Course Outlines

Disclosures

     Omnibus,Treatment, Payment, and  Operations, Law Enforcement, Representatives,

     Accounting, Accidental, Sale of PHI, Research, Authorization, Marketing, Tracking

Safeguards
     Phone Messages, Oral Communication

Patient Access
     Record Requests, Electronic Health Records, Copy Fees, Disposal of Records

Workforce
     Section 1557, Whistleblowers, Crimes, Laws, Compensation, Sanctions, Records

Transactions
     Authorized communications

Complaints
     Response, mitigation, documentation

• Administrative Safeguards

  Policies, Procedures, Sanctions, Risk Analysis, Termination, Minimum Necessary

• Physical Safeguards

  Software, Logins, Passwords, Incident Procedures, Identity Theft, Disaster Recovery, Emergency Mode

• Technical Safeguards

  Human Access, Media Controls, Disposal of PHI, Workstation, Data Backup, User Identification, ePHI Access

• Documentation

  Business Associate Agreement, Document Repair

• Policies and Procedures

  Authentication, Mobile Devices, Transmissions

• Omnibus Rule, Breach Notification, HITECH

  Notification, Email Communication

General Safety

     Building Safety, Locks, Windows, Risk Management

     Adverse Incidents

Fire Safety

     Extinguishers, Emergency Exits, Code Words

Employee Safety

     Eyewash, Electrical, Gas, First Aid, Violence,

     Slips, Trips, & Falls, External Physical Threats

Bloodborne Pathogens

     Workplace Controls, Engineering Controls

Exposure Determination

     Exposure Control Plan, Symbols, HBV, HCV, HIV

Universal Precautions

     Sharps, PPE, Housekeeping, Incident Exposure,

     Recordkeeping, Laundry

Exposure Incident

       Steps following an Incident, Evaluation

       Evaluation with Another Provider

 Hazard Communication Standard

       Definitions, Hazard Risk Assessment (HRA), Inspections,

       Identification, Emergencies, Mitigate

 Globally Harmonized System (GHS)

       Hazardous Chemicals Master List

       Safety Data Sheets (SDS)

       Product Identifiers, Signal Words

 Labeling

       Pictograms, Hazard Statements

       Precautionary Statements, Using Labels

 Hazard Communication Standard

       Definitions, Hazard Risk Assessment (HRA), Inspections,

       Identification, Emergencies, Mitigate

 Globally Harmonized System (GHS)

       Hazardous Chemicals Master List

       Safety Data Sheets (SDS)

       Product Identifiers, Signal Words

 Labeling

       Pictograms, Hazard Statements

       Precautionary Statements, Using Labels

Regulated Waste -

     Handling, Labeling

     Waste Examples, Regulated vs. Contaminated

Storage

     Sharps, Removal, Mixing

Spills

     Cleaning, Spill Kit, PPE

    Working Environment Free of Sexual Harassment

          Laws, Statistics, Management Monitor, Office Motto

    Definition of Sexual Harassment

          Verbal, Physical, Visual, Gender, Discrimination

    Employer/Employee Responsibility

          Comply with Policy, Support, Direct, Reporting        

    Policies and Procedures

          Resolving Complaints, Reports, Victims, Sanctions

          EEOC Contact Information

    Scenarios

          Sexual Harassment, Harassment, Discrimination

          Non-Sexual Harassment

  Individual Prevention

       Avoid Contact, Hand Hygiene, Coughs & Sneezes

  Facility Controls

       Precautions, workplace controls, cleaning & disinfecting

  COVID-19

       Symptoms, Incubation

  Infection Controls

      Prior to Patient Arrival, Arrival, Visit, Patient Departure

  Patients

      PPE, Transfers, Collecting Specimens,

      Public Health Officials, Contact List, Health Partners

• Reporting

  Office of Inspector General, CMS

• Policies and Procedures

  Billing, Necessary Services, Unbundling, Up coding, Bribes, Rebates

• Claims

  False Claims, Claim for Alteration, Bribes, Remuneration

• Anti-Kickback

  Statues, Reward Referrals

Promote Diversity, Equality, Inclusion

          - HHS, Office of Minority Health, Equity in workforce, Section 1557

National CLAS Standards - Cultural Sensitivity

          - Advance Health, Equity, Improve Quality,

           Eliminate Healthcare Disparities

          - Cultural and Linguistically Appropriate Services

Language Assistance

          - Interpreters, Translators

          - Health Literacy

Workplace Inclusion

          - Educate Leadership, Embrace Diversity,

          - Inclusion Meetings, Listening, Communicate Goals

Social Engineering, Phishing,

        Emails, Smishing Texts, Voicemails

        Hyperlinks, Secure Sites, Pop-Ups

Insider Threats, Negligence, Malice

         Breach Identification and Prevention,

Malware/Ransomware,

        Anti-Virus/Spam, Malware, Software,

        Hardware, Firewall, Defense

Loss or Theft, Data Loss, Device Awareness

        Passwords, Encryption

Network Connected Security,

        Security Risk, Risk Mitigation

  Stress

       Communication, Establish Routine, Tips

  Fatigue

       Symptoms, Enrichment Breaks, Communication, Prioritize Sleep

  Burnout

        Symptoms, Emotional Exhaustion, Routine, Meditation

  Substance Abuse

       Addiction, Common Substances, Symptoms, Help Resources

  Suicide

       Emotional and Social well-being, Communication, Support

  Risk Assessment

        Job Classifications, Duties, High Risk Patients, Facility

  Management and Staff Cooperation

        Reporting, Open Communication

  Violence Prevention & Response, Bullying

        Warning Signs, Response Procedures

  Evaluation and Follow-Up

 Emergency Preparedness Plan

        Identify and Report Violent Behavior

Run, Hide, Fight

       Evacuate, Barricade, Incapacitate

Respond to Law Enforcement

       Follow Instructions, Assist

Evaluate and Analyze

Overt Vs Covert Attacks

       Explosives, Chemical, Biological, Radiological/Nuclear

• Risk Identification

  Environment, Equipment, Caregiver

• Assessment

  Patient Independence, Supervision, Minimal Assistance, Assistance, Techniques

• Control in Patient Handling

  Lifting, Repositioning, Transferring, Manual Transfers, Moving a Patient up in bed or chair, Two person Method.                                                                                                     

• FTC Red Flag Rules

  Identity Theft, Patient Misidentification

• Signs of Identity Theft

  Photo Identification, Previous Red Flag Incidents, False Information

• Confirmed ID Theft

  Notification, Police Report, Flag Account

• Reporting

  Victim Notification, Mitigation of Medical and Payment Records, Association of Medicaid Fraud, Local Law Enforcement

HAZARDS IN THE WORKPLACE

         Airborne Infectious Agents, TB

         Gaseous Chemical Exposures

RESPIRATORS

         Selection, Types, Fit Tests

MAINTENANCE

         Cleaning, Storage, Reusing

 Template to Implement Human Resources Policies

       Office Hours, Dress Code, Vacation Days, Violence in the Workplace

       Drug Policy, etc.

 Additional Office Policies

       Sick Days, Cell Phones, Facebook, etc.

 Enter Custom Policies from your HR Handbook

    Functions of a Business Associate

          Data Analysis, Billing, Legal

    Business Associate Agreements

          Disclosures, Safeguards, Violations, Breach

    Administrative Safeguards

          Risk Analysis, Malicious Software, Passwords

    Physical Safeguards

          Workstations, Media Controls, Tracking

    Technical Safeguards

          Identifying Users, Authentication, Encryption

    Breach Notifications

          Notifications