HIPAA (do's & don't)
What is HIPAA?
A federal law that created a national standard to protect patient health information from being disclosed without the patient’s consent or knowledge.
Can employees accept gifts from patients?
A non-monetary gift of low or no monetary value such as home-baked holiday cookies or a hand-knitted scarf. But NO to coffee, baseball, football or basketball tickets. NO to theater tickets or dinner tickets. (this answer is not limited to only the above-mentioned)
Where would one find information about the Office of Corporate Compliance?
Insider - Policies & Procedures
OP 50-1 NYC Health + Hospitals Corporate Compliance & Ethics Program
What does POPC stand for?
Principles of Professional Conduct
Which is a guide that sets forth NYCH+H compliance expectations and commitment to comply with all applicable Federal and State Laws. It describes how we should behave in the workplace. It describes our efforts to prevent fraud, waste and abuse.
How often should you complete your HIPAA/Compliance Training?
Upon hire and Annually
PHI stands for....
Protected Health Information
True or False:
Only City Employees have to follow the Conflicts of Interest Law at NYC Health + Hospitals?
VIOLATION OR NOT?
Posting work-related contents or pictures on personal social media accounts.
Name an unprofessional conduct?
Submitting false and/or fraudulent claims; Accepting gifts from a vendor; Failing to maintain accurate, clear and comprehensive records; Accessing the medical records of someone you know; Altering documents for your purpose - just to name a few.
What is a kickback?
An illegal payment intended as compensation for preferential treatment or any other type of improper services received.
Give an Example(s) of PHI?
Name, Address, SSN, MRN, DOB, Email Address, Telephone Numbers, Health Plan Beneficiary Number, Account Number, IP Address, a Tattoo or Unique scar, etc...
When do you need to submit a moonlighting waiver form?
If you have a second job with an organization that has business dealings with NYC or NYC H+H.
Who is your facility's Compliance and Privacy Officer?
Deirdre Henry-Taylor
917-581-2956 (mobile)
What are at least two responsibilities of NYC H+H workforce members under the POPC?
Comply with POPC; Complete Training and Education programs; Report violations; Deliver high quality medical care; Maintain a respectful and safe work environment; Prevent Fraud, Waste and Abuse
Provide examples of a kickback
Cash for referrals, free rent for medical offices, excessive compensation for medial directorships
Can you access your own medical record?
NO—you must use the MyChart patient portal or request your records from HIM.
Is this a conflict of interest?
Taking 20 minutes to complete the payroll of your second job while working at H+H
How do you report a confidential and/or anonymous report with the OCC?
If you would like to remain anonymous call the Compliance Helpline @ 866 HELP HHC (24/7) or for compliance concerns Email compliance@nychhc.org or for privacy concerns Email cpo@nychhc.org
Does NYC Health + Hospital have a written policy of non-initimidation and non-retaliation to protect individual or whistleblower in their good-faith participation in the Compliance Program?
YES - there is zero tolerance.
Can you accept a Metrocard from a vendor if it is only $15?
NO
What are the four sensitive types of PHI
HIV Related, Mental Health, Genetic Testing and Substance Use Disorder
Are you allowed to give a gift to a co-worker?
Yes, but a subordinate cannot give a gift to their supervisor or manager, unless it is for a life-changing event - wedding, birth of a child, retirement.
Who is the System's Chief Compliance and Privacy Officer
Catherine A. Patsos
Can you use NYC Health + Hospital job resource for another job?
NO
True or False:
You do not have to report a Compliance matter if you were not responsible for it.