7/3/2015WASHINGTON COUNTY HEALTH SYSTEM, INC. 1 OBJECTIVES for BUSINESS INTEGRITY TRAINING

04/19/23 WASHINGTON COUNTY HEALTH SYSTEM, INC.

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OBJECTIVESOBJECTIVESforfor

BUSINESS INTEGRITY TRAININGBUSINESS INTEGRITY TRAINING


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Definition of Integrity/EthicsDefinition of Integrity/Ethics

““Integrity is shown by how we behave when Integrity is shown by how we behave when no one else is watching.”no one else is watching.”


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Identify Parties With an Interest in the Identify Parties With an Interest in the Health System’s Business EthicsHealth System’s Business Ethics

PatientsPatients

Family MembersFamily Members

CommunityCommunity

StaffStaff

PhysiciansPhysicians


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Identify Parties With an Interest in the Identify Parties With an Interest in the Health System’s Business Ethics (cont)Health System’s Business Ethics (cont)

RegulatorsRegulators

DonorsDonors

MediaMedia

Board of DirectorsBoard of Directors

Other ProvidersOther Providers


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Identify Potential Consequences of a Lack Identify Potential Consequences of a Lack of Integrityof Integrity

The government can use administrative, civil or criminal The government can use administrative, civil or criminal laws to punish health care providers who break the laws to punish health care providers who break the rules.rules.

Lose your jobLose your job

Fines & Penalties ($2,000 to $50,000 per occurrence!)Fines & Penalties ($2,000 to $50,000 per occurrence!)

Possible ImprisonmentPossible Imprisonment

Most severe is “exclusion” from MedicareMost severe is “exclusion” from Medicare


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Recognize the Scope of Issues Relating to Recognize the Scope of Issues Relating to Business IntegrityBusiness Integrity

Physicians have rules to follow to calculate their bills, Physicians have rules to follow to calculate their bills, both in and out of the hospitalboth in and out of the hospital

Nurses and therapists have to document many aspects Nurses and therapists have to document many aspects of patient careof patient care

Dietary staff must maintain records of patient’s diet Dietary staff must maintain records of patient’s diet and food allergiesand food allergies


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Recognizing the Scope of Issues Relating Recognizing the Scope of Issues Relating to Business Integrity (cont)to Business Integrity (cont)

Facilities must maintain proper records on use of Facilities must maintain proper records on use of incinerator incinerator

Employee Health & Safety handles our OSHA programEmployee Health & Safety handles our OSHA program

Clinical Engineering has to maintain all medical Clinical Engineering has to maintain all medical

equipmentequipment


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Recognizing the Scope of Issues Relating to Recognizing the Scope of Issues Relating to Business Integrity (cont)Business Integrity (cont)

Central processing, laundry, and environmental Central processing, laundry, and environmental services staff have standards relating to infection services staff have standards relating to infection control that must be followedcontrol that must be followed

The Finance departments have to prepare many reports The Finance departments have to prepare many reports relating to employment and IRS rules.relating to employment and IRS rules.

Every employee has the responsibility to report a Every employee has the responsibility to report a suspected breach of ethics or fraud.suspected breach of ethics or fraud.


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Recognize the Health System’s Statement of Recognize the Health System’s Statement of Business Integrity/Business Integrity Business Integrity/Business Integrity

Program Manual & explain its purposeProgram Manual & explain its purpose

Think of these materials as the blocks and mortar of a Think of these materials as the blocks and mortar of a building’s foundation – everything else in our business building’s foundation – everything else in our business integrity program is built upon it. integrity program is built upon it.

REMEMBERREMEMBER::

The Statement of Business Integrity says The Statement of Business Integrity says that the Health System will seek to that the Health System will seek to identify and correct any illegal, unethical identify and correct any illegal, unethical or unprofessional behavior.or unprofessional behavior.


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If you experience times where you are uncertain what to do, If you experience times where you are uncertain what to do, ask yourself a few questions:ask yourself a few questions:

Is it illegal?Is it illegal?

If I do this, how will I feel? (If you think it would make If I do this, how will I feel? (If you think it would make you feel uncomfortable, don’t do you feel uncomfortable, don’t do it.) it.)

If I did this what would my friends and family think?If I did this what would my friends and family think?

Statement of Business Integrity (cont.)Statement of Business Integrity (cont.)


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Evidence of IntegrityEvidence of Integrity

HonestyHonesty

PrivacyPrivacy

SafetySafety

CooperationCooperation

RespectRespect

AccuracyAccuracy


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Evidence of Integrity (cont)Evidence of Integrity (cont)

Appropriate disclosuresAppropriate disclosures

FairnessFairness

DignityDignity

Non-discriminationNon-discrimination

Compliance with lawsCompliance with laws

AssistanceAssistance


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Benefits to Having a Business Integrity Benefits to Having a Business Integrity ProgramProgram

Minimize the risk of fines & penalties, which could Minimize the risk of fines & penalties, which could have a severe impact on the ability to fund new have a severe impact on the ability to fund new programs, purchase new equipment, and improve programs, purchase new equipment, and improve facilities, wages and benefits, etc.facilities, wages and benefits, etc.

Organization will have a good reputationOrganization will have a good reputation

Most important, the community would suffer – we Most important, the community would suffer – we exist to serve the communityexist to serve the community


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Identify Your ResponsibilityIdentify Your Responsibility Every job has standard procedures to be followed – Every job has standard procedures to be followed –

ask yourself if you would want someone to “skip a ask yourself if you would want someone to “skip a few steps” if they were part of your team (nursing, few steps” if they were part of your team (nursing, dietary, administration, etc.) caring for your family dietary, administration, etc.) caring for your family or friends.or friends.

Everyone is responsible to follow their area’s Everyone is responsible to follow their area’s policies and procedures, policies and procedures, ANDAND to be alert to to be alert to instances where rules are ignored.instances where rules are ignored.

Be an active participant in seeking solutions to any Be an active participant in seeking solutions to any areas needing improvementareas needing improvement


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Identify the Roles of the Director of Identify the Roles of the Director of Business Integrity & the Internal AuditorBusiness Integrity & the Internal Auditor

Minimize risk to the health systemMinimize risk to the health system

Serve as resources to the health systemServe as resources to the health system

Periodically review the procedures of each department or unit Periodically review the procedures of each department or unit within the Health System to add value and improve operationswithin the Health System to add value and improve operations


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Identify the Roles of the Director of Identify the Roles of the Director of Business Integrity & the Internal AuditorBusiness Integrity & the Internal Auditor

Serve as resource to staff – maintains Serve as resource to staff – maintains confidentiality and objectivityconfidentiality and objectivity

Report regularly to senior management and Board Report regularly to senior management and Board of Directors of the Health Systemof Directors of the Health System


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Identify Ongoing Educational Identify Ongoing Educational RequirementsRequirements

All employees are encouraged to have 1-3 All employees are encouraged to have 1-3 hours of continuing education per yearhours of continuing education per year

Materials are provided to managers each Materials are provided to managers each month for ongoing trainingmonth for ongoing training


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Identify How to Report a ConcernIdentify How to Report a Concern

Ask your supervisorAsk your supervisor

Ask your supervisor’s managerAsk your supervisor’s manager

Call our Director of Business Integrity, Shana WolfeCall our Director of Business Integrity, Shana Wolfe

Call our Compliance Line to make an anonymous report Call our Compliance Line to make an anonymous report Extension 7950Extension 7950 Local 301-790-7950Local 301-790-7950 Toll-free 888-847-9247Toll-free 888-847-9247

THERE WILL BE NO RETALIATION FOR THERE WILL BE NO RETALIATION FOR REPORTING A CONCERNREPORTING A CONCERN


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Your Personal CommitmentYour Personal Commitment

Your personal commitment to integrity is not Your personal commitment to integrity is not something you pick up when you start work something you pick up when you start work each day – it is part of who you are. It is also a each day – it is part of who you are. It is also a cornerstone of operations at Washington cornerstone of operations at Washington County Health System.County Health System.


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NOT NOT THE END…THE END…

JUST THE BEGINNING!!JUST THE BEGINNING!!

Documents

7/3/2015WASHINGTON COUNTY HEALTH SYSTEM, INC. 1 OBJECTIVES for BUSINESS INTEGRITY TRAINING