Deanna Allen, Compliance/Privacy and Security Officer
Confidential Hotline: 1-800-273-8452
Code of Integrity
IMH Compliance ProgramIvinson Memorial Hospital has been committed to and guided by principles of integrity, ethical and legal business practices since its endowment in 1917. IMH is committed to maintaining the highest ethical standards and complying with all governing laws and regulations not only in the delivery of our health care, but in our dealings with every patient, employee, physicians, and our community.
Our Mission and Values support our Compliance Program and provide us with the foundation we must use to continue to incorporate these into our daily activities and support our tradition of caring for our patients, our community, and each other. We strive to provide compassionate healthcare and to act with absolute integrity in the way we work and conduct ourselves.
The IMH Board Compliance Committee approves the Compliance Program annually. The Program description is a high level summary of steps IMH has implemented to incorporate recommended compliance program guidance from the Department of Health and Human Services Office of the Inspector General. Our Program serves as the foundation for our commitment to an ethical organizational culture and compliance with laws and regulations.
Our Program provides reasonable assurance that IMH:
Establishes, monitors, and supports high professional and ethical standards;
Supports initial and continuing compliance education and training;
Complies in all material respects with federal, state and local laws and regulations that are applicable in our operations;
Maintains a mechanism (through the confidential Hotline 1-800-273-4852) for reporting integrity, compliance or legal concerns;
Satisfies the conditions of participation in health care programs funded by the federal and state governments;
Promotes self-monitoring and provides for, in appropriate circumstances, voluntary disclosure of violations of laws and regulations;
Reviews, investigates, and acts on allegations of violations and misconduct.
Compliance and Privacy FormsExit Interview Form (pdf)
HIPPA Violation Report (pdf)
Notice of Privacy Practices (pdf)
Patient Rights and Responsibilities (pdf)
Suspected Violation Form (pdf)