Provider Annual Education

Required Annual Provider Education – Please review all of the documents below.

The Joint Commission Resource Handbook Tomah Health Medical Staff / Allied Health Professional Staff (pdf)

Confidentiality and Security of Information Policy / Statement (pdf)

Conflict of Interest Policy / Disclosure Statement (pdf)

Standards of Behavior for Medical Staff (pdf)

Road Map for Avoiding Medicare and Medicaid Fraud, Waste and Abuse (pdf)

2022 Infection Prevention Education (pdf)

Annual Education presentation (pdf)


For Tomah Health providers with Sedation / Analgesia privileges:

Sedation/Analgesia Policy (pdf)


 

Required Annual Provider Education Form

"*" indicates required fields

I attest*
Sedation Analgesia Policy
Conflict of Interest Policy:*
Please check an option and disclose relationships if applicable

Annual Education Submission

Signature*
Name*
I have read the TH Accreditation Preparation Guide for Physicians and Allied Health Practitioners 2020.*
I have read the TH Confidentiality and Security Policy and Agreement above. I agree to comply with all of the terms and conditions therein.*
I have read the 2020 TH Infection Prevention Education.*
I have read the Medicare & Medicaid Fraud Waste and Abuse above..*

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