Clipboard Health Contractor Handbook 

I. The Clipboard Health Mission, the Contractor Role & How We Work TogetherA. Clipboard Health’s Mission & Philosophy

1. Clipboard Health’s Mission2. Clipboard Health’s Philosophy

B. Role as an Independent Contractor1. Independent Contractor Definition2. 1099 Agent Taxes and Other Responsibilities

● Taxes● Benefits● Overtime & “Excessive” Hours● Liability Insurance

C. How We Work Together1. Onboarding Documents Needed2. Additional Onboarding Steps Needed3. How to Prepare for Work & Using Our App

● Using Our App● Work Attire● Facility Orientation● If there is no Facility Orientation● When Census is Low● Holiday Shifts● Clipboard Health E-Timecards & CDPH 530 Timecard Form (for

California Healthcare Professionals)4. Clinical Competence

II.Clipboard Health’s Company Policies and ProceduresA. Code of Business EthicsB. Conflict of Interest PolicyC. Attendance Policy

1. No Call No Shows2. Call-Offs

D. Payroll1. Stripe

E. Security & Data Policies1. HIPAA Policy2. Contact Information3. Security Policy4. Information Collected5. Use of Information6. Protection of Data7. Communication from Clipboard Health

F. Promotions

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III. Incident Management OverviewA. Incident Management Overview

1. The 3 Pillars We HonorB. Our Reporting Process

1. Our Diligent RecordkeepingC. During Our Review Process

1. Suspension Policy2. Incident Classification (defining Minor vs. Major)3. “General Complaints” vs. Incidents

D. How We Take Action in Classifying the Incident1. Our External Action Steps2. Our Internal Action Steps

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I. The Clipboard Health Mission, the Contractor Role & How We Work TogetherA. Clipboard Health’s Mission & Philosophy

1. Clipboard Health’s MissionClipboard Health’s mission is to revolutionize the healthcare staffing industry bymaking staffing reliable, affordable, and easy for both facilities and healthcareprofessionals.

2. Clipboard Health’s PhilosophyOur agency is an integral member of each community where we staff. As a member ofthat community, Clipboard Health strives to make life easier for facilities, healthcareprofessionals, and patients alike. Our robust technology platform ensures that weenable the best workers to partner with our clients.

B. Role as an Independent Contractor1. Independent Contractor Definition

The Internal Revenue Services defines an Independent Contractor as the following.

2. 1099 Agent Taxes and Other ResponsibilitiesTaxesAs an Independent Contractor, generally you are required to file an annual return andmay pay estimated taxes quarterly.

As an Independent Contractor you are paid by Clipboard Health in pre-tax pay and it isyour responsibility to pay taxes on earned income when filing. A 1099-MISC will bedelivered to you directly from Stripe before January 31st if you have received over $600in pay in the previous calendar year. You can use our 1099 Tax Guide as a resource.

If you are unsure whether you owe taxes or questions about making your return, pleaseconsult with the IRS.gov website directly and seek out a tax professional for receivingadvice on your personal tax situation.

BenefitsAs an Independent Contractor, Clipboard Health does not provide benefits such as, butnot limited to: worker compensation in the event of an injury or disability, promises offuture employment or unemployment benefits. Clipboard Health does not offer acompensation package for a variety of categories such as, but not limited to, travelnurse housing and travel arrangements. 

Overtime & “Excessive” Work HoursContractors are not eligible for overtime pay rates, but allowed to work over 40-hours aweek if they choose to do so.

At Clipboard Health, we monitor situations where a Healthcare Professional could beworking an excessive amount that could harm themselves or the end-patient. We careabout everyone’s health, wellness & safety and try to halt possible errors, accidents orinjuries from occurring. We consider “excessive hours” or “hazardous hours” as over

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70-hours a week, when one works over 20 hours continously, does not take breaks (asthese are mandatory) or does acknowledge the need for a respite period betweenshifts (minimum of 8 hours after a 12-hour shift worked). These Clipboard HealthPolicies promote our “zero-harm” culture.

There are no minimum hours that need to be worked during any given pay period tostay eligible with Clipboard Health.

Liability InsuranceAs a 1099 Contractor, there is an expectation for you to carry your own medicalprofessional liability insurance to cover errors, omissions, or incidents while performingduties within the scope of your work.

C. How We Work Together1. Onboarding Documents Needed

As an Independent Contractor of Clipboard Health, the following documents need tobe provided during your Clipboard Health Onboarding Period: 

● Active State License for Healthcare Professional● Active CPR/BLS Card● TB Test Completed within Past 365 Days (PPD, QuaniFERON TB Test, or

Chest X-Ray) ● Active Driver’s License or State ID● (Optional) Completed Flu Vaccination Record● Physical Exam

(Please work with your general physician doctor in completing theClipboard Health Employee Physical Exam Form.)

*Please note, it is the Contractor's responsibility to keep these required documents forworking with us, unexpired and up-to-date in their CBH portal.

You will be notified in the Clipboard Health app of any other special requirements.

2. Additional Onboarding Steps NeededDuring our Onboarding Period, you will be expected to:

● Provide all necessary documents, referred to in Section I.C.1 of thisContractor Handbook.

● Complete your background check onboarding with Checkr, ClipboardHealth’s preferred site for conducting background checks and gatheringreferences.

● Complete sending in your 2 Professional References● Complete the Skills Checklist that aligns with your Clinical Discipline:

○ CNA○ LVN/LPN/RN’s in Long Term Care Nursing○ Operating Room RN○ PACU RN○ Hospice RN○ Surgical Tech

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● We require the following articles to be read:○ Abuse Reading○ Dementia Reading○ Harassment○ HIPAA Reading○ Infection Control Reading○ LGBTQ Reading

● After the readings are complete, please complete our: Dementia, Abuse,Infection Control, HIPAA, LGBTQ, and Harassment quiz.

3. How to Prepare for Work & Using Our AppUsing our App

Once all your Onboarding Steps are completed, with our easy-to-use app, you canlocate available shifts in your area and mark the shifts you are interested in. Once youhave marked interest, one of the CBH team members will reach out to you via phone,email, or text messaging to confirm and schedule you for that shift.

Work AttireWhenever entering a Facility for work, ensure your healthcare attire is professional,clean and showcases you care. First impressions are everything, right? What does thisinclude? Please wear closed-toed clean polished shoes (we do not want you tripping orfalling), your hair should be short or if long, secured in a bun or ponytail, nails should benatural, clean and trimmed (artificial nails are prohibited), avoid heavy perfumes orother strong smells (not everyone may have the same taste as you or worse, may beallergic to your scent), and always wear clean polished scrubs. It’s best to wash youruniform after every use (to protect your health and the patient’s). If a Facility requests acertain scrub color, our Support Staff will let you know. Gum-chewing, cell-phone use,and smelling of cigarettes are all activities that should be left for outside of work.

Professional EtiquetteContractors are expected to conduct themselves in a professional manner at all times."Professionalism" refers to dependability and reliability, wearing appropriate attire,introducing yourself to charge personnel and peers, documenting in client healthrecords appropriately, observing Facility guidelines regarding the use of cell phonesand computers, and following all Clipboard Health and Facility client policies andprocedures. It also refers to providing quality services consistent with the jobdescription for the position for which you are assigned, and in accordance with thepolicies and protocol of Facilities as well as those of Clipboard Health.

Healthcare professionals must provide proof of identity upon entering the facility.Identity can be verified upon presentation of either a Clipboard Health badge or adriver’s license or state I.D.

Facility OrientationAt some Facilities, attending a formal orientation or learning Facility-specific trainingmaterials may be required from you. These training measures are designed to acquaint

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you with our Facility clients as well as provide you with vital Facility policy informationand sense of security when you accept your first assignment with them. For thosespecific Facilities requiring formal orientation or Facility-specific orientation materials,the Clipboard Health Support team will let you know about these action items prior tocompleting your first shift at that particular Facility.

If there is no Formal OrientationIf there is no formal orientation when arriving at a facility for the first time, it is yourresponsibility to ask the Shift Supervisor for an explanation of fire code, and disasterprocedures, the location of emergency equipment and escape routes, as well as otherFacility protocols, policies, and other relevant procedures. When returning to a Facilitywhere you previously worked, arrive early to allow time for briefly refreshing yourmemory before proceeding with your shift. Do not be satisfied with just a reference tothe Facilities manuals; in an emergency, you will not have time to read them. It is yourresponsibility to be familiar with your assigned facilities procedures.

When Census is LowFacilities may cancel shifts when their census is low. Unfortunately, that is somethingout of Clipboard Health’s control. If you show up to a shift and are sent home before 4hours of the start of the shift, you will be paid for 4 hours worth of services. If you worklonger than 4 hours, you will be paid for the actual number of hours worked.

Holiday ShiftsOur Support Team will reach out prior to major U.S. Holidays to let you know whichFacilities will be offering time and a half and what their available shifts are in yourareas.

Clipboard Health E-Timecards

Why Do E-Timecards Matter?All Healthcare Professionals, regardless of state, are required to fill out Clipboard Healthe-timecards, which can be found in the Clipboard Health App. Filling out e-timecards isa mandatory requirement for helping us verify your shift and paying you on-time.

How do E-Timecards Work?Upon shift completion, you upload a picture of the physical timecard piece of paper. (Ifyou can not find the physical timecards at the Facility, go to the onsite Nurse Stationor ask a Supervisor for this piece of paper). Your timecard will showcase that theappropriate authorized signatory at the Facility verified the hours that you stated thatyou worked.

Who is the authorized signatory at the Facility?The authorized signatory is deemed by the Facility; this could possibly be the ChargeNurse, Director of Staff Development or another deemed Supervisor. If the Facility didnot fill out who the authorized signatory is, then it needs to be an appropriateSupervisor that manually signs off your shift.

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Are breaks mandatory?A 30 minute break is necessary during every 8-hour shift, even during night shifts. Thisindustry policy is in place for promoting end-patient safety.

Where do we find Clipboard Health App E-Timecards?The Clipboard Health E-Timecard can be found directly in your Clipboard Health App.To start:

1. Navigate to the “My Shifts” tab.2. Choose the “Shift in Progress”.3. If the facility does not have Instantbook, just upload the timesheet by

clicking on the “Upload your timesheet” button.4. If the facility has Instantbook, fill out the required fields before

uploading the timesheet:a. Shift Start Time Clock in & End Time Clock outb. Lunch (or Dinner/ Nighttime) Break Clock in & Clock outc. Then, upload a copy of the timesheet (if you are a California

healthcare professional, please upload the CDPH 530 Timecardform) that you just completed now at the Facility. (Thesephysical timesheets can usually be found at the onsite NurseStation.)

If you are a California Healthcare Professional, you will ALSO need to upload theCDPH 530 Timecard Form, in your Clipboard Health E-Timecard.If you are a California Healthcare Professional, it is a state requirement to upload theCDPH 530 Timecard Form, within your Clipboard Health’s E-Timecard.

CDPH 530 Timecard Forms can be conveniently found onsite at the Facility. When youare at the Facility, find the Nurse Station for the CHPD 530 Form or ask a Supervisor forthe CDPH 530 form and they can direct you to the correct location. If you are stillhaving trouble, call Clipboard Health Support at 408-837-0116 and we can fax over acopy to the Facility.

It is imperative if you are a California HCP, that you accurately and entirely fill out yourCDPH 530 Timecard Form at the facility. A perfect example of this can be found here.Upon completion, take a clear picture of the entire 8.5” by 11” page, showing all fieldscompleted as further described in this example, and then upload it directly into theClipboard Health App’s e-timecard section.

4. Clinical CompetenceHealthcare professionals are not allowed to “float up” and work where they are not licensed.Healthcare professionals should only be doing work that you are trained in and clinicallycompetent in.

If you are reassigned to work in a unit or assignment outside of your clinical competencyor licensure, contact our 24/7 support team immediately to assist in reassignment, ifappropriate, or disallow if this is outside of your scope of licensure and competency.

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II. Clipboard Health’s Company Policies and ProceduresA. Code of Business EthicsWe built teams that stand strongly on promoting our culture of “zero-harm”. Compliance iswoven into the very fabric of our organization’s mission. We, at Clipboard Health areaccountable, benevolent, closely-knit and relentless in our mission of holding end-patientsafety at the core of everything we do.

We believe that the greatest strength of our organization lies in the good-natured efforts ofour Employees, partner Healthcare Professionals, partner Facilities, vendors andsubcontractors. Our leadership team fosters an “open-door policy”, where concerns areaddressed in a timely, confidential & respectful manner. We respect one another whichallows us to establish a transperative and highly-communicative culture.

Code of Conduct Policies:

● Employees, partner Healthcare Professionals, partner Facilities, vendors andsubcontractors must be honest and lawful in all business dealings.

● All parties must avoid doing anything that could create even the appearance ofimpropriety.

● All parties must comply with the Code of Conduct and report any action that isunlawful.

● All parties must cooperate with all compliance-related training & policies andactively work in correcting any unethical, illegal, or improper practices that areidentified.

Clipboard Health Employee Commitment to Ethical Business Practices

● We conduct ourselves in a professional, honest, and ethical manner when acting onbehalf of the company.

● We are educated on the Code of Conduct and all company policies.● We complete all required training, including compliance, in a timely manner and

apply it in our job duties daily.● We promptly report concerns about possible violations of laws, regulations, the Code

of Conduct, and policies & procedures.● We cooperate and are truthful in investigations & audits.● We maintain accurate and complete records for all business purposes, and never alter

or destroy records in response to an investigation or audit, or when an investigation oraudit is anticipated.

● We notify a supervisor within three (3) days if convicted of criminal conduct, and/or areexcluded or prohibited from participating in a federally funded program.

● We approach every situation with the end-patient’s safety in mind, and ensure that isthe driving factor in all decision-making.

Clipboard Health Leadership Commitment to Ethical Business PracticesIn addition to the Employee Commitment, we have expanded expectations for ourManagement.

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● We always lead through example by demonstrating the highest standards of ethicalbusiness conduct and embodiment of the company core values.

● We communicate to all parties the contents of the Code of Conduct, policies andprocedures and how these apply to their daily work.

● We create an environment where compliance is recognized & valued and whereeveryone is comfortable asking questions, raising concerns, and reporting potentialviolations of the Code of Conduct and company policies.

● We never ask an employee to do something we ourselves would not do.● We ensure that all parties understand their compliance obligations.

Clipboard Health Partner Commitment to Ethical Business Practices

● Healthcare Professionals conduct themselves in a professional manner with a highlevel of accountability - to their profession and to our Partner Facilities.

● Partners recognize integrity as doing what is right and pursuing a high standard ofconduct and honesty in all situations.

● Partners treat all individuals encountered or entrusted to their care with respect anddignity.

● Partners deliver quality patient care and service unrestricted by concerns of personalattributes and without discrimination.

● Healthcare Professionals carry out responsibilities of assigned jobs with a spirit ofteamwork; respecting fellow Healthcare Professionals and conducting themselves ina manner that contributes to an environment free of all forms of harassment.

● Partners protect confidences entrusted to them in the course of professionalpractice, respecting the right to privacy of the patient, client company, and ClipboardHealth; revealing confidential information only as required by law to protect thewelfare of the individual or community. Information should never include patientdetails or anything that could identify a specific patient.

● Healthcare Professionals honestly report their own and others misuse of equipmentand accessories, employ techniques and procedures, and perform services inaccordance with acceptable standards of practice and facility protocol.

● Partners respect all laws and avoid any involvement in false, fraudulent, or deceptiveactivity.

● Partners honor all contracts, agreements, and assigned responsibilities.

Policy ReviewClipboard Health reviews this policy, along with all company policies, on an annual basis toensure compliance with all federal and state laws.

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B. Conflict of Interest PolicyA conflict of interest can be defined as a situation in which a person is in a position to derivepersonal benefit from actions or decisions made in their official capacity. Conflicting interestscan include both financial interest and non financial relationships with entities that competeor do business with Clipboard Health. This includes any interest that otherwise could createan appearance that the Employees, partner Healthcare Professionals, partner Facilities,vendors or subcontractors conduct may be compromised in some way by the competinginterest. We require all Employees, partner Healthcare Professionals, partner Facilities,vendors and subcontractors of Clipboard Health to disclose any suspected or actual conflictsof interest to Leadership immediately. We have identified the different types of conflict ofinterests that may arise dependent on the person's relation to Clipboard Health. However, wecannot foresee every instance of conflict of interest and hold the expectation that anysuspected conflict of interest not identified here is reported with the same urgency andthoroughness.

Employee Conflicts of Interests (Internal Clipboard Health Staff)

● A conflict of interest exists when an Employee’s private interest interferes in any waywith the interests of the Company, partner Healthcare Professionals, partner Facilities,vendors or subcontractors.

● A conflict of interest exists when an Employee takes actions or has interests that makeit difficult to perform his or her work for the Company objectively and effectively.

● A conflict of interest exists when an Employee, or members of the Employee’s family,receive any form of personal benefits as a result of the Employee’s position at theCompany.

● A conflict of interest exists when an Employee schedules unqualified HealthcareProfessionals onto shifts to meet monthly targets, and/or quotas, or to improve anyform of performance metric.

● A conflict of interest exists if an Employee works simultaneously for a competitor, at aFacility that partners with Clipboard Health, a vendor or subcontractor.

● Clipboard Health does not provide personal loans or advancements to Employees orEmployee’s family members as this most often results in a conflict of interest.

Partner Healthcare Professional Conflicts of Interests

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● A conflict of interest exists when a Healthcare Professional’s private interest interferesin any way with the interests of the Company, the partner Facility or negativelyimpacts the end-patient.

● A conflict of interest exists when a Healthcare Professional takes actions or hasinterests that make it difficult to perform his or her work for the Company or thepartner Facility objectively and effectively.

● A conflict of interest exists when a Healthcare Professional, or members of theHealthcare Professional’s family, receive any form of personal benefits as a result ofthe Healthcare Professional’s position, title and status.

● A conflict of interest exists if a Healthcare Professional accepts shifts at a Facility inwhich they have a personal connection to another staff member and work directlybeneath, alongside or above a spouse, child or immediate family member.

● A conflict of interest exists if a Healthcare Professional works a shift at a partnerFacility in which they are personally related to another staff member and will bedirectly engaging with or reporting to that staff member during their shift.

● A conflict of interest exists if a Healthcare Professional works a shift at a partnerFacility in which they are personally related to a patient and will be directly engagingwith or caring for that patient during their shift.

Partner Facility Conflicts of Interests

● A conflict of interest exists when a Facility’s or Facility staff member’s private interestinterferes in any way with the interests of the Company, the partner HealthcareProfessional or negatively impacts the end-patient.

● A conflict of interest exists when a Facility or Facility staff member takes actions or hasinterests that make it difficult to perform his or her work for the Company or thepartner Healthcare Professional objectively and effectively.

● A conflict of interest exists when a Facility schedules unqualified HealthcareProfessionals onto shifts in order to achieve staffing goals.

● Conflict of Interest Policy● A conflict of interest exists when a Facility schedules Healthcare Professionals onto

shifts based on personal connections, personal relations, sex, race, sexual orientation,age, religious affiliation, marital status or disability status, and not based on theirqualifications and merit.

● A conflict of interest exists if a Facility or a Facility’s staff member schedules a shiftwith a partner Healthcare Professional in which they are personally related to and willbe directly engaging with or supervising that Healthcare Professional during theirshift.

Acceptance of Gifts and GratuityNo employee, Healthcare Professional or partner Facility shall accept any gifts, businesscourtesies, or gratuities of material or cash value unless approved in advance by the CEO ofClipboard Health or has received written permission from a Facility Supervisor. Additionally,no Healthcare Professional should ever accept gifts or gratuities from a patient or familymember to a patient even if they have received written permission from a Facility Supervisor.

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Personal RelationshipsClipboard Health prohibits it’s Employees from directly working with and engaging withpartner Healthcare Professionals or partner Facility representatives in which they arepersonally related or romantically involved. Furthermore, Clipboard Health requires allemployees to immediately notify their Direct Supervisor of any Employees, partnerHealthcare Professional’s or partner Facility representatives to which they are personallyrelated or involved with, romantically. Our goal at Clipboard Health is to foster anenvironment that is productive, free of distraction and free of discrimination, therefor we askany employee acting in a supervisor or management capacity that is romantically involvedwith a direct report, reports this to Senior Management, as this often results in a conflict ofinterest.

Reporting Conflicts of InterestClipboard Health requires all Employees, partner Healthcare Professionals and partnerFacilities to report all suspected conflicts of interest immediately. Clipboard Health iscommitted to promptly responding to reports of conflict of interest, and anyone found tohave violated the conflict of interest policy will be subject to disciplinary action, up totermination.

Policy ReviewClipboard Health reviews this policy, along with all company policies, on an annual basis toensure compliance with all federal and state laws.

C. Attendance PolicyClipboard Health requires good attendance. This means being at work, ready to work, at thescheduled starting time every time there is a shift that a Worker has successfully signed upfor. Absenteeism and tardiness places a burden on other Workers at a Facility and on theend-patients getting served within a reasonable time frame.

Clipboard Health is allowed to request documentation from Workers when there areattendance issues. Failure to provide documentation results in disciplinary consequences.Transportation or babysitting issues are not considered an excuse for attendance issues.

The following are all considered attendance issues and will result in disciplinary action andeventually if issues persist, termination will occur.

● Cancellations (aka Call-Off’s)

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● “No Call No Shows”● Tardiness● Leaving a shift early● Misuse of break time

1. No Call No ShowsWhat is a “No Call No Show”?

At Clipboard Health, No Call No Shows will not be tolerated. Clipboard Heath defines a“NCNS event” as 1.) Not arriving on-time or at all to your scheduled shift or 2.)Cancelling a scheduled shift within a 4-hour time window of the start time of yourshift.

What is the No Call No Show Policy?In making a written or verbal agreement in picking up a shift, you are acknowledgingthat you are responsible for providing a minimum of a 4-hour notice in the event thatyou are unable to make your shift. Any shift cancellations made within the 4-hour timeperiod prior to the start time of the shift will be considered a NCNS.

Arriving late and not at all to a scheduled shift also constitutes as a NCNS event.Facilities may determine if the arrival was within reasonable time of the start of theshift according to their independent Facility Policies and Procedures. Two NCNS eventsare permitted over the course of a Contractor’s time with Clipboard Health.

After the first NCNS offense, a warning will be provided to you through written orverbal communication that states you will be placed on a 30-day probation periodwhere you will not be allowed to have a NCNS event (which once again, constitutes 1.)not calling off within 4-hours of the start time of your shift and 2.) not showing up at allor late to a scheduled shift.) This notice goes into effect upon the day that it is given.

Upon the second offense, you will be terminated from providing services to ClipboardHealth and all of Clipboard Health’s partnered with facilities.

2. Call-OffsWhat is a “Call-Off”?A Call-Off is canceling with Clipboard Health anytime from a few days prior to the startof the shift to canceling your shift 5 hours prior to the start of the shift. A Call-Off is alsoconsidered changing shifts.

What is the Call-Off Policy?Along with our NCNS policy, we also have a Call-Off Policy, in which you are not to beallowed to have “excessive” (defined as more than 3) Call-Offs of scheduled shifts in agiven month.

We are serious about committing to you when you fill a shift and expect the samecommitment on your part. Due to this, Clipboard Health only allows 3 Call-Offs permonth. If you exceed over 3 Call-Offs in a month, this will lead to your contract

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cancellation; from providing services to Clipboard Health and all of Clipboard Health’spartnered facilities.

B. Stripe

1. Getting Paid with StripeWe partner with Stripe to provide you fast and secure payments through our app.Once you download the Clipboard Health mobile app, you will be asked to enter yourdesired payroll method.

● If you enter a debit card when you complete Stripe signup, you’ll beable to instantly withdraw your funds under your Express Balance usingthe Clipboard Health app with a transaction fee of $2.99 per withdrawal.

● If you do not instant-withdraw any funds within 24 hours, Stripe willautomatically deposit the funds into your account in 2-3 business days –no fees charged.

● If you enter a bank account, it will take 2-3 business days – no feescharged.

● Note, your debit card is the card you use to draw cash from the ATM oruse when you check-out at a store. Your bank account is the accountset up with your bank and the account and routing numbers areprinted on your checks.

You can use this link to access the stripe signup (incase you haven’t done so yet): StripeSetup Link. To receive payment in a timely manner, please ensure that your debit cardor bank account information has been successfully set up with Stripe.

C. Security & Data PoliciesHIPAA PolicyAs a Contractor with Clipboard Health, you are required to adhere to assigned Federal,State, City, Clipboard Health, and Partner Facility rules and regulations concerning theconfidentiality of records. Specifically you are required to follow Federal HIPAA, ARRA,and HITECH (Health Insurance Portability and Accountability Act, American Recoveryand Reinvestment Act, Health Information Technology for Economic and ClinicalHealth) regulations concerning the security and confidentiality of health information.

When at an assigned Facility, confidential information regarding the dignity andprivacy of patients must be safeguarded. This includes, but not limited to: takingphotos with patients, not properly disposing of patient records, taking patient recordsoutside of the facility, access medical records on personal devices, disclosingpasswords.

At no time should patient information enter the Clipboard Health systems, whetherthat is through the Clipboard Health App, text, phone or email communication toSupport, or any other form of communication. Patient medical records, charts, photos,passwords, contact information never needs to enter Clipboard Health in any matter,at any point. This is a strict policy that must be followed as a condition of being on theClipboard Health platform. Termination will result as a dereliction of this policy.

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Assumptions with your Contact InformationFor our Contractors and Facilities, we expect the phone number and email addressentered during Onboarding to be linked to your identity and we will assume that youare the deemed holder of your account unless stated to us otherwise. At ClipboardHealth, we will make best efforts in looking out for suspicious behavior in relation toany identity theft activity, take steps in shutting down your account and contactingyou via a phone call if suspicious activity occurs. If you happen to change your contactinformation or believe someone has hacked one of your lines of communication, it isyour responsibility to notify us immediately of these contact information changes andmodify your passwords that are linked to Clipboard Health systems. Clipboard Health isnot responsible for communicating with the wrong identity if the contact informationwas wrongly provided and contains errors or incomplete, or hacked. We cannotguarantee we can protect you from hackers or human-error.

The Right to ReportClipboard Health reserves the right to void all Workers or Facility Contacts that spamour systems with robotic, automatic, mechanical, programmed, or similarly tamperedwith messaging or our data. This includes stealing data. If, in Clipboard Health’sopinion, there is any suspected or actual evidence of electronic or non-electronictampering with our systems, or if computer virus, bugs, unauthorized intervention,fraud, or technical difficulties or failures compromise or corrupt or affect theadministration, integrity, security, or fairness of Clipboard Health’s systems, or iftechnical difficulties or failures compromise or corrupt or affect the administration,integrity, security, fairness, or proper conduct of Clipboard Health’s system, ClipboardHealth its sole discretion reserves the right to terminate any individual involved in suchactivity from the Clipboard Health systems and report them to law enforcementauthorities.

Information CollectedClipboard Health uses technologies like cookies, web beacons, or unique deviceidentifiers to identify your computer or device so we can deliver a better experience.Our systems also log information like your browser, operating system and IP address.We also may collect personally identifiable information that you provide to us, such asyour name, address, phone number or email address. In serving you, we may use orstore your precise geographic location. Many devices will indicate through an iconwhen location services are operating.

Use of InformationClipboard Health’s systems may associate this personal information with your activitiesin the course of providing service to you (such as pages you view or things you click onor search for).

Protection of DataClipboard Health takes reasonable steps to secure your personally identifiableinformation against unauthorized access or disclosure. We encrypt transmission ofdata on pages and mobile apps. However, no security or encryption method can beguaranteed to protect information from hackers or human error. Information we

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collect may be stored or processed on computers located in any country where we dobusiness. We may keep data indefinitely. We generally do not share personallyidentifiable information (such as name, address, email or phone) with other companiesfor marketing purposes.

Communication from Clipboard HealthBy reviewing and accepting the Contractor Handbook, you authorize Clipboard Healthto send text messages to your cell phone, notifications in the app, and/or email you toconvey any information related to you working with Clipboard Health. Please checkyour email box spam folder frequently to assure Clipboard Health’s messages are not inthis folder. You understand that standard text messaging rates will apply to anymessages received from Clipboard Health. You also understand that you or ClipboardHealth may revoke this permission in writing at any time. You agree not to holdClipboard Health or any agent of Clipboard Health liable for any electronic messagingcharges or fees generated, messages that were not received due to phone or emailstorage limits or provider restrictions, or any other damages caused by electronictransfer of information. You further agree that in the event your cell phone number, cellprovider and/or email address changes, you will inform Clipboard Health immediately.It is your responsibility to keep Clipboard Health updated of any changes in yourprofile.

D. PromotionsWhere to find currently running promotions: Promotions can be announced via the following forms of communication, but notlimited to: the Clipboard Health site, direct text messaging, and Clipboard Health socialmedia pages. Please check these forums for currently running promotions. 

Entrance Fees: There is no purchase or fee necessary when applying to CBH promotions. A purchasewill not improve chances of winning. Winning odds are determined by the number ofeligible entries received. 

Eligibility: Promotions apply to all eligible contestants. To remain in the eligible pool of applyingcandidates, please do not No Call, No Show (See Section II. A. of this ContractorHandbook for the definition of NCNS) to any of your scheduled shifts. This willdisqualify you from all current and future promotions. If you have a shift cancellationwithin any set period before the start of your shift, this subtracts 1 ticket from thetickets you are eligible to apply with.  

Winner Selection in Giveaways: In a Giveaway Promotion, winner(s) are selected via a random drawing from among alleligible entries contained in the Promotion entry pool. 

Winner Selection in Contests: In a Contest Promotion in which the potential winner(s) are selected based on skill oraccomplishments, CBH will choose the potential winner(s) based on the merits of each

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entry, in CBH’s sole and absolute discretion, according to the requirements of thePromotion Announcement.

Winner Notification: Winner(s) are announced at the closing of the set promotional period and contacteddirectly via email communication. CBH will exercise reasonable effort in notifying andawarding the Prize to the potential winner(s) selected. However, unless otherwisestated in the Promotion Announcement, a potential winner may be required (in CBH’ssole and absolute discretion) to forfeit any and all rights to receive the Prize if one ormore of the following occurs: (1) if Sponsor is unable to issue a notification to apotential winner within forty-eight (48) hours, (2) if a potential winner fails to respondto the notification within forty-eight (48) hours, (3) if a potential winner declines toaccept the Prize, (4) if the notification or the Prize itself is returned as undeliverable, or(5) if the potential winner(s) does not satisfy all of the eligibility requirements. If apotential winner is required to forfeit rights to receive the Prize, Sponsor may elect (butshall not be required) to select an alternate potential winner in Sponsor’s sole andabsolute discretion, and Sponsor shall be fully and completely released and dischargedfrom any liability or responsibility in this regard.

Other Disclaimers: All entries received after the deadline set forth in the Promotion Announcement areineligible, null, and void. CBH is not responsible for and will not consider incomplete orincorrect entries. CBH is not responsible for entries that are sent but not received byCBH or are unable to be processed for any reason. CBH reserves the right to void allentries made through any robotic, automatic, mechanical, programmed, or similarentry duplication method, and all entries that have been tampered with or altered,mass entries, photocopies or reproductions. Entries that contain errors or areincomplete will not be accepted.

Entrant is deemed to be the holder of the established email account associated withthe entry. Only one entry per email address or per household will be considered forPromotion entry. If an Entrant changes his or her contact information, it is the Entrant’sresponsibility to notify CBH of the updated information. 

If, in CBH’s opinion, there is any suspected or actual evidence of electronic ornon-electronic tampering with any portion of the Promotion, or if computer virus,bugs, unauthorized intervention, fraud, or technical difficulties or failures compromiseor corrupt or affect the administration, integrity, security, or fairness of the Promotion,or if technical difficulties or failures compromise or corrupt or affect the administration,integrity, security, fairness, or proper conduct of the Promotion, Clipboard Health itssole discretion reserves the right to disqualify any individual involved in such activityand to modify or suspend the Promotion, or to terminate the Promotion and conduct arandom drawing to award the Promotion Prize using all Eligible Entries received as ofthe termination date/time. Should the Promotion be terminated prior to the stated enddate, notice of such termination will be posted on the Promotion web site, and CBHmay proceed to select a winner from among all Eligible Entries received as of thetermination date. Any attempt by an Entrant or any other individual to deliberately

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damage the web site or otherwise undermine the legitimate operation of thePromotion is unlawful; and, should such an attempt be made, CBH reserves the rightto seek damages and other remedies from any such person to the fullest extentpermitted by law. Failure by the Winner to comply with these official rules in any way,as determined by CBH, will result in Disqualification and Forfeiture of all rights in andto the prize.

III. Incident Management OverviewA. Incident Management Overview

1. The 3 Pillars We Honor:Clipboard Health’s Incident Management Policy honors the following:

1.) Delivering the highest-level of Clinical Care & Treatment, which means we follow allhealthcare workplace standards of conduct.

2.) Promoting outstanding End-Patient Safety, which means we have zero tolerancefor indirect or direct harm.

3.) Ensuring our partnered Facilities embody “Zero-Harm Principles”, which means wefollow all fair Equal Employer Opportunity ideals and OSHA standards. We prideourselves on the fact that our Facilities are ethical, professional, safe, and sanitaryworkplace environments where our Healthcare Professionals can feel they canperform at the highest-level and deliver quality patient care.

If in the rare & unfortunate occasion an incident report does occur, numerous of ushere from Clipboard Health, including Leadership will bring our attention to theincident in a prompt manner and act if was one of our own family members that wereaffected.

2. Defining Key Terms in the Incident Management Policy

● Patient safety event: An event, incident, or condition that could have resulted or didresult in harm to a patient.

● Adverse event: A patient safety event that resulted in harm to a patient. Adverseevents should prompt notification of facility leaders, investigation, and correctiveactions. (An adverse event may or may not result from an error.)

● Sentinel event: A subcategory of adverse events, a sentinel event is a patient safetyevent (not primarily related to the natural course of the patient’s illness or underlyingcondition) that reaches a patient and results in any of the following:

○ Death○ Permanent harm○ Severe temporary harm

● A No-harm event: A patient safety event that reaches the patient but does not causeharm.

● Close call (or “good catch”): A patient safety event that did not reach the patient.(Close calls should be tracked and used as opportunities to prevent harm.)

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● Hazardous (or “unsafe”) conditions: A circumstance (other than a patient’s owndisease process or condition) that increases the probability of an adverse event.(Hazardous conditions should be tracked and used as opportunities to prevent harm.)

B. Our Reporting Process*Before starting our reporting process, we ensure the event and patient safety threathas been stabilized.

1. Our Diligent RecordkeepingWhen gathering incident data, we stay detailed and thorough by honoring thefollowing:

● We gather the identity of the Healthcare Professional involved, including thecorrect spelling of the name, and the Healthcare Professional’s license numberor last 4 of social security number, if known, to assist us in identifying theHealthcare Professional in the event of a common name.

● We provide a detailed summary of the alleged violation, including dates andtimes of each alleged incident. If the incident involved a medication, weinclude the name of the medication.

● We are as specific as possible in describing the event, and include a list of anywitnesses with first-hand observations and knowledge of the incident.Second-hand observations are input in quotation marks, and it is notedwhether it comes from a colleague, visitor or patient. We clearly identify thissource. If a witness is willing to be contacted, we include their phone number.

● We do not include opinions, finger-pointing, and conjecture. We do not offer aprognosis, speculate about who may have caused the incident, drawconclusions or make assumptions about how the event unfolded.

● We understand incident reports live separate from our Mobile Review Featureand cannot live in an end patient's medical chart kept at the Facility.

● We make no mention of the patient’s personal info to stay in compliance withHIPAA regulation. If a patient’s info has been sent in, we change their name toallow anonymity and to protect their identity.

We act quickly during the entire review, retrieving verbal notice of the incident within24 hours and written notification within 48 hours.

C. During our Review Process1. Our Suspension Policy

During our review, we typically suspend the Healthcare Professional and/ or Facilityfrom picking up or requesting shifts while the review is in place to protect theend-patient's safety during this time. We communicate this suspension notice andeducate the client(s) on the importance of holding an awareness of (and participationin) enforcing patient safety, reporting concerns and being proactive in responding.

2. Incident Classification (Minor vs. Major Incidents)Here at Clipboard Health, we classify our Incidents into 2 distinct categories: Minorand Major.

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What is a Minor Incident?A minor incident is often:

1.) Accidental/ Done unknowingly2.) Indirectly (not directly) affects someone in a harmful manner3.) May not have directly caused harm “today”, but future repetitive of thisbehavior could directly cause harm in the future. This can be described as a“no-harm event”, “near miss”, “good catch” or “close-call”.

What are some examples of a Minor Incident?● Unintentionally disobeyed appropriate healthcare standards of conduct. We

have concerns about the indirect impact when this is done.● Slight concerns about the Healthcare Professional’s Patient Care & Treatment

which may cause future-issues.

What is a Major Incident?A Major Incident is often:

1.) Intentional2.) Directly causes harm now and/ or will in the future. This includes “adverseevents” and “sentinel” events.

What are some examples of a Major Incident?● Disobeyed appropriate healthcare standards of conduct in a knowingly

fashion.● Caused direct harm. Theft, exploitation, hazardous behavior or conditions

all-cause direct harm. Harassing or discriminating is an intentional behaviorand directly causes harm. All injury related incidents directly cause harm/trauma and would be classified as a major incident.

● Patient care and treatment concerns that directly caused harm. Amisprescription always causes direct harm to the patient. Patient neglectcauses direct harm.

3. What is a “General Complaint” and how is it not an Incident?Equally important, it is important to understand what is not classified as an Incident.Clipboard Health normally does not handle “General Complaints” in the same fashionas Incidents.

Examples of General Complaints are behavior issues, arriving late to a shift, or oneusing their personal cellphone during a shift. General Complaints can sometimeseven be handled directly onsite at the Facility-level.

How are General Complaints handled?Even though General Complaints are not technically “Incidents”, we take themseriously and put improvement measures in place, such as increasing the frequencyof our communication with the Healthcare Professional or Facility client where wedeliver direct feedback and provide them with continuing education resources.General Complaints typically lead to a DNR request as well. Per the Clipboard Health

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Policy, we only allow 2 Do Not Return Requests before being Terminated from doingbusiness with Clipboard Health.

D. How We Take Action After Classifying the Incident1. Our External Action Steps

Externally, upon completion of diligently recording the incident, reviewing andclassifying it, we then take necessary disciplinary action steps.

● In Minor Incidents, we communicate we are terminating doing business withthe client.

● In Major Incidents, we communicate we are terminating doing business withthe client and escalate, through reporting it to the proper legal authority, lawenforcement group, licensing board, State Department of Health or any orother appropriate authority when deemed reasonable.

2. Our Internal Action StepsInternally, after an incident, we hold an incident debrief meeting involving all thoseinvolved (including a member of leadership) within 48 hours of the conclusion of theincident wrapping-up. We call this the Root Cause Analysis (RCA) Meeting, where we:

● Recognize incidents are caused by flaws in systems and processes.● Understand that variations in performance or deviation from usual

procedures leads to adverse outcomes. We analyze these deviations.In the Root Cause Analysis (RCA) Meeting:

● We identify the contributory factors.● We reflect back on our response time.● We are thorough and credible.● We focus on systems and processes, not on individuals' performance.● We formulate a Correction Action Plan (CAP), through diligent recordkeeping

of the preventive measures that will be instilled after the debrief meeting.● We implement corrective measures (systematic improvements) in hopes of

halting future recurrence, in accordance with our established timeline.

Following-up on our Corrective Action Plan:

● Along with this, on the 1st of every month, a member of Leadership collectsdata on the past 30 days of incident(s) and collects all the debrief meetingminutes to ensure client-facing loops were closed and company-widepreventive measures have been put in place to risk-mitigate a reoccurrence.

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Questions?Call, text or email us anytime.

Our Support Team consists of highly-trained professionals available for you 24/7, 365 days ayear, even on weekends and holidays.

408-837-0116support@clipboardhealth.com

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