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Policy Bank

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This Policy Bank is a library of standard hospital policies. It is updated regularly and is intended to provide a basic policy form which can be altered to meet the needs of an individual hospital.


Available Policies
The TORCH Policy Bank includes these, plus additional polcies that are added and revised frequently.
  • Advance Directives Policy
  • Americans With Disabilities Act
  • Amendment Act of 2008
  • Business Associates
  • Civil Rights
  • Communications with Patients
  • Regarding Billing Policy
  • Compliance Policy - Business
  • Courtesies (Stark Compliance)
  • Compliance Policy- Code of Conduct
  • Conflicts of Interest Policy
  • Governmental Entity
  • Conflicts of Interest Policy - Nonprofit Hospital
  • Consent to Treatment
  • Criminal Background Check
  • Drug & Alcohol Testing
  • Electronic Records Policy - Electronic Discovery (Litigation Holds)
  • Electronic Records Policy- Records Management Requirements of E-mail
  • EMTALA/Patient Transfer
  • Medical Records Policy - Electronic Signature for Medical Records
  • Medical Records Policy- Disclosure of Health Information to Law Enforcement
  • Nurse Peer Review Policy - Incident Based
  • Nurse Peer Review Policy - Minor Incidents
  • Nurse Peer Review Policy - Safe Harbor
  • Nursing - Miscellaneous
  • Paid Time Off
  • Physician Recruitment Policy
  • Professional Courtesy Discounts Policy
  • Public Funds Investment Policy
  • Records Retention Policy - Nonprofit Hospital
  • Records Retention Policy- Governmental Entity
  • Red Flag Rules
  • Release of Infant Policy
  • Reporting & Disclosure/Reporting and Disclosure of an Unanticipated Outcome
  • Reporting and Disclosure – Reportable Events
  • Smoke-Free Hospital Policy

Access Point

Texas Syndromic Surveillance (TxS2) system - important deadline January 27

Happy National Rural Health Day from TORCH!

Rob Thomas Named the 2015 Gordon Russell Merit Award Recipient

Quorum Report: Against Backdrop of Proposed Tax Cuts; Rural Hospital Closures Accelerate

RCMH Advises TORCH-Member Hospitals on Controlled Substances Registration

Texas Rural Hospitals Standing By To Serve Our Veterans

Increasing Value in Health Care from a Rural Perspective

It’s Time for DSH Audits in Texas