Introductions and Welcome

Human ResourcesBlount Professional Building – G4

8:00 a.m. to 4:30 p.m. M-F632-5936

BenefitsBaptist Professional Building - 103

After Hours and Weekend Appointments After Hours and Weekend Appointments Available on RequestAvailable on Request

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

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

NEO Agenda for TodayAfternoon

• 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?

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.

BHET “Downtown” Employee

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-40

I-75

I-75

I-40

I-81Hamblen

Grainger

Loudon

Anderson

Blount

Campbell

Claiborne

CockeCumberland

JeffersonKnox

Monroe

Morgan

Roane

Scott

Sevier

Union

McMinn 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

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.

Mission

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.

Baptist Health System Values

Baptist Health System Vision

To be a national leader in healthcare quality

Vision Statement

When making decisions, ask yourself:

Is it Mission Driven, Values Based, and Vision Focused?

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 Goals

System Goal Measure

Community Benefit Charity Care to Community Number of Community Activities

Clinical Quality CMS Core MeasuresCompliance with Licensure SurveysClinical Indicators

Customer Value Patient Loyalty/EndorsementPhysician Satisfaction

Staff Excellence Employee SatisfactionTurnover & Retention RatesVacancy RateStaff Development Hours

Financial Strength Days in AR/APVolumeCapital ExpendituresNet Income from OperationsCash Flow Indicators

BHS Balanced Scorecard - The Measure of Success

Diversity Awareness

• 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”

What is Diversity?

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!

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 ________________________________________________

Focus on Me

New Employee Orientation Evaluation Form

DescriptionExceeded

ExpectationsMet

ExpectationsNeeds

ImprovementNot

Applicable

Material organizationUsefulness of informationPresentation styleSpeaker's knowledge of subjectUnderstood material coveredResponse to questions

Material organizationUsefulness of informationPresentation styleSpeaker's knowledge of subjectUnderstood material coveredResponse to questions

Material organizationUsefulness of informationPresentation styleSpeaker's knowledge of subjectUnderstood material coveredResponse to questions

Material organizationUsefulness of informationPresentation styleSpeaker's knowledge of subjectUnderstood material coveredResponse to questions

Material organizationUsefulness of informationPresentation styleSpeaker's knowledge of subjectUnderstood material coveredResponse to questions

Benefits Section

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

We value your feedback. Please respond candidly to the following and rate the Orientation on eachcriterion listed below by placing a check mark in the appropriate box.

New Employee Orientation Evaluation Form The Baptist Health System of East Tennessee

Date of Orientation: _____ / _____ / _____

"The One Word" BQV Section

Infection Control/Employee Health Section

Healthcare Compliance Section

Human Resource General Information & Safety Section

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 In

Punch 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.

Financial Institution/Bank Name Routing # Account #

Checkingor Savings

Amount to deposit

$

$

Financial Institution/Bank Name Routing # Account #

Checkingor Savings

Amount to deposit

$

$

Financial Institution/Bank Name Routing # Account #

Checkingor Savings

Amount to deposit

$

$

Employee Signature: _________________________________ Date:_____________

Employee Name:_________________________________ Social Security Number:_______________________Department:_____________________________________ Extension or Home Phone #:___________________Effective date:___________________________________ (this form must be received 1 week prior)

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.

Direct Deposit Authorization

_____ New Enrollment. Please complete the following and attach a voided check:

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.

_____ Change. Please complete the following (if changing bank, attach a voided check):

_____ Cancellation. Please complete the following:

Direct Deposit Form Example

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

 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

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.

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.

ID Badge Information

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)

6:40 – 6:49

7:10 – 7:197:00am – 3:30pm

6:55 – 7:04

3:25 – 3:347:30am – 4:00pm

7:25 – 7:34

3:55 – 4:048:00am – 4:30pm

7:55 – 8:04

4:25 – 4:348:30am – 5:00pm

8:25 – 8:34

4:55 – 5:049:00am – 5:30pm

8:55 – 9:04

5:25 – 5:342:45pm – 11:15pm (3p-11p)

2:40 – 2:49

11:10 – 11:196:45pm – 7:15am (7p-7a)

6:40 – 6:49

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.

Clocking in and out

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  

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.

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.

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

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.

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.

Disaster Safety

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.

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.

Hazardous Materials Test

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 Departments

BHET “Downtown”• Phone: 632-5211

• Amanda Jolly, RN, CIC

West & Womens• Phone: 218-7019

Darci Hodge, RN

Cocke County• Phone: 625-2127

Joyce Mullins, RN

Infection Control

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.

Employee Health to CoverLater 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.

Infection Control

2007

Agenda

• Introduction

• Acknowledgment

Statement

• Evaluation

• Compliance Review

2007

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.

What is Corporate Compliance

2007

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.

Compliance Terms

2007

The Attorney General’s Office has classified Healthcare Fraud and Abuse as the nation’s Number Two Priority- Second only to Violent Crime!

Attorney General’s Statement

2007

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

American Medical Association

Is the Government Interested?

2007

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

Impact of Non Compliance

2007

Effective Elements

• Standards and Procedures

• Oversight

• Training and Education

• Communication

• Enforcement and Discipline

• Monitoring and Auditing

• Response and Prevention

2007

• Billing for items or services not rendered

• Medically unnecessary services

• Patient freedom to select providers

• Patient anti-dumping statute enforcement

Examples of Government Initiatives

2007

Baptist Health System

2007

• A full description of the problem

• Why the issue is a problem

• Any documentation

• Other individuals

Reporting Compliance Issues

2007

• “Good faith” means telling the truth

• Any form of retaliation, retribution or harassment” is prohibited

Non-Retaliation/Non-Retribution

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

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

Compliance Representatives

2007

 

 

 

 

Viola Seay

Kattie Bailey

Modena Beasley

Bill Torrence

•Leadership Responsibilities

•Patient Care

•EMTALA

•Work Environment

•Controlled Substances

•Conflict of Interest

•Gifts, Entertainment and Gratuities

•Legal/Regulatory

Code of Conduct

2007

•Confidentiality

•Record Keeping

•Political Activity

•Research

•Marketing

•Billing and Coding

•Financial Reporting

Code of Conduct Continued

2007

•System Assets

•Contracts

•Hiring/Screening/Discipline

•Licensure and Certification Renewal

Code of Conduct Continued

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 FormsCafeteria MenusNews and RemindersEmployee EventsSpecial ProgramsTelephone DirectoryComputer 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 complaint@jcaho.org or (800) 994-6610

Drug Free Workplace

BHS’s Drug-Free WorkplaceBHS’s Drug-Free WorkplaceProgram ObjectivesProgram 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

Drug Free Workplace

BHSBHS Conducts the Following Types of Conducts the Following Types of Drug Tests:Drug Tests:

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

Drug Free Workplace

Post-Accident Drug TestingPost-Accident Drug TestingEmployees 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 TESTINGRANDOM DRUG TESTING

On each occasion that a random selection is made, EVERY EMPLOYEEEVERY 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”!

What’s the rule ?

Drug Free Workplace

Baptist received the Baptist received the Governor’s Drug-FreeGovernor’s Drug-FreeWorkplace certification!Workplace certification!

Drug Free Workplace

Lunch

Please join us for a complimentary boxed lunch.

BHET (Downtown) West & Women’s Cocke County Phone: 632-5104 Phone: 218-7019 Phone: 423-637-7258 Fax: 549-4904 Fax: 423-625-2215

Pam Lawson, RN Darci Hodge, RN Gail Hensley, RN

Employee Health

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 - ChaplinDan Hix - Chaplin

We are here for each other.We are here for each other.

A Chaplain is On Call 24/7A Chaplain is On Call 24/7

Employee Assistance ProgramEmployee Assistance Program

Parish Nurse ProgramParish Nurse Program

Services are held weekly Services are held weekly

Sunday @9:00 a.m. and Wednesday @ noonSunday @9:00 a.m. and Wednesday @ noon

Our Hospital’s Prayer Team and KioskOur Hospital’s Prayer Team and Kiosk

Share a Concern with usShare a Concern with us

Meet our staff…

Center for Spiritual Care

BHW & BHFW….

HOSPICE….

BHET….

EAP….

BHCC…

HIPAA/Privacy

HIPAAHealth Insurance Portability and Accountability Act of 1996

HIPAA Contacts:

Baptist Hospital of East Tennessee, Baptist Hospital West & Women’s, and Off Campus LocationsBrenda Ellis, Privacy Officer (865) 549-2121

Baptist Hospital of Cocke CountyViola 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 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 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).

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.

Patient Rights

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 disposalConfidential paper-placed in shred-it bins and shreddedConfidential plastics-patient information must be de-faced prior to disposal in regular trashCompact 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 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

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

2. 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

3. Managing Technical/System Access

• Identification and authentication• Access control lists• Automatic log-off

4. Monitoring and Audit Controls

• Intrusion detection• Audit users for authorized use of

PHI• Apply sanctions for failure to

comply with policies and procedures

5. Transmission Security

• Encryption• 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!

BENEFITSFOR 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 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.

BAPTIST HEALTH SYSTEMRETIREMENT

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 SYSTEMBENEFITS ORIENTATION

2006-2007

                                                     

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

EMPLOYEE BENEFITS

A QUALIFYING EVENT ALLOWS EMPLOYEES TO:

ADD OR DROP A DEPENDENT ADD OR DROP COVERAGE

QUALIFYING EVENTS ARE:MARRIAGE DIVORCE

LEGAL SEPARATION

BIRTH/LEGAL ADOPTIONDEATH

LOSS OF SPOUSE JOB OR BENEFITS

QUALIFYING EVENTS MUST BE REPORTED WITH DOCUMENTATION WITHIN 30 DAYS OR CHANGE CANNOT BE MADE

ELIGIBILITY

FULL TIME PART TIME

EMPLOYEES: DEPENDENTS:

LEGAL SPOUSES

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 DRUGSTHRU EXPRESS SCRIPTS

• DEDUCTIBLE (All Plans)– $50 per member

– $100 per family maximum

• MANDATORY GENERICGeneric - 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 ALLYOURMAINTENANCE 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 supplyBRAND FORMULARY - $50.00 co-pay for 90 day supply Basic/High $60.00 co-pay for a 90 day supplyPLEASE 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 $50.00Family - None $150.00

Annual Maximum Benefit$750.00

Orthodontia Lifetime Maximum Per Person$750.00

See Fee ScheduleNote: 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 & 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

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 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

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

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.

1st = 5.8477 hrs

4th = 7.3846 hrs

9th = 7.9985 hrs

14th = 8.9215 hrs

FT – Sick Time/Pay Pd.

= 3.6923 hrs

PT – Earned Time/Pay Pd.

1st = 3.0785 hrs

4th = 3.8446 hrs

9th = 4.1538 hrs

14th = 4.6154 hrs

PT – Sick Time/Pay Pd.

= 1.84615 hrs

STEP TO ITWALK 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