The organization has implemented a conflict of interest policy as per the requirements of the standard.
Practices are basically sound, but there is room for improvement; e.g.,
One of standard's elements is not fully addressed.
Practice requires significant improvement; e.g.,
The policy provides minimal guidance to stakeholders due to lack of specificity; or
Stakeholders are unaware of the policy; or
Two of the elements are not fully addressed; or
One of the elements is not addressed at all.
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
No policy exists; or
The policy is not enforced or is ignored in practice.
The conflict of interest policy requires governing body members, advisory group members, personnel, and consultants who have a financial interest in the organization’s assets, business transactions, leases, or professional services to:
disclose this information; and
not participate in any discussion or vote taken with respect to such interests.
Governing body members who receive compensation for professional services they provide as consultants cannot be part of the organization’s audit review process.
The organization's practices reflect full implementation of the standard.
Practices are basically sound but there is room for improvement; e.g.,
Some aspect of the policy requires clarification.
Practice requires significant improvement, e.g.,
Staff report that there have been instances of nepotism or preferential treatment; or
The organization chart indicates that at least one person is directly supervised by a relative.
Implementation of the standard is minimal or there is no evidence of implementation at all.
The organization prohibits:
making or accepting payment or other consideration in exchange for referrals;
preferential treatment of organization members, community partners, members of the organization's governing body, advisory groups, personnel, or consultants applying for and receiving the organization’s services; and
steering or directing referrals to private practices in which personnel, consultants, or the immediate families of personnel and consultants are engaged.
It is permissible to include on referral lists personnel and consultants with private practices, or family members of personnel and consultants, but the organization may not actively direct service recipients to the practices of these individuals and must clarify in writing the relationship between the private practitioners and the organization.
When private practice is permitted on the organization’s premises persons served should receive information clarifying the relationship between the private practitioner and the organization.