Making good decisions
Do you have to use the KP Hotline to report a compliance concern?
No, there are multiple resources available. You can also report it to your manager or compliance officer.
What do you do if a coworker tries to look at their patient's files under your NUID?
You sign out, let your coworker sign in if they need to do something.
-By logging out you demonstrate "diligence" in your work & protect your patient's information.
Why should you check your email before sending it?
-You avoid a breach of protected patient information
Double check the addresses, "to" "CC" "BCC"
If you notice a larger order is being made instead of the usual one, what should you do?
First review the order history and dispensing volumes
What does compliance and ethics help Kaiser do?
Compliance and ethics help Kaiser Permanente foster an environment of trust and safety for our members and patients, physicians, dentists, employees, business partners, and the communities we serve.
How do you locate the Principles of Responsibility online?
Go to KP home page, select Compliance and scroll down until you see that there is a PDF version for you to use.
Why is it important to match documentation with the patient?
Member & patient information is private and should be protected.
What are some best practices for securing laptops when in transit?
-Make sure laptop is in trunk, isn't visible from outside
-Do not leave your laptop unattended
-Put your laptop in the car trunk at point of origin
-Lock your laptop in the trunk when away from the car.
What do you do if you find that there is a different count of medicine than the amount registered?
Document finding and consult manager
Give an example of compliance issue
Where are the online policies & procedures located?
Go on KP home page, click on KP policies & then click "Compliance, Ethics & Integrity" section.
If you see your coworker taking a selfie in a public patient area, what should you do?
Speak up and explain to them that they can't take photos of patients or their family members without their permission. Furthermore, you can tell your compliance officer just to make sure everything was deleted.
-HIPAA violation
What should you do if you see coworker throw confidential documents in the regular trash?
Speak up and remind them that it needs to be in the confidential shred waste bin.
-It's our responsibility to protect confidential information, even though it may seem minor, it can have a powerful & lasting impact.
What can you do to avoid giving a patient the wrong medication?
Use more than one identifier such as a member's name and medical record number.
What is Kaiser's vision?
Provide high-quality, affordable health care services and improve the health of our members and communities we serve.
What are the three skills that are the foundation for approaching ethics & compliance situations?
- Be diligent
-Make good decisions
-Speak up
If you notice something that the doctor hasn't accurately documented, what should you do?
Check in with the doctor so they can verify or update their notes. This will result in the patient health record being accurate and complete.
What are some signs that an attachment is unsafe to open?
-Attachment with suspicious extension in email address
-Unidentified sender
-Unexpected attachment from unknown sender
Managers should demonstrate the following skills when employees have compliance concerns.
-Listen carefully
-Document the information
-Communicate the next steps
What's the number for Kaiser's Compliance Hotline?
1-888-774-9100
How do you if an issue or concern is compliance related? (mention at least 2 areas)
Compliance issues generally fall into one of the following areas:
-Fraud, waste & abuse, Privacy & security, Member & patients rights, Care delivery, Health plan, Documentation, Coding, Charges & Billing, Code of conduct & compliance policies
What should you do to make sure it's a service animal?
By law, you can only ask...
-Is the dog a service animal required because of a disability?
-What work or task has the dog been trained to perform?
When more than one employee is present at a business meal, who must pay & expense the meal?
The most senior level employee.
How can you avoid a dispensing issue?
-Look at the patients Kaiser ID and photo ID
-Ask patient to state name
Who's the East Bay Area compliance officer?
Millicent Brown Hunter