Compliance Program
Ethics & Compliance Officer
Who is Heather Smith
Above all else, we are committed to the care and improvement of human life.
What is HCA's Mission Statement?
1.Code of Conduct
2.Business Courtesies to Potential Referral Sources (EC. 005)
3.Entertainment (EC. 006)
4.Gifts (EC. 023)
5.Vendor-Promotional Training, Business Associate-Sponsored Seminars and Honoraria (EC. 007)
What policies provide guidance on gifts?
HealthStream
Where do you complete all online training courses?
Metta Oquendo
Who is the Facility Privacy Officer?
Corporate Ethics Line
1-800-455-1996
How do you report a compliance concern?
On P/SL’s and RMHC’s intranet (Ethics and Compliance page) and Atlas, HCA’s intranet.
Where can you find the Code of Conduct?
Thank them for the generous offer and inform them you may not accept the gift or donation per company policy
What should you do if you receive something that does not comply with policy?
Annual training due on Oct. 31.
What is Code of Conduct training?
The amount of information workforce members acting on behalf of the facility are expected to use to accomplish the intended purpose of the access, use, and/or disclosure of PHI.
What is Minimum Necessary?
You!
Who is responsible for knowing the policies and procedures?
Provides guidance to all HCA colleagues and assists us in carrying out our daily activities within appropriate ethical and legal standards.
What is the purpose of our Code of Conduct?
$75 annually
What is the annual gift limit to staff from patients, referral sources or any other entity with a business relationship?
Suspension without pay.
What happens if you do not complete Code of Conduct training on time?
Physicians
Who are the only group of people at the hospital who can access their own medical record?
1.PolicyStat
2.Atlas, HCA’s intranet
Where can you find the policies and procedures?
1.Talk to your manager,
2.Talk to the ECO, or
3.Call the Ethics Line.
What should you do if you have a compliance concern or question?
What is the max value of an item that can be provided to a patient?
You!
Who is responsible for completing all training on time?
Serve as secure, temporary storage for confidential documents until the document-shredding vendor collects the contents of the bins for final destruction processing.
What is the shredder bin?