The Tayo Clinic

Code of Ethics

(Board-Approved on 3/17/2025)

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1. Purpose & Scope

The Tayo Clinic (“the Clinic”) is committed to operating in a manner that upholds the highest standards of integrity, compliance, and respect. This Code of Ethics (“Code”) applies to:

• Staff (employees, contractors)
• Board Members
• Volunteers

These individuals are collectively referred to as “Covered Persons.”

Note: This Code does not supersede laws or regulations. All Covered Persons must comply with applicable local, state, and federal laws, including HIPAA and other healthcare regulations.

2. Ethical Conduct Requirements

1. Respect and Professionalism
   • Treat patients, colleagues, and community members with dignity, fairness, and courtesy.
   • Avoid harassment, discrimination, or conduct that creates a hostile environment.
2. Legal Compliance
   • Abide by all laws and regulations relevant to the Clinic’s operations, especially telehealth, patient privacy, and charitable organizations.
3. Financial Stewardship
   • Use the Clinic’s funds and resources prudently and solely for the Clinic’s charitable mission.
   • Follow established financial controls; never misappropriate or misuse Clinic assets.
4. Patient Privacy & Confidentiality
   • Safeguard protected health information (PHI) and adhere to HIPAA.
   • Maintain confidentiality of internal information like financial data, board discussions, and other sensitive matters.
5. Conflict of Interest Disclosure
   • Comply with the Clinic’s Conflict of Interest Policy by disclosing any personal interests or relationships that could influence decisions.
   • Refrain from using one’s position for personal gain.

3. Reporting Concerns

• Reporting Channels:
  • Executive Director: Primary contact for ethical concerns.
  • Board Chair: For issues involving the ED or requiring board-level review.
• Confidentiality: Reasonable steps will be taken to protect the identity of those reporting in good faith.
• Timeliness: Concerns should be reported within 30 days of discovery.

4. Enforcement & Penalties

• Covered Persons must act in good faith.
• Violations will be investigated by impartial parties (ED, Board Chair, or delegate).
• Possible consequences:
  • Verbal or written warning
  • Suspension or removal (staff or volunteer)
  • Termination
  • Referral for legal or administrative action

5. Non-Retaliation

The Clinic prohibits retaliation against individuals who report concerns in good faith.

6. Acknowledgment

• Signature Required: All Covered Persons must sign a form acknowledging they’ve read and understand the Code.
• No Mandatory Training: Training is not required, but individuals are encouraged to consult the ED or Board Chair with questions.

7. Policy Oversight & Updates

• The Board of Directors must formally approve this Code.
• It will be reviewed every two years or as needed based on legal or operational changes.