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Compliance Policies

UW Medicine Compliance Code of Conduct

UW Medicine is committed to the highest standards of excellence and integrity in advancement of its mission to improve the health of the public.

Compliance Program Policies

In addition to university-wide and entity-specific policies, the UW Medicine Compliance Program Policies ensure consistent standards throughout the UW Medicine healthcare system.


Patient Information Privacy Policies

UW Medicine has established a comprehensive Patient Information Privacy Compliance Program related to the HIPAA Privacy Rule, the Washington State Uniform Health Care Act, and various other federal and state privacy laws. The foundation of this program is the UW Medicine Patient Information Privacy Policies.


Billing Compliance Policies

The Billing Compliance Policies affirm UW Medicine’s commitment to performing billing activities for clinical, research and professional services in full compliance with State and Federal billing regulations.


The Emergency Medical Treatment and Labor Act (EMTALA) was enacted by Congress to ensure public access to emergency medical services regardless of ability to pay. The UW Medicine EMTALA Policy establishes guidelines at UW Medicine hospitals for providing medical screening examinations, stabilizing treatment, and an appropriate transfer where indicated, as required by EMTALA.

Identity Theft Prevention Policy

UW Medicine has established an Identity Theft Prevention Program (ITPP) to help detect, prevent, and mitigate identity theft. UW Medicine entities collect registration and billing information to create patient accounts and/or bill for the provision of healthcare services. The following policy establishes the UW Medicine Identity Theft Prevention Program (ITPP) for new and existing patient accounts and sets the requirements for identifying, investigating and responding to identity theft red flags involving patient accounts.

Social Media Policy and Guidance

The Social Media Policy and Guidance includes UW Medicine’s policy limiting the use of social media in hospital and clinic spaces, institutional policies that apply to the use of social media, and best practice guidelines for UW Medicine workforce members.

Audio Recordings in the Clinical Setting for Research, Education or Quality Improvement Purposes

This policy and guidance describe UW Medicine’s requirements for workforce members who create audio recordings in the UW Medicine clinical setting.