UCLA Health Sciences Overview 1 Entities Comprising UCLA Health Sciences * David Geffen School of Medicine at UCLA 22 Academic Departments of Instruction 6 Organized Research Units 12 Large Centers and Institutes (Clinical and/or Research) 3 Affiliated Academic Programs 5 Major Affiliated Hospitals The UCLA Health System UCLA Medical Group/Physician Support Services (PSS) Community Physicians Network (CPN)/Sports Medicine UCLA Hospital System Ronald Reagan UCLA Medical Center Santa Monica - UCLA Medical Center and Orthopaedic Hospital Resnick Neuropsychiatric Hospital at UCLA Mattel’s Children’s Hospital 2 David Geffen School of Medicine Stats • 2,869 Faculty • 3,162 Community Physicians • 1,330 Interns & Residents • 707 Medical Students - 37 M.D./Ph.D. Students • 521Ph.D. Students • 4,807 Staff • 23 Departments of Instruction • 6 Organized Research Units • 12 Large Centers & Institutes DGSOM Sources of Funding By Percentage Year Ending June 30, 2010 Note: * Of $56.9M in Funding from Hospital System, $52.8 Million Represents Equity Transfers Total: $1,225,334 (Dollars in Thousands) 5 Trivia Game What is the mission of the University of California? Who is our current UC President? Who is our Chancellor? Who is the Dean in the School of Medicine? How many campuses does UC have today? Name the Campuses: Name the 5 Medical Centers in the UC system: 5 MINUTES TO ANSWER! THE GROUP THAT HAS THE MOST CORRECT ANSWERS WINS! 6 Trivia Game Answers • • • • • • • What is the mission of the University of California? _______, ________ and _________ __________ Who is our current UC President? _______ ________ Who is our Chancellor? _______ ________ Who is the Dean in the School of Medicine? ________________________ How many campuses does UC have today? _____ Name the Campuses: ______________________________________________________ Name the 5 Medical Centers in the UC system: _____, _____, _____, _____, _____ 7 History On October 19, 1945, the University of California Board of Regents voted to establish a medical school at UCLA. In 1949 construction began for the Medical Center and school of Medicine. The Medical Center opened in 1955. The first School of Medicine class began in 1951. Dr. Stafford L. Warren was appointed as the first dean 28 students (26 men and 2 women). 15 faculty members Lecture room and five laboratories 8 History Dr. Sherman Mellinkoff succeed as Dean in 1962 oversaw many changes in his 24 years. 1960’s – Opening of Neuropsychiatric Institute, Brain Research Institute and Marion Davies Children’s Center. Construction began on Jules Stein Eye Institute and Reed Neurological Research Center. 1970’s – Formal affiliation with Venice Family Clinic. Dr. Kenneth Shine succeeded as Dean in 1986. Initiatives in ambulatory education, community service, mathematics and science education in public schools and the construction of new research facilities. Dr. Gerald Levey succeeded as Dean in 1994. Human Genetics, Gonda Neuroscience and Genetics Research Center were established. In 2002 Mr. David Geffen announced a $200 million unrestricted endowment for the school. Instrumental in opening RRUCLA Medical Center. 9 Present Dr. A. Eugene Washington succeeded as Dean in 2010. Clinical Departments Anesthesiology Emergency Medicine Family Medicine Pathology and Laboratory Medicine Department of Medicine Neurosurgery Neurology Neuropsychiatric Institute (NPI) OB/GYN Ophthalmology/JSEI Orthopedic Surgery Pediatrics Radiation Oncology Radiological Sciences Surgery Urology Basic Science Departments, Organized Research Units (ORUs) and Other Units Office of the Dean Biological Chemistry Biomathematics Brain Research Institute Molecular and Medical Pharmacology/CRUMP Institute Human Genetics Jonsson Cancer Center Neurobiology Physiology Venice Family Clinic 10 Cultural Diversity Sum total of the way of living; includes values, beliefs, language, thinking patterns, behavioral norms and communication styles. Guides decisions and actions of groups through time. Cultural awareness involves both attitude and knowledge It is essential to understand the way people do things may be different from your way, but they are still equally valid. Knowing something about different culture’s beliefs, values and traditions is important. This can have a positive impact on patient are and the connection you make with your patient. Respect the beliefs and practices of others Don’t stereotype; expect variation; learn what Qs to ask Special considerations may include: Food and medical care preferences; rituals; gender role; eye contact and communication style; decision making systems; alternative therapies Population-specific groups Considering who you serve Unique needs of each patient and patient group 13 University Holidays Martin Luther King Day President’s Day Cesar Chavez Day (Last Friday in March) Memorial Day July 4th Labor Day Veteran’s Day Thanksgiving Day Day After Thanksgiving Christmas Eve Christmas Day New Years Eve New Years Day 12 Vacation Reference Charts Monthly Working Hours in 2012 Years of Employee Service Personnel Mileston Group e <10 10 15 Month Holiday Dates Working Days in Month Working Hours in Month January 2,16 22 176 February 20 21 168 March 30 22 176 21 168 23 184 21 168 22 176 23 184 20 160 23 184 Tier 2 (MSP & SMG) Hired on or after 7/1/96 Tier 1 (PPS) (No grace period for EX. Hours accrued over policy max Vacation Employment Service Accrual Leave Accrual Approx. Leave Code Hrs/Month Accrual (LV) (fulltime) Max Factor A 10 240 0.057692 B 12 288 0.069231 C 14 336 0.080769 April May 28 June 20 D 16 384 0.092308 <5 B 12 288 0.069231 August 5 C 14 336 0.080769 September 10 D 16 384 0.092308 July 4 3 October November 11, 22,23 25 22 176 December 24,25,31 21 168 13 Sick Leave Accrual Staff accrue up to 12 days per year Does not “expire” Biweekly staff Accrue on the leave accrual dates 13 leave accrual dates per year If REG hours for the period equals 160 hours then accrual is 7.38 hours. Monthly staff Accrue once a month Accrual varies depending on amount of working days in the month 14 Jury Duty Note: Effective April 1, 2000, paid jury duty service is limited to 10 days per jury summons for non-represented employees working in the Westwood Medical Center, the Neuropsychiatric Hospital, Santa Monica Hospital and all entities within the UCLA Health System and the School of Medicine. Employee Group Reference Career Limited/Casual/ Contract Casual/Restricted Per Diem Non-Represented (99) EXEMPT PPSM 46.B Yes Yes Yes No Non-Represented (99) NON-EXEMPT PPSM 46.B Yes No Yes No Clerical (CX) CUE Article 14.F1 Yes No 10 days No Research Support Professional (RX) UPTE Article 18.F1 Yes No 10 days No Technical (TX) UPTE Article 18.F1 Yes No 10 days No Service (SX) AFSCME Article 14.E Yes Yes 10 days No Patient Care Technical (EX) AFSCME Article 14.E Yes Yes 10 days No Health Care Professional (HX) UPTE Article 14.F1 Yes No 10 days No Nurses (NX) CNA Article 14.E Yes No 10 days No 15 Blood Donation Program UCLA Blood and Platelet Center Blood Drives Frequently held across campus Annual blood drive at Faculty Practice Group Receive up to 2 hours paid leave time to donate blood Donors will receive 4 hours of paid leave (blood time on OTR timesheet) More information go to the website or call: http://gotblood.ucla.edu/ (310) 825-0888 x2 16 url:http ://at S e arc h Commonly visited websites www.mednet.ucla.edu HIPAA Education and Training Program Code of Conduct Training and Quiz http://atyourservice.ucop.edu Enroll in your benefits (during your PIE period) Update beneficiaries, address, tax withholding and sign up for online W-2 Read “news features” from UCOP www.timesheets.medsch.ucla.edu Completing your timesheet to get paid on time! 17 Full service financial institution established in 1951 at UCLA Main branch at 1500 S. Sepulveda Blvd (Cross street is Ohio) ATMs all over campus: Ackerman Union, Anderson School, Residence Halls, CHS Plaza at Marion Davies Children’s Center, 300 Medical Plaza, RRUCLA by cafeteria, SMUCLA by cafeteria, Wilshire Center by post office http://www.ucu.org/index.html 18 UCLA’s Staff and Faculty Counseling Center (SFCC) fosters a productive and supportive work environment for all employees. Confidential counseling for employees and family members Management consultation Coaching/Training Retreat Facilitation Work-Life Programs Support Groups Community Resource Referrals Services are free, voluntary and confidential Campus Human Resources, Staff & Faculty Counseling Center is located at: 10920 Wilshire Boulevard, Suite 380 Los Angeles, CA 90024-6504 Mail Code: 145748 Phone: (310) 794-0245 FAX: (310) 794-0251Office Hours Monday – Friday 8 a.m. to 5 p.m. Saturday and Sunday Closed 19 Staff Affirmative Action Office Supports the University’s mission of research, teaching and public service by: Providing consultative services Enhancing the campus environment where diversity is celebrated and valued Providing educational programs that address the needs of a diverse staff Implementing cost-effective strategies for conflict resolution Increasing the visibility of UCLA in the general community Program Objectives A fair workplace where everyone is treated with dignity and respect A workplace where all employees have access to campus programs and services A workplace where diversity is valued and celebrated Staff Affirmative Action Office Suite 1050, UCLA Wilshire Center Phone 310-794-0691 Fax 310-794-2800 Mail Code 135548 Employee Privileges Employee Reduced Fee Enrollment – non probationary employees who meet admission requirements of the University are eligible for a 2/3 reduction in course fees University Extension Courses 25% discount Child Care Services http://www.childcare.ucla.edu Santa Monica Big Blue Bus and Culver City Bus –show your Bruin Card and ride for 50 cents UCLA store (Ackerman Union) UCLA Library 21 Employee Privileges UCLA Fowler Museum of Cultural History www.fowler.ucla.edu Hammer Museum of Art http://hammer.ucla.edu Geffen Playhouse http://www.geffen.ucla.edu UCLA Center for the Performing Arts http://www.performingarts.ucla.edu UCLA Recreation http://www.recreation.ucla.edu UCLA Central Ticket Office http://www.tickets.ucla.edu Botanical Gardens 22 Annual Events at UCLA (Staff Assembly) All-Staff Picnic (summertime) Breakfast with the Chancellor (quarterly) Casino Night 23 Nondiscrimination in Employment It is the policy of the University not to engage in discrimination against or harassment of any person employed by or seeking employment with the University of California on the basis of race, color, national origin, religion, sex, gender identity, pregnancy, physical or mental disability, medical condition, genetic information, ancestry, marital status, age, sexual orientation, or service in the uniformed services. 24 Email Policy and Guidelines The University of California encourages the use of electronic communications to share information and knowledge in support of the University’s mission. Link to policy: http://www.adminpolicies.ucla.edu/app/Default.aspx?&id=45 5 Email shall not be used for: Unlawful activities Commercial purposes not under auspices of the University Personal financial gain Uses that violate policies or guidelines 25 Sexual Harassment Complaint Resolution Sexual Harassment Policy - Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature. The University will provide a prompt and effective response to reports of any such conduct. The HR Dept. provides assistance in investigating and resolving complaints of sexual harassment. Emphasis is on prevention, education and early resolution. Online tutorial required for all managers administered through the Learning Management System (LMS). 26 Smoke-Free Environment Policy Smoking is prohibited inside or outside any: University-owned, occupied or leased buildings, including stairwells, loading docks and outdoor areas University vehicles including buses, shuttles, trucks, vans and automobiles For UCLA Health System and Health Sciences: Indoor and outdoor areas of our hospitals and health-sciences campuses in Westwood (bounded by Gayley to Tiverton Avenues and Le Conte Avenue to Charles E. Young Drive South). Indoor and outdoor areas of our hospitals and health-sciences campuses in Santa Monica (bounded by Wilshire Boulevard to Arizona Avenue and 15th to 16th Streets). Buildings along the Charles E. Young Drive South research corridor. 27Dean's Office Human Resources Substance Abuse in the Workplace Substance Abuse Policy – Employees are required to report to work physically and mentally able to perform their duties and carry out their responsibilities optimally without endangering own health or safety of others. Employees are encouraged to seek assistance as appropriate. Staff and Faculty Counseling Center (310) 794-0245 28 Hotline and Reporting Process To report concerns, make suggestions, raise questions and seek guidance, employees should: Discuss with their immediate supervisor or higher level manager Discuss with Employee Relations Contact the Confidential Compliance Hotline (1-800-296-7188) or log on at www.universityofcalifornia.edu/hotline which provides: Anonymous and confidential reporting Outside Telephone service sends reports to the Compliance Officer Call back date for response and report number for reference Protection policy prohibits University officials with interfering and retaliating. 29 Security Precautions: (HIPAA) Lock your computer desktop screen when you walk away, even if only for a few moments Use only encrypted laptops, mobile devices and flash drives. Ensure information on computer screens is not visible to passersby (privacy screen is recommended) Create a “strong” password and do not share passwords with anyone else Ensure paper charts are returned to applicable areas in nursing station, medical records, or designated file rooms 30 Patient Privacy Requirements: (HIPAA) Access only information that you need to do your job Access or disclose only the minimum information necessary Discuss patients only within the context of your work flow and only with those who need the information to do their jobs. When speaking about patients make sure you are in a discreet area when possible Take special care to protect your passwords Place paper documents with PHI in locked shedder bins only, as well as reasonably keep them concealed while in the work space (placing paper documents face-down or locked away when unattended) For any patient privacy or computer security concerns contact your supervisor or Privacy Officer Bob Gross. 31 UCLA Workplace Violence Prevention Policy University is committed to maintaining a campus free from intimidation and acts or threats of violent behavior Violent or threatening behavior includes, but is not limited to: Weapons in the UCLA Community Physically aggressive acts towards others Stalking Communicated threats of harm Intimidating behavior raising concern for personal safety Willful or intentional behavior which causes damage to property Suicide threats 32 CICARE: Professionalism and Communication David Geffen School of Medicine New Employee Orientation CICARE – Achieving Excellence Using The UCLA Operating System People & Performance Purpose THE UCLA WAY: Strategy Deployment Mission: Delivering leading edge patient care, education, and research Vision: Healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness Values: Compassion: Respect: Excellence: Discovery: Integrity: Teamwork: Commitment to Care: I will always keep my commitment to care, as I have been entrusted by patients, colleagues, and society (CICARE behaviors that link to values, and in turn, influence culture) Strategies / Value Streams: - Strategic Business Lines Goal Arenas: - People - Quality / Safety - Service Performance Performance Management and Improvement System: Putting the Patient / Education / Research First Respect the Individual by Removing Waste, Providing Resources Continuous Improvement to Seek Perfection, with Active Mgt Scientific Method / Evidence-Based / Innovation Every Time, Delivering Highest Performance with Stability Systemic Thinking to Understand Processes and Value Streams (Complex Coordinated Disease Intervention, Specialty Service Disease Intervention, Primary/Secondary/Coordinated Care) - Quality - Service - Coordinated Care - Value - Operations - Strategic Development - Finances “It is not enough to do your best; you must know what to do, and THEN do your best.” W. Edwards Deming—Quality Guru, 20th Century UCLA FPG - SUMMARY SCORES (2010 YTD) UCLA FPG - INDIVIDUAL ITEMS (2010 YTD) CICARE System Elements Hiring the right people – Talent Plus On-boarding – system and department level Specific training for service Reiterating expectations at every opportunity Patient Rounding and Observations at the supervisor, manager, director and executive levels Huddles and department meetings Service Recovery System Celebrate successes: individual and team rewards for exceptional quality, service and compassion Tracking performance of all the above in a linked fashion World Class Practices Phone Etiquette Courtesy Respect Professionalism World Class Practices: Making real and caring connections with patients, families and each other On every encounter: Connect with patients by addressing them as Mr./Ms. or by the name that they prefer Introduce yourself and your role Communicate what you are going to do, how long it is going to take, and how it will impact the patient Ask and anticipate patient needs, questions, or concerns Respond to patient questions or requests with immediacy Exit courteously and/or with an explanation of what will come next (what you will do for them next) World Class Practices Phone Etiquette Before answering the phone, discontinue conversations or activities that may be heard by the caller. Answer the phone within 3 rings. Give a greeting, identify your department, give your name, and offer assistance such as, “May I help you?” World Class Practices: Courtesy Eye contact, smiling, greeting Elevators Wayfinding Being aware of our voices “Professional” vs. “unprofessional“ behavior Respecting confidentiality Handling conflicts or disagreements Respecting the patient’s language Use of cell phones, MP3’s, and…. World Class Practices: Respect Privacy and dignity. Respecting the patient’s personal space before entering rooms and before examinations or procedures. Respecting the work of other departments or staff in our comments. Respect individual and cultural differences. World Class Practices: Professionalism Personal appearance Attendance Keeping our environment clean and safe. Keeping comments about UCLA colleagues positive and appropriate. Valuing Teamwork CICARE We want you to have the best healthcare experience possible. Please check the box “yes” or “no” next to each statement below to let us know how we are doing. Thank you! Yes No Did Our Team Member: Call you by your last name (Mr./Ms./Mrs.) or by the name you or your child prefer? Introduce himself /herself, and explain his/her role? Communicate with you in understandable terms? Ask permission before engaging or examining you? Respond to your requests and questions with courtesy and respect? Exit your visit courteously by explaining what would happen next? Compliment Form Form MD-CICARE MD-CICARE Committee Participants: Physician- Patient Communication Training Committee Members and Ad hoc Consultants Department Committee Member Position Associate Residency Program ED Mark Morocco, M.D. Director ED Scott Votey, M.D. Residency Program Medicine Tim Provias, M.D. Chief Resident Medicine Jan Tillisch Vice Chair Medicine Sam Lada, M.D. Faculty Medicine Lisa Skinner, M.D. Associate Program Director Medicine Kuo-Chiang Lian, M.D. Chief Resident Dean’s Office/ GME Neil Parker, M.D. Sr. Associate Dean Psychiatry Dr. Strouse Medical Director, NPH Neurosurgery Neil Martin, M.D. Chair Neurosurgery Eric Stiner, M.D. Resident Ad hoc Neurosurgery Mark Sedrak, M.D. Resident Ad hoc Pediatrics Rick Harrison, MD Pediatrics Medical Director Pediatrics Virginia Barrow, M.D. Residency Program Director Surgery Jonathan Hiatt, M.D. Vice Chair, Surgery Ob-Gyn Michael Johnson, M.D. Vice Chair, Clinical Affairs SMH Medical Staff Michael Herbst, M.D. Medical Director, SM-UCLA FPG Samuel Skootsky, M.D. Medical Director, FPG Hospital Admin. Amir Rubin Hospital System COO Patient Affairs Tony Padilla Director Patient Affairs Adrineh Poulatian Service Programs Coordinator MD CICARE Committee Representatives from Dean’s office, faculty, house staff and hospital administration Group deliberated on the nature of excellent physicianpatient communication and agreed on “basics” MD CICARE includes: Starting a consult Introducing one’s self and the care team “Hand-offs” following shifts, rotations Explaining role of the admitting and consulting services MD-CICARE Template Who We Are Your Safety at UCLA -David Geffen School of MedicineNew Employee Orientation 2012 Environment, Health and Safety 310.310.825.9797 Today’s Discussion UCLA Safety “Your Right to Know” Safety Tips Reporting Injuries Next Steps: Your Safety Training EH&S- Your Safety Partner Promote a safe & healthful environment to support research, education, patient care, and public service activities. If You Get Hurt on the Job Inform supervisor Get medical care Call Serious Injury Hotline (310)825-9797 if: Injury causes permanent disfigurement or loss of function Amputations, severe burns, severe lacerations Severe head injuries Hospitalization 911 Off campus call 911 On campus hard line - call 911 On campus with a cell phone call - 310-825-1491 Program it in your cell as EMERGENCY - UCLA Injury and Illness Prevention Program Communication Safety Inspections Hazard Correction Accident Investigations Safety Training Record Keeping Safety Rule Compliance Safety Communication Safety Manuals Safety Committees Safety Bulletin Boards Safety Communication Safety Signs Material Safety Data Sheets (MSDS) If You See a Fire Remove people from the immediate area Activate fire alarm, call 911 -cell (310)825-1491 Close any doors you can to contain it Extinguish, aim at base, sweep side to side Fire Extinguishers Class A: combustible materials Class B: flammable liquids Class C: electrical Class D: combustible metals (magnesium, sodium, lithium, & potassium) Class K: cooking oils Be Prepared! If you’re on fire Stop, drop & roll Eye/shower stations Within 10 seconds of every shop or lab Know where to go Exit route Meeting spot Earthquake Preparedness Anchor large items Store hazardous items Identify danger spots Windows Hanging objects Chemicals Participate in drills Practice duck, cover & hold An Ounce of Prevention UCLA Health Sciences Incidents 2010 Eye, 36 Back, 43 Needle Sticks, 118 Cuts, 52 Sprains, Strains & Bruises, 63 Over-use, 124 Slips, Trips & Falls, 66 Safety is Everyone’s Responsibility! Wear your Personal Protective Equipment (PPE) Comply with CDC sharp safety Keep Body parts out of the cutting path Complete your required training Preventing Slips, Trips & Falls Stairs Use handrails Keep 1 hand free Floors Check for wet floors Clean up spills promptly Watch where you are going If you’re texting, you’re not watching Preventing Musculoskeletal Injuries Back strains Over-use Use proper posture Avoid over-reaching Use the right tools Take breaks & stretch X Keeping Your Back Safe Staggered stance Keep it close Build a bridge Feet first Pivot, don’t twist Ask for help Plan your work, work your plan. Going Forward…. Follow safety guidelines Report problems early Injuryprevention@ehs.ucla.edu Next Steps: Your Safety Training Online Modules www.training.ucla.edu/ehs Ergo Evaluation www.ergonomics.ucla.edu -Thank You- Security Violence in the Workplace OVERVIEW 73 SECURITY Report suspicious activities/persons or request assistance from Security at x77100. Available 24/7. Escort Service: x77100 (Security Dispatch) Always wear your ID badge when on hospital property. After Hours Access: Reagan/Westwood & Resnick entrance, security checkpoint 9pm-6am Panic Alarms Keep secure or sensitive areas limited to auth. personnel Safety Tips: Be aware of your surroundings. Don’t bring valuables to work. Lock up all belongings. Park in well-lit area; don’t linger in parking structures. Stairwells: Building Core Stairwells = Communicating stairwells Unit/Pod/Tower Stairwells = Emergency Exit stairwells 74 OVERHEAD CODE PAGES Emergency overhead pages are used at the hospital to alert staff to potential emergency situations and to summon staff who are responsible for responding to specific emergency situations. CODE PINK CODE PURPLE CODE GRAY CODE SILVER Infant Abduction Child Abduction Abusive or Combative Person Person with Weapon/Hostage Situation 75 VIOLENCE IN THE WORKPLACE Staff Code of Conduct “SOM and the UCLA Hospital System strive to maintain an environment free from intimidating, disruptive, threatening, bullying and violent behavior.” Zero Tolerance 76 VIOLENCE IN THE WORKPLACE Response To Worse Case Scenario Plan Ahead Using Situational Awareness Always be mentally prepared Know your surroundings Pre-plan an exit Strategize to Survive an Active Shooter Event Get Out! ESCAPE Take Cover - Get behind something that will stop a bullet Hide and don't bunch up Play Dead LOOK FOR CHANCES TO ESCAPE 77 VIOLENCE IN THE WORKPLACE UCPD Dispatch: (310) 825-1491 Crime Prevention Officer: (310) 825-6111 CSO Escort Service: (310) 794-WALK Center for Women and Men: (310) 825-3945 Staff and Faculty Counseling Center (310) 794-0245 UCPD website: www.ucpd.ucla.edu L.A County District Attorney’s Office Victim Witness Assistance Program 78 Your UC Benefits 79 Health & Welfare Benefits Eligibility 80 Health and Welfare Benefits, Eligibility Employee: - Full Benefits: Assigned to work at least 50% time for one year or more - Mid Level Benefits: Assigned to work 100% time for less than one year - CORE: Assigned to work at least 43.75% – 99% time Dependents: Refer to Your Group Insurance Plans booklet for definition of Spouse, Domestic Partners, children, grandchildren, legal ward, & overage disabled child. NOTE: California is not a common law state. 81 Health and Welfare Benefits, Eligibility Special Note: UC Office of the President (UCOP) - may request documentation to verify eligibility of dependents - conducts annual random Family Member Verification audit of dependents 82 Health and Welfare Benefits, Eligibility 83 “Period of Initial Eligibility” (PIE) is a limited timeframe to enroll For new hires 31 days from hire date Usually 31 days from date of an eligible Family Status Change, e.g. marriage date, adoption of a child, etc. If PIE is missed – default coverage for employee Annual Open Enrollment to enroll or change plans HIPAA for late medical enrollment Medical Plans 84 Medical Plans Health Maintenance Organizations (HMOs) Kaiser, Health Net HMO, Health Net Blue & Gold Point of Service (POS): Anthem Blue Cross Plus Preferred Provider Organization (PPO): Anthem Blue Cross PPO Anthem Lumenos PPO w/Healthcare Reimbursement Account (HRA) Fee for Service: Core – Default Plan (Catastrophic Coverage) UC medical plans do not have pre-existing condition clauses. 85 Health Net HMO, Health Net Blue & Gold and Kaiser 86 Primary Care Physicians (PCP) coordinates all care; $15 office visit co-pay No claim forms nor deductible No coverage for Chiropractic care, nor Acupuncture PCP coordinates mental health benefits Provides 100% hospitalization / $250.00 co-pay on hospital admittance / $50.00 co-payment for ER (waived if admitted) Anthem Blue Cross, (PLUS) Point of Service - POS In HMO Network Out of HMO Network 87 Deductible $0 $500/$1500 OOP Maximum $1500 $5000/$15000 Office Visit $20/visit 30% Hospital Inpatient $250/admit 30% Outpatient Surgery No co-pay 30% X-Ray/Lab No co-pay 0% Home Health No co-pay 30% Chiropractic* $20/visit Not covered Acupuncture* $20/visit Not covered * Requires self-referral to network providers Anthem Blue Cross, Preferred Provider Organization - PPO In PPO Network/Out-of-PPO Network 88 Deductible $250/$750 $500/$1500 OOP Maximum $3000/$9000 $6000/$18000 Office Visit 20% 40% Hospital Inpatient 20% 40% Outpatient Surgery 20% 40% X-Ray/Lab 20% 40% Home Health 20% 40% Chiropractic 20% 40% Acupuncture 20% 40% Anthem Lumenos, Preferred Provider Organization – PPO w/ HRA In PPO Network/Out-of-PPO Network 89 Deductible Subject to coverage level OOP Maximum Subject to coverage level Office Visit 20%* 40%* Hospital Inpatient 20%* 40%* Outpatient Surgery 20%* 40%* X-Ray/Lab 20%* 40%* Home Health 20%* 40%* Chiropractic 20%* 40%* Acupuncture 20%* 40%* *After HRA and member responsibility has been met Lumenos – Benefit Level Summary Level HRA Deductible Employee $1,000* $1,700 OOP Max. In/Out $5,000 EE + Adult $1,500* $2,550 $7,500 EE + Child(ren) $1,500* $2,550 $7,500 EE + Family $2,000* $3,400 $10,000 ($700) ($1050) ($1050) ($1,400) OOP Max includes the Total Deductible. * 90 Prorated for mid-year enrollments. (Anthem) CORE Medical Catastrophic fee-for-service medical coverage $3,000 annual deductible 20% coinsurance Annual out-of-pocket maximum $7,600, then plan pays 100% of eligible costs for remainder of calendar year No preventive or mental health benefits Requires claim forms Worldwide coverage 91 UCLA Medical Group 92 Call 1-800-UCLA MD1 Is the doctor you want open for new member enrollment? Contact the insurance company to obtain the Physician/Medical Group ID Number Prescription Drugs Pharmacy 30-day supply: Anthem Plus & PPO Generic $10.00 Brand $25.00 Non Formulary $40.00 Health Net Kaiser $ 5.00 $ 5.00 $20.00 $20.00 $35.00 N/A Mail-In 90-day supply: Anthem Plus & PPO Generic $20.00 Brand $50.00 Non Formulary $80.00 Health Net Kaiser $10.00 $10.00 $40.00 $40.00 $70.00 N/A Note: After deductible is met, Lumenos and Core members pays 93 coinsurance until OOP is met. Behavioral Health Benefits United Behavioral Health Anthem 94 Blue Cross PLUS Anthem Blue Cross PPO Anthem Lumenos PPO with HRA HealthNet HealthNet Blue & Gold Kaiser First 3 visits require no member co-pay (excluding substance abuse outpatient treatment) 888-440-8225 Dental Plans, www.deltadentalca.org 95 Delta Dental PPO 96 Premium paid by UC Worldwide coverage -- may use any dentist Maximize benefits with Delta dentists $1,500 annual maximum benefit Preventive dentistry covered in full 100% Other services you pay $50 deductible and coinsurance of 25% to 50% of charges DeltaCare USA 97 Premium paid by UC Must use PMI dentists only (except in emergencies) California network only No annual maximum benefit Preventive dentistry covered in full 100% Co-pays required for Basic dentistry Vision www.vsp.com 98 Vision Service Plan - VSP Premium paid by UC One exam per year; higher benefits with Choice network providers Prescription Glasses ($130 frame allowance): One set of lenses per year One set of frames every 2nd year $10 co-pay on exam; $25 co-pay on prescription glasses Cosmetic contact Lenses ($110 lens benefit): Contact lens benefit in lieu of glass lenses $10 co-pay on exam Costco – VSP Affiliate Provider (can bill VSP) 99 $70 Frame allowance/normal lens allowance $40/$60/$80 single/bifocal/trifocal lenses Disability Insurance 100 Short Term Disability 101 UC employees DO NOT participate in California State disability nor Paid Family Leave UC pays entire premium for Short-Term Disability Basic coverage for disabilities not related to work Pays 55% of monthly salary up to $800/month maximum (taxable) Maximum of 26 weeks Waiting period 7 calendar days (will assume supplemental disability waiting period) Supplemental Disability Employee pays cost that is based on age, salary & wait period Benefit: First 12 months, 70% 12 months+, 70% if offsets apply (e.g. Social Security, UCRP Disability, Workers’ Comp, etc.) 50% if offsets do not apply $100/month minimum benefit (up to age 65 if disabled prior to age 60) Maximum monthly benefit, combined with other sources, up to $10,000 Wait period of 7, 30, 90, or 180 days 102 Life Insurance and AD&D 103 Life Insurance and AD&D UC offers a variety of Life Insurance and Accidental Death & Dismemberment insurance for you and your family members Please refer to “Your Group Insurance Plans” booklet or At Your Service website for coverage levels and costs Designate beneficiaries at UC At Your Service website; click on Your Benefits Online then log in Note: If you enroll in Supplemental Life Insurance, or Dependent Life Insurance, during your PIE, there are no pre-existing conditions 104 ARAG Legal Plan Administered by ARAG Group - 800-828-1395 or http://members.araggroup.com/ucop Refer to “Your Group Insurance Plans” booklet for details Only available to new employees Domestic, consumer, misdemeanor defense, IRS, and major trial representation Online Directory of Participating Attorneys Monthly Premium Rates: Self - $10.02, Self & Child(ren) - $13.78, Self & Adult - $13.78, Self, Adult & Child(ren) - $15.03 105 Pre-Tax Flexible Spending Accounts, Conexis 106 Health & DepCare Flexible Spending Accounts 107 Set aside pre-tax dollars to pay for eligible Medical, Dental & Vision expenses. OTC medications require prescriptions; OTC medical supplies are eligible. You may set aside pre-tax dollars for Daycare expenses Refer to Health & DepCare FSA booklets for more details Coverage is effective on the first of the month following the month of eligibility (subject to pay compute deadlines) Health & DepCare FSAs 108 Enrollment allowed upon initial hire; during annual Open Enrollment period, or within 31 days of a Family Status change IRS imposed “use it or lose it” accounts Eligible expenses must be incurred between January 1 thru March 15 of following year, while actively employed Positive Re-Enrollment required annually during Open Enrollment Health & DepCare FSAs Health FSA Annual Maximum $5000 per person (last year; 2013 = $2,500) 109 Health FSA Annual minimum $180 per person Debit Card convenience DepCare FSA Annual Maximum $5000 per household, or $2500 if married but filing a separate income tax return Does not have Debit Card convenience Work Life Benefits (subject to HEERA) Stay Well (Premium paid by UC) Wellness initiation program Incentive: $100/employee, $50/spouse-d.p. Deadlines: June 15, 2012 – Health Assessment December 15, 2012 – Follow-up Activity Sittercity (Premium paid by UC) Provider service website Nannies, babysitters, eldercare, pets (walkers/care), tutors and housekeepers Participant 110 responsible for all hiring arrangements and payments for services www.sittercity.com/universityofcalifornia http://atyourservice.ucop.edu Enroll Online at UC At Your Service 111 UC Retirement Plan – UCRP pension plan 112 UCRP Membership automatic based on appointment Full-benefits position at 50% or more for one year or more First day of the month following 1000 eligible hours on pay status within rolling 12 month period in eligible position Vested after 5 full years of UCRP service Earliest retirement age is 50 Defined Benefit Plan. Pension determined by three factors: Age Factor at Retirement x UCRP service credit x HAPC (Highest Average Plan Compensation) Member contributions required (normal) 3½% - $19/mo. starting July, 2011 (UC = 7%) 5% - $19/mo. starting July, 2012 (UC = 10%) 113 UCRP Age Factors 114 UC Retirement SaVings Program (UC RSVP): DCP, 403(b) and 457(b) 115 UC RSVP: DCP, 403(b) and 457(b) Record keeping and transactions administered by Fidelity Retirement Services Fidelity online at www.netbenefits.fidelity.com, click on New User Registration, or call 1-866-682-7787 Must establish PIN# with Fidelity May invest contributions in: - 116 UC Core Funds, Fidelity Mutual Funds, Calvert Mutual Funds, Vanguard Funds and one Dimensional Fund DCP Mandatory Pre-Tax Employee Contributions: Limited Appointment employees during 1000 qualifying hours pay 7.5% to the DCP Safe Harbor and 1.45% to Medicare. No OASDI taxes. Contributions automatically invested in UC Savings Fund. To redirect contribution to another investment fund contact Fidelity. Voluntary After-Tax Contributions 100% up to $50,000 year max., worksheet required Contributions are after-tax, earnings and interest are pre-taxed. Early age distribution penalties apply. 117 403(b) & 457(b) Voluntary pre-tax savings plans. Can enroll anytime. No employer matching contributions. 2012 annual contribution limit to each: $17,000 if under age 50 $22,500 if age 50 or over. Enroll by contacting Fidelity. May concurrently contribute to both 457(b) and 403(b) plan. 403(b) has a loan feature; money can be withdrawn while employed if age 59½ or older. 457(b) does not have early age distribution penalties (except on monies rolled into the plan). 118 Online References http://atyourservice.ucop.edu - designate Life Insurance and AD&D beneficiaries - view New Employee Orientation video - look up health & welfare plan info. - find a Primary Care Physician - run a UCRP pension estimate www.netbenefits.fidelity.com - UC RSVP enrollments, balances and transactions - designate UC RSPV beneficiaries - may call Fidelity at 1-866-682-7787 - must establish a Fidelity PIN# 119 Welcome to the UCLA family! 120 Infection Control Contact Information and Video Department of Epidemiology Management of Bloodborne Pathogen Exposure, UCLA WW Management of Exposure Site: Wound and skin: wash with soap and water Mucous membrane: flush with water No evidence supporting expressing fluid or using antiseptic 7:30 a.m. – 5:30 p.m. weekdays: Go directly to OHF, 67-120 CHS or Page 93333 After hours, weekends, holidays: Go to Emergency room and follow up next work day in OHF Bring source name and hospital ID number Dept. of Epidemiology Numbers and Websites Office: 40187 Fax: 40195 Director: David Pegues MD X 52456 ICP: Dana Russell: ICP: Teresa Zaroda: Pager 90339 Administrative Analyst: Carlos Acosta On Call pager: 94040 To access Infection Control Policies: http://www.mednet.ucla.edu/ http://infectioncontrol.mednet.ucla.edu/