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HIPAA
ABUSE
CODE OF ETHICAL CONDUCT
RESONABLE SUSPICION OF A CRIME
COMPLIANCE
100
Health Insurance Portability and Accountability Act of 1996
What is HIPAA
100
Failure to provide goods and servicesnecessary to avoid physical harm, mental anguish or mental illness.
What is neglect?
100
Elmcroft associates NEVER accept gifts from them.
Who are our residents?
100
Sexual asssault Theft Physical assault Harassment
What are examples of a crime?
100
1-866-605-3804
What is the Ethics Line?
200
The responsible party or anyone listed on the resident's face sheet.
Who can staff release information to?
200
Humiliation, harassment, threats of punishment or deprivation.
What is mental abuse?
200
Elmcroft will not tolerate________________, in any form, against those who report potential violations.
What is retaliation?
200
Serious bodily injury - 2 hours. Otherwise - 24 hours.
What is the time frame for reporting a reasonable suspicion of a crime?
200
These create a culture that promote prevention, detection and resolution of unethical or illegal conduct.
What are Compliance Programs?
300
Can result in a civil, criminal action or a fine for the facility.
What is a HIPAA violation?
300
Separation of a resident from other residents, ro confinement to his/her room against the resident's will.
What is involuntary seclusion?
300
This person can be fined for each falsified MDS willfullly submitted for payment.
Who is the MDS coordinator?
300
*Remove individual who committed act. *Secure scene and preserve evidence. *Notify appropriate agencies. *Investigate. *Final report within 5 days. *Appropriate follow up action.
What is Facility responsibility in reporting a reasonable suspicion of a crime?
300
*Respect *Creative thinking/learning *Enriching lives *Humility *Compassion *Trust/inteqrity *Accountability *Passionate pursuit of excellent care and service
What are Elmcroft's core values?
400
Medical records or the administrator
Who can give permission to copy medical records?
400
Oral, written or gestured language that willfully includes disparaging and derogatory terms.
What is verbal abuse?
400
A principle of right or good.
What are Ethics?
400
*Keep eyes and ears open. *Report witnessed/suspected abuse/crime. *Follow up with person you reportedto. *Follow chain of command.
What is Employee Responsibility?
400
Tell your supervisor, tell your administrator, email the compliance department, call the ethics line.
What are ways to report a compliance concern?
500
Resident name, date of birth, social security number, insurance information, etc...
What is PHI (protected health information)?
500
Deliberate misplacement, exploitation, or wrongful use of a resident's belongings.
What is misappropriation of property?
500
Elmcroft senior living is dedicated to enriching the lives of the individuals who live and work with us by responding to their unique and universal desire for dignity and respect.
What is Elmcroft's Mission Statement?
500
This law requires a long-term care facility to report reasonable suspiciaon of a crime committed against any resident or person receiving services from the facility.
What is The Elder Justice Act?
500
*Standards and Procedures *Oversight *Education *Communication/Reporting *Monitoring/Auditing *Enforcement *Investigation/Prevention
What are the 7 elements of Elmcroft's compliance program?