MSHA Vol Application - Mountain States Health Alliance

Volunteer and Auxiliary
Resources
What we do…
• Volunteer and Auxiliary Resources is responsible for
planning, developing, and managing all MSHA volunteers
and volunteer programs. Our programs offer excellent
opportunities to serve others and give back to the
community, and are a vital component of MSHA’s
commitment to Patient Centered Care.
• Volunteers serve in a variety of roles everyday contributing to
MSHA’s Mission of “Bringing Loving Care to Health Care”
• During MSHA’s Fiscal Year ’12, volunteers contributed
183,287 hours of service, for a dollar value of over $3.9 million.
How can we help you?
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Volunteering with MSHA is a great
way to learn more about a career
that interests you, satisfy school
requirements, and experience the
joy of helping others.
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There are many opportunities for
students to get an up close look at
healthcare professions in a secure
and controlled environment. In
order for MSHA to best serve your
needs as a student, please review
the information on the following
slides to ensure that you are placed
with the proper program.
More about Volunteering…
The student volunteer experience at Mountain States Health Alliance allows prospective and
current students the opportunity to develop and promote interests in a healthcare field. The
students are scheduled into existing volunteer programs set up in numerous areas of the healthcare
system. Volunteers learn in a “hands on” environment according to their volunteer service
description for that area.
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Participation as a volunteer provides opportunities to…
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Acquire new skills and knowledge.
Develop new interests.
Make new friends.
Learn to be more compassionate and understanding.
Experience satisfaction in helping others.
Take a look at the next slide for some examples of areas served
by student volunteers.
A minimum commitment of 30 hours per semester is required by all MSHA student volunteers!
Questions? Please utilize the lists of contacts for the facility of your interest on the last slide.
Student Volunteer
Areas of Opportunity
• Child-Life Program
• Pediatric Emergency Department
(pre-requisite experience required)
• Stroke Center Assistant
• Pre/Post Surgery
• Cancer Treatment Center
• Rehab Activities Assistant
• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Surgical Waiting Room
• Information Desk
• ICU Waiting Room
• Auxiliary Warehouse Assistant
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Wellness Center
Einstein Bros.
Gift Shoppe
Library Assistant
Navigator
Courtesy Cart
Gardeners
Patient Mail
Hospitots
Nursing Unit Assistants
Other
(Please note that some areas have limited
placements available)
Goals
• The goals for each volunteer are to……
• Assist staff, releasing them for essential duties that
only they can perform.
• Bring a greater personal dimension to the delivery
of health care.
• Serve as vital ambassadors between MSHA and
the community.
Goals Continued…
• The goals for the department are to…..
• Continually improve communication, training and education for
volunteers and staff regarding the volunteer program.
• Effectively and creatively integrate volunteers into the total
human resource system in order to take an active part in
providing patient-centered care while adhering to the patientcentered care principles.
• Appropriately utilize each volunteer’s background and skills.
• Develop programs to meet the needs of departments and
individuals.
• Recognize the efforts and contributions of volunteers and
provide them with an opportunity for both personal and career
development.
Absence/Vacation/Illness
• Mountain States Health Alliance (MSHA) expects consistent and reliable
service from its volunteer support team. Please report for duty on time and
stay for the period that is assigned. Volunteer dependability is essential to
effective performance.
• RESPONSIBILITY
• In case of necessary absence due to illness, emergency, or vacation,
volunteers are to notify their assigned work area or the Volunteer Services
Department as far in advance as possible.
• Take pride in making your service run smoothly. Frequent or extended
absences may be cause for re-evaluation of volunteer commitment and your
status as an active volunteer.
Dress Code – Personal Appearance
Volunteer Uniforms
Volunteers should present themselves to others in a manner and
dress that is both professional and conservative. Volunteers are
responsible for caring for their own uniforms.
GENERAL GUIDELINES:
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Uniforms must be clean and in good repair
Clothing must cover naval/stomach area
Shoes must be clean and in good repair
Closed toe shoes are required (OSHA)
Hair should be clean and neat
Minimum makeup
No heavy perfume, cologne, or after-shave
No smoking while on duty
Wear conservative jewelry, no long dangling earrings, no jewelry in visible pierced areas,
except ears
Identification badge to be worn and visible above the waist at all times while on duty.
Dress Code – Personal Appearance
Volunteer Uniforms
UNIFORM: STUDENT VOLUNTEERS
• MSHA Volunteer Scrubs or Polo Shirt
• Conservative pants – NO jeans or shorts
• Closed-toed, soft-soled supportive shoes (Tennis/athletic shoes are OK). Open-toed
shoes are allowed in non-patient/office areas only.
The Following does NOT support MSHA business and professional image:
Western style jeans of any color
Any revealing fabrics or styles
Overalls
Skirts shorter than or with slits
Blue denim pants, any style
shorter than 2” above knee
Shorts, skorts, leggings, parachute pants
Visible tattoos
Tank tops, low cut tops
Nose, tongue, eyebrow, lip
Exposure of skin at the
jewelry
waist and upper leg
Artificial hair colors (blue, green, etc.)
Identification Badge
• All on-duty volunteers are required to wear the Photo
Identification Badge provided by Volunteer Services.
The badge is to be visible at all times while
volunteering. No person may borrow or loan an
identification badge. The identification badge is the
property of your hospital and should be returned to
the Volunteer Services Department when
volunteering will no longer continue.
• This is a mandatory part of your uniform and you will
not be able to serve your shift without your badge.
Signing In/Out
All MSHA volunteers are required to sign in and out each time
you report for service!
• If you have not signed in, you are not considered an official
volunteer for that time.
• This includes signing in on the designated Volunteer computer
OR legibly writing your name, date, and times of service in the
appropriate log book. If you forget, please contact your
Volunteer leader to ensure time is tracked.
Required Screenings/Vaccinations
TB Screening
• Towards the end of the Orientation Session, you will be escorted to the
Team Member Health Office for the initial TB test injection. You must
return (no need for an escort) to the Team Member Health Office between
48 -72 hours later to have the injection site examined. Failure to return for
the skin examination during the 48-72 hour window means you will have to
be injected again.
• Team Member Health will complete the necessary paperwork.
Flu Vaccination
• Anyone serving during Flu season (October 1 – April 1) will be required to
receive a flu vaccination. If you receive this vaccine outside of the MSHA
system, you must provide your volunteer leader with a copy of verification.
Team Member Health can also provide this vaccination.
NO CELL PHONES/NO SMOKING!
Cell Phones
• Professional use of cell phones is required while providing
volunteer service. If it is necessary to have your phone on,
place it on vibrate while volunteering. Texting is not allowed
while volunteering. Taking photos while volunteering is
strictly PROHIBITED.
MSHA No Smoking Policy
• Smoking is not allowed on MSHA property or in personal
vehicles by volunteers or any team member. Smoking in your
car, on the sidewalk, or any adjacent roadway is not permitted.
CONFIDENTIALITY & CONVERSATIONS
Confidentiality
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All Mountain States Health Alliance volunteers are committed to a professional
code of ethics. Every patient is entitled to privacy and has the right to expect that
personal information will be kept confidential. Information concerning the care of
a patient is always personal in nature; and, therefore, any information about the
patient’s condition, care treatment or personal data is absolutely confidential and
must not be discussed with anyone other than those directly responsible for the
patient’s care and treatment.
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Unauthorized release of information about patients, due to carelessness or
thoughtlessness, is unethical. We urge you to be discreet in your conversations.
Confidential computerized information is password protected. Computer hacking
or attempting to enter an additional system will not be tolerated. A violation of
confidential information is a violation of hospital ethics. A volunteer may be
dismissed for such a violation.
CONFIDENTIALITY & CONVERSATIONS
CONVERSATIONS WITH EMPLOYEES:
• Your friendly professional conversation encourages employees. The
employee team values what you have to say. However, while on duty, it is
best to limit your conversations with employees to hospital business. Your
professional discretion on when and what to say helps the employee staff
focus on the needs of our patients and guests.
CONFIDENTIALITY & CONVERSATIONS
CONVERSATIONS WITH PATIENTS:
• Conversations with patients should be limited to cheerful, noncontroversial subjects. Patients may divulge information that is highly
personal. If this is the case, volunteers should listen with compassion and
understanding, but should not invite confidences. Volunteers should never
offer opinions on personal affairs, medical treatment, and administration of
medication, choice of physician or referral of service.
• When visiting patients do not discuss their illness or your own. Do not
discuss patients with others outside their rooms. Remember, even a patient
who appears asleep (or unconscious) may hear. Each patient is an
individual, respect their privacy. Patients who seem unhappy or angry may
well be masking fear, worry or loneliness.
CONFIDENTIALITY & CONVERSATIONS
CONVERSATIONS WITH VISITORS:
• Visitors are also our guests. They should be treated with warmth and
respect. Listen with compassion and understanding. Answer their
questions professionally. Treat visitors as you would like to be treated or
even more, treat them as they wish to be treated. Treat everyone the same,
regardless of age, race, color, creed, financial condition, appearance and/or
disability.
• Visitors are usually unfamiliar with hospital surroundings. Make an effort
to assist them in locating elevators, rooms, departments, cafeteria, vending
machines, etc. Keep in mind the “two turn” concept. If you need to
explain to visitors more than two things they have to do to get where they
are going, take them at least to the first turn. Maps and written instructions
are available to most departments. Use these to assist guests.
Accidents/Injuries
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If an accident or injury occurs while on duty, it must be reported immediately.
INJURY REPORTING PROCEDURES
Report an injury or exposure sustained in the course of your service to your
assigned area supervisor immediately as well as the Volunteer Resources Office.
Describe the incident clearly. The Volunteer Resources Office will report this in the
online Safety Reporting System.
You will be asked to go immediately to the Emergency Department, Urgent
Care/Med Works, or Team Member Health as deemed appropriate for a one-time
assessment.
Should you feel your injury/exposure does not warrant medical care, please explain
that you do not feel medical care is necessary.
Report any injury/exposure whether or not you feel medical care is necessary.
Blood borne exposures need IMMEDIATE follow up.
It is imperative that you sign in before you go to your assignment each time you
volunteer. Otherwise, your presence in a MSHA facility cannot be regarded as
authorized.
MSHA’s Environment of Safety-CODES
The following are some of the codes that you could hear announced over the
intercom system:
• Code BLUE – life threatening injury or condition has occurred and requires immediate
attention from the medical care team
• Rapid Response Team – called to address a medical condition in an attempt to prevent
code blue
• Code 6 – A patient, guest, employee, or volunteer is in IMMEDIATE DANGER &
Security is needed IMMEDIATELY
• Code GREEN – A patient is missing from the facility
• Code RED – Fire alarm activated – all MSHA hospitals are defend in place: The
person who discovers the fire will R A C E.
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R escue person in immediate danger
A nnounce the CODE RED several times
C ontain the fire by closing doors
E xtinguish using PASS (Pull the pin, Aim the hose, Squeeze the trigger, and
Sweep back and forth)
• Code TORO – Tornado warning or severe weather has been issued
Body Mechanics
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Carts:
When lifting items into and out of carts, bins, etc., bend at the hips and knees
Pushing is two times more effective than pulling.
Lifting:
Lifting with improper techniques and repeated poor posture in performing daily
activities can lead to back injury.
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Assess every lift first before attempting the job – this is important in order to know whether or
not this item is something you should be lifting! Always ask for help if needed.
Bend at the knees and hips (never at the waist)
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Reaching:
When reaching overhead, reach as high as comfortable; do not stretch.
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Office:
When turning at a desk, turn the chair. Turn the body as a single unit and do not
twist.
Non-Harassment Policy
Policy Number: HR-200-080
The conduct prohibited by this policy includes areas that would not necessarily be
unlawful, but might be construed or perceived as harassment based on an individual’s
race, color, sex, religion, national origin, citizenship, age, marital status, disability, or
any other characteristic or status protected by federal, state, or local law.
Harassing conduct includes, but not limited to: epithets slurs or negative stereotyping,
threatening, intimidating to hostile acts; belittling jokes; and written or graphic
materials that belittle or show hostility or aversion toward an individual or group and
that is placed on walls or elsewhere in the hospital or circulated in the workplace.
Mountain States Health Alliance does not tolerate any form of harassment. In the
case of harassment, corrective action cannot be taken unless the proper people
have been informed. Any volunteer who feels mistreated in this manner is urged
to contact the Supervisor or Manager of Volunteer Resources immediately for
assistance. Any volunteer who mistreats others may be dismissed.
Infection Prevention and Control
• Infection Control is everybody’s business! Infection Control is a team
effort! As a member of MSHA’s team you are responsible for helping to
provide a safe environment for our patients, visitors, staff, other volunteers
and yourself by reducing the incidence of NOSOCOMIAL INFECTIONS.
Nosocomial infections are those acquired in the hospital. National studies
indicate that between 5 and 8 percent of all patients admitted to hospitals
will develop nosocomial infections; and these infections will in turn add
greatly to the length of hospital stay and to the expenses incurred by the
patient.
• Whether or not you work directly with patients, you need to protect
yourself from exposure to blood borne pathogens (diseases-causing germs
carried by blood or certain body fluids).
Infection Prevention and Control
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DEFINITIONS:
Standard Precautions: The routine and consistent use of appropriate barrier
protection to prevent skin and mucous membrane transmission of microorganisms
resulting from contact with blood and body substances, and as part of the practice
of general hygiene.
Blood and Body Substances: These include all body fluids, tissues and substances
that may potentially harbor contagious microorganisms.
The most important practice is to treat ALL blood and body fluids as if it was
infectious.
“IF IT IS WET AND NOT YOURS, DO NOT TOUCH IT, AND DO NOT LET
IT TOUCH YOU!”
Handwashing – Important in Infection
Prevention
• Frequent handwashing is the basis for infection control
• In the hospital, it is the single most effective method for preventing the
transfer of infectious material to the patient, from one patient to
another, from a patient to personnel, or from one part of the patient’s
body to another. It is the most important practice in the prevention and
control of nosocomial infection.
• Hands are washed before and after contact with patients and after removing
gloves.
• If hands come in contact with blood, body fluids or human tissues, they are
immediately washed with soap and water.
Professional Conduct
The patient’s perception of how they are treated is a
major indicator of how they rate their care. Other
customers also evaluate the entire hospital by the
way in which they are treated. Volunteers are the
“frontline”. The manner in which you interact with
all patients, hospital employees and guests has a
tremendous impact.
Do’s and Don'ts
Volunteers:
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Are professional, considerate and patient at all times.
Avoid discussions involving procedures or techniques used in a patient’s care.
Suggest that patients and/or family members speak to the nurse or doctor if they have
questions regarding their condition or medical care.
Adhere to the policies of the hospital and of the volunteer department.
Take directions willingly, pleasantly and carefully as well as asking questions when
assignments are unclear.
Avoid solicitation and distribution for any purpose, in compliance with hospital policy.
Volunteers:
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Do not offer personal medical advice, nor discuss the experience with their own illness.
Do not request professional advice from any staff member
Telephone Procedures & Techniques
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The recommended policy is that volunteers identify themselves and the department,
whenever taking a call.
It is important to be prepared mentally and physically to answer a ringing
telephone.
Have a positive attitude about the call when the telephone rings…..instead of
thinking of it as an interruption, see the call as an opportunity (e.g. to be of service,
to clarify, to get information you need, etc.)
Focus on the caller
Have a paper/message pad and pencil available next to the telephone
Stop talking or laughing before you pick up the phone.
Take a deep breath (your voice will be clearer)
SMILE – the warmth and friendliness will come through your voice.
Learn the specifics of answering the telephone, taking messages, and transferring
a call for your assigned area
Parking
Students may park in the team member areas or the visitor
parking areas at our facilities
PLEASE ABIDE BY THE SPEED LIMIT OF 10 MPH WHILE
ON THE HOSPITAL CAMPUS (INCLUDING PARKING LOT
AND GARAGE)
Color Coded Scrubs/Uniforms
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RN’s – Galaxy Blue Scrubs (solid)
LPN’s – Wine Colored Scrubs (solid)
PCP’s, CNA’s, NA’s, Nurse Tech, Patient Safety Companion, Unlicensed Roles –
Navy Blue Scrubs (solid)
Clinical Leaders, House Supervisors, Directors – Business Casual Attire OR
Galaxy Blue Scrubs (solid)
Case Managers – White Lab Coat with Business Casual Attire
Perioperative Team Members – Jade Green Scrubs (solid)
CV/Pulmonary Services
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Cardiac Cath Lab – Light Blue (solid)
Echo Techs – Cranberry Scrubs (solid)
Respiratory – Royal Blue Scrubs (solid)
EKG – Maroon Scrubs (solid)
Cardiac Rehab – Business Casual, Khaki Slacks, Polo Shirt, White Jacket
Interventional Holding – Galaxy Blue Scrbs (solid)
Psychiatric Services – Business Casual
Color Coded Scrubs/Uniforms
o Wings – Blue Flight Suits & Flight Safe Black Shoes
o Laboratory Services
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Phlebotomists – Navy Blue Scrubs (solid) OR White Scrubs (solid) with a White Lab Coat
Technical/Clinical Team Members – Navy Blue or White Scrubs (solid)
Non-Uniformed Team Members (clerical/administrative)– Business Casual per Policy
o Pharmacy Services (All Team Members Including IV Admixture Service Team
Members) – Ceil Blue Scrubs (solid) OR Business Casual
o Clerical & Administrative Team Members – General business/business casual
o Environmental Services – Females – Teal Blue/Green Scrubs (solid) – Males –
Charcoal Pants with Light Grey Polo Shirts or Button Up Shirts
o Linen Distribution – Dress or Business Casual Khaki Pants with a Solid or
Gingham Scrub Top
o Internal Transport – Hunter Green Scrubs (Solid)
o External Transport – Beige Polo Shirt (with MSHA logo) and Navy Slacks
o Security Services – White or dark blue shirts with visible security badge and navy
or black pants appropriate to season. A Navy or black jacket in season.
Color Coded Scrubs/Uniforms
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Engineering Services – Dark Blue pants with a Light Blue Shirt, Polo, or Oxford
Biomedical Services – Dress or Business Casual
EEG – Chocolate Scrubs (solid)
Emergency Services – Paramedics – Green Scrubs (solid)
Trauma Services – Charcoal Grey
Supply Chain Operations
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Materials Management Team Members at JCMC, JCSH, SSH, NSH – Indigo Blue Scrub top with
Khaki Pants
Inventory Control Team Members – Business Casual
Receiving Team Members – Scrubs OR Solid Dress Pants with a Polo/Button Down Shirt that Must
Match the Indigo Blue Color
REMINDER: This is not an all-inclusive list. Please refer to the Dress Code/Personal
Appearance policy for more details.
Cultural Diversity
MSHA Center for Cultural Diversity
Cultural Diversity
What is culture?
Definition:
1) the beliefs, customs, arts, etc., of a particular
society, group, place, or time
2) a way of thinking, behaving, or working that
exists in a place or organization (such as a business)
Cultural Diversity
Primary Characteristics
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Race
Nationality
Color
Gender
Age
Religious Affiliation
Cultural Diversity
Secondary Characteristics of Culture
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educational status
socioeconomic status
occupation
military experience
political beliefs
urban vs. rural residence
marital status
parental status
physical characteristics
gender issues
sexual orientation
Cultural Barriers
Racial, ethnic and cultural minorities face many
barriers in receiving adequate care:
• Language and communication
• Feelings of isolation
• Encountering providers who don’t
understand their culture
Patient Centered Care
Guiding Principle:
Care is customized and reflects patient needs, values
and choices
When cultural values are respected and embraced into the patients plan
of care, patients are more likely to accept and comply with treatment
plans.
Generations
Veterans (1922-1943)
Gen Nexters (1980-2000)
Baby Boomers (1943-1960) Cuspers (post 2000)
Gen Xers (1960-1980)
Cultural Values Are:
 Dynamic, ever-changing, active
 Unique expressions that have been accepted as
appropriate over time.
 Guide actions and decision making that facilitates selfworth & self esteem.
Center For Cultural Diversity
Internet Website:
http://www.msha.com/services/spiritual_and_p
astoral_care/center_for_cultural_diversity.as
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MSHA Team Member Pledge
As a Mountain States Health Alliance team member and/or
student, I will take seriously my responsibility to keep all
patient information in the strictest confidence. I will not
knowingly disclose any private health information on any
patient, at any time, in any place, both public and private.
Information will only be shared with fellow team members
responsible for care and treatment of that patient.
Patient’s Rights & Responsibility
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MSHA is committed to Patient-Centered Care. This means that:
Caregivers uphold, respect and support the patients’ rights to competent,
considerate and courteous treatment or service.
MSHA team members do not discriminate on the basis of race, age, gender,
religion, national origin, disability, sexual orientation or ability to pay – we bring
loving health care to all.
We are committed to the observance of patient rights, personal preferences and
values of each individual.
When a patient is well informed, participates in treatment decisions and
communicates openly with caregivers, the care given is more effective.
Patients have a right to…
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Competent, considerate and courteous treatment without discrimination
Confidentiality and security of Protected Health Information
Full disclosure and decision-making about participation in research projects or experimental treatment
Treatment for life-threatening emergencies regardless of the ability to pay
Confidentiality
Access to his/her medical record
Request amendments or restrictions be applied to their record
Privacy
Secure Environment
Spiritual counseling
Resolution of complaints
Assistance with communication
Visitors and phone calls
Discussion of ethical issues
Patients’ have a responsibility for:
–Complete, truthful health history
–Being considerate of other patients
–Following health care instructions
–Providing copy of Advance Directives
–Asking questions
–Paying for care
–Keeping appointments
Confidentiality - A Special Concern
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Ways to Assure Confidentiality:
Maintain continuity of care by sharing the minimum amount of information
necessary to provide safe, effective care with other providers
Don’t talk about patients in the elevator, cafeteria, or any other public place
Only access information that is necessary to care for your own patients…never look
at a record out of curiosity or to share with others
Ensure that law enforcement personnel go through proper procedures to gain
information
Abide by HIPAA rules and regulations
Privacy Laws and Regulations
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There are many federal and state laws regarding Privacy of patient information.
One such federal law is the Health Insurance Portability & Accountability Act of
1996 (HIPAA).
HIPAA sets forth regulations or improved efficiency in healthcare delivery by
patient information; requiring health identifiers; and creating Privacy standards.
HIPAA brought about two rules:
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Privacy Rule – compliance date of April 2003
Security Rule – compliance date of April 2005
The Department of Health and Human Services (DHHS) is a department of the
federal government that has overall responsibility for implementing and enforcing
HIPAA.
Office of Civil Rights (OCR) is responsbile for implementing and enforcing the
Privacy and Security Rules.
MSHA Corporate Audit and Compliance Services department is responsible for
monitoring and assessing MSHA compliance with HIPAA.
Penalties for non-compliance include: Civil, Criminal, Federal Lawsuit, Loss of
professional license, and/or Employer corrective action including termination.
• The Privacy Rule is intended to protect the privacy of an individual’s health
information; regardless of whether the information is written, spoken, or
stored in a computer.
• The Security Rule provides protection of all health information that is
housed or transmitted electronically.
• Criminal Liability:
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Employees of covered entities may be held criminally liable for obtaining and/or
disclosing individually identifiable health information maintained by covered entities
without authorization
Individuals who “knowingly” obtain or disclose individually identifiable health
information in violation of HIPAA may be subject to fine from $50,000 up to $250,000
and imprisonment for one year up to ten years
TPO – Treatment, Payment, and Health
Care Operations
• HIPAA permits use and disclosure of PHI for TPO:
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Treatment: the provision, coordination or management of care and services, including the
coordination by provider with a third party; consultation between health care providers;
or referral from one provider to another
Payment: activites to obtain or provide reimbursement for services; billing, claims
management, collection activates; Review for medical necessity; Utilization review, precertification and pre-authorization of services; disclosure to consumer reporting
agencies; others.
Health Care Operations: operating activities such as conducting quality improvement
activities; reviewing competence of health care professionals; underwriting, premium
rating, etc..; medical review, legal services, auditing; business planning/development;
others.
Privacy and Security Continued…
• Handling Information of Someone You Know
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Volunteers are expected to maintain the confidentiality of patient information during and
subsequent to employment with MSHA.
Team Members may have access to and become knowledgeable about information of
individuals who are known to the Volunteer, such as, current and previous family
members, friends, and co-workers.
The intent is to provide Volunteers with guidelines of how to respond to situations to
avoid placing the Volunteer in a compromising position and avoid the appearance of
conflict of interest..
Steps to take in this situation when possible:
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Contact Area Leader or Manager to request the work be reassigned
If the area leader or manager is not readily available, the Volunteer may ask, as appropriate, another co-worker
to complete the necessary work.
If neither of the previous guidelines are possible, the Volunteer should proceed with completing the work to
ensure that patient care is not compromised and notify the area leader or manager of the occurrence when they
are available.
Notice of Privacy Practices (NPP)
• Notice of Privacy Practices is a requirement of HIPAA and the NPP
describes how MSHA Uses, discloses a patient’s information and how the
patient can access information.
• The NPP must be:
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Given to each patient at time of registration
Posted in registration areas
Signed acknowledgement of receipt must be obtained from the patient
Posted on MSHA website
Access the MSHA NPP by using the link below:
http://www.msha.com/about_us/notice_of_privacy_practices.aspx
What can you do?
• A few ways to protect patient information:
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Access, use or disclose patient information only if involved in the care of the patient.
Never share passwords and logoff or lock computers when away
Disclose patient information only if you are the right person to disclose it and you are
disclosing it to the right person
If appropriate to disclose information, disclose only what is needed, minimum
necessary
BE ALERT to verbal discussions and surrounding. Make other team members/volunteers
aware if you are able to hear conversations that should not be heard
Provide privacy for patients during discussions; including asking others to leave the
room if necessary
Be aware of access to patient information such as printouts, computer screens, reports,
etc. put away patient records when not in use
Turn documents face down. Do not place patient documents in re-cycle bins, trash
containers…they must be properly shredded!
Be knowledgeable with MSHA policies, procedures and practices relating to patient
information. If unsure…ASK your area leader/manager.
When leaving messages for patients, leave minimal information needed such as your
name and the call back number
Your Responsibility
• You are responsible for your user ID and passwords and will
be held accountable for what is accessed or processed when
signed in under that ID.
• Do not share your password
• Do not leave a computer you are logged on to unattended
• Do not let others access PHI while you are logged on to the computer
application
• Using social media to share patient information is strictly
prohibited.
• Use of personal cameras, including mobile phone cameras, to
photograph patients is strictly prohibited.
Test Your Knowledge
• Identify which of the following are true:
• A. MSHA facilities are considered covered entities under HIPAA and
therefore must comply with HIPAA.
• B. PHI is individually identifiable health information in any form but does
not include demographic information.
• C. Removing all identifying information so the person the information
belongs to can no longer be identified is considered de-identifying
information.
• D. Minimum necessary in liming the amount of information used, accessed,
and/or disclosed to the minimum amount necessary to accomplish the
required task.
• E. All of the above are True
• F. Only A, C, and D are True.
Test Your Knowledge Answer
• Identify which of the following are true:
• A. MSHA facilities are considered covered entities under HIPAA and
therefore must comply with HIPAA.
•
B. PHI is individually identifiable health information in any form but does not
include demographic information.
• C. Removing all identifying information so the person the information
belongs to can no longer be identified is considered de-identifying
information.
• D. Minimum necessary in liming the amount of information used,
accessed, and/or disclosed to the minimum amount necessary to
accomplish the required task.
•
E. All of the above are True
• F. Only A, C, and D are True.
Corrective Action
Volunteers are considered to be part of the MSHA Workforce and are therefore subject to Corrective
Action if deemed necessary.
•
A. MSHA's reputation in the community is based upon the professionalism of its team members. Therefore,
MSHA expects that every team member will hold to a high standard of work performance and professional
and personal behavior. This requirement includes adherence to all MSHA and/or facility policies and
procedures, and federal, state and local laws. Since a team member's reputation in the community may also
affect MSHA’s reputation, team members are expected to conduct their private behavior in conformance
with local, state and federal laws.
•
B. An important objective of MSHA is to treat all team members fairly. To accomplish this and to manage
Mountain States Health Alliance operations effectively, it is sometimes necessary to counsel, correct,
and/or terminate the employment of those few team member who fail to demonstrate an acceptable standard
of work performance and behavior.
•
C. The MSHA corrective action philosophy is one of coaching and counseling to ensure that team members
understand what these expectations are and what changes must occur to meet standards. Therefore, for all
but the most severe infractions of behavioral standards, the supervisor is expected to practice progressive
correction in dealing with performance and behavioral problems. This corrective process begins with verbal
counseling, and moves on to written reminders and/or termination only if the team member fails to respond
to coaching. The goal of all corrective action should be rehabilitation, rather than punishment.
•
D. It is recognized that there will be situations that require immediate, severe disciplinary action, including
termination of employment or volunteer service and which will make the imposition of progressive
corrective action inappropriate.
Please print the confirmation page at the end of
the orientation for our records.
Please select the following link to access the:
Online Orientation Confirmation Form
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Volunteer Contact Information
Johnson City Medical Center/Niswonger Children’s Hospital:
423-431-3543
Franklin Woods Community Hospital/Woodridge:
423-431-4776
Indian Path Medical Center:
423-431-3544
Johnston Memorial Hospital:
276-258-1021
Norton Community Hospital:
276-439-1017
Russell County Medical Center:
276-883-8000
Smyth County Community Hospital:
• 276-782-1371
Sycamore Shoals Hospital/Johnson County Community Hospital:
423-542-1281/423-542-1338
Unicoi County Memorial Hospital:
• 423-431-6871