Kirksville College of ATSU Osteopathic Medicine Policies, Procedures, and Processes July 2021 Table of Contents A. Standard 1: Mission and Governance Policy No. 1.4 Governance & Program a. ATSU Bylaws and Board of Trustee Members b. ATSU Conflict of Interest Policies c. ATSU Due Process Policies d. ATSU Confidentiality Policies e. ATSU Fiscal Management and Accountability Policies f. ATSU Ethics Policies Policy No. 1.6 Degree-Granting Body B. Standard 2: Leadership and Administration Policy No. 2.4 Accreditation Standard Complaint a. ATSU-KCOM Accreditation Complaint Policies C. Standard 4: Facilities Policy No. 4.2-1 Security and Public Safety D. Standard 5: Learning Environment Policy No. 5.1 Professionalism a. ATSU Professionalism Policies b. ATSU-KCOM Professionalism and Ethics Committees Policy No. 5.2 Diversity a. ATSU Diversity Recruitment and Retention Policies b. ATSU Diversity Resources Policy No. 5.3 Safety, Health, and Wellness Policy No. 5.4 Patient Care Supervision E. Standard 6: Curriculum Process No. 6.2 Programmatic Level Educational Objectives Policy No. 6.3 Maximum Length of Completion Policy No. 6.9 Clinical Education Policies, Procedures, and Protocols Policy No. 6.11 Comparability Across Clinical Education Sites Policy Policy No. 6.12 COMLEX USA F. Standard 7: Faculty and Staff Policy No. 7.2/7.8 Faculty Approvals at All Teaching Sites/Faculty Appointment & Advancement G. Standard 8: Scholarly Activity Policy No. 8.4 Student Participation in Research and Scholarly Activity H. Standard 9: Students Policy No. 9.1/9.3 Admissions & Transfers Policy No. 9.2 Academic Standards a. ATSU-KCOM Grading Policies b. ATSU-KCOM Attendance Policies c. ATSU-KCOM Tuition and Fees Policies d. ATSU-KCOM Tuition Refund Policy e. ATSU-KCOM Student Promotion Board and Retention Policy f. ATSU-KCOM Graduation Policies g. ATSU-KCOM Student’s Professional Rights, Responsibilities, and Conduct h. ATSU Policy on Filing of Grievances and Appeals/Complaint Resolution Process Policy No. 9.4 Secure Student Recordkeeping a. ATSU University Student Records Policy b. ATSU FERPA Policies c. ATSU Employee Training Requirements d. ATSU HIPAA Policies e. ATSU General Order on General Orders Policy f. ATSU Record Retention Policy (Appendix A) Policy No. 9.8 Mental Health Services Policy No. 9.9 Physical Health Services Policy No. 9.10 Non-Academic Health Professionals - Faculty Members Providing Health Care Services to Osteopathic Medical Students Policy No. 9.11 Health Insurance I. Standard 10: Graduate Medical Education (GME) Policy No. 10.1 Osteopathic Educational Continuum Policy No. 10.2 ACGME Accredited GME ATSU and ATSU-KCOM Policies & Resources for ​ ​ COCA Standard No. 1.4: Governance & Program Policies Signature: On file in Dean’s office Date Approved: December 12, 2019 ​ ​ PURPOSE In accordance with the Commission on Osteopathic College Accreditation (COCA) Standard 1.4, A.T. Still University-Kirksville College of Osteopathic Medicine is required to have a governing body, or be part of a parent institution with a governing body, that defines the mission of the COM and/or institution, approves the strategic plan, provides financial oversight, and approves requisite policies. The COM must publish and abide by policies regarding conflict of interest (for board members, employees, and institutionally employed faculty); due process for employees, students, and credentialed instructional staff; confidentiality of employee, student, and medical records; fiscal management; and ethics which must incorporate the American Osteopathic Association Code of Ethics. POLICIES & RESOURCES ATSU-KCOM meets COCA standard 1.4 via the follow policies and resources: ● ByLaws ○ ATSU Bylaws ○ Board of Trustee Members ● Policies and/or Resources ○ Conflict of Interest Policies ■ Board of Trustee - Conflict of Interest ■ ATSU Policy No. 10-212 Conflict of Interest ■ ATSU Employee Handbook ○ Due Process ■ ATSU Policy No. 90-100 Equal Employment Opportunity ■ KCOM Faculty Handbook ● Due Process - Misconduct hearing - pg 16 ■ ATSU Policy No. 90-209 Employee Problem Solving Procedure ■ ATSU Catalog - Student Academic Appeals ■ ATSU Student Handbook (Appendix) Code of Behavioral Standards (Appeal) ■ ATSU University Catalog (Appendix G) Process for Requesting Academic Adjustments (Accommodations) for Students with Disabilities ■ ATSU Policy No. 10-216 Whistleblower Policy ○ Confidentiality ■ ATSU Policy No. 10-216 Whistleblower Policy ■ ATSU Policy No. 90-210 Prohibition of Discrimination, Harassment, and Retaliation ■ ATSU FERPA Information for Students ■ ATSU FERPA Information for Faculty and Staff ■ ATSU HIPAA Policies (intranet website) ○ Fiscal Management and Accountability ATSU-KCOM COCA Standard 1.4 Policies & Resources ■ ATSU Policy No. 10-214 Public Availability ■ ATSU Policy No. 20-117 Financial Conflict of Interest (FCOI) in Research ■ ATSU Policy No. 50-326 Financial Information Safeguards ■ ATSU Policy No. 75-101 Purchasing Policy and Procedure ■ ATSU Policy No. 10-210 Red Flags Rule ○ Ethics ■ ATSU Policy No. 10-220 Code of Ethical Standards ■ KCOM Faculty Handbook ● Code of Ethical Standards - pg 15 REVIEW(S) Policy & Resources reviewed by: KCOM Dean - December 12, 2019 ATSU-KCOM COCA Standard 1.4 Policies & Resources BYLAWS A.T. STILL UNIVERSITY OF HEALTH SCIENCES Adopted April 9, 2005 As Amended February 9, 2008, October 11, 2008, May 9, 2009, June 10, 2009, September 25, 2010, May 21, 2011, July 28, 2012, April 20, 2013, January 24, 2014, April 25, 2014, and April 29, 2017, February 1, 2019 ARTICLE I - Name The name of the corporation is A.T. Still University of Health Sciences (University) and the Bylaws hereinafter provided for are Bylaws of the University. The Board of Trustees for the University may authorize by a two-thirds affirmative vote of its membership to have individual unit and/or organizational University Bylaws in addition to those provided for the University, provided the individual unit and/or organizational Bylaws are not in conflict or inconsistent with the Bylaws of the University. ARTICLE II - Mission A.T. Still University of Health Sciences serves as a learning-centered university dedicated to preparing highly competent professionals through innovative academic programs with a commitment to continue its osteopathic heritage and its focus on whole person healthcare, scholarship, community health, interprofessional education, diversity, and underserved populations. ARTICLE III - Principal Office The University shall have and continuously maintain a registered office and registered agent in the State of Missouri. The registered office shall have the same address as the registered agent. The location of the registered office and the name of the registered agent in the State of Missouri shall be such as are stated in the Articles of Incorporation, and as may be changed and determined from time to time by the Board of Trustees pursuant to the applicable provisions of law. ARTICLE IV - Membership The University shall not have members as such, but in lieu thereof, shall have only a Board of Trustees. ATSU Bylaws Page 1 ARTICLE V - Board of Trustees Section 1. Number and Composition. The number of persons constituting the Board of Trustees of the University shall be not less than nine (9) nor more than twenty-one (21), as fixed from time to time by the resolution of said Board. Twenty-five percent or more of the Board shall consist of alumni, reflective of the composition of the schools making up the University and at all times at least one (1) KCOM graduate shall be a trustee of the Board. No employee of the University shall be elected a member of the Board of Trustees. Section 2. Term of Office. All terms of office as a Trustee shall be for three years. No trustee shall serve more than three (3) consecutive terms. After one (1) full year, following expiration of the permitted tenure, eligibility of any former trustee is renewed. Expiration of a term of office shall be at the conclusion of the Summer Meeting in the appropriate year. Section 3. Vacancies. Vacancies on the Board of Trustees, whether caused by the inability of any trustee to serve or the desire to increase the active membership of the Board, may be filled yearly at the Board meeting specified in the Board Governance Policies or a special meeting of the Board. The procedure for filling such vacancies shall be the same as for regular elections as outlined in Section 4, below. Section 4. Nominations and Election. A. Nominations. The chairperson shall appoint a Search Team at the Board meeting specified in Board Governance Policies. The Board will select new Trustees at the Board meeting specified in the Board Governance Policies. Not inconsistent with these Bylaws, the Board Governance Policies may specify additional details regarding the Search Team and its processes. B. Election. All elections shall be by consensus of all trustees present, per the Board Governance policies. C. A trustee of the Board may be removed without cause by consensus of the trustees then in office not being considered for removal at any regular or special meeting called for such purpose. Section 5. Meetings. A. Regular Meetings. Regular meetings of the Board of Trustees shall be held four (4) times during the calendar year, the exact time and date to be determined by consensus, except the Annual Meeting described below shall be held in Kirksville, Missouri. B. Annual Meetings. The last regular meeting of each calendar year shall be referred to as the "Annual Meeting." C. Special Meetings. Special meetings of the Board of Trustees may be held at the call of the president or chairperson and will be called by the president or chairperson at the written request of one- third of the trustees. Section 6. Place of Meetings. The annual meeting shall be held in Kirksville, Missouri. ATSU Bylaws Page 2 Adopted: 04.09.2005 Amended: 02.01.2019 Section 7. Notice of Meetings. A. Regular Meetings. Written or electronic/online notice of regular meetings shall be sent to all trustees not less than 21 days nor more than 40 days prior to the date of the meeting.