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Printable Version
Name
Q2 2025 Executive Summary Report
Q2 2025 Executive Summary Report
Q2 2025 Executive Summary Report
Q2 2025 Executive Summary Report
CFHC Quality Measures
Social Determinants of Health
Social Determinants of Health
Social Determinants of Health
Social Determinants of Health
Workflow Diagrams
SDOH Clinical Staff Workflow
DTL-101P Dental Peer Review
DTL-101P Dental Peer Review
DTL-101P Dental Peer Review
DTL-101P Dental Peer Review
Dental Policies & Procedures
Audit Summary Form
HR-501.01 Family Medical Leave Act
HR-501.01 Family Medical Leave Act
HR-501.01 Family Medical Leave Act
HR-501.01 Family Medical Leave Act
Benefits
CLN-800P CLIA Waived In-House Testing 2
CLN-800P CLIA Waived In-House Testing 2
CLN-800P CLIA Waived In-House Testing 2
CLN-800P CLIA Waived In-House Testing 2
Laboratory and Clinical Equipment
Sure Check HIV Control Form
Provider Coverage Groups - WCHC
Provider Coverage Groups - WCHC
Provider Coverage Groups - WCHC
Provider Coverage Groups - WCHC
Forms
EXEC-206 Tobacco-Free Health Care Environment
EXEC-206 Tobacco-Free Health Care Environment
EXEC-206 Tobacco-Free Health Care Environment
EXEC-206 Tobacco-Free Health Care Environment
Administration and Management
EXEC-207 Service Animals
EXEC-207 Service Animals
EXEC-207 Service Animals
EXEC-207 Service Animals
Administration and Management
EXEC-400.02 Outreach Events
EXEC-400.02 Outreach Events
EXEC-400.02 Outreach Events
EXEC-400.02 Outreach Events
Communication
Zero Income Affadavit
Zero Income Affadavit
Zero Income Affadavit
Zero Income Affadavit
TBRA Forms
OPR-200.02 Visitor Access
OPR-200.02 Visitor Access
OPR-200.02 Visitor Access
OPR-200.02 Visitor Access
Safety & Security
HR-405.02 Supervision of Licensed Clinical Social Worker Associates
HR-405.02 Supervision of Licensed Clinical Social Worker Associates
HR-405.02 Supervision of Licensed Clinical Social Worker Associates
HR-405.02 Supervision of Licensed Clinical Social Worker Associates
Employment Status & Records
Supervisory Agreement for Licensed Clinical Social Worker Associates
EXEC-108 Board Member Handbook
EXEC-108 Board Member Handbook
EXEC-108 Board Member Handbook
EXEC-108 Board Member Handbook
Governance
PHR-300.23 Partial Filling of Prescriptions
PHR-300.23 Partial Filling of Prescriptions
PHR-300.23 Partial Filling of Prescriptions
PHR-300.23 Partial Filling of Prescriptions
Medication Distribution
PHR-200.15 Drug Manufacturer Recalls
PHR-200.15 Drug Manufacturer Recalls
PHR-200.15 Drug Manufacturer Recalls
PHR-200.15 Drug Manufacturer Recalls
Medication Distribution
EXEC-113 New Board Member Orientation
EXEC-113 New Board Member Orientation
EXEC-113 New Board Member Orientation
EXEC-113 New Board Member Orientation
Governance
EXEC-109 Board Composition
EXEC-109 Board Composition
EXEC-109 Board Composition
EXEC-109 Board Composition
Governance
EXEC-107 Board Meeting Agenda and Minutes Template
EXEC-107 Board Meeting Agenda and Minutes Template
EXEC-107 Board Meeting Agenda and Minutes Template
EXEC-107 Board Meeting Agenda and Minutes Template
Governance
Board of Directors Meeting Minutes
EXEC-106 Board Committee Roles and Responsibilities
EXEC-106 Board Committee Roles and Responsibilities
EXEC-106 Board Committee Roles and Responsibilities
EXEC-106 Board Committee Roles and Responsibilities
Governance
EXEC-105 Board Member Responsibilities
EXEC-105 Board Member Responsibilities
EXEC-105 Board Member Responsibilities
EXEC-105 Board Member Responsibilities
Governance
EXEC-104 Delegation of Authority
EXEC-104 Delegation of Authority
EXEC-104 Delegation of Authority
EXEC-104 Delegation of Authority
Governance
HIT-101.03 Appointment Types
HIT-101.03 Appointment Types
HIT-101.03 Appointment Types
HIT-101.03 Appointment Types
Health Information Management Policies & Procedures
FIN-133P Compliance and Quality Audits
FIN-133P Compliance and Quality Audits
FIN-133P Compliance and Quality Audits
FIN-133P Compliance and Quality Audits
Finance Policies & Procedures
Ritter® M9 + M11 Steam Sterilizers: Daily + WeeklyMaintenance
Ritter® M9 + M11 Steam Sterilizers: Daily + WeeklyMaintenance
Ritter® M9 + M11 Steam Sterilizers: Daily + WeeklyMaintenance
Ritter® M9 + M11 Steam Sterilizers: Daily + WeeklyMaintenance
Trainings
Ritter® M9 + M11 Steam Sterilizers: Operation
Ritter® M9 + M11 Steam Sterilizers: Operation
Ritter® M9 + M11 Steam Sterilizers: Operation
Ritter® M9 + M11 Steam Sterilizers: Operation
Trainings
Ritter® M9 + M11 Steam Sterilizers: Instrument Preparation + Loading
Ritter® M9 + M11 Steam Sterilizers: Instrument Preparation + Loading
Ritter® M9 + M11 Steam Sterilizers: Instrument Preparation + Loading
Ritter® M9 + M11 Steam Sterilizers: Instrument Preparation + Loading
Trainings
Midmark® M9 + M11 Steam Sterilizers: Monthly Maintenance
Midmark® M9 + M11 Steam Sterilizers: Monthly Maintenance
Midmark® M9 + M11 Steam Sterilizers: Monthly Maintenance
Midmark® M9 + M11 Steam Sterilizers: Monthly Maintenance
Trainings
Daily, Weekly, and Annual PM on the Tuttnauer Autoclave Sterilizer
Daily, Weekly, and Annual PM on the Tuttnauer Autoclave Sterilizer
Daily, Weekly, and Annual PM on the Tuttnauer Autoclave Sterilizer
Daily, Weekly, and Annual PM on the Tuttnauer Autoclave Sterilizer
Trainings
HR-402.02 Basic Life Support Training
HR-402.02 Basic Life Support Training
HR-402.02 Basic Life Support Training
HR-402.02 Basic Life Support Training
Employment Status & Records
Smoke Detector Verification Form
Smoke Detector Verification Form
Smoke Detector Verification Form
Smoke Detector Verification Form
HOPWA
Ryan White Medical Case Management Assessment
Ryan White Medical Case Management Assessment
Ryan White Medical Case Management Assessment
Ryan White Medical Case Management Assessment
HOPWA
HOPWA Site Visit Assessment Tool
HOPWA Site Visit Assessment Tool
HOPWA Site Visit Assessment Tool
HOPWA Site Visit Assessment Tool
HOPWA
HMAP/Ryan White Eligiblity
HMAP/Ryan White Eligiblity
HMAP/Ryan White Eligiblity
HMAP/Ryan White Eligiblity
Ryan White Part B
DTL-302P Same Day Appointments
DTL-302P Same Day Appointments
DTL-302P Same Day Appointments
DTL-302P Same Day Appointments
Dental Policies & Procedures
DTL-204P Stocking Dental Treatment Rooms and Ordering Supplies
DTL-204P Stocking Dental Treatment Rooms and Ordering Supplies
DTL-204P Stocking Dental Treatment Rooms and Ordering Supplies
DTL-204P Stocking Dental Treatment Rooms and Ordering Supplies
Dental Policies & Procedures
Treatment Operatory Supply List
DTL-203P Dental Laboratory Cases
DTL-203P Dental Laboratory Cases
DTL-203P Dental Laboratory Cases
DTL-203P Dental Laboratory Cases
Dental Policies & Procedures
DTL-200P Dental Records
DTL-200P Dental Records
DTL-200P Dental Records
DTL-200P Dental Records
Dental Policies & Procedures
CLN-400.03 Patient Triage
CLN-400.03 Patient Triage
CLN-400.03 Patient Triage
CLN-400.03 Patient Triage
Access & Continuity
CLN-400.02 Change in Provider
CLN-400.02 Change in Provider
CLN-400.02 Change in Provider
CLN-400.02 Change in Provider
Access & Continuity
CLN-400.01 Patient Notification of Provider Departure
CLN-400.01 Patient Notification of Provider Departure
CLN-400.01 Patient Notification of Provider Departure
CLN-400.01 Patient Notification of Provider Departure
Access & Continuity
Walk-In Lab Hours Form - Spanish
Walk-In Lab Hours Form - Spanish
Walk-In Lab Hours Form - Spanish
Walk-In Lab Hours Form - Spanish
Forms
Walk-In Lab Hours Form - English
Walk-In Lab Hours Form - English
Walk-In Lab Hours Form - English
Walk-In Lab Hours Form - English
Forms
RM-512 Patient Communication
RM-512 Patient Communication
RM-512 Patient Communication
RM-512 Patient Communication
Other (Risk Management)
DME Locations
DME Locations
DME Locations
DME Locations
Forms
RM-400.04 Equipment Cleaning and Sterilization
RM-400.04 Equipment Cleaning and Sterilization
RM-400.04 Equipment Cleaning and Sterilization
RM-400.04 Equipment Cleaning and Sterilization
OSHA
Autoclave In-House Biological Monitoring Log
FIN-103.01 Cash Receipts Two
FIN-103.01 Cash Receipts Two
FIN-103.01 Cash Receipts Two
FIN-103.01 Cash Receipts Two
Finance Policies & Procedures
Lee Student Health Center - Daily Payment Form
Miller Pediatric Dentistry Forms - Spanish
Miller Pediatric Dentistry Forms - Spanish
Miller Pediatric Dentistry Forms - Spanish
Miller Pediatric Dentistry Forms - Spanish
Forms
Miller Pediatric Dentistry Forms - English
Miller Pediatric Dentistry Forms - English
Miller Pediatric Dentistry Forms - English
Miller Pediatric Dentistry Forms - English
Forms
HR-208.01 Media Release
HR-208.01 Media Release
HR-208.01 Media Release
HR-208.01 Media Release
General Standards of Conduct
PHR-102.23 Partial Filling of Prescriptions
PHR-102.23 Partial Filling of Prescriptions
PHR-102.23 Partial Filling of Prescriptions
PHR-102.23 Partial Filling of Prescriptions
Medication Distribution
RW-301.01 Violence Against Women Act
RW-301.01 Violence Against Women Act
RW-301.01 Violence Against Women Act
RW-301.01 Violence Against Women Act
HOPWA
RM-512.02 Text Messaging for Patient Care
RM-512.02 Text Messaging for Patient Care
RM-512.02 Text Messaging for Patient Care
RM-512.02 Text Messaging for Patient Care
Other (Risk Management)
RM-512.01 Phone Calls and Patient Portal/Telephone Messages
RM-512.01 Phone Calls and Patient Portal/Telephone Messages
RM-512.01 Phone Calls and Patient Portal/Telephone Messages
RM-512.01 Phone Calls and Patient Portal/Telephone Messages
Other (Risk Management)
CLN-600.06 Social Determinants of Health
CLN-600.06 Social Determinants of Health
CLN-600.06 Social Determinants of Health
CLN-600.06 Social Determinants of Health
Care Management and Support
CLN-509P Modified Checklist for Autism in Toddlers (M-CHAT-R)
CLN-509P Modified Checklist for Autism in Toddlers (M-CHAT-R)
CLN-509P Modified Checklist for Autism in Toddlers (M-CHAT-R)
CLN-509P Modified Checklist for Autism in Toddlers (M-CHAT-R)
Knowing and Managing Patient
M-CHAT-R Follow-Up Scoring Sheet
Wellcare PCP Change WCHC
Wellcare PCP Change WCHC
Wellcare PCP Change WCHC
Wellcare PCP Change WCHC
Medicaid Expansion
Wellcare PCP Change HFHC
Wellcare PCP Change HFHC
Wellcare PCP Change HFHC
Wellcare PCP Change HFHC
Medicaid Expansion
Wellcare PCP Change FHCHC
Wellcare PCP Change FHCHC
Wellcare PCP Change FHCHC
Wellcare PCP Change FHCHC
Medicaid Expansion
Wellcare PCP Change Blank
Wellcare PCP Change Blank
Wellcare PCP Change Blank
Wellcare PCP Change Blank
Medicaid Expansion
United Healthcare PCP Change WCHC Spanish
United Healthcare PCP Change WCHC Spanish
United Healthcare PCP Change WCHC Spanish
United Healthcare PCP Change WCHC Spanish
Medicaid Expansion
United Healthcare PCP Change HFHC Spanish
United Healthcare PCP Change HFHC Spanish
United Healthcare PCP Change HFHC Spanish
United Healthcare PCP Change HFHC Spanish
Medicaid Expansion
United Healthcare PCP Change FHCHC Spanish
United Healthcare PCP Change FHCHC Spanish
United Healthcare PCP Change FHCHC Spanish
United Healthcare PCP Change FHCHC Spanish
Medicaid Expansion
United Healthcare PCP Change Blank Spanish
United Healthcare PCP Change Blank Spanish
United Healthcare PCP Change Blank Spanish
United Healthcare PCP Change Blank Spanish
Medicaid Expansion
United Healthcare PCP Change WCHC
United Healthcare PCP Change WCHC
United Healthcare PCP Change WCHC
United Healthcare PCP Change WCHC
Medicaid Expansion
United Healthcare PCP Change HFHC
United Healthcare PCP Change HFHC
United Healthcare PCP Change HFHC
United Healthcare PCP Change HFHC
Medicaid Expansion
United Healthcare PCP Change FHCHC
United Healthcare PCP Change FHCHC
United Healthcare PCP Change FHCHC
United Healthcare PCP Change FHCHC
Medicaid Expansion
United Healthcare PCP Change Blank
United Healthcare PCP Change Blank
United Healthcare PCP Change Blank
United Healthcare PCP Change Blank
Medicaid Expansion
Healthy Blue PCP Change WCHC Spanish
Healthy Blue PCP Change WCHC Spanish
Healthy Blue PCP Change WCHC Spanish
Healthy Blue PCP Change WCHC Spanish
Medicaid Expansion
Healthy Blue PCP Change HFHC Spanish
Healthy Blue PCP Change HFHC Spanish
Healthy Blue PCP Change HFHC Spanish
Healthy Blue PCP Change HFHC Spanish
Medicaid Expansion
Healthy Blue PCP Change FHCHC Spanish
Healthy Blue PCP Change FHCHC Spanish
Healthy Blue PCP Change FHCHC Spanish
Healthy Blue PCP Change FHCHC Spanish
Medicaid Expansion
Healthy Blue PCP Change Blank Spanish
Healthy Blue PCP Change Blank Spanish
Healthy Blue PCP Change Blank Spanish
Healthy Blue PCP Change Blank Spanish
Medicaid Expansion
Healthy Blue PCP Change WCHC
Healthy Blue PCP Change WCHC
Healthy Blue PCP Change WCHC
Healthy Blue PCP Change WCHC
Medicaid Expansion
Healthy Blue PCP Change HFHC
Healthy Blue PCP Change HFHC
Healthy Blue PCP Change HFHC
Healthy Blue PCP Change HFHC
Medicaid Expansion
Healthy Blue PCP Change FHCHC
Healthy Blue PCP Change FHCHC
Healthy Blue PCP Change FHCHC
Healthy Blue PCP Change FHCHC
Medicaid Expansion
Healthy Blue PCP Change Blank
Healthy Blue PCP Change Blank
Healthy Blue PCP Change Blank
Healthy Blue PCP Change Blank
Medicaid Expansion
Carolina Complete PCP Change WCHC English Spanish
Carolina Complete PCP Change WCHC English Spanish
Carolina Complete PCP Change WCHC English Spanish
Carolina Complete PCP Change WCHC English Spanish
Medicaid Expansion
Carolina Complete PCP Change HFHC English Spanish
Carolina Complete PCP Change HFHC English Spanish
Carolina Complete PCP Change HFHC English Spanish
Carolina Complete PCP Change HFHC English Spanish
Medicaid Expansion
Carolina Complete PCP Change FHCHC English Spanish
Carolina Complete PCP Change FHCHC English Spanish
Carolina Complete PCP Change FHCHC English Spanish
Carolina Complete PCP Change FHCHC English Spanish
Medicaid Expansion
Carolina Complete PCP Change Blank English Spanish
Carolina Complete PCP Change Blank English Spanish
Carolina Complete PCP Change Blank English Spanish
Carolina Complete PCP Change Blank English Spanish
Medicaid Expansion
AmeriHealth PCP Change Blank Spanish
AmeriHealth PCP Change Blank Spanish
AmeriHealth PCP Change Blank Spanish
AmeriHealth PCP Change Blank Spanish
Medicaid Expansion
AmeriHealth PCP Change WCHC Spanish
AmeriHealth PCP Change WCHC Spanish
AmeriHealth PCP Change WCHC Spanish
AmeriHealth PCP Change WCHC Spanish
Medicaid Expansion
AmeriHealth PCP Change HFHC Spanish
AmeriHealth PCP Change HFHC Spanish
AmeriHealth PCP Change HFHC Spanish
AmeriHealth PCP Change HFHC Spanish
Medicaid Expansion
AmeriHealth PCP Change FHCHC Spanish
AmeriHealth PCP Change FHCHC Spanish
AmeriHealth PCP Change FHCHC Spanish
AmeriHealth PCP Change FHCHC Spanish
Medicaid Expansion
AmeriHealth PCP Change WCHC English
AmeriHealth PCP Change WCHC English
AmeriHealth PCP Change WCHC English
AmeriHealth PCP Change WCHC English
Medicaid Expansion
AmeriHealth PCP Change HFHC English
AmeriHealth PCP Change HFHC English
AmeriHealth PCP Change HFHC English
AmeriHealth PCP Change HFHC English
Medicaid Expansion
AmeriHealth PCP Change FHCHC English
AmeriHealth PCP Change FHCHC English
AmeriHealth PCP Change FHCHC English
AmeriHealth PCP Change FHCHC English
Medicaid Expansion
AmeriHealth PCP Change Blank
AmeriHealth PCP Change Blank
AmeriHealth PCP Change Blank
AmeriHealth PCP Change Blank
Medicaid Expansion
HR-506 Military Leave of Absence
HR-506 Military Leave of Absence
HR-506 Military Leave of Absence
HR-506 Military Leave of Absence
Benefits
OPR-300 Company Vehicles and Transportation Services
OPR-300 Company Vehicles and Transportation Services
OPR-300 Company Vehicles and Transportation Services
OPR-300 Company Vehicles and Transportation Services
Transportation
DTL-100 Dental Risk Management, Operations, and Quality Improvement
DTL-100 Dental Risk Management, Operations, and Quality Improvement
DTL-100 Dental Risk Management, Operations, and Quality Improvement
DTL-100 Dental Risk Management, Operations, and Quality Improvement
Dental Policies & Procedures
CLN-107 Youth Protection Act
CLN-107 Youth Protection Act
CLN-107 Youth Protection Act
CLN-107 Youth Protection Act
Quality & Risk Management
Rex Mobile Mammography Application Form - Spanish
Rex Mobile Mammography Application Form - Spanish
Rex Mobile Mammography Application Form - Spanish
Rex Mobile Mammography Application Form - Spanish
Forms
Rex Mobile Mammography Application Form - English
Rex Mobile Mammography Application Form - English
Rex Mobile Mammography Application Form - English
Rex Mobile Mammography Application Form - English
Forms
RM-511P Health Information Documentation
RM-511P Health Information Documentation
RM-511P Health Information Documentation
RM-511P Health Information Documentation
Other (Risk Management)
HR-506.01 Military Leave of Absence
HR-506.01 Military Leave of Absence
HR-506.01 Military Leave of Absence
HR-506.01 Military Leave of Absence
Benefits
CLN-600.05 Care Plans
CLN-600.05 Care Plans
CLN-600.05 Care Plans
CLN-600.05 Care Plans
Care Management and Support
Intervention Activities 60-66 Mo - Spanish
Intervention Activities 60-66 Mo - Spanish
Intervention Activities 60-66 Mo - Spanish
Intervention Activities 60-66 Mo - Spanish
Ages and Stages
DTL-303P Dental Referrals
DTL-303P Dental Referrals
DTL-303P Dental Referrals
DTL-303P Dental Referrals
Dental Policies & Procedures
Informed Refusal of Specialty Dental Referral - Spanish
DTL-400P School-Based Oral Health Program
DTL-400P School-Based Oral Health Program
DTL-400P School-Based Oral Health Program
DTL-400P School-Based Oral Health Program
Dental Policies & Procedures
Consent for Oral Health Assessment Form - Spanish
Intervention Activities 48-60 Mo - Spanish
Intervention Activities 48-60 Mo - Spanish
Intervention Activities 48-60 Mo - Spanish
Intervention Activities 48-60 Mo - Spanish
Ages and Stages