Slide 1

Section 1 Orientation Welcome and who we are.

Slide 2

Hallmark Health: A System of Care Hospitals Lawrence Memorial Hospital Melrose-Wakefield Hospital Outpatient Centers Hallmark Health Medical Center Reading -MD (PCP/Specialists) -Radiology -Rehab -Urgent Care Hallmark Health Outpatient Campus in Stoneham - Cancer Center -Hematology/ Oncology -Radiation Therapy - Breast Center - CHEM/MRI

Slide 3

Hallmark Health: A System of Care (contd) Hallmark Health Medical Associates -Primary Care, OB/GYN, GI, Surgeons Community-based clinics and private practices -MD, PT/OT, Radiology Hallmark Health Visiting Nurse Association and Hospice School of Nursing/Radiography

Slide 4

Orthopedic Services and Sports Medicine Program Hallmark Health Cardiac & Endovascular Center Bariatric & Weight Management Program Clinical Programs

Slide 5

School of Nursing Center of Excellence Other Awards and Distinctions

Slide 6

Cornerstones People Quality Service Growth Finance

Slide 7

Service Excellence How do we know how we are doing? Rounding Discharge Phone Calls Direct Feedback Community Perception Survey Patient Satisfaction Surveys

Slide 8

Diversity Statement Hallmark Health embraces diversity at all levels of our organization and strives to deliver culturally competent care to all of our patients. At Hallmark Health we are committed to exploring, understanding and respecting the differences that exist among our patients and our co-workers. Through these efforts we can provide the most effective and highest quality of care to our ever-changing communities and create a culturally sensitive environment for our employees.

Slide 9

Miscellaneous Medical Library / SON Gift Shop Volunteers / Volunteens

Slide 10

Section 2 Corporate Compliance HIPAA IT Security

Slide 11

Protecting Private & Sensitive Information Federal & State LawsHIPAA Everything in the medical record. Severe fines and penalties for violations. ?

Slide 12

Protecting Private & Sensitive Information Before using or disclosing: 1.Do I need the information to do my job? 2.Does the person that Im telling need it to do his or her job? 3.Am I the right person to be using or disclosing the information? If the answer to any is NO, doing so would be a violation.

Slide 13

Protecting Private & Sensitive Information If its part of your job duties and is work-related OK to use and/or disclose. If its NOT part of your job duties and is NOT work-related IT IS NOT OK to use and/or disclose. HOW WOULD YOU FEEL?

Slide 14

Compliance Compliance = Honesty, Integrity, Ethics Road map that helps us all make ethical choices when faced with a difficult decision. Standards of Conduct Booklet Read It Understand It If you dont understand it, Ask About It

Slide 15

Compliance Its about doing the right thing when nobody is watching. Its about communicating without reservation.

Slide 16

CONTACT INFORMATION No concern is too small or unimportant!! Chain of command manager, director, vice president, compliance officer/chief privacy officer, other chief officer or president. WHISTLEBLOWER PROTECTIONS Hallmark Health Hotline 1-888-517-8777 Chief Privacy Officer Hotline Mailbox 781-979-3477

Slide 17

IT Security: Isnt it just an IT problem? Security is only as good as YOU!!EXAMPLE: The lock on the door = 10%. Lock Controls = 90%

Slide 18

Building a Strong Password Passwords should contain at least one of each of the following characters (when possible): Uppercase Letters (A-Z) Lowercase Letters (a-z) Numbers (0-9) Special Character (!@#$%^&*()_+=-)

Slide 19

YOU are HHS strongest defense against security incidents. Practice strong password controls Protect our data DO NOT be afraid to question a caller or visitor on their intentions.

Slide 20

Section 3 Safety and Security

Slide 21

We Want You to be Healthy! Hallmark Health cares about your Health and Safety!

Slide 22

Washing your hands Infection Control

Slide 23

Bloodborne Pathogens Microorganisms that are carried in the bloodstream and can cause infection. Found in all body fluids (except sweat) Pose a risk to Health Care workers. Standard Precautions

Slide 24

Sneezing

Slide 25

Slide 26

Do these people look like they have the flu?

Slide 27

Fire Safety R escue A larm C ontain E xtinguish RACERACE

Slide 28

Fire Extinguisher P A S S Pull- pin breaking plastic seal Aim- at base of fire Squeeze - handle Sweep from side to side

Slide 29

Emergency Phone Extensions Lawrence Memorial Hospital 246 Melrose Wakefield Hospital 8 Offsite Properties & Clinics 911 Dialing 0 may have you put on hold To report a Fire Pull the nearest Pull Station

Slide 30

Know the way out

Slide 31

Hazard Communication Your right to know: Chemicals you are exposed to. Safety sheets must be available. All containers must be labeled. Personal Protective Equipment, including Respirator Fit Testing as needed.

Slide 32

Emergency Management

Slide 33

Security Lawrence Memorial Hospital 781-306-6663 Melrose Wakefield Hospital 781-979-3201 Safety Officer 781-979-3232 Off-site Properties/Clinics/offices Dial 911 for all emergencies

Slide 34

Violence in the Workplace Violence can come from employees, employers, co-workers, medical staff, patients, or other visitors to the hospital. Violence and/or retaliation is NEVER permitted. Warning Signs of Impending Violence Making threats Talking about carrying weapons Restlessness, pacing Violent gestures Violence Prevention Techniques Treating others with respect Trust your gut feelings Watch for warning signs Follow proper policies Notify Human Resources Manager, Security & Safety Manager ASAP