Clinical Operations Group | HCA Healthcare

(COG.CMO) Policies & Procedures

Policy	Reference Number
Screening Tests for Asymptomatic Individuals (formerly CSG.CMO.002)	COG.CMO.002

(COG.COM) Policies & Procedures

Policy	Reference Number
Core Measure Clarification Process Documentation and Abstraction Education (formerly CSG.COM.001)	COG.COM.001
Correction of Non-editable Core Measure Data Elements (formerly CSG.COM.002)	COG.COM.002
Purging of COMET Core Measure Records (formerly CSG.COM.003)	COG.COM.003
National Healthcare Safety Network (NHSN) Reporting	COG.COM.004

(COG.CQM) Policies & Procedures

Policy	Reference Number
Purging of eCQM Records within the hCQM application	COG.CQM.001

(COG.FED) Policies & Procedures

Policy	Reference Number
Investigator Conflicts of Interest in PHS Grants (formerly CSG.FED.001)	COG.FED.001
Research Misconduct in PHS Grants (formerly CSG.FED.002)	COG.FED.002
Compliance with Federal Funding Accountability and Transparency Act – FFATA (formerly CSG.FED.003)	COG.FED.003

(COG.IRB) Policies & Procedures

Policy	Reference Number
IRB Related Definitions and Common Acronyms (formerly CSG.IRB.001)	COG.IRB.001
IRB Membership and Training (formerly CSG.IRB.002)	COG.IRB.002
IRB Registration with, and Mandated Reports to FDA and/or DHHS (formerly CSG.IRB.003)	COG.IRB.003
IRB Records (Rosters, Minutes and Protocol Information) Content and Retention (formerly CSG.IRB.004)	COG.IRB.004
IRB Development of Local Standard Operating Procedures (formerly CSG.IRB.005)	COG.IRB.005
IRB Criteria to Approve or Exempt Human Subject Research (formerly CSG.IRB.006)	COG.IRB.006
IRB Initial and Continuing Review of Non-Exempt Research with Human Subjects (formerly CSG.IRB.007)	COG.IRB.007
IRB Review of Research Informed Consent and Its Documentation (formerly CSG.IRB.008)	COG.IRB.008
IRB Required Additional Protections for Vulnerable Subjects/Children (formerly CSG.IRB.009)	COG.IRB.009
IRB Handling Conflicts of Interest in Research (formerly CSG.IRB.010)	COG.IRB.010
IRB Review and Reporting of Unanticipated Problems Involving Risks to Subjects or Others (formerly CSG.IRB.011)	COG.IRB.011

(COG.MM) Policies & Procedures

Policy	Reference Number
Controlled Substance Monitoring (formerly CSG.MM.001)	COG.MM.001
Pharmacy and Laboratory-Related Dependent Healthcare Professionals (formerly CSG.MM.004)	COG.MM.004
DEA and State Controlled Substance Diversion and Loss Reporting (formerly CSG.MM.006)	COG.MM.006

(COG.PPA) Policies & Procedures

Policy	Reference Number
Sharing Credentialing, Privileging, and PPE Information Among HCA Healthcare Entities (formerly CSG.PPA.001)	COG.PPA.001
Licensure and Certification (formerly CSG.PPA.002)	COG.PPA.002
Vetting Dependent Healthcare Professionals and other Non-Employees (formerly CSG.PPA.003)	COG.PPA.003

(COG.PUB) Policies & Procedures

Policy	Reference Number
Designation as Authors and Contributors in Scholarly Work	COG.PUB.001
Responsible Use of Generative Artificial Intelligence In Scholarly Work	COG.PUB.003

(COG.RAS) Policies & Procedures

Policy	Reference Number
Regulatory Compliance Notification (formerly CSG.RAS.001)	COG.RAS.001
Vetting Dependent Healthcare Professionals and Other Non-Employees	COG.RAS.003
Patient Rights (formerly CSG.RAS.004)	COG.RAS.004
COVID-19 Vaccination Requirements for Employees and Staff of HCA CMS Mandate Facilities	COG.RAS.005
Controlled Substance State Licensing and DEA Registration Policy	COG.RAS.006

(COG.RSH) Policies & Procedures

Policy	Reference Number
Research - Guiding Documents and Definitions (formerly CSG.RSH.001)	COG.RSH.001
Research Integration into Healthcare Treatment/Payment/Operations (formerly CSG.RSH.002)	COG.RSH.002
Human Subject Protection Program (formerly CSG.RSH.003)	COG.RSH.003
Use of and Relationship with Institutional Review Boards (formerly CSG.RSH.004)	COG.RSH.004
Research Activities Not Needing IRB Oversight or Certification of IRB Review (formerly CSG.RSH.005)	COG.RSH.005
Handling Research Informed Consent Documents (Non-IRB Requirements) (formerly CSG.RSH.006)	COG.RSH.006
Special Cases Concerning Investigational Products and Humanitarian Use Devices (formerly CSG.RSH.007)	COG.RSH.007
Access to Records for Research or Research Monitoring Purposes (Non-IRB Requirements) (formerly CSG.RSH.008)	COG.RSH.008
Role of Institutional Official and Human Protections Administrator (formerly CSG.RSH.009)	COG.RSH.009
Research Activity Records and Reports (formerly CSG.RSH.010)	COG.RSH.010

Clinical Operations Group (COG) policies and procedures