General Center Information
Compliance
Stay Safe!
HIPAA/Security
Data
& Results
Program
Standards
100

Who is the current Chair of the Board of Directors at HRMC? 

Rebecca Ashford 

100

Who is the Compliance & Privacy Officer? 

Paula Hudson  

100

How often are fire drills done, and on how many shifts in residential programs?

Fire drills are done every month on all shifts in residential programs.

100

How often do staff need to change system level passwords, and how is it done?

Passwords must be changed every 90 days, and this process is automated.

100

How often are program outcomes reported to the QA/QI committee?

Quarterly and annually.

100

What does SNAP stand for? 

Strengths, Needs, Abilities, and Preferences.

200

How long is a board member's term, and how many terms can they serve? 

Board members serve 3 year terms and can serve up to 6 years.

200

What is a Sentinel Event?

When a person needs significant medical intervention, AWOL or death

200

What emergency items must be in your vehicle to transport clients? 

- Center-owned vehicles must contain a fire extinguisher and a first aid kit  

- Staff-owned vehicles used to transport clients must contain a first aid kit 

200

How long can a computer be idle before the screen locks?

6 minutes

200

What yearly report is shared with the Board using outcome data?

The Annual Performance Management Plan.

200

Which two components must be in the client's own words to show their active involvement in the planning process? 

Treatment goals and SNAP

300

How often does the 21-member Board of Director's meet? 

Once a month 

300

What is an example of a incident report?

-Therapeutic holds

-Destruction of property

-Falls

-Minor injuries not requiring medical attention. 

300

What should you use if a Center van breaks down, and where is it?

Use roadside triangles, found in the van.



300

How must PHI be carried between facilities?

In a tear-resistant, locked bag from the Center.

300

What system checks client charts for orientation, medication consent, and treatment plans?

The Quality Records Review (QRR) system. (Peer Review) 

300

How soon must you follow up with a client discharged for aggressive or assaultive behavior?

72 Hours 

400

What year did HRMC start providing services? Which is how many years? 

1948 - 77 years 

400

What is HRMC’s rule about retaliation for reporting issues?

HRMC has a non-retaliation policy protecting staff who report compliance concerns in good faith.

400

How often must Emergency Action Plan drills be conducted, and what is an example of one? 

These drills are conducted quarterly and cover natural disasters, medical emergencies, and workplace threats.

400

What is HRMC’s policy regarding password sharing?


HRMC staff members must NEVER share their passwords.

400

Who provides satisfaction feedback for service improvement?

The person served and other stakeholders.

400

Which part of the Treatment Plan should be measurable and time limited?

Short-term goals

500

What is the Center's vision?  

To be the premier provider of high quality behavioral health and social services through a continuum of care focusing on our clients first and foremost, delivering quality services, demonstrating effectiveness, inspiring out staff and building upon the spirit of our founder.

500

Where can you find the hotline number for anonymous reporting of compliance or privacy concerns?

The hotline number is available on e3 Datis and in monthly emails from the Compliance and Quality team.

500

Where should site-specific emergency numbers be displayed in each facility?

On or near each Center landline phone

500

Where must PHI be disposed of, and where must it never be placed?


PHI must be disposed of in secure shred bins and never in recycling bins or trashcans.

500

What four things must each program measure to improve performance?

Service access, service effectiveness, service efficiency, and satisfaction/feedback.

500

What do we mean by "Golden Thread"?

Progress notes should be directly linked to the goals established in the individual treatment plan.