paid Parental Leave HR-10112021 RD.2024

Solicit, Distribution & Access HR-10122021 RD.2024

Maintain Harassment Free Workplace HR-10132021 RD.2024

Open Door and Fair Treatment HR-10142021 RD.2024

Notice of Review HR-10152021 RD.2024

No Retaliation HR-10162021 RD.2024

Pre-Employment Background Investigation HR-10172021 RD.2024

Annual Background Checks HR-10182021 RD.2024

Administrative Leave with Pay HR-10192021 RD.2024

Educational Assistance Program HR-10202021 RD.2024

Uniform Services Employment & ReEmployment Rights Act HR-10212021 RD.2024

Performance Evaluations HR-10222021 RD.2024

Infection Control & Prevention IC:

TBD

Leadership Policies LD:

Digital Marketing and Social Media Policy LD-05012025 RD.2025

Framework for Response to Allegations of Abuse or Neglect LD-07012023 RD.2024

Division Governing Board LD-07022023 RD.2024

Health Equity Framework LD-07032023 RD.2024

Media and Public Relations LD-07042023 RD.2024

Written Standards of Practice LD-09012021 RD.2025

Program Leadership Practices LD-09032021 RD.2024

Payer Contract Management Policy LD-10022024 RD.2024

Treatment Approach to Care Policy LD-04032021 RD.2025

Medication Management MM:

TBD

Record of Care & Services, Information Management RC:

Security Camera Monitoring and Reporting RCIM-10012021 RD.2023

MAINTAINING CLINICAL cASE rECORDS rcim-10022021 RD.2025

Managing the collection of health Records RCIM-10032021 RD.2021

Employee Separation RCIMHS-09012021 RD.2021

HIPAA Security Standards; PHI Protection RCIMHS-09022021 RD.2021

HIPAA Violations, Sanctions, and Mitigation RCIMHS-09032021 RD.2021

Rights & Responsibilities of the Individual Served RI:

PREA Zero Tolerance & Infrastructure RI-09012022 RD.2025

Standard Operating Procedures