Compliance 101
This an internal program used to encourage ethical conduct in daily operations and a commitment to adhere to internal policies and procedures as well as external laws and regulations.
What is a Compliance Program?
This is what must be obtained before disclosing Cooperative Health's PHI.
What is a written patient authorization?
Should an employee comment on a patient’s social media post about their visit to Cooperative Health?
What is No? (Social Media Policy, #1026)
These two patient identifiers are used prior to administering medications, performing treatments, obtaining and labeling any specimens.
What is patient’s name and date of birth (DOB)?
A framework that sets the standards of practice that the entire organization must adhere to. This also serves as guidelines to perform patient quality care and reduce risk.
What is the importance of Policies and Procedures?
A false statement made with the knowledge that it is false and could result in some undue benefit.
What is Fraud?
This is the term for a person or entity who stores, maintains, or transmits a Covered Entities’ PHI.
What is a Business Associate?
This is where you can find the most up-to-date copies of all Cooperative Health policies.
What is Compliatric's?
A provider places a order for a patient to see a cardiologist. The patient did not keep the appointment. The referral specialist is responsible for following back up with the patient.
What is closing the loop with referrals?
Performing this action is the number one evidence-based method to prevent infection.
What is Personal Protective Equipment (PPE)?Example of these OSHA-required items include gowns, gloves, masks, and goggles.
This is the process of reviewing Cooperative activities to ensure Compliance.
What is Auditing & Monitoring?
Mistakenly handing someone the wrong patients lab print out is considered what?
Incidents do not include non-clinical events such as equipment failures, patient behavior issues, and privacy breaches.
What is no? According to Policy #1oo5 these non-clinical issues should all be reported even if they are a near miss.
The process in which a Risk Management team member comes to your site in order to assess potential hazards and risks.
What is a quarterly risk site audit?
Example of these OSHA-required items include gowns, gloves, masks, and goggles.
What is retaliation?
This business sector has the highest amount of detected fraud, waste and abuse.
What is the Healthcare Industry?
Any information about health status, provision of health care, or payment for health care that is created or collected by a Covered Entity (or a Business Associate of a Covered Entity), and can be linked to a specific individual.
What is PHI?
Should an employee access their personal medical records or that of a family member?
What is no? ( Cooperative Employees and Family Members as Patients , #1010)
Incidents or near misses are reported to this department.
What is Risk Management Department?
Does every work injury have to be reported as an incident?
What is yes? All employee injuries should be reported in Compliatric for the employee health nurse to assess.
This federal government agency provides guidance on the seven elements of a compliance program.
What is the HHS OIG (Office of Inspector General)
These two types of organizations are liable to follow the HIPAA regulation.
What is a covered entity and business associate?
This is the age in South Carolina when a person can consent on their own for health care services, except for surgical procedures.
What is sixteen? (Healthcare Services to Minors, #1021)
This is where emergency codes can be found?
What is the back of your Cooperative ID Badge?
This concepts empowers staff of Cooperative Health to speak up about safety concerns.
What is a culture of safety?