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Mercy Iowa City Corporate Compliance Doing the Right Thing!. Presented by: Kim Powers, Director of Quality, Patient Safety & Corporate Compliance Dena Brockhouse, Director of Human Resources. Click to begin. Corporate Compliance Jeopardy!. Patient Rights. Assets & Financial. Human

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  1. Mercy Iowa City Corporate Compliance Doing the Right Thing! Presented by: Kim Powers, Director of Quality, Patient Safety & Corporate Compliance Dena Brockhouse, Director of Human Resources Click to begin.

  2. Corporate Compliance Jeopardy! Patient Rights Assets & Financial Human Resources Responsibility & Reporting 10 Points 10 Points 10 Points 10 Points 20 Points 20 Points 20 Points 20 Points 30 Points 30 Points 30 Points 30 Points 40 Points 40 Points 40 Points 40 Points

  3. All patients receive a copy of this upon admission Code of Conduct pg. 5

  4. What is Patient Rights and Responsibilities information? Return

  5. Law that protects patient confidentiality. Meaning employees should only access records with a work-related need-to-know. Code of Conduct pg. 5

  6. What is HIPAA, Return

  7. Mercy will treat all patients regardless of ability to pay, patients will only be transferred if they cannot be treated here Code of Conduct pg. 6

  8. What is EMTALA? Return

  9. All employees are encouraged to attend Ministry Basics course that covers health care decisions, this refers to Code of Conduct pg. 6

  10. What is Advanced Directives or patient’s right to make decisions about his/her medical treatment Return

  11. Prohibited activity such as printing personal fliers on Mercy printers, taking home office supplies are examples of • Code of Conduct pg. 13

  12. What are personal use of Mercy resources? Return

  13. Engaging in activities which are in direct conflict with duties or an established relationship that may affect decision-making must be disclosed are referring to Code of Conduct pg. 14

  14. What are Conflicts of Interest? Return

  15. Be sure to logoff computers using these three keys, this will ensure that others do not access records or document under your login

  16. What are CTRL + ALT + DEL? Non-disclosure and Confidentiality Form Return

  17. Amounts billed to insurance companies, government agencies, or patients will accurately reflect service provided that are medically necessary, billing for services not provided is an example of Code of Conduct pg. 15

  18. What is health care fraud? Return

  19. Employee responsibilities: • Familiarize yourself with the Code of Conduct • Conduct yourself accordingly by modeling desirable behavior in the workplace and following the Mercy values. • State the 5 Mercy values – pg. 3

  20. What are respect, excellence, compassion, stewardship and collaboration? Return

  21. Mercy has zero tolerance for disruptive and inappropriate behavior. Disruptive or inappropriate conduct (verbal, non-verbal, physical, etc.) contributes to an unsafe, intimidating, disrespectful environment at work. Behavior at work all falls under this. Code of Conduct pgs. 7-9

  22. What is workplace conduct? Return

  23. Employees who receive a criminal conviction or entry into the Iowa Abuse Registry, post employment start, must inform Mercy within this timeframe or considered a serious misdemeanor for not informing Code of Conduct pg. 10

  24. What is 48 hours? Return

  25. Employee Health and Safety • A-15 Substance Abuse and Prescription Drug Policy indicates Mercy will conduct reasonable suspicion tests if you appear to be under the influence while on-the-job • Required vaccinations are due within 90 days of hire, requirements are consistent with the CDC recommendations for healthcare • If injured on the job, you will fill out this form Code of Conduct pg. 11

  26. What is the First Report of Injury Form? If medical care is needed: • During day and non-emergent care is received at Occupational Medicine • If off-shift or emergent care is received in the Emergency Room Return

  27. Phone number for Mercy’s compliance hotline that allows concerns to be reported anonymously Code of Conduct pg. 5

  28. What is extension 2964? Return

  29. Name and or title of Mercy’s Corporate Compliance Officer

  30. Who is Kim Powers, Director of Quality, Patient Safety and Corporate Compliance? Return

  31. Four options for reporting compliance concerns Code of Conduct pg. 18

  32. Who/what are the corporate compliance hotline, direct manager, Human Resources or Corporate Compliance Officer? Return

  33. Concerns can be reported freely without concern for this Code of Conduct pg. 18

  34. What is retaliation? Return

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