New Employee

1
Welcome New Employees
New Employee Orientation for Baptist Health System
2
Introductions and Welcome

• Human Resources
• Blount Professional Building G4
• 800 a.m. to 430 p.m. M-F
• 632-5936
• Benefits
• Baptist Professional Building - 103

After Hours and Weekend Appointments Available on
Request
3
Welcome

• Continental Breakfast Available
• Refreshments Throughout the Day
• Please Sign In
• Remember to Sign Up for Parking
• Restroom Location
• Breaks
• Smoke Free Campus
• TB Skin Test Drop Box
• Cell Phones and Pagers

4
NEO Agenda for Today

• Morning
• 800 a.m. to 500 p.m.
• Sign in, Welcome and Schedules
• The One Word Diversity
• General Information
• Safety Training Part 1
• Infection Control
• Healthcare Corporate Compliance
• Safety Training Part 2 and Drug Free Workplace
• Lunch and Hospital Tour

5
NEO Agenda for Today

• Afternoon
• Employee Health TB skin tests
• Pastoral Care
• HIPAA/Privacy
• Contract employees and students may leave
• Benefits Introduction - for all employees
  including PRN
• PRN employees may leave
• Benefits Review - for all full and part-time
  employees

6
Where to go on Tuesday?
BHET Downtown Employee
West Womens Employee
RNs need to report to Sandy Berryman Ground
Floor, Physician Plaza at 800am RSVP Sandy at
218-7065 All other employees will need to check
with their manager for information regarding
their new work schedule. You will not attend the
downtown session on Tuesday. All West/Womens
Employees Make sure to attend a West Culture
class. Please call 218-7061 to schedule!
All BHET employees Please report back here to
the Eye Institute tomorrow from 830am 1230pm
for Providing Customer Values through Teams
Training Session.
General Patient Care Orientation begins Tuesday
afternoon at 100pm in room 308 Blount
Professional Building Direct Care
Providers Please park in our dayshift employee
lot beside the Henley Street bridge. Parking
tickets are not validated after Monday. Thank
you.
7
Where to go on Wednesday?
Baptist University [phone] 3rd Floor -
Blount Professional Building Extended Orientation
for certain areas and departments that handle
patients or bodily fluids.
8
General Patient Care Orientation

• Pharmacy and No Patient Contact
• Report to work as scheduled on Wednesday
• Therapy, Sleep, Lab, Radiology, Respiratory, and
  Clinical Partners
• Wednesday and Thursday
• Mental Health Associates, Indirect Patient Care
  Nurses
• Wednesday Friday
• RNs and LPNs
• Wednesday - Tuesday

9
Signing Forms

• Forms from the People Folder
• Please make sure that you sign each form as they
  are discussed.
• Forms will be collected at the end of the
  orientation today.

10
The One Word For New Employees....
11
Baptist Health System The One Word in Healthcare

12
Where Do We Serve?
I-75
Claiborne
Campbell
Scott
Grainger
Union
Hamblen
I-81
Morgan
Anderson
Knox
I-40
Jefferson
Cumberland
Cocke
Roane
Sevier
Loudon
I-40
Blount
Monroe
Owned Hospitals (4) Managed Hospital (1) Senior
Health Centers (8)
McMinn
I-75
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Baptist Hospital of East Tennessee
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Baptist Hospital of Cocke County
15
Baptist Hospital West Womens
16
Our Mission, Values, and Vision

17
Mission
Founded on the teachings of Jesus Christ, the
Baptist Health System of East Tennessee is a
charitable, not-for-profit organization dedicated
to promoting, protecting, and restoring the
health of the people of the East Tennessee region
through the provision of high-quality,
cost-effective healthcare services. We are
committed to meeting the needs of the communities
we serve by caring for all who seek our services,
regardless of their age, race, sex, religious
beliefs, national origin, handicaps or ability to
pay.
18
Baptist Health System Values
We are a system of people committed to
excellence, supportive of each others personal,
professional and spiritual growth, and bound
together by our Christian service. In fulfilling
our mission, we will continuously strive to
improve the quality of our performance and
exemplify the following values SERVICE We are
Gods servants, blessed to have been chosen to be
part of His caring mission. Our deeds and
actions are guided by humility and the
satisfaction that comes from serving
others. INTEGRITY We will demonstrate fairness
and honesty in everything we do while adhering to
high moral and ethical standards. RESPECT We
will treat our patients, those who work with us
in our healing mission, and all others whom we
meet with the utmost respect.
19
Vision Statement
Baptist Health System Vision To be a national
leader in healthcare quality
20
When making decisions, ask yourselfIs it
Mission Driven, Values Based, and Vision Focused?
21
BHS Goals
Community Benefit To improve the health status
of the communities we serve, we will pursue
philanthropic and collaborative
initiatives. Clinical Quality To be a leader
in quality, we will achieve benchmark clinical
outcomes. Customer Value To provide superior
customer service to our community, we will
maintain a culture focused on our customers
needs and expectations. Staff Excellence To
achieve the Vision of Baptist Health System, we
will become the premier healthcare workforce in
East Tennessee. Financial Strength To ensure
that Baptist Health System is able to continue to
fulfill its Mission, we will achieve financial
strength.
22
BHS Balanced Scorecard - The Measure of Success
System Goal Measure Community Benefit
Charity Care to Community Number of
Community Activities Clinical Quality CMS Core
Measures Compliance with Licensure
Surveys Clinical Indicators Customer
Value Patient Loyalty/Endorsement Physician
Satisfaction Staff Excellence Employee
Satisfaction Turnover Retention
Rates Vacancy Rate Staff Development Hours
Financial Strength Days in
AR/AP Volume Capital Expenditures Net
Income from Operations Cash Flow Indicators
23
Diversity Awareness
What is Diversity?

• Diversity
• Valuing differences Positive business impact
• It is about understanding each other and moving
  beyond simple tolerance to embracing and
  celebrating the rich dimensions of diversity or
  difference contained within each individual

24
Diversity Awareness
Best Practices

• Create conversity in our culture through the
  common values of Service, Integrity, and Respect
• As the workplace becomes more diverse, we need
  to learn to celebrate differences
• Synergy Celebrating differences
• Emphasize commonalities
• Create more converting between
  groups in a multi-culture society

25
Welcome to Baptist!
26
General Information....
27
Focus on Me
My favorite candy bar/gum is ____________________
__________________   My favorite soda/soft drink
is ______________________________________   One
of my favorite restaurants is ____________________
________________   My favorite fast food
restaurant is ___________________________________
  One of my favorite junk foods/snack is
_______________________________   My favorite ice
cream flavor is __________________________________
___   My favorite dessert is _____________________
________________________   My favorite flower is
_____________________________________________   My
favorite candle fragrance is ____________________
_________________   One of my favorite stores is
________________________________________   My
favorite singer/band is __________________________
_______________   My favorite sports figure/team
______________________________________   One of
my favorite TV shows is __________________________
__________   One of my favorite movies is
_______________________________________   One of
my hobbies is ____________________________________
_________   My favorite color is
______________________________________________   M
y name is ________________________________________
_____________   My department is
________________________________________________
Example....
28
New Employee Orientation Evaluation Form
Example....
29
Pre-Employment Questionnaire
Example....

30
Map
See attached map....
31
Payroll Adjustment Log
Example....
Attention New Employee Please give this form to
your manager. You may start clocking in and out
after one (1) week of employment. Thank you.
 
 
32
Direct Deposit Form Example
Example....
33
Direct Deposit

• Bi-weekly Pay First Pay Check 2 weeks from
  Friday
• Direct deposit can be used with any bank or
  credit union nationwide.
• Complete Direct Deposit Authorization form.
• Attach a voided check to the form for Routing
  and Account
• If depositing a specific amount (like savings)
  indicate amount on form.
• If doing direct deposit with TVA Credit Union as
  a new member, fill out their Request for
  Allotment form and take it to them.
• Particular Banks offering Special Services for
  Baptist Employees
• TVA Credit Union
• AmSouth
• Suntrust

34
ID Badge Information
Temporary ID Badge Your temporary ID badge is
only used for the first week of employment. This
allows Human Resources to enter your information
on the payroll system and assign your employee
number that is printed on the ID badge. It also
allows you to get appropriate discounts. This ID
badge will expire in one week.
  Permanent ID Badge Your permanent ID badge
will be ready on Thursday. Please return your
temporary ID badge to receive your permanent ID
badge in the Human Resource office located on the
ground floor of the Blount Building in suite G-4
(DOWNTOWN) or ground floor of the Physicians
Office Building (WEST/WOMENS)   Clocking In and
Out You may clock in and out with your ID badge
once you receive it.
35
ID Badge Information
Payroll Deduction in the Cafeteria You may begin
using payroll deduction in the cafeteria after 4
weeks of employment.  Payroll Deduction in the
Gift Box Full Time Part Time employees may
begin using payroll deduction for your purchases
in the Gift Box after 90 days of employment.
  Payroll Deduction in the Blount Pharmacy Full
Time Part Time employees may begin using
payroll deduction for purchases in the Blount
Pharmacy after 90 days of employment.
36
Clocking in and out
KRONOS Timekeeping General Information   Clock
Location   You have been assigned to the clock
closest to your department. Always clock in and
out on the same clock. If the clock shows
anything other than your name, please contact
Human Resources. You must clock in at the clock
closest to your department. Management approval
is necessary to change your assigned clock
location.   How to clock in and out   You may
start clocking in and out once you have your
permanent ID Badge. The time clocks are red and
look similar to a calculator. Turn your badge
with the barcode/picture facing the wall and scan
from top to bottom on the right side of the clock
in the black slot. When you clock in, you should
hear a beep and see your name displayed. If your
badge does not work, please try again at a
different speed. The timeclock can be sensitive.
If it doesnt work after several times, please
contact Human Resources. You have a grace period
to clock in and out before overtime will be
charged. You have 5 minutes before your shift
begins and 4 minutes after your shifts ends
(total of 10 minutes including the actual hour).
Check with your manager for the overtime
procedure for your department.  

37
Clocking in and out
KRONOS Timekeeping Rounding Rule
Examples Shift Clock In Clock Out 645am
715pm (7a-7p) 640 649 710 719 700am
330pm 655 704 325 334 730am 400pm
725 734 355 404 800am 430pm 755
804 425 434 830am 500pm 825
834 455 504 900am 530pm 855
904 525 534 245pm 1115pm (3p-11p) 240
249 1110 1119 645pm 715am (7p-7a)
640 649 710 719   The majority of
departments/units use these shifts. However,
please check with your manager to obtain your
exact shift/schedule. If you have any questions
regarding clocking in and out, please check with
your manager/supervisor or call Human Resources
at ext. 5936.
38
Policies, Handbook, and Checklist

• Form 9 in People Folder
• Handbook Page 44
• Departmental Checklist
• Give to Manager

• Hospital policies regarding attendance,
  absenteeism, leave, inclement weather and so on
  are located in the Employee Handbook.

39
Safety and Drug Free Workplace Training....
40
Emergency Codes
TO REPORT ALL CODES DIAL 5000 Fire Code
Red Cardiopulmonary Arrest Code
99   Crisis Management Code
Green   External/Internal Disaster Code
Blue   Bomb Threat Code Black   Tornado
Code Gray   Evacuate Code Echo   Infant
Abduction Code Pink    
41
Emergency Codes
To report all codes Downtown-dial 5000
West/Womens-dial 7000 It is
your responsibility to know these codes. For
your convenience, the codes are printed on the
back of your badge. After you phone in the code,
the operator will announce it three times and
give the location. When the code is clear, the
operator will announce the code is clear. Please
read the policy section in your packet for more
information.
The purpose of Code Green is to minimize the
stress and disruption caused by physically
assaultive or violent patients, visitors or
co-workers by using the least restrictive methods
in calming the person.
The purpose of Code Pink is to alert hospital
staff that there is a potential or actual infant
abduction. It is every employees responsibility
to be aware of this policy. If you suspect
someone, please notify the Security department of
their location immediately.
42
Fire Safety
Code Red
Every employee needs to know   Where the closest
fire extinguish is, what type it is, and how to
use it. Where the closest fire alarm pull box is
to your department. The evacuation route for your
department. Read the fire plan/policy for more
information.   ABCs of fire   A.Class A Fire
Ordinary combustible materials wood, paper and
cloth. B.Class B Fire Flammable liquid either
gasoline, acetone, etc. C.Class C Fire
Electrical motors, wiring, appliances,
etc.   Most of the extinguishers in the hospital
are the ABC type. This means you can use it on
all types of fire.  
43
Fire Safety
How to use the fire extinguisher  P. A. S.
S.   P. Pull the pin. A. Aim at the base of
the fire with the nozzle. S. Squeeze the
trigger. S. Spray in a sweeping motion.   Make
sure you hold the nozzle and aim first. If you
squeeze first the extinguishing material could go
everywhere and you may not have enough to put out
the fire.
Code Red
44
Fire Safety
IN THE EVENT OF FIRE, DO THESE THING FIRST  R.
A. C. E.  R.  Remove anyone in immediate danger.
A.  Alarm. (Activate alarm and code red dial
5000). C. Contain the fire and close doors and
windows. E. Extinguish the fire if safe to do
so and prepare for evacuation.   When the alarm
is activated, the Knoxville Fire Department will
automatically be notified.
Code Red
45
Disaster Safety

• The most important things to remember.
• Check with your manager/director regarding your
  role in the event of a disaster.
• Know where your Emergency Preparedness Manuel
  is located. Familiarize yourself with the
  policies and procedures.

Code Blue
Types of disasters. Internal External Threats
Disaster in another hospital or community
46
Disaster Safety
After notification of the disaster, on-duty
personnel will report immediately to their
department managers for instructions and
assignments. Department Directors or their
designees will assess the number of personnel on
duty, the needs for the disaster, and if
necessary will call in additional employees using
their employee rosters. Off-duty personnel will
not report to the hospital until notified by your
manager/director to do so. Please DO NOT CALL
IN. The lines need to be open for disaster
purposes.
Code Blue
47
Disaster Safety
It is the responsibility of all employees to
ensure security and notify security promptly of
any problems. Only emergency phone calls are
made during a disaster situation. All unassigned
employees are to be sent to the volunteer pool in
the 1st floor C-wing conference room. You need
to be familiar with where disaster stations are
located. Example Family Center is located in
the Chapel. If you get stopped in the hall by a
family member asking about a loved one involved
in the disaster, please escort them to the
chapel.
Code Blue
48
Security

• 24 hour a day/7 day a week coverage
• Protection provided with surveillance cameras
  and continuous patrols
• If you need assistance or want to report
  suspicious activity, please call x 5150. This is
  printed on the back of your badge. If busy dial
  0 for the hospital operator.
• Security provides .a safe for patient
  valuables, employee patrols at shift changes,
  escort to the parking lot, jump start, etc.
  Please do not hesitate to call for assistance.

49
Hazardous Materials Test
NAME _____________________________________
DEPT./FLOOR ____________________________
  DATE _____________________________ SOC. SEC.
NUMBER _______________________________       TRUE
OR FALSE (PLEASE WRITE TRUE OR FALSE NOT T OR
F)   _______ 1. Under Tennessees Hazardous
Chemical Right To Know law, the manufacturer
must meet requirements in informing us of a
products ingredients and any possible
hazards. _______ 2. Danger is minimized when
hazardous chemicals are used with proper care and
precaution. _______ 3. If you are unsure of a
chemicals hazards, ask your Department head or
supervisor after using it for the first
time. _______ 4. Hazardous substances you might
come into contact with in your home include paint
thinner, gasoline, and drain cleaner. _______
5. Corrosive substances actually destroy body
tissues. _______ 6. Substances that promote,
facilitate, or cause cancer in tissues are called
irritants. _______ 7. You should read the MSDS
(Material Safety Data Sheet) on every hazardous
chemical you work with on the job. _______
8. Hazardous substances can only enter your body
by swallowing them or inhaling them. _______
9. It is not necessary to follow the spill/leak
procedure recommended by the company if a
chemical spills and you feel your way is
better. _______10. It is the individual
employees responsibility to follow all safety
guidelines and to use chemical products
properly.   MULTIPLE CHOICE   _______11. MSDS
contains (A) name, address, and emergency phone
number of the manufacturer (B) health hazard
data (C) spill/leak procedures (D) all of the
above. _______12. The 2 tools that tell you the
MOST about a products hazards are (A) MSDS
(B) promotional flyer from the company (C)
proper label (D) both A and C (E) both A and
B. _______13. Hazardous chemicals may be inhaled
as (A) particles (B) vapors (C) both A and
B. _______14. After handling most chemicals,
always (A) rinse hands with water before eating
(B) wash hands with soap and water before
eating (C) no action is necessary.
_______15. The individual employee is
responsible for (A) taking the proper
precautions when handling hazardous chemicals
(B) following safety rules when handling
hazardous chemicals (C) checking MSDS when in
doubt about the hazards associated with a
chemical (D) all of the above.
Example....
50
Radiation Exposure
Example....
I am aware of the Radiation Alert signs in the
hospital and know to check with authorized
personnel (the patients nurse, nursing
supervisor, and/or the Radiation Safety Officer)
before entering a posted area in order to protect
myself from unnecessary radiation exposure which
can cause cancer. I am aware that any female who
may be pregnant should not enter an area where
Radiation Alert signs have been posted in order
to avoid birth defects. The regulatory limit for
the embryo/fetus is 500mrem for the duration of
the pregnancy. Any employee, who is assigned a
radiation badge and has declared her pregnancy,
is responsible to ask for a copy of policy number
8.13 regarding their pregnancy.   ________________
______ ______________________
__________ Name of Employee (please print)
Signature
Date
51
Advanced Directives
Advanced directives (to include The Living Will
and Durable Power of Attorney) have been
discussed with me during New Employee
Orientation.   I have been advised that I (as an
employee of The Baptist Health System of East
Tennessee) can not serve as witness due to
conflict of interest.   ______________________
______________________ __________ Name of
Employee (please print)
Signature
Date
Example....
52
Infection Control....
53
Infection Control Departments
Infection Control

• BHET Downtown
• Phone [phone]
• Amanda Jolly, RN, CIC

• West Womens
• Phone [phone]
• Darci Hodge, RN
• Cocke County
• Phone [phone]
• Joyce Mullins, RN

54
Infection Control

• Every employee is responsible for doing his or
• her best to prevent spread of infection. Your
• responsibilities include
• 1. Practice good personal hygiene.
• Come to work only if you are well and free of
  infection.
• Know and follow Isolation procedures. Always
  read and follow the instructions on the isolation
  sign on the door to the patient's room.

55
Infection Control
4. Wash your hands frequently, using good hand
washing technique or alcohol based hand
sanitizer. before and after any patient
contact before and after handling food
before eating after using the
restroom C-Diff patients use soap and water
Hand Hygiene is the best way to
prevent the spread of infection! Note NO
Artificial Nails-for pt. Related activities
staff. (Show Video)
56
Infection Control

• Follow standard universal precautions. This
  means that we treat every patient as though they
  are infected with a highly contagious disease by
  always using appropriate protective apparel.
• Other types of Precautions
• Contact
• Droplet
• Enteric
• Airborne

57
Bloodborne Pathogens Exposure Control Plan
Infection Control
Tuberculosis Prevention Control Plan AKA
-- Infection Control Policies Available on
Baptist Net
58
Infection Control

• SHARPS SAFETY
• Must use safety devices when available
• Never recap, bend or break needles
• Replace sharps container when 2/3 ¾ full.

59
Blood Spills (Small)Wear
glovesAbsorb blood in a paper towelPlace in a
plastic bagClean area with approved bleach
solutionDiscard in Red Infectious Waste
Container.Call Environmental Services for Large
Spills.
Infection Control
60
Employee Health to CoverLater Today!!!
Infection Control

• Available vaccines to include Hepatitis B
• MMR needs
• On the job injuries-incident reporting and
  follow-up

61
Confidentiality
Infection Control

• Never put Diagnosis on outside of chart!
• More in-depth later today.

62
Continuing Education Record
Infection Control

• Sign your name and Date
• Place in your
• Forms Folder.

63
Healthcare Corporate Compliance Training....
2007
64
Agenda

• Introduction
• Acknowledgment
• Statement
• Evaluation
• Compliance Review

2007
65
What is Corporate Compliance

• A Corporate Compliance Program for the
  healthcare industry is a plan developed to ensure
  that effective internal controls are in place to
  promote adherence to Federal and state laws.

2007
66
Compliance Terms

• Abuse Actions that are questionable in nature
  and may result in improper payments, unnecessary
  costs or over utilization of services.
• Fraud Intentional deception or
  misrepresentation that an individual knows to be
  false that could result in unauthorized benefits
  to himself or some other person.
• Intent, or the lack of, is the difference between
  fraud and abuse. Intent is also very hard to
  prove criminally.

2007
67
Attorney Generals Statement

• The Attorney Generals Office has classified
  Healthcare Fraud and Abuse as the nations Number
  Two Priority- Second only to Violent Crime!

2007
68
Is the Government Interested?

• There are over 110,000 pages of Medicare rules,
  policies and regulations.
• American Medical Association

2007
69
Impact of Non Compliance

• Organization/Employees
• Fines
• Civil Penalties
• Criminal Penalties

2007
70
Effective Elements

• Standards and Procedures
• Oversight
• Training and Education
• Communication
• Enforcement and Discipline
• Monitoring and Auditing
• Response and Prevention

2007
71
Examples of Government Initiatives

• Billing for items or services not rendered
• Medically unnecessary services
• Patient freedom to select providers
• Patient anti-dumping statute enforcement

2007
72
Baptist Health System
2007
73
Reporting Compliance Issues

• A full description of the problem
• Why the issue is a problem
• Any documentation
• Other individuals

2007
74
Non-Retaliation/Non-Retribution

• Good faith means telling the truth
• Any form of retaliation, retribution or
  harassment is prohibited

2007
75
False Claims Act

• Submitting false claims for reimbursement from
  federally funded programs
• Examples of false claims
• - Overcharging for a product or service
• - Delivering less than the promised amount
  or type of goods or services
• - Underpaying money owed to the government
• - Charging for one thing and providing
  another
• Liability
• Whistleblower protection

2007
76
 
 
 
 
 
Compliance Representatives
Bill Torrence
Modena Beasley
Kattie Bailey
Viola Seay
 

• Bill Torrence - BHS Corporate Compliance Officer
• Modena Beasley BHS Administrative Advisor
• Kattie Bailey BHS Corporate Compliance Analyst
• Viola Seay - BHCC Corporate Compliance Coordinator

 
2007
 
 
           
77
Code of Conduct

• Leadership Responsibilities
• Patient Care
• EMTALA
• Work Environment
• Controlled Substances
• Conflict of Interest
• Gifts, Entertainment and Gratuities
• Legal/Regulatory

2007
78
Code of Conduct Continued

• Confidentiality
• Record Keeping
• Political Activity
• Research
• Marketing
• Billing and Coding
• Financial Reporting

2007
79
Code of Conduct Continued

• System Assets
• Contracts
• Hiring/Screening/Discipline
• Licensure and Certification Renewal

2007
80
Responding to Government Investigation

• Subpoenas
• Search Warrants
• Suspended Document Destruction
• BHSET cooperates fully with any governmental
  investigation.
• Information will be given in a truthful and
  accurate a manner as possible.
• The legal rights of the organization as well as
  our employees will be appropriately protected.

2007
81
Its Everyones Responsibility

• Knowledge of facts that activities violate the
  law you must
• Report

2007
82
BaptistNet

• Online Forms
• Cafeteria Menus
• News and Reminders
• Employee Events
• Special Programs
• Telephone Directory
• Computer Based Learning

83
Telephone Tips

• Downtown Extensions 2000, 4000, or 5000
• West Extensions 7000
• Dial 9 before making an outside call
• Appropriate phone process will be introduced
  during department orientation (paging,
  message, ect.)
• Telecommunications is contact department if you
  need to report phone issues or have Voicemail
  problems.

84
JCAHO
85
JCAHO

• Joint Commission on Accreditation of Healthcare
  Organizations
• Approximately 80 of hospitals are currently
  accredited by the Joint Commission
• The purpose is to evaluate hospitals, provide
  education and guidance that will help staff
  continue to improve hospitals performance.
• An on-site survey is done by a JCAHO survey team.
• If you have a concern about the safety or quality
  of care provided in the hospital you may report
  your concern to the Joint
• Commission.
• www.jcaho.org or complaint_at_jcaho.org or (800)
  994-6610

86
Drug-Free Workplace Training....
87
Drug Free Workplace
BHSs Drug-Free Workplace Program Objectives
Reassure patients and the public that BHS is a
drug-free workplace
Create a safer, healthier workplace
Ensure a more productive, cost-effective health
system
88
Drug Free Workplace
BHS Conducts the Following Types of Drug Tests

• Pre-employment
• Post-accident
• Reasonable suspicion
• Random
• Return-To-Duty/Follow-Up

89
Drug Free Workplace
Post-Accident Drug Testing
Employees involved in accidents or injuries will
be required to submit to a post-accident drug
test when

• The accident results in an injury that must be
  recorded on BHSs OSHA Log (lost work time or
  restricted duty), or
• Whenever an employees injury results in an ER
  visit, or
• An employee is involved in an accident while
  operating a BHS vehicle, machinery or equipment,
  or while on BHS business.

90
Drug Free Workplace
RANDOM DRUG TESTING
Whats the rule ?

• On each occasion that a random selection is made,
  EVERY EMPLOYEE in the random pool must have an
  equal chance of being selected!
• Whats The Random Pool?
• ALL BHS employees and regular contractor
  employees . . . . . And yes, this includes
  managers and administration.
• Random does not mean Discretionary!

91
Drug Free Workplace
Baptist received the Governors
Drug-Free Workplace certification!
92
Drug Free Workplace
See Drug Free Workplace frequently asked
questions....
93
Lunch
Lunch time!
Please join us for a complimentary boxed lunch.
94
Employee Health and TB skin tests....
95
Employee Health
BHET (Downtown) West
Womens Cocke County
Phone [phone] Phone
218-7019 Phone [phone]
Fax [phone] Fax
423-625-2215 Pam Lawson, RN
Darci Hodge, RN Gail
Hensley, RN

• Tuberculin Skin Test
• TST is due annually in your hire month. If
  you have a history of a positive test, you will
  not receive another TST.
• Health Assessment should be done annually in your
  hire month. This is a requirement of every
  employee even if you have a history of positive
  TST.

96
Employee Health

• Vaccines
• Hepatitis B
• Tetanus
• MMR (Measles, Mumps and Rubella)
• Varivax
• Flu

97
Ergonomics
Ergonomics refers to designing work environments
for maximizing safety and efficiency. Our
objective is to meet compliance requirements
while increasing safety, efficiency and
productivity among our employees. It is the
employees responsibility to report problems or
concerns that impact safety and efficiency in
their work area.

• Posture
• Change your sitting or standing posture by
  using a stool, etc
• Maintain natural upright curve of spine when
  sitting, standing or lifting objects.

98
Injuries and Exposures

• Work Related Injuries
• Call Employee Health Office ext 3104 to report
  any work related injuries
• Complete an Employee Incident Report
• DO NOT GO TO THE EMERGENCY ROOM UNLESS IT IS A
  TRUE EMERCENCY broken bone, unable to breathe,
  eye injuries, hemorrhage, ect
• Exposures to Blood or Body Fluids
• Report exposure to Employee Health Office at
  ext 3104 include name of source patient
• Complete an employee incident report
• 2 gold top tubes should be drawn on source
  patient
• 2 gold top tubes should be drawn on employee
  employees Social Security Number ONLY on the
  tubes.
• Employee must sign consent forms before lab is
  processed

99
Center for Spiritual Care
100
Center for Spiritual Care Dan Hix - Chaplin We
are here for each other. A Chaplain is On Call
24/7 Employee Assistance Program Parish Nurse
Program Services are held weekly Sunday _at_900
a.m. and Wednesday _at_ noon Our Hospitals Prayer
Team and Kiosk Share a Concern with us
101
(No Transcript)
102
HIPAA/Privacy
HIPAA training....
103
HIPAAHealth Insurance Portability and
Accountability Act of 1996
HIPAA Contacts Baptist Hospital of East
Tennessee, Baptist Hospital West Womens, and
Off Campus Locations Brenda Ellis, Privacy
Officer [phone] Baptist Hospital of Cocke
County Viola Seay, Compliance Coordinator (423)
613-1348 Staff members from any campus may
contact their HIPAA Contact or the Privacy
Officer for the Health System for HIPAA related
issues.
104
Horror StoriesTrue events of patient
privacy/information security breaches

• The 13-year old daughter of a hospital employee
  took a list of patients names and phone numbers
  from the hospital when visiting her mother at
  work. As a joke, she contacted patients and told
  them they were diagnosed with HIV. (The
  Washington Post, March 1, 1995)
• Thieves stole two office computers that contained
  patient information including information that
  could be used for identity theft. (San Jose,
  California April 8, 2005 Associated Press)
• 17 workers were suspended for attempting to look
  at medical records of former President Bill
  Clinton. (Columbia Presbyterian Medical Center,
  New York, Sept. 2004)
• Washington state phlebotomist sentenced to 16
  months in prison and 9,000 in restitution for
  obtaining credit cards with patients identity.
  (Seattle, WA Nov 2004)
• Arkansas DHS sold surplus equipment that still
  contained information on Medicaid patients twice
  in six months (computer, filing cabinet).

105
Patient Rights

• To receive a notice defining a providers privacy
  policy.
• To access, inspect, and receive a copy of their
  own health information.
• To request an amendment of health information to
  correct errors.
• To obtain details of all disclosures NOT related
  to treatment, payment, or
• operations or that the patient authorized.
• To request restrictions on uses and disclosures
  of their information.
• To make a complaint regarding the use of patient
  information. Complaint may be
• made within the organization and/or through DHHS.

106
HIPAA POLICIES RELATED TO PATIENT RIGHTS

• Amendments-Patients may ask that an amendment be
  made to correct an error to the Designated
  Record Set.
• This record set consists of information created
  or collected and used in providing assessment and
  care or billing.
• Refer to the Record Sets policy for a detailed
  definition of the information available to
  patients for amendment.
• We are not required to make an amendment if we
  feel that information is complete and accurate.
• Restrictions-Patients may ask that we
  specifically restrict the use of their
  information. We do not have to agree
• to the restriction but if we agree we must then
  abide by the restriction. The Charge Nurse
  (House Supervisor at
• BHCC) will determine if we will agree to the
  request made after admission. There will be a
  R flag placed on the
• chart, in the system and on the patient door.
  Staff are responsible for reviewing the
  restriction on the
• Restriction form in the front of the chart to
  determine if/what they need to do to accommodate
  the request.
• Directory Status-Patients may, upon request, have
  information omitted from the public directory
  (Unlisted/ No Information status). This simply
  means that information about the patient will not
  be contained on the screens or in the reports
  used by information desk staff and operators.
  The patients name is also flagged with a in
  the
• computer system to alert all staff to the
  restriction. It will apply to all services
  including but not limited to
• inquiries in person, phone calls, mail delivery,
  flower and gift delivery. The Unlisted
  designation does not apply
• to the authorized release of information for
  treatment, payment or hospital operations and
  information will be
• released in these instances.
• Accounting of Disclosures-Disclosures made for
  reasons other than treatment, payment or
  operations or in
• response to a signed authorization by the patient
  must be tracked so that a reporting can be made
  to the patient

107
HIPAA POLICIES
Confidentiality Policy and Statement-Anything
that you learn about a patient in the course of
doing your job must be kept confidential. You
may only discuss patient information in
appropriate locations i.e. patient care areas and
with individuals who have a right to know, i.e.
other care givers involved in the patients care,
patient and their friends/family members who are
involved in the patients care. Minimum
Necessary-Employees may only access patient
information if it is necessary to perform a job
duty. For example, a nurse on the floor may
access anything in the chart of patient that they
are caring for. They may not access the record
of a patient who is not assigned to them for
care. Curiosity or concern are not valid
reasons to access patient information and staff
members should never attempt to access patient
information on a co-worker, friend or family
member if their job related responsibilities do
not require it. Disposal-Categories of waste
are Bio-hazard-segregated and sent away for
disposal Confidential paper-placed in shred-it
bins and shredded Confidential plastics-patient
information must be de-faced prior to disposal in
regular trash Compact disk (CD)-CDs that contain
patient information must be broken prior to
disposal. If the CD has patient information
printed on the disk, it must be de-faced and
broken prior to disposal. Identification- for
the physical safety of patients and patient
information as well as employees. Employees
must wear their badges and anyone in a patient
area should have a badge, be known to staff as a
patient or visitor, should be accompanied by a
staff member or should be questioned.
108
HIPAA POLICIES
Baptist Initiated Patient Contacts-HIPAA does not
prohibit entities from contacting patients for
care or customer service purposes. Staff should
limit, to the extent possible, the amount of
protected health information used and disclosed
in the course of phone contacts while supporting
the workflow of information needed to conduct
business operations. Refer to the Baptist
Initiated Patient Contacts policy for sample
scripts. Calls-phone calls may be placed to
patients for treatment related purposes (i.e. pre
admission instructions, post care follow-up).
Patients may request to not receive customer
service calls (these requests must be sent to the
Privacy Officer) or pre registration calls
(physician office must notify Registration of
this request). Messages-messages may be left for
patients per the Baptist Initiated Patient
Contacts policy. When messages are left for
patients, information should be limited as much
as possible and staff must leave a name, a direct
phone number or the main number and extension for
patient to call if there are questions.
Disclosure of Patient Information-Release of
patient information should be performed by
limited staff who are trained in the laws and
regulations that govern appropriate disclosure
and who are knowledgeable in the application of
the following policies Disclosure of Patient
Information-There are very specific situations in
which patient information may be released and
very specific requirements for documentation of
disclosures. Only those areas designated as one
that may release patient information should do
so. Requests made to an area that does not
release information should be referred to Health
Records Management. Refer to the Disclosure of
Patient Information policy for guidance.
Faxing-Faxing of patient information must be
limited primarily to patient care purposes. The
following requirements must be met
Use of the approved cover sheet Authorization/documentation requirements must be met
Confirmation of the number to which you are faxing Re-check of number to ensure that it is entered correctly
109
HIPAA POLICIES

• Penalties
• Internal
• Employees are subject to disciplinary
  action up to/including termination for breach of
  patient privacy.
• External
• Enforcement by Office for Civil Rights and
  FBI
•   Civil Penalties may be assessed to the
  facility, payable to the Secretary, of 100 per
  violation up to
• 25,000 per year for violations of an identical
  requirement.
• Criminal Penalties may be assessed to an
  individual as follows
• up to 50,000 and one year in prison for
  obtaining or disclosing protected health
  information
• up to 100,000 and up to five years in prison for
  obtaining protected health information under
  "false pretenses"
• up to 250,000 and up to 10 years in prison for
  obtaining or disclosing protected health
  information with the intent to sell, transfer or
  use it for commercial advantage, personal gain or
  malicious harm.
• Audit-Each covered entity is required to audit
  and monitor patient privacy. This will be done
  by randomly
• auditing employees to review whose patient record
  has been accessed and confirming that there was a
  
• valid, work related reason for the access. We
  will also audit patients who are at high risk of
  having their
• privacy breached, i.e. employees who present as
  patients, people well known in the community,
• celebrities.
• Complaints-Complaints may be made by patients,
  employees, visitors or any other member of the

110
HIPAA Myths
Sign in sheets-HIPAA does not prohibit the use of
sign in sheets. Patient information should be
kept to a minimum, i.e. name, time of arrival,
who they are to see. Patient family
interaction-Care givers may discuss general
information regarding the patients care with
individuals that the patient includes in their
care. Clinical staff may exercise professional
judgment to determine what and to whom they
communicate. Patient may request a restriction
on our communication with family members and if
such a request is approved we must abide by the
request. White boards-Patient names may be
written on white boards in patient care areas to
ensure appropriate patient care.
111
Things to think about

• Clean desk
• PC positioning
• Passwords (helpful security tips)
• select one easy enough to remember that you dont
  need to write it down
• select one that is hard to guess (no childrens
  names, spouses names or pets names)
• do not use a word found in the dictionary
• if possible add a number or a special character
• NEVER share passwords
• PRIVACY IS EVERYONES RESPONSIBILITY
• WE EACH HAVE A RESPONSIBILITY TO REPORT ANY
  POTENTIAL ISSUES

112
HIPAA Security Requirements

• Administrative Controls
• Policies and procedures
• Employee training
• Privacy training
• Security training
• Managing Physical Access
• Systems are physically inaccessible to
  unauthorized users
• A Security Plan addresses safeguards against
  tampering and theft
• Contingencies in place to recover or restore lost
  data in case of a disaster or emergency

• Managing Technical/System Access
• Identification and authentication
• Access control lists
• Automatic log-off
• Monitoring and Audit Controls
• Intrusion detection
• Audit users for authorized use of PHI
• Apply sanctions for failure to comply with
  policies and procedures
• Transmission Security
• Encryption
• The transformation of plain text into an
  unreadable cipher text

113
Questions, Concerns, Comments?

• If you have any questions, concerns or comments,
  please feel free to contact your HIPAA contact or
  the Privacy Officer for Baptist Health System of
  East Tennessee, Brenda Ellis, at [phone].
• If a patient has a concern or complaint, Guest
  Services may be called for intervention and
  contact with the patient.

114
Break time!
Contract employees and students may leave. PRN,
PT and FT employees stick around for more fun!
115
Benefits for all employees....
116
BENEFITSFOR EMPLOYEESFULL-TIME/PART-TIME/PRN
117
Payroll Deduction Services

• Savings Bonds
• AAA
• have open enrollment in November
• pay whole amount upfront
• United Way
• donate through payroll deduction
• UW drive held in October
• Employee Fitness
• EXCEPTIONS
• Met Pay Home and Auto Insurance discount rates
• YMCA Corporate discount rates
• Courtsouth Corporate discount rates

118
RETIREMENT

• TWO RETIREMENT PLANS
• 403b FOR HOSPITAL EMPLOYEES Non Profit
• 401k FOR VENTURE EMPLOYEES FOR PROFIT (EXAMPLE
  DURABLE MEDICAL EQUIPMENT)
• TWO RETIREMENT INVESTMENT OPTIONS
• GUIDESTONE FINANCIAL RESOURCES OF THE SOUTHERN
  BAPTIST CONVENTION
• VALIC
• TWO TYPES OF CONTRIBUTIONS
• EMPLOYEE CONTRIBUTION
• EMPLOYER CONTRIBUTION

119
BAPTIST HEALTH SYSTEMRETIREMENT EMPLOYEE
CONTRIBUTIONS

• May begin Employee contributions at any time.
• of gross or fixed amount (must be on 401K
  plan).
• May change contribution level or retirement
  option at any time.
• Employee contributions are 100 yours always.
• Maximum limit Employee can contribute up to
  14,000 in the year of 2005. Some employees may
  contribute more if they qualify.
• Note Retirement moneys (403B or 401K) from
  previous employers are considered employee money
  and can be rolled over to VALIC or GUIDESTONE.

120
BAPTIST HEALTH SYSTEMRETIREMENTEMPLOYER
CONTRIBUTIONS

• Baptist Health System begins contribution after 1
  year of service/1000 hours or turn age 21.
• Vesting begins after 2 years of employment.
  Employee is fully vested after 6 years of
  employment.
• All employer contributions go to Guidestone until
  the employee is fully vested.
• When employer contributions begin, contribution
  defaults to Growth and Income fund with
  Guidestone.
• Vested money may be withdrawn after termination
  or retirement.

121
ENROLLMENT FOR RETIREMENT

• Enrollment Form and Salary Reduction Form
• Enrollment Form for Employer Contribution is
  located in the Guidestone Packet.
• Guidestone Salary Reduction Agreement is located
  in the Guidestone packet.
• All VALIC forms, including Salary Reduction forms
  can be obtained from the VALIC representative.

122
Benefits for FT and PT employees....
123
BAPTIST HEALTH SYSTEM BENEFITS ORIENTATION 2006-20
07
124
MANY EMPLOYEE PREMIUMS ARE PRE-TAX
EMPLOYEE BENEFITS
EMPLOYEES ARE GIVEN MANY PLAN CHOICES
EMPLOYEES SELECT THE COVERAGE THEY NEED FOR EACH
PLAN
ENROLL ANNUALLY FOR ENTIRE PLAN YEAR/PLAN YEAR IS
JULY 1ST THROUGH JUNE 30

• MID-YEAR CHANGES ARE BASED ON QUALIFYING EVENTS

125

• A QUALIFYING EVENT ALLOWS EMPLOYEES TO

ADD OR DROP A DEPENDENT
ADD OR DROP COVERAGE
QUALIFYING EVENTS ARE
DIVORCE
MARRIAGE
LEGAL SEPARATION
BIRTH/LEGAL ADOPTION
DEATH
LOSS OF SPOUSE JOB OR BENEFITS
QUALIFYING EVENTS MUST BE REPORTED WITH
DOCUMENTATION WITHIN 30 DAYS OR CHANGE CANNOT BE
MADE
126

• ELIGIBILITY

EMPLOYEES
DEPENDENTS
FULL TIME
LEGAL SPOUSES
PART TIME
NATURAL/ADOPTED/STEP CHILDREN
NOTE DEPENDENT CHILDREN ARE COVERED UNTIL AGE
19. IF DEPENDENT IS FULL-TIME STUDENT, THEN
COVERAGE APPLIES UNTIL AGE 24.
127
PREEXISTING MEDICAL CONDITIONS AND HIPAA

• PREEXISTING CONDITION LIMITATION IS WAIVED IF
  EMPLOYEE PRESENTS EVIDENCE OF MEDICAL COVERAGE
  FOR THE PAST 12 MONTHS

128
MEDICAL OVERVIEW

• BAPTIST HEALTH SYSTEM- self insured
• UNITED MEDICAL RESOURCES Third Party
  Administrator process and pay medical claims
• PPO PLAN (Preferred Provider Organization)
  Network is managed by THE INITIAL GROUP
• HIGH, BASIC, and CDHP option medical coverage
• Higher premium/more coverage
• Lower premium/less coverage

129
MEDICAL OVERVIEW
THREE TIER PROGRAM
BAPTIST HEALTH SYSTEM
NETWORK FACILITIES
OUT OF NETWORK
130
PRESCRIPTION DRUGSTHRU EXPRESS SCRIPTS

• DEDUCTIBLE (All Plans)
• 50 per member
• 100 per family maximum
• MANDATORY GENERIC
• Generic - co-pay for each 30 day supply CDHP
  4.00
• 
  Basic/High 8.00
• Brand, Formulary - CDHP 22.00 or 20 which ever
  more
• Basic/High 25.00 or
  20 which ever is more
• Brand, Non-Formulary - 37.00 or 30 which ever
  is more
• Basic/High 40.00 or 30 which ever is
  more

131
MAIL ORDER

• CONVENIENCE WITH MAINTENANCE DRUGS
• YOU CAN RECEIVE ALLYOUR
• MAINTENANCE DRUGS BY MAIL ORDER
• GENERIC CDHP 10.00 co-pay for a 90 day supply
• Basic/High 20.00 co-pay
  for a 90 day supply
• BRAND FORMULARY - 50.00 co-pay for 90 day supply
• Basic/High 60.00 co-pay
  for a 90 day supply
• PLEASE LOOK IN YOUR PACKET FOR MAIL ORDER FORMS
  AND INFORMATION

132
DELTA DENTAL PASSIVE PPO PLAN

• DEDUCTIBLE
• 50 per individual, 150 per family
• LARGE NETWORK OF DENTISTS
• Out of network benefits paid at reasonable and
  customary
• DIAGNOSTIC AND PREVENTIVE CARE COVERED AT 100
  (NO DEDUCTIBLE)
• OTHER SERVICES COVERED AT 80 AND 50
• 1000 MAXIMUM COVERAGE PER PERSON
• ORTHODONTIC COVERAGE
• 50 coverage, 1,500 maximum per person
• Note Deductible and maximum coverage runs
  January 1 through December 31.

133
MET LIFE DENTAL

• Deductible
• In-Network Out of Network
• Single - None 50.00
• Family - None 150.00
• Annual Maximum Benefit
• 750.00
• Orthodontia Lifetime Maximum Per Person
• 750.00
• See Fee Schedule
• Note Deductible and maximum coverage runs
  January 1 through December 31.

134
VISION SERVICE PLAN

• NETWORK PLAN (see provider listing).
• VISION EXAM EVERY YEAR FOR 10
• PRESCRIPTION LENSES-25 PER YEAR
• FULL COVERAGE OF APPROVED FRAMES
• Wide selection
• Every two years
• SPECIAL FEES ON COSMETIC EXTRAS
• SEE SUMMARY DESCRIPTION

135
LIFE INSURANCE WITH ACCIDENTAL DEATH AND
DISMEMBERMENT

• EMPLOYER PAID LIFE ADD
• FT - 1X salary up to 100,000
• PT - 5,000
• OPTIONAL EMPLOYEE LIFE
• 1X TO 7X salary, maximum 500,000
• SPOUSE LIFE
• Increments of 5,000, not to exceed employees
  total coverage or 100,000 maximum
• DEPENDENT LIFE
• Spouse or children under age 24

136
LIFE INSURANCE / AD DHOW MUCH DOES THIS COST?

• PREMIUMS FOR OPTIONAL AND SPOUSE LIFE ARE PER
  MONTH, PER THOUSAND, BASED ON EE AGE
• EXAMPLE
• SALARY 24,675
• PREMIUM .11 PER THOUSAND (AGE 35-39)
• 25,000/1000 25 .11 2.75/MONTH OR 1.38
  PER PAY PERIOD.
• ANNUAL SALARY __________/1000 _______
  ________ (AGE RATE) __________(MONTHLY COST).
  DIVIDE BY 2 FOR PER PAY PERIOD COST ______
• SEE LIFE INSURANCE BENEFIT SCHEDULE

137
LIFE INSURANCE PREMIUMS
lt20 0.05
20-24 0.05
25-29 0.06
30-34 0.08
35-39 0.11
40-44 0.17
45-49 0.28
50-54 0.49
55-59 0.74
60-64 1.16
65-69 2.04
70-74 3.51
75-79 5.96
138
LONG TERM DISABILITY

• INCOME PROTECTION DUE TO DISABILITY (FULL OR
  PARTIAL)
• MAXIMUM BENEFIT 60 of monthly earnings up to
  6,000 per month
• BENEFIT PAYMENTS BEGIN AFTER 90 DAYS OF
  DISABILITY
• BENEFIT OFFSET BY SOCIAL SECURITY AND DISABILITY
  RETIREMENT BENEFITS
• PREMIUMS BASED ON SALARY AND AGE

139
LONG TERM DISABILITYHOW MUCH DOES THIS COST?

• EXAMPLE OF PREMIUM CALCULATION
• SALARY - 24,675
• PREMIUM .78 PER 100 (AGE 35 - 39)
• 24,675 / 12 2,056.25 / 100 20.56
• 20.56 X .78 16.04 PER MONTH OR 8.02 PER PAY
  PERIOD
• ANNUAL SALARY ________ /12 ________ / 100
  _________ X _______ (AGE RATE) _______MONTHLY
  RATE. DIVIDE BY 2 FOR PER PAY PERIOD RATE
  _________.
• SEE SUMMARY OF VOLUNTARY LONG TERM DISABILITY
  PLAN

140
LONG TERM DISABILITY PREMIUMS
AGE RATE PER 100
18-29 .22
30-34 .49
35-39 .78
40-44 1.13
45-49 1.51
50-54 1.89
55-59 2.35
60-64 2.03
65-69 1.73
70 1.46
141
MEDICAL AND DEPENDENT CARE SPENDING ACCOUNTS

• WHAT IS A SPENDING ACCOUNT?
• A WAY TO REDUCE YOUR INCOME T