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Mercy Iowa City

Corporate ComplianceDoing the Right Thing!

Presented by:

Kim Powers, Director of Quality, Patient Safety & Corporate Compliance

Dena Brockhouse, Director of Human Resources

Human Resources

Responsibility & Reporting

10 Points

20 Points

30 Points

40 Points

10 Points 10 Points 10 Points

20 Points 20 Points 20 Points

30 Points 30 Points 30 Points

40 Points 40 Points 40 Points

Assets & Financial

Patient Rights

Corporate Compliance Jeopardy!Corporate Compliance Jeopardy!

All patients receive a copy of this upon

admission

Code of Conduct pg. 5

What is Patient Rights and

Responsibilities information?

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Law that protects patient confidentiality.

Meaning employees should only access

records with a work-related need-to-know.

Code of Conduct pg. 5

What is HIPAA,

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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

What is EMTALA?

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All employees are encouraged to attend Ministry

Basics course that covers health care

decisions, this refers to

Code of Conduct pg. 6

What is Advanced Directives or patient’s

right to make decisions about his/her medical

treatment

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Prohibited activity such as printing

personal fliers on Mercy printers, taking home office supplies

are examples of

Code of Conduct pg. 13

What are personal use of Mercy resources?

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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

What are Conflicts of Interest?

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Be sure to logoff computers using these

three keys, this will ensure that others do not access records or document under your

login

What are CTRL + ALT + DEL?

Non-disclosure and Confidentiality Form

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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

What is health care fraud?

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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

What are respect, excellence,

compassion, stewardship and collaboration?

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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

What is workplace conduct?

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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

What is 48 hours?

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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

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

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Phone number for Mercy’s compliance hotline that allows

concerns to be reported anonymously

Code of Conduct pg. 5

What is extension 2964?

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Name and or title of Mercy’s Corporate Compliance Officer

Who is Kim Powers, Director of Quality, Patient Safety and

Corporate Compliance?

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Four options for reporting compliance

concerns

Code of Conduct pg. 18

Who/what are the corporate compliance

hotline, direct manager, Human Resources or

Corporate Compliance Officer?

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Concerns can be reported freely

without concern for this

Code of Conduct pg. 18

What is retaliation?

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