2. Click to begin. Mercy Iowa City Corporate Compliance Doing the Right Thing! Presented by: Kim Powers, Director of Quality, Patient Safety & Corporate Compliance Dena Brockhouse, Director of Human Resources

3. Human Resources Responsibility & Reporting 10 Points 20 Points 30 Points 40 Points 10 Points 20 Points 30 Points 40 Points Assets & Financial Patient Rights Corporate Compliance Jeopardy!

4. All patients receive a copy of this upon admission Code of Conduct pg. 5

5. What is Patient Rights and Responsibilities information? Return

6. Law that protects patient confidentiality. Meaning employees should only access records with a work-related need-to- know. Code of Conduct pg. 5

7. What is HIPAA, Return

8. Mercy will treat all patients regardless of ability to pay, patients will only be transferred if they cannot be treated here Code of Conduct pg. 6

9. What is EMTALA? Return

10. All employees are encouraged to attend Ministry Basics course that covers health care decisions, this refers to Code of Conduct pg. 6

11. What is Advanced Directives or patient’s right to make decisions about his/her medical treatment Return

12. Prohibited activity such as printing personal fliers on Mercy printers, taking home office supplies are examples of Code of Conduct pg. 13

13. What are personal use of Mercy resources? Return

14. Engaging in activities which are in direct conflict with duties or an established relationship that may affect decision-making must be disclosed are referring to Code of Conduct pg. 14

15. What are Conflicts of Interest? Return

16. Be sure to logoff computers using these three keys, this will ensure that others do not access records or document under your login

17. What are CTRL + ALT + DEL? Non-disclosure and Confidentiality Form Return

18. Amounts billed to insurance companies, government agencies, or patients will accurately reflect service provided that are medically necessary, billing for services not provided is an example of Code of Conduct pg. 15

19. What is health care fraud? Return

20. Employee responsibilities: Familiarize yourself with the Code of Conduct Conduct yourself accordingly by modeling desirable behavior in the workplace and following the Mercy values. State the 5 Mercy values – pg. 3

21. What are respect, excellence, compassion, stewardship and collaboration? Return

22. Mercy has zero tolerance for disruptive and inappropriate behavior. Disruptive or inappropriate conduct (verbal, non- verbal, physical, etc.) contributes to an unsafe, intimidating, disrespectful environment at work. Behavior at work all falls under this. Code of Conduct pgs. 7-9

23. What is workplace conduct? Return

24. Employees who receive a criminal conviction or entry into the Iowa Abuse Registry, post employment start, must inform Mercy within this timeframe or considered a serious misdemeanor for not informing Code of Conduct pg. 10

25. What is 48 hours? Return

26. Employee Health and Safety A-15 Substance Abuse and Prescription Drug Policy indicates Mercy will conduct reasonable suspicion tests if you appear to be under the influence while on-the-job Required vaccinations are due within 90 days of hire, requirements are consistent with the CDC recommendations for healthcare If injured on the job, you will fill out this form Code of Conduct pg. 11

27. What is the First Report of Injury Form? If medical care is needed: During day and non-emergent care is received at Occupational Medicine If off-shift or emergent care is received in the Emergency Room Return

28. Phone number for Mercy’s compliance hotline that allows concerns to be reported anonymously Code of Conduct pg. 5

29. What is extension 2964? Return

30. Name and or title of Mercy’s Corporate Compliance Officer

31. Who is Kim Powers, Director of Quality, Patient Safety and Corporate Compliance? Return

32. Four options for reporting compliance concerns Code of Conduct pg. 18

33. Who/what are the corporate compliance hotline, direct manager, Human Resources or Corporate Compliance Officer? Return

34. Concerns can be reported freely without concern for this Code of Conduct pg. 18

35. What is retaliation? Return