Transcript NEO Presentation 12_06

Introductions and Welcome
Human Resources
Blount Professional Building – G4
8:00 a.m. to 4:30 p.m. M-F
632-5936
Benefits
Baptist Professional Building - 103
After Hours and Weekend Appointments
Available on Request
Welcome
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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
NEO Agenda for Today
Morning
•8:00 a.m. to 5:00 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
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
Where to go on Tuesday?
BHET “Downtown”
Employee
All BHET employees: Please report
back here to the Eye Institute
tomorrow from 8:30am – 12:30pm
for Providing Customer Values
through Teams Training Session.
General Patient Care Orientation
begins Tuesday afternoon at
1:00pm 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.
West & Women’s Employee
RN’s need to report to Sandy
Berryman – Ground Floor,
Physician Plaza at 8:00am
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/Women’s Employees:
Make sure to attend a West Culture class.
Please call 218-7061 to schedule!
Where to go on Wednesday?
Baptist University
(865) 632-5061
3rd Floor - Blount Professional Building
Extended Orientation for certain areas and departments
that handle patients or bodily fluids.
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
• RN’s and LPN’s
– Wednesday - Tuesday
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.
Baptist Health System
The One Word in Healthcare
Where Do We Serve?
I-75
Claiborne
Campbell
Scott
Union
Grainger
Hamblen
Morgan
I-40
Anderson
Knox
Jefferson
Cumberland
Cocke
Roane
Loudon
McMinn
I-75
I-81
Monroe
Sevier
Blount
I-40
Owned Hospitals (4)
Managed Hospital (1)
Senior Health Centers (8)
Baptist Hospital of East Tennessee
Baptist Hospital of Cocke County
Baptist Hospital West & Women’s
Our Mission, Values, and Vision
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.
Baptist Health System Values
We are a system of people committed to excellence, supportive of each
other’s 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 God’s 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.
Vision Statement
Baptist Health System Vision
To be a national leader in healthcare quality
When making decisions, ask
yourself:
Is it Mission Driven, Values Based,
and Vision Focused?
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.
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
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”
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
Welcome to Baptist!
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 ______________________________________________
My name is _____________________________________________________
My department is ________________________________________________
New Employee Orientation Evaluation Form
New Employee Orientation Evaluation Form
The Baptist Health System of East Tennessee
Date of Orientation: _____ / _____ / _____
We value your feedback. Please respond candidly to the following and rate the Orientation on each
criterion listed below by placing a check mark in the appropriate box.
Exceeded
Met
Needs
Not
Expectations
Expectations Improvement
Applicable
Description
"The One Word" BQV Section
Material organization
Usefulness of information
Presentation style
Speaker's knowledge of subject
Understood material covered
Response to questions
Infection Control/Employee Health Section
Material organization
Usefulness of information
Presentation style
Speaker's knowledge of subject
Understood material covered
Response to questions
Healthcare Compliance Section
Material organization
Usefulness of information
Presentation style
Speaker's knowledge of subject
Understood material covered
Response to questions
Human Resource General Information & Safety Section
Material organization
Usefulness of information
Presentation style
Speaker's knowledge of subject
Understood material covered
Response to questions
Benefits Section
Material organization
Usefulness of information
Presentation style
Speaker's knowledge of subject
Understood material covered
Response to questions
If you have any checks in the column titled "Needs Improvement", please write your suggestions for
improvement below.
____________________________________________________________________________________
____________________________________________________________________________________
Other Comments:
____________________________________________________________________________________
____________________________________________________________________________________
Please check the rating that best reflects your overall evaluation of Orientation. Thank You.
_____ Excellent
_____ Good
_____ Fair
_____ Poor
Pre-Employment Questionnaire
Pre-Employment Questionnaire
In an effort to continually review and improve the pre-employment process we would like your responses to a few questions
about your experience with us. Please explain any ** ratings below.
Human Resource Department
1. Please estimate the length of time it took to complete the pre-employment paperwork in Human Resources.
___ 10 minutes or less
___ 20 minutes ___ 30 minutes ___ 45 minutes or more
2. Please estimate the total length of time spent in Human Resources for your pre-employment appointment.
___10 minutes or less
___ 20 minutes ___ 30 minutes ___ 45 minutes or more
3. Please rate the overall service you received in Human Resources.
___Excellent
___ Very Good
___ Fair
___ **Poor
Physician’s Office
4. Please estimate the length of time you waited in the physician’s office before you were seen by the doctor.
___ 10 minutes or less
___ 20 minutes ___ 30 minutes ___ 45 minutes or more
5. Please describe your satisfaction with the doctor’s exam.
___Very Satisfied
___ Somewhat Satisfied
___ **Not Satisfied
Laboratory
6. Please estimate the total length of time you waited for service in the Laboratory (TB skin test and urine).
___10 minutes or less
___ 20 minutes ___ 30 minutes ___ 45 minutes or more
7. Please rate the overall service you received in the Laboratory.
___Excellent
___ Very Good
___ Fair
___ **Poor
Outpatient Center
8. Please estimate the total length of time you waited for service in Outpatient (Blood draw).
___10 minutes or less
___ 20 minutes ___ 30 minutes ___ 45 minutes or more
9. Please rate the overall service you received in Outpatient.
___Excellent
___ Very Good
___ Fair
___ **Poor
10. Your feedback is important to us. Please share any thoughts you have that can help us improve our service. Thank you.
Map
Payroll Adjustment Log
PAYROLL ADJUSTMENT LOG
FOR ORIENTATION ONLY
Employee
Soc Sec Num
Employee
Name
Date
Add Punch
In
Out
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.
Direct Deposit Form Example
Direct Deposit Authorization
Employee Name:_________________________________ Social Security Number:_______________________
Department:_____________________________________ Extension or Home Phone #:___________________
Effective date:___________________________________ (this form must be received 1 week prior)
_____ New Enrollment. Please complete the following and attach a voided check:
Financial Institution/
Bank Name
Routing #
Account #
Checking
or Savings
Amount to
deposit
$
$
_____ Change. Please complete the following (if changing bank, attach a voided check):
Financial Institution/
Bank Name
Routing #
Account #
Checking
or Savings
Amount to
deposit
$
$
_____ Cancellation. Please complete the following:
Financial Institution/
Bank Name
Routing #
Account #
Checking
or Savings
Amount to
deposit
$
$
Please staple voided check here. Please note: If you are a member of the TVA Credit Union, you must change
your information with them first.
I hereby authorize The Baptist Health System (BHS) to initiate direct deposit payroll entries to my checking or savings
account indicated above, and the Financial Institution to post the same to such account. This authorization is to remain
in force until BHS receives written notice of change or cancellation from me. The notice of change or cancellation must
be received at least two weeks prior to the effective date, and in such a manner as to afford BHS reasonable
opportunity to process it, and in no event shall it be effective with respect to entries processed by BHS prior to the
receipt of the written notice of change or cancellation. I further authorize BHS to initiate such debit entries to said
account as may be necessary to correct any erroneous credit entries previously initiated thereto and I authorize the
Financial Institution to accept and to credit or debit the amount of such entries to my account.
Employee Signature: _________________________________
Date:_____________
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
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/WOMEN’S)
Clocking In and Out:
You may clock in and out with your ID badge once
you receive it.
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.
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 doesn’t 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.
Clocking in and out
KRONOS Timekeeping Rounding Rule Examples
Shift
Clock In
Clock Out
6:45am – 7:15pm (7a-7p)
7:00am – 3:30pm
7:30am – 4:00pm
8:00am – 4:30pm
8:30am – 5:00pm
9:00am – 5:30pm
2:45pm – 11:15pm (3p-11p)
6:45pm – 7:15am (7p-7a)
6:40 – 6:49
6:55 – 7:04
7:25 – 7:34
7:55 – 8:04
8:25 – 8:34
8:55 – 9:04
2:40 – 2:49
6:40 – 6:49
7:10 – 7:19
3:25 – 3:34
3:55 – 4:04
4:25 – 4:34
4:55 – 5:04
5:25 – 5:34
11:10 – 11:19
7:10 – 7:19
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.
Policies, Handbook, and Checklist
• Hospital policies
regarding attendance,
absenteeism, leave,
inclement weather
and so on are located
in the Employee
Handbook.
• Form #9 in People
Folder
• Handbook Page 44
• Departmental
Checklist
– Give to Manager
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
Emergency Codes
To report all codes:
Downtown-dial 5000
West/Women’s-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 employee’s
responsibility to be aware of this policy. If you suspect someone,
please notify the Security department of their location immediately.
Fire Safety
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.
ABC’s 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.
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.
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.
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.
Types of disasters….
Internal
External
Threats
Disaster in another hospital or community
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.
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.
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.
Hazardous Materials Test
NAME: _____________________________________ DEPT./FLOOR: ____________________________
DATE: _____________________________ SOC. SEC. NUMBER: _______________________________
TRUE OR FALSE (PLEASE WRITE TRUE OR FALSE NOT T OR F)
_______ 1.
Under Tennessee’s “Hazardous Chemical Right To Know” law, the manufacturer must meet
requirements in informing us of a product’s 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 chemical’s 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 employee’s 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 product’s 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.
Radiation Exposure
I am aware of the Radiation Alert signs in the hospital and know to check with
authorized personnel (the patient’s 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
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
Infection Control
Infection Control Departments
BHET “Downtown”
• Phone: 632-5211
West & Womens
• Phone: 218-7019
Darci Hodge, RN
• Amanda Jolly, RN, CIC
Cocke County
• Phone: 625-2127
Joyce Mullins, RN
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.
2. Come to work only if you are well and free of
infection.
3. Know and follow Isolation procedures.
Always read and follow the instructions on the
isolation sign on the door to the patient's room.
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)
Infection Control
5. 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.
6. Other types of Precautions:
Contact
Droplet
Enteric
Airborne
Infection Control
Bloodborne Pathogens
Exposure Control Plan &
Tuberculosis Prevention
& Control Plan
AKA -Infection Control Policies
~ Available on Baptist Net ~
Infection Control
SHARPS SAFETY
•Must use safety devices when available
•Never recap, bend or break needles
•Replace sharps container when 2/3 – ¾ full.
Infection Control
Blood Spills (Small)
*Wear gloves
*Absorb blood in a paper towel
*Place in a plastic bag
*Clean area with approved bleach solution
*Discard in Red Infectious Waste
Container.
Call Environmental Services for Large Spills.
Infection Control
Employee Health to Cover
Later Today!!!
• Available vaccines to include Hepatitis B
• MMR needs
• On the job injuries-incident reporting and
follow-up
Infection Control
Confidentiality
• Never put Diagnosis on outside of chart!
• More in-depth later today.
Infection Control
Continuing Education Record
• Sign your name and Date
• Place in your
Forms Folder.
2007
Agenda
• Introduction
• Acknowledgment
Statement
• Evaluation
• Compliance Review
2007
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
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
Attorney General’s Statement
The Attorney General’s Office has classified
Healthcare Fraud and Abuse as the nation’s
Number Two Priority- Second only to
Violent Crime!
2007
Is the Government Interested?
• There are over 110,000 pages of Medicare
rules, policies and regulations.
American Medical Association
2007
Impact of Non Compliance
• Organization/Employees
– Fines
– Civil Penalties
– Criminal Penalties
2007
Effective Elements
•
•
•
•
•
•
•
Standards and Procedures
Oversight
Training and Education
Communication
Enforcement and Discipline
Monitoring and Auditing
Response and Prevention
2007
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
Baptist Health System
2007
Reporting Compliance Issues
•
•
•
•
A full description of the problem
Why the issue is a problem
Any documentation
Other individuals
2007
Non-Retaliation/Non-Retribution
• “Good faith” means telling the truth
• Any form of retaliation, retribution or
harassment” is prohibited
2007
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
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
Code of Conduct
•Leadership Responsibilities
•Patient Care
•EMTALA
•Work Environment
•Controlled Substances
•Conflict of Interest
•Gifts, Entertainment and Gratuities
•Legal/Regulatory
2007
Code of Conduct Continued
•Confidentiality
•Record Keeping
•Political Activity
•Research
•Marketing
•Billing and Coding
•Financial Reporting
2007
Code of Conduct Continued
•System Assets
•Contracts
•Hiring/Screening/Discipline
•Licensure and Certification Renewal
2007
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
It’s Everyone’s Responsibility
• Knowledge of facts that activities violate the law
you must
Report
2007
BaptistNet
Online Forms
Cafeteria Menus
News and Reminders
Employee Events
Special Programs
Telephone Directory
Computer Based Learning
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.
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 [email protected] or (800) 994-6610
Drug Free Workplace
BHS’s 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, costeffective health system
Drug Free Workplace
BHS Conducts the Following Types of
Drug Tests:
•
•
•
•
•
Pre-employment
Post-accident
Reasonable suspicion
Random
Return-To-Duty/Follow-Up
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 BHS’s OSHA Log (lost work time
or restricted duty), or
Whenever an employee’s 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.
Drug Free Workplace
RANDOM DRUG TESTING
What’s 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!
What’s The Random Pool?
ALL BHS employees and regular contractor
employees . . . . . And yes, this includes
managers and administration.
Random does not mean “Discretionary”!
Drug Free Workplace
Baptist received the
Governor’s Drug-Free
Workplace certification!
Drug Free Workplace
Lunch
Please join us for a
complimentary boxed lunch.
Employee Health
BHET (Downtown)
Phone: 632-5104
Fax: 549-4904
Pam Lawson, RN
West & Women’s
Phone: 218-7019
Cocke County
Phone: 423-637-7258
Fax: 423-625-2215
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.
Employee Health
Vaccines

Hepatitis B
 Tetanus
 MMR (Measles, Mumps and Rubella)
Varivax
Flu
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 employee’s 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.
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 – employee’s Social Security
Number ONLY on the tubes.
• Employee must sign consent forms before lab is processed
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 @9:00 a.m. and Wednesday @ noon
Our Hospital’s Prayer Team and Kiosk
Share a Concern with us
HIPAA/Privacy
HIPAA
Health Insurance Portability and Accountability Act of 1996
HIPAA Contacts:
Baptist Hospital of East Tennessee, Baptist Hospital West & Women’s,
and Off Campus Locations
Brenda Ellis, Privacy Officer (865) 549-2121
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.
Horror Stories
True 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 patient’s identity. (Seattle, WA Nov 2004)
Arkansas DHS sold surplus equipment that still contained information on Medicaid
patients twice in six months (computer, filing cabinet).
Patient Rights
To receive a notice defining a provider’s 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.
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 patient’s 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
if requested. Most information is captured electronically or reported via a situational statement on the
accounting report. Other disclosures such as abuse/neglect, court order/subpoena, unusual/sentinel event,
OIG, EMTALA, device failure report, etc. must be documented in the medical record.
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
patient’s care, patient and their friends/family members who are involved in the patient’s 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)-CD’s 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.
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
Confirmation of the number to which you are faxing
Authorization/documentation requirements must be met
Re-check of number to ensure that it is entered
correctly
HIPAA POLICIES
Penalties
Internal
Employee’s 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
public. Complaints may be taken by any employee to whom someone confides and forwarded to the
Privacy Officer. Guest Services may be contacted to address the issue with the person making the
complaint. All complaints related to patient privacy must be reported to the Privacy Officer or HIPAA
Contact for follow up.
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
patient’s 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.
Things to think about…
•
Clean desk
•
PC positioning
•
Passwords (helpful security tips)
– select one easy enough to remember that you don’t need to write it down
– select one that is hard to guess (no children’s names, spouse’s names or
pet’s names)
– do not use a word found in the dictionary
– if possible add a number or a special character
– NEVER share passwords
PRIVACY IS EVERYONE’S RESPONSIBILITY
WE EACH HAVE A RESPONSIBILITY TO REPORT ANY POTENTIAL ISSUES
HIPAA Security Requirements
1. Administrative Controls
•
•
•
•
Policies and procedures
Employee training
Privacy training
Security training
3. Managing Technical/System Access
• Identification and authentication
• Access control lists
• Automatic log-off
4. Monitoring and Audit Controls
2. Managing Physical Access
• Intrusion detection
• Audit users for authorized use of
PHI
• Apply sanctions for failure to
comply with policies and procedures
• Systems are physically
inaccessible to unauthorized
users
• A Security Plan addresses
safeguards against tampering
and theft
5. Transmission Security
• Contingencies in place to recover
or restore lost data in case of a
• Encryption
disaster or emergency
• The transformation of plain text into
an unreadable cipher text
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 (865) 549-2121.
If a patient has a concern or complaint, Guest Services
may be called for intervention and contact with the patient.
Contract employees and students
may leave. PRN, PT and FT
employees stick around for more fun!
BENEFITS
FOR EMPLOYEES
FULL-TIME/PART-TIME/PRN
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
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
BAPTIST HEALTH SYSTEM
RETIREMENT
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.
BAPTIST HEALTH SYSTEM
RETIREMENT
EMPLOYER 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.
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.
BAPTIST HEALTH SYSTEM
BENEFITS ORIENTATION
2006-2007
EMPLOYEE BENEFITS
MANY EMPLOYEE PREMIUMS
ARE PRE-TAX
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
A QUALIFYING EVENT ALLOWS EMPLOYEES TO:
ADD OR DROP A DEPENDENT
ADD OR DROP COVERAGE
QUALIFYING EVENTS ARE:
MARRIAGE
DIVORCE
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
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.
PREEXISTING MEDICAL
CONDITIONS AND HIPAA
PREEXISTING CONDITION LIMITATION IS
WAIVED IF EMPLOYEE PRESENTS EVIDENCE
OF MEDICAL COVERAGE FOR THE PAST 12
MONTHS
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
MEDICAL OVERVIEW
THREE TIER PROGRAM
BAPTIST HEALTH SYSTEM
NETWORK FACILITIES
OUT OF NETWORK
PRESCRIPTION DRUGS
THRU 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
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
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.
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.
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
LIFE INSURANCE WITH
ACCIDENTAL DEATH AND
DISMEMBERMENT
• EMPLOYER PAID LIFE & AD&D
– 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 employee’s total
coverage or $100,000 maximum
• DEPENDENT LIFE
– Spouse or children under age 24
LIFE INSURANCE / AD & D
HOW 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
LIFE INSURANCE PREMIUMS
<20
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
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
LONG TERM DISABILITY
HOW 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
LONG TERM DISABILITY
PREMIUMS
AGE
RATE PER $100
18-29
30-34
35-39
40-44
.22
.49
.78
1.13
45-49
50-54
55-59
1.51
1.89
2.35
60-64
65-69
70+
2.03
1.73
1.46
MEDICAL AND DEPENDENT CARE
SPENDING ACCOUNTS
• WHAT IS A SPENDING ACCOUNT?
– A WAY TO REDUCE YOUR INCOME TAXES BY SETTING
ASIDE PRE-TAX DOLLARS FROM YOUR PAYCHECK TO
PAY FOR:
• UNREIMBURSED MEDICAL EXPENSES
• DEPENDENT CARE EXPENSES SO YOU CAN WORK
• SEE HANDOUT
• HOW MUCH CAN I SET ASIDE?
– MEDICAL SPENDING ACCOUNT LIMIT IS $5,000
– DEPENDENT CARE ACCOUNT LIMIT IS $5,000 ($2,500 IF
YOU ARE MARRIED AND FILE A SEPARATE TAX
RETURN)
HOW DO I KNOW HOW MUCH TO
SET ASIDE?
– ESTIMATE TOTAL UNREIMBURSED MEDICAL AND
DENTAL COSTS (SUCH AS COPAYS, PRESCRIPTIONS AND
OTHER UNCOVERED EXPENSES) FOR YOU AND YOUR FAMILY
THROUGH THE END OF THE PLAN YEAR
– DIVIDE BY ___ (NUMBER OF MONTHS BETWEEN ELIGIBILITY DATE
AND END OF PLAN YEAR TO GET A MONTHLY AMOUNT)
– ESTIMATE DEPENDENT CARE EXPENSE BETWEEN
ELIGIBILITY DATE AND THE END OF THE PLAN YEAR
– DIVIDE BY ___ (NUMBER OF MONTHS BETWEEN ELIGIBILITY DATE
AND END OF PLAN YEAR) TO GET A MONTHLY AMOUNT; THEN DIVIDE
BY 2 TO GET A BIWEEKLY AMOUNT.
MEDICAL AND DEPENDENT CARE
SPENDING ACCOUNTS
• HOW DO I GET MY MONEY OUT?
– SAVE RECEIPTS AND SUBMIIT ON A CLAIM
FORM. DURING APPROPRIATE PLAN YEAR.
• WHAT HAPPENS IF I DON’T USE ALL THE
MONEY?
– MONEY NOT SPENT DURING THE PLAN YEAR IS
FORFEITED!! PLAN CAREFULLY! SUBMIT
CLAIM FORMS ON A TIMELY BASIS !!
• SEE DETAILED GUIDELINES AND
INSTRUCTIONS
EARNED TIME/SICK PAY
Available after 90 days. (Check with Managers on
Sick Pay policy).
FT – Earned Time/Pay Pd.
PT – Earned Time/Pay Pd.
1st = 5.8477 hrs
1st = 3.0785 hrs
4th = 7.3846 hrs
4th = 3.8446 hrs
9th = 7.9985 hrs
9th = 4.1538 hrs
14th = 8.9215 hrs
14th = 4.6154 hrs
FT – Sick Time/Pay Pd.
PT – Sick Time/Pay Pd.
= 3.6923 hrs
= 1.84615 hrs
STEP TO IT
WALK OR AEROBICIZE YOUR WAY TO 8
HOURS OF EARNED TIME
THE CLUB IS OFFERED TO EMPLOYEES
ONLY
• THERE IS A $5.00 (CASH ONLY) ANNUAL
FEE TO JOIN
• EACH PARTICIPANT AGREES TO
EXERCISE 3 TIMES A WEEK FOR AT
LEAST 20 MINUTES (ANY EXERCISE)
• EACH PARTICIPANT IS ALLOWED 12
FREE EXERCISE DAYS PER YEAR
• CALL CARDIAC REHAB TO GET STARTED
EMPLOYEE FITNESS
PROGRAM
• BAPTIST “WORK OUT” FACILITY LOCATED IN THE
BAPTIST MEDICAL TOWER PROVIDES A SERVICE TO
EMPLOYEES ONLY TO WORK OUT WITH QUALIFIED
STAFF AND CERTIFIED PERSONAL TRAINERS
• GETTING STARTED CALL 632-5833 FOR ALL FORMS
AND SCHEDULES
• COST
– THREE MONTHS $75.00
– SIX MONTHS $150.00
ALTERNATIVE HEALTHCARE
ORGANIZATION
• Voluntary benefit. Employees may join at the first of
any month.
• Low cost premium: $2.50/single or $3.75/family (per
pay period).
• Discount rates on products and services, such as:
chiropractic, massage therapy, acupuncture,
nutriceuticals, work-out equipment, etc.
HEALTHY LIFESTYLE
CREDIT
• Employees may qualify for the Healthy Lifestyle
Credit and reduce their premiums by taking the
Healthy Lifestyle Pledge.
• The pledge is: “I pledge to undergo a health risk
appraisal, exercise for 20 minutes 3 times per week,
wear seat belts and abstain from drinking alcohol to
excess. I do not smoke or use any tobacco products
and agree not to do so for the next plan year.
• The Health Risk Appraisal is provided in this packet.
IMPORTANT FORMS TO
TURN IN
• Employee Orientation Evaluation
• Any other documentation that has been
requested.
• Any other forms requesting employee
signature.
Time Sheets must be initialed before leaving.
REMINDER
• ALL BHET EMPLOYEES
– PLEASE REPORT BACK TO THE EYE INSTITUTE
TOMORROW FROM 8:30 TO 12:30 FOR
“PROVIDING CUSTOMER VALUES THROUGH
TEAMS TRAINING” SESSION
• PLEASE PARK IN OUR DAYSHIFT EMPLOYEE LOT
BESIDE THE HENLEY STREET BRIDGE
– PARKING TICKETS ARE NOT VALIDATED AFTER
MONDAY
THANK YOU