OAR 309-118-0046: Grievance Committee

(1) If any member of the Grievance Committee is the subject of the patient’s or their representative’s grievance, then that member shall recuse themselves from the decision-making process on that grievance. If recusal will lead to fewer than two members on the Grievance Committee, then another treatment staff member or Ombuds will be assigned to that Grievance Committee. (2) Prior to serving on a Grievance Committee, all members or potential members shall participate and successfully complete OSH-approved grievance training and review the current grievance policy. (3) For grievances related to race, religion, national origin, gender identity, sexual orientation, tribal affiliation, cultural practices, immigration status, and limited English proficiency, the Grievance Committee shall consult with the hospital’s Liaison to the Office of Equity and Inclusion, the Ombud’s office or OSH’s Office of Legal Affairs before issuing a written response.