HIPPA
HIPPA applies to:
What is All of the above - Kendal at Lexington employees, volunteers, and contractors such as therapy staff
What are the goals of the Risk Management Program?
What are
Who is the Compliance Official?
Who is Noelle Guill
What does QAPI stand for?
Quality Assurance Performance Improvement
The Code of Conduct is a guide to:
What is appropriate workplace behavior
What are examples of Protected Health Information (PHI)?
What is birthday, picture, address, social security number - anything that can identify a person and their health information.
What are the Risk Management Program components?
What are
What is the goal of the compliance program?
What is prevent, detect, and correct fraud, waste, and abuse; to help everyone make the right decisions if you are not sure how to respond to a situation; to serve residents while following all applicable local, state and federal laws, regulations and guidelines.
What is QAPI?
QAPI is a comprehensive approach used in nursing homes to maintain and improve the quality and safety of the care we provide. It combines two aspects: Quality Assurance (QA), which involves setting standard and ensuring the care meets these standard, and Performance Improvement (PI), which focuses on continuous effort to improve care and services.
The Code of Conduct states our commitment as:
What is committed to providing care and services that are ethical, lawful, and professional. Every employee and individual is expected to act with integrity, follow applicable healthcare laws and regulations, and protect the safety, dignity, and well-being of residents, coworkers, and the organization.
What rights do residents have under HIPPA?
What is right to restrict who see their health information, right to request a copy of their medical records, right to receive a notice of privacy practices, right to view medical record, right to file a complaint with us or OCR without retaliation, right to receive confidential information in a specific format, right to request an amendment/correction if personal information is incorrect, right to know who has access to their medical information.
What is the Risk Management Process?
What are
1. Identify the Risk
2. Analyze the Risk
3. Evaluate or rank the Risk
4. Treat the Risk
5. Monitor and review the Risk
What is the Compliance Hotline?
All of the above - It is a way to report an illegal, irresponsible, or ethically questionable situation; is available 24 hours/day, 7 days/week, 365 days per year; it can be anonymous; it is an avenue to report situations without fear of reprisal, retaliations, or punishment.
What are the 5 elements of QAPI?
What is
1. Design and scope
2. Governance and leadership
3. Feedback, data systems, and monitoring
4. Performance improvement projects (PIPs)
5. Systematic analysis and systematic action
Who must abide to the Code of Conduct?
What are employees, board members, physicians, and contractors.
How does Kendal at Lexington work to prevent breaches?
What is keep PHI away from public access, shred paper with PHI, keep conversation private away from resident or family areas, use screen savers on computers while unattended, do not share passwords, do not take pictures of residents, do not discuss anything about residents or Kalex on social media, do not text any information about residents on your personal phone.
What are Risk Management examples?
What are falls; UTI; behavioral concerns; new admissions; antibiotics; skin/wounds; CHF (congestive heart failure)
To make a compliance program effective, everyone needs to do their part by:
All of the above - conduction audits and reviews in their area; correcting errors and/or processes when identified; offer suggestions for improvement; report known or suspected violations.
What are the staff roles in QAPI?
What is
1. Reporting and feedback
2. Participation
3. Continuous learning
What are the 6 aspects of the Code of Conduct?
What are Residents rights and care; Professional conduct; Workplace safety; Documentation and billing; Confidential and proprietary information; Accountability; Reporting concerns.