Contracts and Evidence of Insurance (Directions Only)

The Governance Manual table of contents has a tab for 
contracts (e.g., pharmacy contract, transfer agreement with 
hospital, etc.) and insurance policies.   There should be 
some cross-referencing between files and governing body 
minutes; annually e.g.,the governing body must review 
contracts and approve any changes; these actions should be 
appropriately documented in the Governing Body minutes.
If desired, you can use this area to point the surveyor to 
where those documents are filed; administrative office, etc. 
Although the governance volume is located in the Policy and 
Procedure manual, documentation that surrounds Governance 
should be in its own 3 ring binder.
The Governance Volume was created to as a double check to 
assure that the organization is completing all of its tasks 
surrounding Governance.  
The Governance Manual Table Of Contents in the Governance 
section of the forms repository has directions for setting up 
tabs for the documents which prove you are a business entity; 
i.e., articles of incorporation, partnership agreement, etc. 
This table of contents on the forms repository is meant for 
your separate binder titled Governance.
You can use this area and the other areas (GE.1 through 
GE.16) within this volume to indicate to staff and the 
surveyor where those documents are filed; i.e., Corporate 
Records Book stored in Administrative file, Governance 
Binder, Minutes Binder, Drills Binder, Safety Inspections 
This page can be modified without the need of the 
consultant's approval.  Once you have read these 
instructions, and made any modifications, you must click the 
accept button.
Approved By Governing Board    
Control #105.0