Medical/Dental Professionals

Policy Updates

May Policy Updates

Below are the revised policies that affect providers at Kaleida Health. Please take a moment to review this month's updates. The policy links below are accessible from a Kaleida Health computer only or when connected to the Kaleida Health network. For additional assistance, please contact Amy Palombo at or 716-859-8447.

Revised Policies:

  • IAC.1 – Whistleblower, Non-Retaliation/ Non-Intimidation Policy - A key element of the Kaleida Health Corporate Compliance Program is the ability of all workforce members (as that term is defined below) to express problems, concerns or opinions without fear of retaliation or other reprisal. At the same time, workforce members have an affirmative duty to report issues or concerns that come to their attention through the appropriate channels. Failure to do so can result in disciplinary action up to and including termination of employment, contract or affiliation.

    IAC.18 – Fraud, Waste, and Abuse Compliance Including Federal and New York State False Claims Act Information – Revisions marked up throughout, mostly rewritten


    IAC.20 – Corporate Compliance Program Structure and Guidelines – Revisions marked up throughout, mostly rewritten


    IAC.35 – Compliance Reviews of Clinical Staff Credentials - Kaleida Health is committed to ensuring that all clinical staff members that we employ or contract with have the proper credentials, experience and expertise required to discharge their responsibilities. To this end, Kaleida Health is committed to using good faith efforts to not employ or contract with physicians or other practitioners who are not currently licensed or certified and registered in New York State to practice their profession.

    AS.5 – Sedation for Operative and Invasive Procedures, Diagnostic Testing, and Therapeutic Procedures – Updated B.1 & B.2; changed to ECG at F.2.; updated to HR at G.1.a; inconsistent info removed throughout


    TX.10 – Restraints – Removed seclusion throughout and added chemical restraints to the table at the end of the policy