CMT.100 Hospital Utilization of Tenet Call Center Admission Reviews CMT.101 INTERQUAL Application and Training CMT.102 Requirements for Patient Choice for Post-Hospitalization Service CMT.103 Hospital Case Management Transition Planning CMT.104 Hospital Case Management Utilization Review Process CMT.105 Case Management Documentation System Downtime CO-5.006 Operative and Invasive Procedures Appropriateness Review Cardiac CO-5.007 Operative and Invasive Procedures Appropriateness Review COMP-RCC 4.11 Inpatient Rehabilitation Facility Admission Continued Stay... COMP-RCC 4.18 Clinical Determination of Appropriate Patient Status COMP-RCC 4.25 Hospital Coverage Notices for Medicare Inpatients COMP-RCC 4.52 Utilization Management Plan COMP-RCC 5.00 Medical Necessity and Advance Beneficiary Notice

AD 1.12 Reporting to Data Registries CO-2.001 Patient Clinical Alarms CLN.02.01 Safety Event Management CLN.04.03 Universal Protocol Site Procedure CO.Gl.2.025 Clinical Guidelines: Indwelling Urinary Catheter Insertion And Maintanence CLN.02.05.MOD Suicide Risk Assessment CO-2.034.MOD High Alert Medication Administration CO-3.004 Medications Brought to the Hospital by the Patient CO-3.006 Radiographic Contrast Media CO-3.009 Automatic Stop Orders Model Policy CO-5.012 Surgical Instrument Point-of-Use and Pre-Cleaning COMP-RCC 4.22 Federal Program Eligibility Screening and Exclusion Disclo... COMP-RCC 4.27 Disclosure of Hiring of Intermediary's Former Employee COMP-RCC 4.58 Research Misconduct

AD 1.03 Monitoring of the Professional Practice Evaluation (FPPE-OPPE) AD 1.04 Monitoring of the Credentialing and Privileging Process CO-5.002 Identification, Assessment, and Management of Disruptive Behavior CO-5.008 Request for Membership Application Hospitals COMP-RCC 4.48 Role Definition in Pre-Admission Assessment COMP-RCC 5.17 Hospital Outpatient Orders From Non-Privileged Providers

COMP-RCC 4.29 Provider Based Status AD 1.16 Facility Operational Changes

Ethics and Compliance

Q: General Ethics and Compliance

COMP-RCC 4.56A Compact With Uninsured Patients COMP-RCC 3.01 Deficit Reduction Act of 2005 COMP-RCC 4.21 Internal Reporting of Potential Compliance Matters L-28 Exceptions for Certain Policy Terms During State of Emergency COMP-RCC 3.01FAQ Tenet Our Contractors and the Deficit Reduction Act

We are committed to the highest standards of ethics and compliance – individually, as a team and a company.

Our operating philosophies are grounded by a clear commitment to doing the right thing. It’s about acting with integrity and behaving ethically and responsibly. It’s fundamental to our mission, helping us to earn the trust of our patients and fulfill our obligations to the many stakeholders we serve.

Resources, Governance & Policies

Tenet’s Ethics and Compliance program helps to ensure that employees understand and comply with all related laws and policies as outlined in our Code of Conduct. We regularly engage with team members on the policies and procedures that govern our business as outlined in the Code of Conduct.

Resources to help every team member

Employees are encouraged to speak up if something is not right, if they need guidance about an ethics question or want to report a concern.

Our Ethics Action Line is available to help, 24 hours a day, seven days a week, by calling 1-800-8-ETHICS (1-800-838-4427). Employees may also send an email to [email protected]. We respect your confidentiality if you decide to remain anonymous.

We also have a mobile app, The Tenet Way, which serves as a guide for all stakeholders to use as a resource for policies, making ethical decisions and to report concerns. The free app is available on the Apple App Store and Google Play Store.

Governance measures to maintain a strong culture of compliance

Our Ethics and Compliance Program functions in accordance with a Quality, Compliance and Ethics Program Charter and reports to the Board of Directors. Every Tenet employee is expected to follow the Charter requirements which include:

Follow the Code of Conduct as a condition of employment;
Participate in annual and refresher ethics training and role-based compliance training;
Work with facility and enterprise compliance teams to resolve compliance matters; and
Contact the Ethics Action Line if concerns are not resolved timely or to their satisfaction.

Ethics and Compliance

Resources, Governance & Policies

Resources to help every team member

Governance measures to maintain a strong culture of compliance

Policies and procedures that reflect our values

Policy Library

General Ethics and Compliance

Case Management

Clinical Quality

Credentialing

Documentation, Coding, Billing, and Reimbursement

Licensure

Referral Sources and Business Practices