Harborview & UW Medical Center New Employee Orientation Workbook March 1, 2016 Contact your NEO Facilitator: Jana Wittrock, PHR New Employee Orientation Specialist UW Medicine Health System Human Resources Organization Development and Training (OD&T) Email: wittrock@uw.edu Box: 359422 New Employee Orientation Agenda 7:00-7:45 Check-in & Badging Photos 7:45-8:00 Welcome & Logistics 8:00-8:45 Welcome & Introduction to UW Medicine 8:45-9:30 Patient Safety 9:30-9:45 Break 9:45-10:30 Do the Right Thing: Respectful Culture 10:30-11:30 Do the Right Thing: Compliance/IT Security 11:30-12:30 Lunch 12:30-1:00 Safety: Workplace Violence Prevention 1:00-1:30 Safety: Infection Prevention 1:30-2:00 Safety: Environment of Care 2:00-2:05 Patient Story 2:05-2:20 Break 2:20-2:40 Benefits 2:40-3:10 HR/Payroll 3:10-3:25 Marching Orders 3:25-4:00 Unions (non-union employees start Module Fair) 3:25-4:45 Module Fair Rev. 10.29.14 Table of Contents Page # Agenda Table of Contents Pamphlets 1-6 New Employee Checklist 7* General Harborview Resources / Contact Info 8* General UWMC Resources / Contact Info 9-10 Benefits Information (also see separate yellow manilla benefits packet) 11-12* Privacy, Confidentiality, and Information Security Agreement 13-14* Immunization History Form 15 Set up your accounts 16 Review your Union Labor Contract 17 Harborview: Learn about the Intranet & APOPS 18 UWMC: Learn about the Intranet & APOPS 19-20 21* Required HIPAA and Corporate Compliance Training Instructions Health Sciences Shuttle Schedule effective January 2015 23-29 Cool Perks for UW Employees 30-31 Saving Money - UW Discount Program 33 Welcome to UW Medicine 35-42 UW Medicine, Harborview, UW Medical Center & Neighborhood Clinics Fact Sheets 43-44 Organization Charts 45 UW Medicine Patients Are First Approach 46 Pillar Goals 47 Service Culture Guidelines 48 AIDET Yellow pages require ACTION * Indicates pages that are perforated for easy removal Rev. 9.15.2015 Page # 49 The Patient Experience 51 Patient Safety 52 2015 National Patient Safety Goals 53 Do the Right Thing: Promoting a Respectful Culture 55-61 Diversity, Cultural Competence, Preventing Sexual Harassment & Spiritual Care 63 Do the Right Thing: Compliance & IT Security 65* Roles & Responsibilities 67-68* Regulatory Healthcare Environment Summary 69-70* Resources 71-80 Compliance & IT Security Information 81 83-86 87 89-93 95 97-100 Safety: Workplace Violence Prevention Components of Workplace Safety, Safe Campus, Code Silver Response Safety: Infection Prevention Resources/contact information, Hand Hygiene, PPE, Precautions, Blood Borne Pathogens Safety: Environment of Care Codes, Fire Safety, Evacuation, Disaster Preparedness, Waste Management, Hazardous Materials, Asbestos, Radiation Safety, MRI Safety, Clinical Engineering, 101 Human Resources & Payroll 103 HR Contact info & Employee Self-Service 105 Employment Type/Classification 106 Payroll & Timekeeping 107 Exception Pay Schedule 108 Schedule Hours 108-109 Leave Last page* NEO Evaluation Inside Back Husky Card Info/Map Cover Back Cover Module Fair Schedule & Instructions Yellow pages require ACTION * Indicates pages that are perforated for easy removal Rev. 9.15.2015 Pre-made Pocket Page front Pre-made Pocket Page back NEW EMPLOYEE CHECKLIST Before New Employee Orientation (NEO) □ Discuss the following with your manager as soon as possible: Ask your manager to refer to the New Employee Checklist that was attached to your electronic hire letter email. □ 1. Benefits Orientation options Choose a Benefits Orientation date if attending an in-person orientation is the best option for you and your department. Benefits orientations take place most Mondays in the UW Tower Auditorium from 8:30-12:00. Use your NetID to register for an in-person benefits orientation or your manager can register on your behalf by sending an email to benefits@uw.edu. More information on NetID account set-up is located in the “At NEO” section of this document. You may also complete an online Benefits Orientation by following the link below. → Benefits Orientation info: http://www.washington.edu/admin/hr/roles/newee/benorient/index.html □ □ □ □ 2. Schedule a) Confirm the orientation schedule that is outlined in your hire letter with your manager b) Make sure you know when/where to report on your first day of regular work following your scheduled orientation(s) 3. Hire letter a) Ask your manager any questions you may have regarding your hire letter b) Identify your employment classification. Classification determines the rules of your employment including leave eligibility, benefits eligibility and how you will be paid c) Understand whether or not your position is governed by a bargaining contract (i.e. union contract) and what that means for your role 4. First payday and “Exception Pay” a) Make sure you understand when you will receive your first pay check, how your pay will be calculated. (i.e. salary vs. hourly etc.) and approximately how many hours for which you can expect to be paid based on your first day of work b) Ask about “exception pay” and if/how it applies to you in your role. Note: All pay for employees in the “hourly” employment classification (see hire letter) is “exception pay” and will be paid according to the “exception pay schedule” 5. Professional Image Policy a) Our Professional Image Policy requires Business Casual Attire (e.g. no blue jeans, tank tops, or flip flops) and excellent personal hygiene. Ask your manager about how the Professional Image Policy will apply to you in your department/role □ Gather required documentation to bring to NEO. □ The I-9 Employment Eligibility Verification Form must be completed within 3 days of hire You will need to provide proof of your eligibility to work in the United States at NEO. Your documents must be unexpired. For a list of acceptable documents, see page 9 of the PDF link below. → I9 form: http://www.uscis.gov/files/form/i-9.pdf □ Complete the Health History Form (attached in your hire letter) and gather documentation of any vaccines or bloodwork showing immunity to the diseases below (to bring to NEO): Documentation required proving the following immunities within 10 days of hire: Hepatitis B Mumps Chickenpox Tuberculosis Measles Rubella Tdap Influenza Revision 2.29.2016 1 □ Start thinking about your commute with UW Transportation Services Get personalized commute planning assistance, information about your options, and answers to all your commuting questions in person at the University Transportation Center (New Location:1320 NE Campus Parkway, Seattle, WA 98105), over the phone at (206) 221-3701, online (see below), or by email (ucommute@uw.edu). Note: You will not be able to obtain a Husky Card which is required for the UPass program or to purchase transportation/parking products until your employment actually begins. The UPass program is the University of Washington’s subsidized public transportation program. A photographer will be available during check-in before NEO to take your Husky Card photo if applicable. → UW’s Commute Concierge (Link works best in Google Chrome): http://www.washington.edu/facilities/transportation/commute-concierge □ Start learning about your benefits package You will receive a benefits packet (including forms) at NEO. Even if you plan to attend an in-person benefits orientation, it is a good idea to start learning about your benefits options before you attend so you will be prepared to asked informed questions. → Benefits summaries: http://www.washington.edu/admin/hr/benefits/benefits-summaries.html → Benefits Orientation Packets: http://www.washington.edu/admin/hr/roles/newee/benorient/packets.html □ Prepare for NEO □ □ Bring Photo ID and required documentation for I-9 and Employee Health (see above) Decide how you will get to NEO → UW Tower Auditorium: 4333 Brooklyn Ave NE, Seattle, WA 98195 → Getting here: http://www.washington.edu/facilities/uwtower/getting-here Plan to arrive a little early. The Auditorium will open at 7:00 am. If you arrive before 7:00, you are welcome to wait in the cafeteria located just around the corner from the Auditorium. Check-in, badge photos and light refreshments (i.e. coffee, tea, & pastries) will be available in the Auditorium from 7:00 am- 7:40 am. Official, required content begins at 7:45 am. □ Prepare for badge and Husky Card photos (do your hair ) Our Professional Image Policy requires Business Casual Attire (e.g. no blue jeans, tank tops, or flip flops). If you miss photos in the morning, please work with your supervisor or manager to obtain your badge/Husky Card at your Medical Center’s badging office. → HMC ID Badge/Parking Office: HMC 8CT68, 206-744-3254, M-F 7:00-4:30 → UWMC Public Safety Office: UWMC BB120 (near the Plaza Café), 206-598-5275, M-F 7:30-4:30 □ Bring a sack lunch or money to purchase lunch in the U-District. Fridges/microwaves and open seating are available in the UW Tower Cafeteria for those who prefer to bring their own lunch. For those who would prefer to purchase lunch, there is a small café offering soups/sandwiches in the Tower Cafeteria. There are also several excellent and affordable restaurants located within a few blocks of the UW Tower. Yelp.com is a great tool for exploring options. Revision 2.29.2016 2 NEW EMPLOYEE CHECKLIST At New Employee Orientation (NEO) Or as soon as possible unless otherwise specified. Most tasks in this section will be completed during the afternoon Module Fair portion of NEO. □ Obtain Medical Center ID Badge & Husky Card ID Badges must be worn at all times while on Medical Center Property. They should be worn above the waist and in close proximity to your face so patients, visitors, medical staff, and the general public can clearly identify you, your name, and your job title or position. Husky Cards are typically issued to Professional, Classified and Fixed Duration Appointment (FDA) employees. (Hourly employees do not need a Husky Card as Husky Card is not required for the Temporary UPass Program.) You must get your Husky Card BEFORE you sign up for UPass (UW's Public Transportation option). Call the Husky Card Office with questions or regarding eligibility: 206-543-7222 or visit the husky card website: https://www.hfs.washington.edu/huskycard/Default.aspx?id=350. → At NEO: Photographers will be available from 7:00 am-7:40 am badges and husky cards distributed in the afternoon → HMC ID Badge/Parking Office: HMC 8CT68, 206-744-3254, M-F 7:00-4:30 → UWMC Public Safety Office: UWMC BB120 (near the Plaza Café), 206-598-5275, M-F 7:30-4:30 → Husky Card Office @ Odegaard Undergraduate Library: Red Square See Map: back inside cover of workbook □ Meet with Union (if applicable: check your hire letter or NEO nametag) → WFSE, SEIU 925 or 1199NW: All Closed Shop unions require membership as a condition of employment. Meet with your Union Steward or Representative during the NEO module fair or at your work site to help you fill out your Dues Deduction Form and learn about your union. → WSNA: After meeting with your WSNA Steward or Representative, decide whether or not you want to join WSNA. If you want to join the union, fill out a Dues Deduction form during the NEO Module Fair. If you want to "opt out" of the union, write a letter of declination. Turn in a copy of your letter to HR and your union. If you have questions, talk to your union steward during the NEO module fair or call HR. Your union steward is Ed Zercher, 206-575-1908, ext. 3022. □ Meet with Employee Health At New Employee Orientation, you will have the opportunity to meet with an Employee Health nurse. During your interview Employee Health will: 1. 2. 3. Review your documentation Provide Tuberculosis screenings Provide you with an action plan to help you complete your outstanding requirements. → NEO Module Fair: Employee Health Station Revision 2.29.2016 3 □ Complete the I-9 Employment Eligibility Verification Form (must be completed within 3 days of hire) Show proof of your eligibility to work in the United States at New Employee Orientation (NEO). If your first day falls on a nonNEO day, visit your HR office. Your documents must be unexpired. For a list of acceptable documents, see page 9 of this link: http://www.uscis.gov/files/form/i-9.pdf → At New Employee Orientation or in the HR Office → Harborview Medical Center (HMC) HR Office: PS2100, 206-744-9220 → UW Medical Center (UWMC) HR Office: BB150, 206-598-6116 □ Plan your commute → UW’s Commute Concierge service (Link works best in Google Chrome): Get personalized commute planning assistance, information about your options, and answers to all your commuting questions in person at the University Transportation Center (1320 NE Campus Parkway, Seattle, WA 98105), over the phone at (206) 221-3701, via email (ucommute@uw.edu) or online at http://www.washington.edu/facilities/transportation/commute-concierge. → Harborview Parking Office: HMC 8CT68, 206-744-3254, M-F 7:00-4:30 → UWMC: University Transit Center (New Location): 1320 NE Campus Parkway, Seattle, WA 98105; 206-221-3701; M-F 7:30-5:00 □ Set up your Login Accounts (At NEO, nursing orientation, or independently) For more information about these two login accounts, please see pg. 15 of your NEO workbook. If you would like to change your UW username/login ID, please wait 2 weeks after NEO and then call 206-221-5000. This will help avoid disruption during your training. □ 1. Set up Your UW NetID Login Account (If you already setup a UW NetID as a past student or employee, and you remember your username you can skip this step, even if you don’t remember the password. If you have never set-up a NetID or if you don’t remember your username follow these steps to have it displayed to you.) 1. Visit https://uwnetid.washington.edu/newid 2. Select “I have a UW NetID but no password” and click [Next>] 3. Select “UW Medical Centers Personnel” and click [Next>] 4. Provide required personal information, and then follow the onscreen instructions to set your UW NetID password, security questions, and UW Email (If you receive the error message stating that the information you provided does not match our records try using the PAC code included in your hardcopy offer letter. Go back to the Confirm your Identity screen, select “UW Faculty, Staff, Retiree or Affiliate Employee”, and follow the onscreen instructions. You will also need to contact your Manager to ensure they have requested a UW Medicine account for you.) □ 2. Set up Your UW Medicine Login Account 1. Visit http://myuw.washington.edu 2. Click “Log in with your UW NetID” 3. Log in with your UW NetID, if you are unable to login, contact UW-IT at 206-221-5000 4. Click “Change your UW Medicine password now”, located in the UW Medicine Computing Services section (If you do not see the UW Medicine Computing Services section you will need to contact your Manager to ensure they have requested this account for you) 5. Log in with your UW NetID at the UW Medicine Password Portal 6. Confirm your identity by checking the box next to your name and clicking [Next] 7. Follow the onscreen instructions to set your UW Medicine password Revision 2.29.2016 4 NEW EMPLOYEE CHECKLIST After New Employee Orientation (NEO) □ Complete New Hire forms online (NetID required) (as soon as possible) →Complete items 1-3 below via Employee Self Service (ESS): http://www.washington.edu/admin/payroll/ess/ess.cgi □ □ □ □ 1. Employee Contact Information (Address tab) Make sure to provide your local address and emergency contact information. This is where Benefits will send your eligibility letter. 2. Direct Deposit (Direct Deposit tab) You will need your Bank Account & Routing Number. 3. W4 (Taxes tab) Enter the number of allowances you will claim. This number will affect your tax withholding. 4. Affirmative Action Data Form This information will be kept confidential and will be maintained separately from your employment materials as required by law. → https://prp.admin.uw.edu/AffirmativeAction/UWNetID/AAForm.aspx □ 5. Prior Service Credit Form (only if you have worked for the State of Washington before) If you have worked for the State of Washington before, you may be eligible to reinstate previously accrued sick leave and/or reinstate your prior annual leave accrual rate. Read and follow the instructions at the link below. Contact HR with questions. → http://www.washington.edu/admin/hr/roles/mgr/leaveholiday/prior-service.html □ Read/Sign “Privacy and Confidentiality Security Agreement” (first day in your department) Located on pg. 11 (yellow perforated form) in your NEO workbook. Turn this in to your manager on your first day of regular work. An electronic copy can be found on the UW Medicine Compliance Website: → http://depts.washington.edu/comply/privacy.shtml → Policy # PP-04: Attachment A □ Read/Sign Integrity at Work Booklet (first day in your department) Located in the pocket folder of your NEO workbook. Turn it in to your manager on your first day of regular work. An electronic copy can be found on the UW Medicine Compliance Website: → HMC: http://depts.washington.edu/comply/docs/HMC_Integrity_at_Work.pdf → UWMC: http://depts.washington.edu/comply/docs/UWMC_Integrity_at_Work.pdf □ Visit Employee Health & meet requirements (within 10 days of employment) □ Complete action items specified by Employee Health at NEO. → Harborview Employee Health Office: 1EC21, 206-744-3081, M-W 7:15-5:00, Th-F: 7:15-4:30 → UWMC Employee Health Office: NE210 (near the Emergency Department), 206-598-7971, M-F 7:30-4:30 Revision 2.29.2016 5 □ Complete a benefits orientation (within 30 days of employment) □ □ EITHER register/attend In-person orientation via the link below (NetID required) OR complete online orientation via the link below → Benefits Orientation info: http://www.washington.edu/admin/hr/roles/newee/benorient/index.html □ Choose Benefits options (within 30 days of benefits eligibility) Open any physical mail you receive from the Benefits Office and take immediate action. Contact the Benefits Office directly with any questions regarding benefits eligibility, coverage, or forms at 206-543-2800. You can turn your forms in by physically dropping them off at the Benefits Office, or by sending them via US Mail. Take a picture or make a copy! → Benefits Information: http://www.washington.edu/admin/hr/benefits/index.html □ Take online HIPAA and Corporate Compliance training (within 60 days of employment) Most employees are automatically registered for training via the Learning Management System (LMS). Follow the role specific instructions on pg. 19 (yellow) of your NEO workbook. If you have trouble or questions, your manager should contact the UW Medicine Compliance Office by emailing trgcomp@uw.edu. → Departmental Workstation: Your manager will provide time and space for you (at work) to complete this mandatory training. It takes most people around 3-4 hours to complete all required modules. □ Review Administrative Policies and Procedures (APOPs) with manager □ Discuss: 1. Professional Image Policy, Inclement Weather Policy, Social Networking Policy, Smoke/Tobacco Free Policy, and Professional Conduct Policy 2. Are there other important APOPs for your department? 3. Learn how to find APOPs on the Intranet → Via the Intranet which is the homepage on Medical Centers workstations. See pages 17-18 (yellow) in your NEO workbook → HMC: https://hmc.uwmedicine.org/sites/Policiesprocedures/Pages/Policyhome.aspx → UWMC: https://uwmc.uwmedicine.org/sites/policiesprocedures/pages/default.aspx □ Review UW Medicine Patients Are First Website with your manager □ Discuss: Pillar Goals, Service Culture Guidelines, Key Words at Key Times (AIDET) → The UW Medicine Patients Are First website: https://depts.washington.edu/pts1st Revision 2.29.2016 6 I should contact: My Question is about: My Pay Scale My New Hire Paperwork My Paycheck or Benefit Balances Am I a Nurse? YES Nursing Personnel/ Recruitment 744-9241 NO Human Resources 744-9220 Departmental Timekeeper (check with manager) OR Payroll Services 744-9280 Parking or My UPASS Bus Pass Parking & Commuter Services 744-3254 My TB Test, Flu Shot Immunization Records Employee Health 744-3081 My Union Membership My Benefits (Medical, Dental, Retirement, etc.) OR Your Union Steward Labor Relations laborrel@uw.edu UW Benefits Office http://www.washington.edu/admin/hr/benefits/ Employee Self-Service: https://prp.admin.washington.edu/ess/uwnetid/ 7 home.aspx 543-2800 221-5000 My Pay Scale My New Hire Paperwork My Paycheck or Benefit Balances Am I a Nurse? YES Nursing Personnel/ Recruitment 598-4480 NO Human Resources 598-6116 Departmental Timekeeper (check with manager) OR Payroll Services 598-7636 Parking or My UPASS Bus Pass Parking & Commuter Services 221-3701 My TB Test, Flu Shot Immunization Records Employee Health 598-4848 My Union Membership My Benefits (Medical, Dental, Retirement, etc.) OR Your Union Steward Labor Relations laborrel@uw.edu UW Benefits Office http://www.washington.edu/admin/hr/benefits/ Employee Self-Service: https://prp.admin.washington.edu/ess/uwnetid/ home.aspx 8 543-2800 221-5000 Important Notice to All: Take Action Within 30 Days Go to Employee Self-Service As you begin your career at UW, we are excited to be one of the first to welcome you to the community. There is much to discover here and we hope your employment and experience is rewarding! Employee Self-Service (ESS) is where you manage your personal information, direct deposit options, and insurance details. You’ll also find your earnings statements, retirement savings, vacation and leave accruals, and tax forms in ESS. Once you become eligible for benefits, you will receive a Benefits Eligibility Letter at your home address. Read the letter carefully as it provides certain “enrollment windows” within which you must complete and return enrollment forms, or you will lose certain benefit rights. Your department administrator will assist you in setting up your UW NetID. Make sure you log in to ESS with your UW NetID to verify your home address and complete your tax documentation. Don’t miss these important steps! Tip: Regardless of the actual deadlines listed on the back, we recommend that you return ALL forms within 30 days from your benefits eligibility date. ESS: myuw.uw.edu Click “Log in with your UW NetID.” In Quick Links, choose “Employee Self-Service.” Attend an Employee Benefits Orientation Sign up for “My Account” at PEBB Learn important details about all the benefits available to you by attending an Employee Benefits Orientation, held most Mondays at the UW Tower. Register via UW Benefits’ web calendar at: uw.edu/admin/hr/benefits/events/eventscalendar.html After you’ve verified your personal information in ESS, visit the Public Employees Benefits Board (PEBB) portal to set up your PEBB account: hca.wa.gov/pebb During this orientation, a UW Benefits representative will cover each piece of your comprehensive benefit program. You will receive a packet with various booklets and forms, and there will be time for your questions. The University also offers an array of optional benefits programs: auto and home insurance, the voluntary investment program, and more. Explore your host of benefits starting here: uw.edu/admin/hr/benefits/ See Forms Checklist & Deadlines Choice and flexibility characterize the UW Benefits Program. Your benefits are an important part of your total compensation package and we hope you take full advantage of the options available to you. We wish you the very best in your career at UW! Forms Checklist 9 Quick Tip: Return ALL forms within 30 days from your benefits eligibility date – and you’re done! Return within 30 Days (for Academic Staff and Professional Staff) Retirement Plan Election Form(s) Return within 31 Days of PEBB Benefits Eligibility Medical/Dental Enrollment Form and, if applicable: Valid Dependent Verification Documents (must be written or translated into English) See list of required documents to enroll a spouse, qualified domestic partner, and/or a child: hca.wa.gov/pebb/Pages/dependent.aspx Premium Surcharge Attestations (required) at hca.wa.gov/pebb/Pages/surcharges.aspx Qualified Domestic Partnership Tax Status Form Long Term Disability Enrollment Form - required Flexible Spending Account (FSA) - optional Dependent Care Assistance Program (DCAP) - optional Return within 60 Days of PEBB Benefits Eligibility Life Insurance Enrollment Form and, if applicable: Evidence of Insurability Form Required only if applying for life insurance amounts in excess of guaranteed issue limit. (UW must complete the Agency portion—return the form to the Benefits Office, not the insurance company.) SmartHealth Wellness Program Attestation Required in order to be eligible for a wellness incentive. Return within 90 days of hire (Contract Classified, WPRB, and Per Diem Staffs) PERS 2/3 Enrollment Form PERS Beneficiary Designation Form Mail directly to: Department of Retirement Systems, PO Box 48380, Olympia, WA 98504-8380 Additional Optional Forms – No Due Date Voluntary Investment Plan (VIP) Enrollment For enrollment instructions, visit: uw.edu/admin/hr/benefits/retirement/vip Liberty Mutual Auto/Home Insurance Return form directly to Liberty Mutual. Where to find forms: Forms are available here: uw.edu/admin/hr/benefits/forms/ Where to send forms: Before you turn in completed forms, be sure to save copies for your future reference! Send completed forms via inter-departmental mail to Benefits Office, Campus Mailbox 359556 unless otherwise indicated. Faxed or scanned forms are not accepted. You may also drop them off in person during regular business hours. See uw.edu/admin/hr/benefits/contacts.html Note: Forms are considered delivered when received at the UW Benefits Office, not when postmarked so be sure to allow sufficient delivery time. 10/2014 10 PP-04 Attachment A Rev. 1/30/2014 Workforce Members Privacy, Confidentiality, and Information Security Agreement For Patient, Confidential, Restricted and Proprietary Information All UW Medicine workforce members (including faculty, employees, trainees, volunteers, and other persons who perform work for UW Medicine) are personally responsible for ensuring the privacy and security of all patient, confidential, restricted, research data, student information or proprietary information to which they are given access (referred to throughout this document as protected information). I understand and acknowledge the following: Policies and Regulations: I will comply with UW and UW Medicine policies governing protected information. o Privacy: http://depts.washington.edu/comply/privacy.shtml o Information Security: https://security.uwmedicine.org/guidance/policy/default.asp I will report all concerns about inappropriate access, use or disclosure of protected information, and suspected policy violations to UW Medicine Compliance (206-543-3098 or comply@uw.edu). I will report all suspected security events and security policy violations to the UW Medicine ITS Security team (https://security.uwmedicine.org/incident_response/default.asp) and my IT support desk. Confidentiality of Information: I will access, use, and disclose protected information only as allowed by my job duties and limit it to the minimum amount necessary to perform my authorized duties. I understand that my access will be monitored to assure appropriate use. I will maintain the confidentiality of all protected information to which I have access. I will only discuss protected information in the workplace for job-related reasons, and will not hold discussions where they can be overheard by people who have neither a need-to-know nor the authority to receive the information. I will keep patient information out of view of patients, visitors, and individuals who are not involved in the patient’s care. I will use UW Medicine resources, including computers, email, photographic, video, audio or other recording equipment only for job-related duties or under conditions expressly permitted by applicable institutional policy or law. I will keep protected information taken off site fully secured and in my physical possession during transit, never leaving it unattended or in any mode of transport (even if the mode of transport is locked). I will only take protected information off site if accessing it remotely is not a viable option. Computer, Systems, and Applications Access Privileges: I will only access the records of patients for job-related duties. I will not electronically access the records of my family members, including minor children, except for assigned job-related duties. This also applies in cases where I may hold authorization or other legal authority from the patient. I will protect access to patient and other job-related accounts, privileges, and associated passwords: o I will commit my password to memory or store it in a secure place; o I will not share my password; o I will not log on for others or allow others to log on for me; I will not use my password to provide access or look up information for others without proper authority. I am accountable for all accesses made under my login and password, and any activities associated with the use of my access privileges. o 11 PP-04 Attachment A Rev. 1/30/2014 I will only use my own credentials in accessing patient accounts and/or systems as provided to me for my job duties. I will not forward my email account or individual work-related emails containing protected information to unapproved email domains. The Approved Email Domain list: https://security.uwmedicine.org/guidance/technical/email/approved_list.asp. Computer Security: I will store all protected information on secured systems, encrypted mobile devices, or other secure media. I will not change my UW computer configuration unless specifically approved to do so. I will not disable or alter the anti-virus and/or firewall software on my UW computer I will log out or lock computer sessions prior to leaving a computer. I will use only licensed and authorized software; o I will not download, install or run unlicensed or unauthorized software. I will use administrative permissions only when I am approved to do so and when required by job function; o If I perform system administrator function(s) I must use designated administrative accounts only for system administrative activities and use non-administrative user accounts for all other purposes. If I use a personally-owned computing device for UW Medicine business operations, I will not connect it to a UW Medicine network unless it meets the same security requirements as a UW Medicine-owned device, My responsibilities involving protected information continue even after my separation from UW Medicine and I understand that it is unlawful for former workforce members to use or disclose protected information for any unauthorized purpose. Failure to comply with this agreement may result in disciplinary action up to and including termination of my status as a workforce member. Additionally, there may be criminal or civil penalties for inappropriate uses or disclosures of certain protected information. By signing this Agreement, I understand and agree to abide by the conditions imposed above. Print Name: Department: Job Title: Signature: Date: Copy provided on ________________ by Date Name supervisor, manager or designee Provide copy of this Agreement to the workforce member. Signature File original Agreement in departmental personnel or academic file. (All signed Agreements must be maintained for 6 years) Policies and Standards References: 1. UW Administrative Policy Statements (APS): http://www.washington.edu/admin/rules/policies/APS/TOC00.html APS 2.4 Information Security and Privacy Roles, Responsibilities, and Definitions APS 2.5 Information Security and Privacy Incident Management Policy APS 2.2 Privacy Policy 2. UW Medicine Compliance Policies: http://depts.washington.edu/comply/privacy.shtml 3. UW Medicine Information Security Policies & Standards: https://security.uwmedicine.org/guidance/policy/default.asp 12 Welcome to UW Medicine! The Employee Health centers at Harborview Medical Center and University of Washington Medical Center help provide a safe environment for our workforce, patients and visitors. To accomplish this mission there are established requirements for health screening at the start of your employment. Initial Health Screenings must be completed within 2 weeks of your orientation date. IMPORTANT: Bring the following to your orientation session: 1) Complete Health History Form (back of this page) 2) Documentation of any vaccines or bloodwork showing immunity to the diseases below Required Vaccines: Hepatitis B Measles Mumps Rubella Chickenpox Tdap Tuberculosis screening Influenza At New Employee Orientation, you will have the opportunity to meet with an Employee Health nurse. During your interview your nurse will: Review your documentation Provide Tuberculosis screenings Schedule a follow-up appointment to help you complete your outstanding requirements We are looking forward to keeping you safe in your new role. If you have any questions, please contact us using the information below. Sincerely, The Employee Health Team Harborview Medical Center Employee Health Services 1 East Clinic 21 ehshmc@uw.edu Phone: 206-744-3081 Fax: 206-744-4886 M-F 07:15-16:30 13 UW Medical Center Employee Health Clinic N 210 (Near Emergency Dept.) emhealth@uw.edu Phone: 206-598-4848 Fax: 206-598-4469 M-F 07:30-16:30 UW Medicine UWMC Employee Health Clinic Communicable Disease and Immunization History 1959 NEPacific St MS 356122 Seattle, Washington 98195 emhealth@uw.edu HMC Employee Health Service 325 Ninth Avenue, Box 359855 Seattle, Washington 98104 ehshmc@uw.edu Fax: 206-744-4886 Fax: 206-598-4469 Employee ID or SSN or UW Student ID Required Name Last First Date of Birth MI M / F E-mail Month / Date / Year UW e-mail if known ; or personal email Job Title / Department Dept Mailbox Number Today's orientation date Cell and/or Home Will you have possible exposure to blood or body fluids on the job? Yes No Maybe ; not sure Employee Health Screening Comments New Employee Instructions : Please fill NON-SHADED WHITE areas below as best you can. ROI Titer History Vaccination dates : most recent Date Date Date Date of titer [P / N] (Lab Report Requrd) Documents Viewed Have you had this illness? Disease UTD EH Code WBR Employee Health Screening Notes Lab Ordered See reverse side for defining criteria and requirements. Yes / No Hepatitis B MMR [Measles-Mumps-Rubella combination vaccine] Measles (Rubeola) Yes / No Mumps Yes / No Rubella (3-day measles) Yes / No Tdap or TD after age 12 Chickenpox (Varicella) Yes / No Flu vaccine - most recent Yes / No Hepatitis A Other: Other: Tuberculosis screening BCG vaccinated? Yes Most recent TB skin test No Not known Did you take TB treatment? Date Yes Result No Date started If previous reactive TB test, most recent chest x-ray? Date Result This section for Employee Health use only UTD ; TST not required Screening date TB Symptom Survey Negative TST provided : 2-step required Employee signature / Date No Possible sx ; further investigation required Employee Health Reviewer 14 Yes Date of Review Account Setup & IT Services Contacts UW Login Account Overview Initially, UW Medicine employees receive two login accounts, UW Medicine and UW NetID. They have the same username/login ID, but the accounts and passwords are independent, used to access different systems, and managed separately. If you would like to change your UW username/login ID, please wait 2 weeks after NEO and then call 206-221-5000. This will help avoid disruption during your training. UW Medicine Login Account Commonly used to log in to: • • • • • Password change requirements Where to change the password Support UW Medicine (AMC) Computers UW Medicine EHR Programs (Epic, ORCA, Mindscape) UW Medicine Kronos UW Medicine Citrix UW Medicine McKesson 120 days from last password change (automatically reset if not changed) MyUW.washington.edu under the “UW Medicine Computing Services” section Call the UW Medicine IT Services Help Desk for password assistance (see below) UW NetID Login Account • • • • • UW Email MyUW.washington.edu Employee Self Service (ESS) UW Medicine Learning Management System (LMS) Any UW website asking for your: 120 days from last password change (no automatic expiration) MyUW.washington.edu under the “UW NetID Computing Services” section Call UW-IT Services for password assistance (see below) IT Services Contacts Email address Phone number Hours UW Medicine ITS Help Desk UW-IT Services mcsos@uw.edu 206-543-7012 24x7 help@uw.edu 206-221-5000 24x7 Have the following information ready when contacting IT Services: • Name – first and last name of person to be contacted • Location – building/facility, unit/clinic, and room; e.g. HMC NICU 2WH54 • Phone number – direct phone number for the person to be contacted • Computer name – located on the bottom right of the desktop background; e.g. AMC \ H-ED-C001c • Detailed description – describe issue or request, include which application you are using, errors messages displayed, and any other details you think are relevant • Medical Record Number (MRN) – if a patient’s electronic record is involved 15 UW Labor Relations Office 206-543-6236 4300 Roosevelt Way NE Seattle, Washington 98105 laborrel@uw.edu http://www.washington.edu/admin/hr/laborrel/ Review your Union Labor Contract Please review the full copy of your union contract (if applicable) at the address below. You can find the name of your union on your hire letter: http://www.washington.edu/admin/hr/laborrel/contracts.html 16 Harborview Intranet & APOPs Administrative Policies and Procedures (APOPs) can be accessed via the intranet by clicking on the “Policies and Procedures” link under the heading “Most Popular.” Review the following policies with your manager! Navigate between the different entities’ homepages • • • • • • Professional Image Policy Inclement Weather Policy Social Networking Policy Smoke/Tobacco Free Policy Professional Conduct Policy Attendance Policy HR and Employee Self Service (ESS) Search the Intranet Staff Directory APOPs HMC Executive Director Patients Are First 17 UWMC Intranet & APOPs Administrative Policies and Procedures (APOPs) can be accessed via the intranet by clicking on the “Policies and Procedures” link under the heading “Most Popular.” Review the following policies with your manager! Navigate between the different entities’ homepages • • • • • • Professional Image Policy Inclement Weather Policy Social Networking Policy Smoke/Tobacco Free Policy Professional Conduct Policy Attendance Policy HR and Employee Self Service (ESS) Search the Intranet Staff Directory APOPs Patients Are First UWMC Executive Director 18 UW MEDICINE COMPLIANCE | HANDOUT FOR NEW EMPLOYEE ORIENTATION ROLE BASED COMPLIANCE TRAINING OVERVIEW: HIPAA, CORPORATE & CMS GENERAL COMPLIANCE Complete instructions are at https://depts.washington.edu/comply/docs/Compliance_Registration_User_Guide.pdf UW Medicine is required to train all workforce members on its policies and procedures concerning: 1. Protected health information (PHI) (HIPAA); 2. Coding/billing/documentation/fraud-waste-and-abuse (Corporate) and; 3. The Centers for Medicare & Medicaid Services General Compliance training (CMSGC). Initial training at onboarding (New Employee Orientation, etc.) addresses the minimum necessary training; however, additional training is required for workforce members whose job duties require exposure, access and/or use of PHI; and function in roles that would benefit from Corporate Compliance and CMS training. Staff have 60 days from start date to complete training. Health Insurance Portability and Accountability Act (HIPAA) requirements are outlined on the UW Medicine Compliance training website: https://depts.washington.edu/comply/training-programs/ and the HIPAA Training FAQs are at http://depts.washington.edu/comply/compliance-programs/hipaa-program/frequently-asked-questions-hipaa-training/. Continuing Education Units (CEUs) or Continuing Medical Education (CME) for HIPAA and Corporate Compliance is available to Physicians, Compliance, Coders, and Nursing staff for course completion. CE reciprocal credits are also available for Non-Physician Practitioners. http://www.hccs.com/support_faq.php?FAQtopic=CME/CEU%20Information Break-in-Service: Workforce members returning from a break-in-service are required to take new training content that may have been added since they last completed the training. Change in Job Duties: Workforce members with a change in job duties may be required to complete additional modules. Delivery of Role-Based Training: Role-based training is delivered through two portals: 1. UW Medicine Learning Management System (LMS): https://lms.uwmedicine.org/ (automated registration) 2. Health Care Compliance Strategies (HCCS): http://hccs.amc.washington.edu/ (non-automated registration) Directions for Workforce Member to Complete Role Based Training 1. HOW TO LOGIN: HCCS: Workforce members from UW, ALNW and School of Medicine (SoM) including ALL students, volunteers, observers, temporary staff & academic researchers [except SoM residents who are in LMS]. a. Go to the HCCS portal at http://hccs.amc.washington.edu/ and select UW Medicine. b. Enter login information: First Name (space ok, no punctuation), Last Name (no spaces or punctuation). c. Enter Compliance Training ID with no spaces or dashes (Employee ID #/EID - or if no EID use AMC login). d. Select the training you are required to take from the drop down menu: Hospital and Clinical staff select: HIPAA, Corporate and CMS General Compliance Learners. Workforce members from the School of Medicine (SoM) and UW as well as ALL students, volunteers, observers, temporary staff and academic researchers select: HIPAA Learners. LMS: Staff from Harborview Medical Center (HMC), Northwest Hospital & Medical Center (NWH), University of Washington Medical Center (UWMC), UW Neighborhood Clinics (UWNC) and SoM Residents. a. Obtain LMS login instructions from the LMS email one day after your start date. b. Go to the LMS portal at https://lms.uwmedicine.org/. c. Enter UW NetID and Password. d. Click “Launch LMS” and complete assigned training. 2. HOW TO START TRAINING: Select a viewing option when you first launch a course – Video with Audio and Text is the preferred viewing method but not required if you do not have speakers or headphones. Click “CONTINUE”. b. Select blue hyperlink to select a course. Upon completion of either course, you will return to this screen and repeat this step by selecting the next required course (if taking additional training beyond HIPAA). a. Contact UW Medicine Compliance at trgcomp@uw.edu or call 206.543.3098 for questions or issues. 19 UW MEDICINE COMPLIANCE | HANDOUT FOR NEW EMPLOYEE ORIENTATION c. Use the drop down menu to select your CURRICULUM TRACK based on your supervisor’s direction regarding job role and, proceed with training. Contact your supervisor for job track assistance. HIPAA TRAINING CORPORATE TRAINING HIPAA Curriculum and Job Track Matrix http://depts.washington.edu/comply/docs/HIPAA_CurrTracks.pdf. CORPORATE Curriculum and Job Track Matrix: http://depts.washington.edu/comply/docs/Corporate_CurrTracks.pdf. CMS General Compliance Curriculum Information: http://depts.washington.edu/comply/trainingprograms/cms-general-compliance-training/. 3. NAVIGATION INSTRUCTIONS If you need to stop the training and return later (prior to the 60 day deadline), follow all screen prompts to exit the training module completely. This will ensure your place is automatically bookmarked for you when you choose to continue at a later time. In order to complete a course, you must complete all of the modules that indicate “Required” next to the title. On the main menu of a course, a red check mark appears next to the “Required” symbol of a module upon completion. Always use the EXIT button not the browser close button. You will then be asked to confirm your exit and close the course. 4. PRINT a certificate for HIPAA and/or Corporate Compliance training. (Certificate not available for CMS module – just print the results screen.) a. HCCS: Upon course completion, click, “Exit.” A new window will open with a blue hyperlink prompting you to “Print” the completion certificate. You may also opt to click the Print button at the top of the screen in order to print your certificate. Print and submit to your supervisor. b. LMS: No certificate needed because transcripts in LMS are the official record for UW Medicine and available to supervisors. Contact UW Medicine Compliance at trgcomp@uw.edu or call 206.543.3098 for questions or issues. 20 HEALTH SCIENCES EXPRESS SCHEDULE Service Operates Monday – Friday, excluding University Holidays. For rider alerts and route maps visit uwshuttles.com or call 206-685-3146 DEPART UWMC CASCADE TOWER D-WING UW TOWER RSVLT CLINIC ARRIVE HMC DEPART HMC UW TOWER RSVLT CLINIC ARRIVE UWMC CASCADE TOWER DEPART UWMC CASCADE TOWER D-WING UW TOWER RSVLT CLINIC ARRIVE HMC DEPART HMC UW TOWER RSVLT CLINIC ARRIVE UWMC CASCADE TOWER Effective January 2015 6:00 6:01 6:09 6:11 6:26 6:30 6:41 6:43 6:53 2:00 2:01 2:09 2:11 2:35 2:35 2:46 2:48 2:53 6:15 6:16 6:24 6:26 6:41 6:45 6:56 6:58 7:08 2:15 2:16 2:24 2:26 2:50 2:50 3:01 3:03 3:08 6:30 6:31 6:39 6:41 6:56 7:00 7:11 7:13 7:23 2:30 2:31 2:39 2:41 3:05 3:05 3:16 3:18 3:23 6:45 6:46 6:54 6:56 7:11 7:15 7:26 7:28 7:38 2:45 2:46 2:54 2:56 3:20 3:20 3:31 3:33 3:38 7:00 7:01 7:09 7:11 7:26 7:30 7:41 7:43 7:53 3:00 3:01 3:09 3:11 3:35 3:35 3:46 3:48 3:53 7:15 7:16 7:24 7:26 7:41 7:45 7:56 7:58 8:08 3:15 3:16 3:24 3:26 3:50 3:50 4:01 4:03 4:08 7:30 7:31 7:39 7:41 7:56 8:00 8:11 8:13 8:23 3:30 3:31 3:39 3:41 4:05 4:05 4:16 4:18 4:23 7:45 7:46 7:54 7:56 8:11 8:15 8:26 8:28 8:38 3:45 3:46 3:54 3:56 4:20 4:20 4:31 4:33 4:38 8:00 8:01 8:09 8:11 8:26 8:30 8:41 8:43 8:53 4:00 4:01 4:09 4:11 4:35 4:35 4:46 4:48 4:53 8:15 8:16 8:24 8:26 8:41 8:45 8:56 8:58 9:08 4:15 4:16 4:24 4:26 4:50 4:50 5:01 5:03 5:08 8:30 8:31 8:39 8:41 8:56 9:00 9:11 9:13 9:23 4:30 4:31 4:39 4:41 5:05 5:05 5:16 5:18 5:23 8:45 8:46 8:54 8:56 9:11 9:15 9:26 9:28 9:38 4:45 4:46 4:54 4:56 5:20 5:20 5:31 5:33 5:38 9:00 9:01 9:09 9:11 9:26 9:30 9:41 9:43 9:53 5:00 5:01 5:09 5:11 5:35 5:35 5:46 5:48 5:53 9:15 9:16 9:24 9:26 9:41 9:45 9:56 9:58 10:08 5:15 5:16 5:24 5:26 5:50 5:50 6:01 6:03 6:08 9:30 9:31 9:39 9:41 9:56 10:00 10:11 10:13 10:23 5:30 5:31 5:39 5:41 6:05 6:05 6:16 6:18 6:23 9:45 9:46 9:54 9:56 10:11 10:15 10:26 10:28 10:38 5:45 5:46 5:54 5:56 6:20 6:20 6:31 6:33 6:38 10:00 10:01 10:09 10:11 10:26 10:30 10:41 10:43 10:53 6:15 6:16 6:24 7:16 7:18 7:23 No Service from UWMC at 6 p.m. 6:26 6:50 7:05 10:15 10:16 10:24 10:26 10:41 10:45 10:56 10:58 11:08 10:30 10:31 10:39 10:41 10:56 11:00 11:11 11:13 11:23 10:45 10:46 10:54 10:56 11:11 11:15 11:26 11:28 11:38 11:00 11:01 11:09 11:11 11:26 11:30 11:41 11:43 11:53 UWMC CASCADE TOWER STOP 1: NE Columbia Rd outside the Cascade Tower on the southeast corner of UWMC. 11:15 11:16 11:24 11:26 11:41 11:45 11:56 11:58 12:08 D-WING STOP 2: NE Columbia Rd at the D-Wing shelter. 11:30 11:31 11:39 11:41 11:56 12:00 12:11 12:13 12:23 11:45 11:46 11:54 11:56 12:11 12:15 12:26 12:28 12:38 UW TOWER STOP 4 - travel to HMC, STOP 7 - travel to UWMC: West side of 12th Ave NE, halfway between NE 43rd St. and NE 45th St. 12:00 12:01 12:09 12:11 12:35 12:35 12:46 12:48 12:53 12:15 12:16 12:24 12:26 12:50 12:50 1:01 1:03 1:08 12:30 12:31 12:39 12:41 1:05 1:05 1:16 1:18 1:23 12:45 12:46 12:54 12:56 1:20 1:20 1:31 1:33 1:38 1:00 1:01 1:09 1:11 1:35 1:35 1:46 1:48 1:53 1:15 1:16 1:24 1:26 1:50 1:50 2:01 2:03 2:08 1:30 1:31 1:39 1:41 2:05 2:05 2:16 2:18 2:23 1:45 1:46 1:54 1:56 2:20 2:20 2:31 2:33 2:38 All buses are wheelchair accessible. 2 STOP LOCATIONS AND NUMBERS FOR SMS ROOSEVELT CLINIC STOP 5 - travel to HMC, STOP 8 - travel to UWMC: West side of Roosevelt Way NE, south of NE 43rd St. HARBORVIEW MEDICAL CENTER (HMC) STOP 6: East side of 9th Ave in front of the Harborview Research & Training Building. FLAG STOPS PASSENGER PICK-UP AND DROP-OFF: BROOKLYN AVENUE STOP 3: Northeast corner of Brooklyn Avenue NE and NE Campus Parkway at the Metro bus stop. Bus stops outbound to Roosevelt Clinic and HMC. PASSENGER DROP-OFF ONLY: LANDER HALL: NE Campus Parkway, between 12th Ave NE and Brooklyn Ave NE. All buses are equipped with two-position bike racks. HITCHCOCK HALL: NE Pacific St, outside Hitchcock Hall. Bus stops inbound to UWMC from HMC. Schedule reflects departure times except where arrivals are indicated. SMS: Text uwhse # to 41411 where # is the shuttle stop number. For example, texting uwhse 1 to 41411 will return the arrival time for the UWMC stop. Adverse weather and/or traffic conditions may disrupt or limit service on all routes. Scheduled service and times are not guaranteed. We appreciate your patience during these times. UW Shuttles, University Transportation Center 3745 15th Ave NE, Seattle, WA 98105 206-685-3146 shuttles@uw.edu Visit uwshuttles.com for up-to-date service information, or call 206-685-3146. 21 22 Cool Perks for UW Employees Discover what’s next. Get Started Campus Safety – Get connected to a variety of campus safety and emergency preparedness resources http://www.washington.edu/safety/ Commute Concierge – Need help planning your commute? Transportation Services’ Commute Concierge is your one-stop shop for learning about your commute options. Offering personalized commute plans, customized commute options kits, and friendly, knowledgeable staff, ready to answer all of your commute questions http://transportation.uw.edu/commute-concierge Employee Self Service (ESS) – A web based resource where employees can view their personal payroll, benefits and leave information. In ESS, employees also have the ability to update or change personal information such as direct deposit, W-4 and home address http://f2.washington.edu/fm/payroll/payroll/ESS m.UW – Stay connected with all things UW. Download the UW App for iPhone & BlackBerry anytime for free! Don't have BlackBerry or iPhone? Point any phone browser to m.uw.edu to access the same information and content as in the native applications The Resource – UWHR newsletter designed to keep you informed of offerings from across the University that helps you make the most out of your UW employment http://www.washington.edu/admin/hr/publications/email/hr/convio/resource/currentissue/index.html Transportation Services – Helping you get to the UW’s Seattle campus and better understand your commute options – carpooling, parking, biking, walking, shuttles, and more http://www.washington.edu/facilities/transportation/index UPASS – A bus pass, plus more! U-PASS provides full fare coverage on a variety of transportation options—from buses, commuter train service and light rail, to vanpooling and discounted impromptu carpooling. Enjoy great benefits like: Free rides on the NightRide Shuttle Exclusive student, staff and faculty discounts on Zipcar, car2go and Pronto! Emerald City Cycle Share Discounted & priority carpool parking (find a carpool partner with UW Zimride) Access to the Emergency Ride Home Program http://www.washington.edu/facilities/transportation/employee-u-pass UW Campus Tours – Explore the beauty of this historic campus! Campus Tour Only sessions are highlighted in black, and are available to UW staff members. http://admit.washington.edu/Visit/FroshInfoSessionTour Updated 4.20.15 23 1 Cool Perks for UW Employees UW Employee Discounts – Special pricing on goods, services, and entertainment including reduced fees on home loans, personal cell phones, vehicles, bicycle safety products, and more UW Discount Program UW Savings Center (through UW CareLink APS Healthcare; organization code "advantage"): http://www.washington.edu/admin/hr/benefits/saving/discounts/index.html http://www.washington.edu/admin/hr/benefits/worklife/carelink/index.html Visit the APS HelpLink portal (use "UW" as the company code to log in) Visit Savings Center UW Commuter Services Merchant Discounts http://www.washington.edu/facilities/transportation/u-pass/merchants Whole U Discount Program and More Ways to Save! https://www.washington.edu/wholeu/discounts/?t=df46eec12205dee87b7a79eb26856611 http://www.washington.edu/admin/hr/benefits/saving/moresaving.html UW Interactive Campus Map – Navigate the University of Washington campus with ease. Landmarks, libraries, dining options, computer labs, parking lots and so much more http://www.washington.edu/maps/ Whole U – A holistic employee engagement program that helps connect UW faculty and staff with great resources available at the University. Bringing people and resources together to make it easier to live active, engaged lives http://uw.edu/wholeu Get Involved–Get Connected—UW Communities Disabilities, Opportunities, Internetworking Technology (DO-IT) – Promoting the success of individuals with disabilities in postsecondary education and careers, using technology as an empowering tool http://www.washington.edu/doit/ e-learning – A community for those that develop e-learning courses across the UW. This group will meet the third Friday of every 2 months in the UW Tower. Subscribe to their mailing list at: http://mailman.u.washington.edu/mailman/listinfo/elearning/ Faculty and Staff Affinity Groups – Build community and foster connections with other faculty and staff at the UW, by getting involved with one of our faculty and staff affinity groups http://www.washington.edu/diversity/affinity/ Graduate Opportunities and Minority Achievement Program (GO-MAP) – Building community, on and off campus, by fostering an educational and social environment rich in cultural, ethnic, and racial diversity http://www.grad.washington.edu/gomap/calendar.shtml Updated 4.20.15 24 2 Cool Perks for UW Employees LeanCoffee – For anyone interested in Lean, Agile, continuous improvement, scrum, TQM, etc. Group meets Tuesday mornings from 7:45 – 8:45 in the UW Tower Cafeteria. Subscribe to their mailing list at: http://mailman.u.washington.edu/mailman/listinfo/leancoffee/ Professional Staff Organization – Serving as a resource for professional staff at the UW http://depts.washington.edu/psoweb/ University of Washington Toastmasters – Helping students, staff, faculty and members of the community become experienced and successful public speakers in a supportive, fun environment http://depts.washington.edu/uwtm/index.php UWellness – Services, activities, programs, and groups within the University of Washington that support your health and well being http://www.washington.edu/admin/hr/benefits/wellness/index.html UW Alumni Association – Whether you're interested in groundbreaking UW research, UW happenings on campus and across the country, lectures from influential figures or news about the people and history of your university, no matter where you go, membership keeps you connected * Note: Anyone is eligible to join the UW Alumni Association http://www.washington.edu/alumni/index.html UW Calendar of Events – A calendar of all Seattle campus public events (except class meetings) http://www.washington.edu/calendar/ UW Environmental Stewardship & Sustainability – Providing sustainability resources for students, administration, and the UW community http://f2.washington.edu/ess/ UW Green Teams – Collaborative groups around campus committed to improving the environmental sustainability of their workplace—or any shared space, for that matter http://green.washington.edu/uw-green-teams Something for Everyone Arts UW – A comprehensive guide to a world of creative experiences right here at UW http://artsuw.org/ Botany Greenhouse – Greenhouse & Medicinal Herb Garden tours http://www.biology.washington.edu/greenhouse/k12.html Burke Museum of Natural History and Culture – Inspiring people to value their connection with all life--and to act accordingly--through the presentation of Washington State collections of natural and cultural heritage. Free admission with your Husky Card http://www.burkemuseum.org/ Updated 4.20.15 25 3 Cool Perks for UW Employees Dining Options – With over 40 locations on campus, from the grocery store District Market to numerous restaurants, cafés, food trucks and even a food court, great food is never more than a twominute walk away https://www.hfs.washington.edu/dining/about/ Emergency Ride Home Program – Reimburses faculty and staff UPASS holders for 90 percent of the meter fare for your taxi ride (tip not included) - up to 50 miles per quarter. * Note: The Emergency Ride Home program is available only to faculty and staff with a valid UPASS. HMC, UW Bothell and UW Tacoma offer separate, but similar benefits. Please contact the applicable program if you are an HMC or branch campus employee: HMC 206.744.3254; UW Bothell 425.352.3640; UW Tacoma 253.692.4669 http://www.washington.edu/facilities/transportation/employee-u-pass Experimental College – Enriching the UW educational environment by creating and offering an opportunity for UW students and the Seattle community to share experiences and knowledge through fun and innovative non-credit classes http://depts.washington.edu/asuwxpcl/ Health Sciences Express – Providing transportation between the UW and certain affiliated medical centers http://www.washington.edu/facilities/transportation/uwshuttles/hse Henry Art Gallery – An active part of the UW’s cultural landscape, presenting exhibitions, collections, and public programs that stimulate research and teaching. Free admission with your Husky card http://www.henryart.org/ Husky Card Services – The official identification card for members of the UW community, providing access to a variety of services, discounts, and opportunities including access to campus libraries http://www.hfs.washington.edu/husky_card/ Intramural Activities Center (IMA) and Recreational Sports – Exercise, sports and fitness options including a golf range, climbing center and the Waterfront Activities Center http://depts.washington.edu/ima/ Professional & Continuing Education – Certificates, degrees, and courses designed and scheduled for adult learners http://www.pce.uw.edu/ Professional & Organizational Development – Supporting your career success with classes, certificates, leadership skills training, and organizational development services http://www.washington.edu/admin/hr/pod/ Updated 4.20.15 26 4 Cool Perks for UW Employees Safety Training – Helping to create safe educational and work environments on campus through online and in-person training classes Environmental Health & Safety – http://www.ehs.washington.edu/psotrain/index.shtm UW Emergency Management – http://www.washington.edu/emergency/training Theodore Jacobsen Observatory – Built in 1895, the Observatory with its 110-year old refracting telescope is still offering celestial views of the wonders of the Universe http://www.astro.washington.edu/groups/outreach/tjo/ Tuition Exemption – Take up to six credits per quarter at the UW or other participating Washington state-funded universities, community colleges, and technical colleges, on a space-available basis http://www.washington.edu/admin/hr/pod/policies/tuition-exemption.html Tuition Exemptions and Reductions – More educational opportunities for UW employees http://www.washington.edu/students/reg/tuition_exempt_reductions.html UCAR-Car Sharing Program – Supporting the short term transportation needs of the UW community, available for education, research, outreach and other university business http://www.washington.edu/facilities/transportation/fleetservices/ucar/info.php UWare Software – Download software at reduced or no cost, thanks to various license agreements with software vendors https://www.washington.edu/itconnect/wares/uware/ UW Alert – A free, voluntary, self-subscription service that disseminates official information during emergencies or crisis situations that may disrupt the normal operation of the UW or threaten the health or safety of members of the UW community http://www.washington.edu/alert/index.php UW Botanical Garden – This nationally renowned living plant collection contains over 10,000 specimens, and offers tours, classes and other events http://depts.washington.edu/uwbg/ UW CareLink – Offers a wide range of services that can help you manage through the different stages of life, develop a healthy lifestyle, create a quality work environment, and save time by providing easy access to trusted experts, including counselors, attorneys, financial advisors, as well as child, adult, and elder care consultants http://www.washington.edu/admin/hr/benefits/worklife/carelink/index.html UW Combined Fund Drive – Washington's workplace giving campaign which provides faculty and staff the opportunity to give to their favorite charities through payroll deduction or a one-time gift http://depts.washington.edu/uwcfd/ Updated 4.20.15 27 5 Cool Perks for UW Employees UW Drama – One of this country's leading training institutions for theatre artists and scholars, offering several theatrical productions each year http://depts.washington.edu/uwdrama/ UW Hatchery – Tours of the UW research and teaching hatchery are available year-round http://www.fish.washington.edu/hatchery/education.html UW Information and Visitors Center –UW history, fun facts and helpful tips for navigating all that the UW has to offer http://www.washington.edu/discover/visit/ UW Learning Technologies – Offering free workshops (to current UW students, faculty and staff) in teaching tools such as Canvas and Lecture Capture, and in digital creation tools like HTML, CSS, and more. Plus resources to help students, faculty, staff, and others develop their information technology skills http://www.washington.edu/lst/workshops UW Libraries – Use your Husky Card to access over 30 UW libraries from general to specialized subject matter http://www.lib.washington.edu/ UW Medical Center Support Groups and Education – Health education services and support groups are available to UW Medicine patients, families and community members http://uwmedicine.washington.edu/Patient-Care/Patient-Family-Resources/Pages/Classes-andSupport-Groups.aspx UW Planetarium – Providing a detailed and accurate simulation of the night sky; and equipped with a permanently mounted digital projection system (in addition to the starball) and a library of digital visualizations http://www.astro.washington.edu/groups/outreach/planetarium/ UW School of Music – Each year, presenting well over 100 concerts of music spanning more than a millennium of time and extending across the cultural globe http://www.music.washington.edu/home/ UW Shuttles – Campus transportation options including Dial-a-Ride, Health Sciences Express, Night Ride Shuttle, and South Lake Union Shuttle http://www.washington.edu/admin/shuttles/ UW Today – What’s hot, hip, and happening at the UW! Sign up for E-News from UW Today http://www.washington.edu/news/ UW Women’s Center – Building a culture of gender equity campus-wide, locally and globally though educational programs, individualized services, and skills training http://depts.washington.edu/womenctr/ Updated 4.20.15 28 6 Cool Perks for UW Employees UW WorkLife Resources – Providing resources, promoting healthy lifestyles, and creating a quality work environment http://www.washington.edu/admin/hr/benefits/worklife/index.html UW World Series – Internationally acclaimed artists perform in Meany Hall for the Performing Arts in four series: UW World Dance, UW World Music & Theatre, President’s Piano, and International Chamber Music Series www.uwworldseries.org Washington Huskies - The Official Athletic Website of the UW – Husky sports schedules, tickets, the Dawg Blawg and more http://www.gohuskies.com/ Waterfront Activities Center – Located directly behind Husky Stadium on Union Bay and the Montlake Cut, the WAC offers canoe and rowboat rentals, storage of non-motorized craft for UW students, staff and alumnus, and a lounge/meeting room available for use by university groups and departments http://www.washington.edu/ima/wac/ Zimride – A private ridesharing network for UW Seattle. Split costs by sharing the empty seats in your car or catch a ride with a classmate or colleague http://zimride.washington.edu/ Zipcar – Wheels when you want them. With 8 at the UW and 5 more within a 1/2 mile walk, Zipcars are available whether you need a car for a few hours to run errands or the whole day (to get away) www.zipcar.com/u-pass Notes Updated 4.20.15 29 7 Saving Money – UW Discount Program UW employees may enjoy special pricing on goods, services, and entertainment. For details, please visit: http://www.washington.edu/admin/hr/benefits/saving/discounts/index.html Category Auto Books & Multimedia Books & Multimedia Computer & Electronics Computer & Electronics Computer & Electronics Housing Housing Insurance Services Sports Sports Sports Tickets & Events Updated 4.20.15 Provider Offering For UW faculty and staff only. Special pricing on Ford, Lincoln, and Mercury vehicles. Visit the Ford Partner website. Use "UNVWA" as the partner code to log in. The NYT Campus Subscription Program allows faculty, staff, and students to save up to 75% off the regular newsstand price for New York Times home delivery and/or unlimited digital access. New York Times To order, call 206-543-5975 for print subscriptions or visit www.nytimes.com/uwashington for digital subscriptions. (Note: Print subscribers get a free, all-digital-access subscription.) Discount of 10% off when placing an order online or by phone (1UW Press 800-537-5487) using the WUWE code. Discounts on cell phones for personal use vary by plan and Cell Phones device. Contact carrier for details. University Book Store Contact store for pricing. Technology Center UW Information Technology offers free computing workshops UW Information and online curriculum to UW faculty, staff, and students on a Technology space-available basis. Information and resources about housing and home buying in the UW Housing Resources Puget Sound area. Hometown Home Loan Reduced fees on home loans for faculty and staff who receive Program UW-paid health, life and long term disability insurance. Special discounted group rates on auto, home, and renters Liberty Mutual insurance for benefits eligible faculty, staff, and retirees. Offers a wide range of services that can help you manage through the different stages of life, develop a healthy lifestyle, create a quality work environment, and save time and money by UW CareLink providing easy access to trusted experts, including counselors, attorneys, financial advisors, and child and adult/elder care consultants. Bike lights, locks, helmets, and other bicycle safety products sold Hall Health Primary at great prices. Also, pedometers and reflective vests are Care Center available. UW Recreational Exercise, sports and fitness opportunities available to UW Sports students, faculty, and staff members. Check out UW Bike Classes brought to you by Commuter Services UW Bike Classes and Cascade Bicycle Club! Free admission with your Husky Card. UW faculty and staff also Burke Museum enjoy a 28% discount off the Burke Family membership level. Ford Motors 30 8 Category Provider Tickets & Events Husky Athletics Tickets & Events Tickets & Events Tickets & Events Travel & Lodging Wellness Wellness Offering Eligible UW Faculty and Staff Members may purchase up to 2 Husky Football season tickets at 20% discount. Call the Husky Ticket Office at 206-543-2200 or visit gohuskies.com today! Henry Art Gallery Free admission with your Husky Card. Discounts on Summer Camps for UW employees' children (ages UW Botanic Gardens 6-12). Discounts on Dance Program, School of Drama and School of UW Performing Arts Music performances, and UW World Series. Procurement Services has negotiated contracts with several hotels, including Starwood Hotels. The contracts cover UW Procurement accommodations as well as any other services the facility may Services provide to you. Rates are available to UW faculty, staff, students, and guests of the University. Services, activities, programs and groups within the UW that support your health and well-being. Also, many area fitness clubs UWellness offer discounts to state employees so be sure to bring your Husky ID card with you and ask for a state or UW employee discount. Get a free hearing screening. Make an appointment by calling the UW Speech & Hearing UW Speech & Hearing Clinic at 206-543-5440 or email Clinic shclinic@uw.edu. Space is limited. Other Discount Programs Eligible for annual patronage refund. To claim your rebate, contact 206-634-3400 ext. 311 or email refund@u.washington.edu. University Book Store Dell Offering: Special educational discounts on Dell computers, software, and peripherals for UW faculty, staff, and students. Member ID: KS118681484. UW Transportation Merchant Discount Program for U-PASS and TEMP-Pass holders. Services Regence Advantages: Value-added program offering savings to UMP/Regence members from leading health-related companies. These programs are not insurance but are offered in addition to Uniform Medical Plan your medical and/or dental plan(s) to help you stay healthy and / Regence Blue Shield live better. Log into myregence.com, type "regence advantages" in the search box. Health Plan Perks: Value-added program offering savings to Group Health members from leading health-related companies. Group Health These programs are not insurance but are offered in addition to Cooperative your medical and/or dental plan(s) to help you stay healthy and live better. Log into your account at ghc.org, type "health plan perks” in the search box. *Please note that the University reserves completely the right to alter the type and nature of the programs it offers through WorkLife, including terminating some or all programs offered. Updated 4.20.15 31 9 32 Welcome to UW Medicine 33 34 UW MEDICINE | OVERVIEW UW MEDICINE Mission People UW Medicine’s mission is to improve the health of the public by: • Advancing medical knowledge • Providing outstanding primary and specialty care to the people of the region • Preparing tomorrow’s physicians, scientists and other health professionals Components of UW Medicine • More than 25,000 employees contribute to the mission of UW Medicine. • The School of Medicine has approximately 2,400 employed faculty members and more than 4,700 clinical faculty across the WWAMI program who teach medical students, residents and post- doctoral fellows. • More than 4,900 students and trainees Faculty includes the following: UW Medicine owns or operates: • Harborview Medical Center • Northwest Hospital & Medical Center • Valley Medical Center • UW Medical Center • UW Neighborhood Clinics • UW School of Medicine • UW Physicians • Airlift Northwest UW Medicine shares in the ownership and governance of: • Children’s University Medical Group • Seattle Cancer Care Alliance 35 • Nobel Prize – 3 living recipients (5 in the school’s history) • Institute of Medicine – 36 members • National Academy of Sciences – 34 members • Gairdner International Award – 10 recipients • Howard Hughes Medical Institute – 13 investigators • National Academy of Engineering – 5 members Patient care Medical discovery • Over 64,000 admissions annually to UW Medicine faculty are second in the nation in research funding from the National Institutes of Health (NIH), with more than $611 million of NIH funding and total research funding of over $1 billion in fiscal year 2012. Faculty have made advances in a number of areas, including: the four hospitals owned or operated by UW Medicine: Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center and UW Medical Center. • About 1.6 million outpatient and Emergency Department visits. • UW Medicine hospitals are ranked No. 1 and No. 2 in the region by U.S. News & World Report. Multiple UW Medicine programs are ranked highly by U.S. News, including rehabilitation medicine and cancer care. Visit uwmedicine.org/about/awards/uw-rank for more information. Education The UW School of Medicine is widely known for high-quality, cost-effective education. Trainees include medical students, residents, fellows, physician-assistant students and other health- professions students. • U.S. News & World Report has ranked the UW School of Medicine in the top two in the nation for training in primary care for the past two decades. Training programs in family medicine and rural health have been ranked No. 1 in the nation for the past 22 years. • Students and trainees enter careers in primary care and specialty care, research, policy work and other areas. • The School’s five-state WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) regional medical education program is widely considered the nation’s benchmark program for training and placing physicians in rural and underserved areas. First-year medical students are accepted from the five states, and first-year training occurs in each state at partner universities. Medical students and residents have many opportunities to receive clinical training throughout the region. • • • • • • • • • • Stem cell and regenerative medicine Neurosciences, including neurogenetics Cardiovascular disease Global health metrics Genome science and gene therapy Molecular pharmacology, cellular regulation and neuropharmacology Cancer treatment and prevention Diabetes treatment and prevention HIV treatment and prevention Protein design Many research activities and programs are based in collaborative, interdisciplinary centers and institutes, including: • Institute for Protein Design • Institute for Translational Health Sciences • Institute for Stem Cell and Regenerative Medicine • Center for AIDS Research • Institute for Health Metrics and Evaluation • Center for Emerging and Reemerging Infectious Diseases • Center for Lung Biology • Center for Comparative and Health Systems Effectiveness • Harborview Injury Prevention and Research Center UW Medicine 1959 Northeast Pacific Street | Box 356350 | Seattle, Washington 98195 206.598.7718 | uwmedicine.org Rev 10/14 36 UW MEDICINE | OVERVIEW HARBORVIEW MEDICAL CENTER Harborview Medical Center is owned by King County, governed by a countyappointed board of trustees and managed by the University of Washington. UW Medicine physicians, staff and other healthcare professionals based at Harborview serve patients from all walks of life in world-class centers of emphasis and also serve a mission population for King County. Harborview is the only designated Level I adult and pediatric trauma and burn center in the state of Washington and serves as the regional trauma and burn referral center for Alaska, Montana and Idaho. UW Medicine physicians and other health professionals based at Harborview provide highly specialized services for emergency medicine, orthopedics, neurosciences, ophthalmology, vascular surgery, behavioral health, HIV/AIDS, complex critical care and rehabilitation. U.S. News & World Report has ranked Harborview among the nation’s top hospitals in rehabilitation medicine, neurology, neurosurgery, geriatrics and sports, spine and orthopedic care. In the magazine’s 2013–2014 ranking of best regional hospitals, Harborview ranked number three in the Seattle area and number four in the state. Harborview is an entity of UW Medicine, which also includes Northwest Hospital & Medical Center, Valley Medical Center, UW Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine and Airlift Northwest. All physicians who practice at Harborview are members of the UW Physicians practice group, and all staff working at Harborview are University of Washington employees. (over) 37 Areas of Specialization •Level I adult/pediatric trauma and burn care, serving as the sole Level I trauma and burn center for Washington state •Care for patients with HIV/AIDS •Comprehensive eye and optometric institute •Comprehensive range of psychiatric and psychological services, including severe mental illness and substance abuse •Emergency medicine and disaster management •Neurosciences institute •Rehabilitation services for people with disabilities from illnesses, injuries and congenital conditions •Sports, spine and orthopedic care •Surgical and nonsurgical treatments for simple and complex vascular conditions Awards, Accolades & Accomplishments •The Joint Commission: Full Accreditation for meeting national performance standards •The Joint Commission: Advanced Comprehensive Stroke Center Certification •Washington State Emergency Cardiac and Stroke System: Level I Cardiac Center and Level I Stroke Center •Qualis Health: Multiple awards for excellence in Healthcare Quality and Leadership in Improving Healthcare •National Patient Safety Foundation and American Essential Hospitals: Leadership Award •American Association of Critical Care Nurses: Beacon Award for Excellence (Intensive Care Units) •American Heart Association/American Stroke Association: Target Stroke Honor Roll •Blue Cross Blue Shield: Blue Distinction Center of Excellence (Spine Surgery) •State of Washington: Warren Featherstone Reid Award for Excellence in Healthcare (Pioneer Square Clinic and Satellite Clinics for HIV/AIDS patients) 2014 Statistics Inpatient beds............................................................. 413 Employees................................................................4,500 Admissions............................................................ 17,000 Clinic visits.......................................................... 247,350 Emergency Department visits................................64,500 Charity care Harborview is mission driven and provides comprehensive care to patients from all walks of life. In fiscal year 2014, UW Medicine physicians and staff at Harborview provided $168 million in charity care, compared to $219 million in the previous year. With the expansion of healthcare coverage under the Affordable Care Act, many patients who were previously self-pay and uninsured now qualify for Medicaid coverage. History In 1877, Harborview was founded as the six-bed King County Hospital in South Seattle. In 1931, it moved to its present location overlooking Puget Sound and its name was changed to Harborview Hospital, now known as Harborview Medical Center. UW Medicine’s management of Harborview has enabled the hospital to become a leading academic medical center, and new facilities have been added with support from voter-approved bond projects and Harborview reserve funds. The Norm Maleng Building opened in 2008 and the Ninth & Jefferson Building opened in 2009. UW Medicine physicians and staff continue to expand specialty care services based at Harborview with national experts in the centers of emphasis. Rev. 01/15 Harborview Medical Center | 325 Ninth Ave. | Seattle, WA 98104 | 206.744.3000 38 uwmedicine.org/harborview UW MEDICINE | OVERVIEW UNIVERSITY OF WASHINGTON MEDICAL CENTER University of Washington Medical Center (UW Medical Center) is a worldrenowned academic medical center. UW Medicine physicians and other healthcare professionals based at UW Medical Center provide highly specialized services for cardiac care; cancer care and stem cell transplantation; obstetrical care (including high-risk neonatal intensive care); sports, spine and orthopedics care; and solid organ transplantation. Patients travel from throughout the Pacific Northwest and far beyond for these and other services. UW Medical Center has been ranked consistently among the top 15 hospitals in the nation by U.S. News & World Report. In addition, UW Medical Center is ranked number one in the magazine’s 2011-2012 list of best regional hospitals in the Seattle/Tacoma metropolitan area and ranked in the top ten nationally for cancer care. In 2013, the hospital received University HealthSystem Consortium’s 4-star hospital status; and in 1994, the hospital was recognized for excellence in nursing care when it became the nation’s first Magnet Hospital, and it has met the rigorous criteria of the American Nurses Credentialing Center to renew this designation for the fifth consecutive time. UW Medicine shares in the ownership and governance of Seattle Cancer Care Alliance, along with Seattle Children’s and the Fred Hutchinson Cancer Research Center and all physicians who practice at Seattle Cancer Care Alliance are UW Physicians. Inpatient care for adult oncology patients who receive treatment through the Seattle Cancer Care Alliance is provided at UW Medical Center by UW physicians and staff. UW Medical Center is an entity of UW Medicine, which also includes Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine and Airlift Northwest. All physicians who practice at UW Medical Center are members of the UW Physicians practice group or Children’s University Medical Group and all staff are UW employees. (over) 39 Areas of Specialization • Cancer care and blood and marrow transplantation • Cardiac care, including advanced procedures, complex surgeries, mechanical assist devices and transplantation • Level III neonatal intensive care unit • Obstetrics, including high-risk care • Otolaryngology: head and neck surgery for treating diseases and disorders of the ear, nose and throat • Radiation therapy, including stereotactic body radiation therapy (SBRT), image-guided radiation therapy (IGRT), volumetric modulated arc therapy (VMAT), intraoperative radiation therapy and neutron therapy • Robotic-assisted surgery for gynecological oncology, urology, otolaryngology and general surgery • Solid organ transplantation of the liver, kidney, heart, lung, pancreas and intestine • Sports, spine and orthopedics care Awards, Accolades & Accomplishments •The Joint Commission: Full Accreditation for meeting national performance standards •The Joint Commission: Center of Excellence, Ventricular Assist Device Program •Commission on Cancer: Accreditation with Commendation (with Seattle Cancer Care Alliance) •Washington State Emergency Cardiac and Stroke System: Level I Cardiac Center and Level III Stroke Center •Qualis Health: Award of Excellence in Healthcare Quality and Leadership in Improving Healthcare •American Association of Critical Care Nurses: Beacon Award for Excellence (Intensive Care Units) •U.S. Health Resources and Services Administration: Silver Medals for Liver and Kidney Transplantation Programs; Bronze Medal for Kidney/Pancreas Program •30th Annual Dialysis Conference: 50 years of achievement in nephrology nursing •American Kidney Fund: Recognition of 50th anniversary of chronic dialysis treatment •Baxter: 50 years of innovation and exceptional care for patients with kidney disease •First hospital to achieve Magnet Status five times from the American Nurses Credentialing Center •Practice Greenhealth Leadership Award in Environmental Stewardship 2013 Statistics Inpatient beds...................................................................450 Employees.......................................................................4,569 Admissions....................................................................17,728 Clinic visits............................................................... 284,830 Emergency Department visits.....................................22,977 Bone Marrow Transplants (w/SCCA)............................ 474 Organ Transplants............................................................258 Births...............................................................................1,557 History UW Medical Center opened as University Hospital in 1959 and quickly became a leader in healthcare innovation and standard setting for safe, high-quality patient care. Rev. 07/14 University of Washington Medical Center | 1959 N.E. Pacific St. | Seattle, WA 98195 | 206.598.3300 40 uwmedicalcenter.org UW MEDICINE | OVERVIEW UW NEIGHBORHOOD CLINICS UW Neighborhood Clinics is a network of community-based clinics located throughout the Puget Sound region. The clinics provide a wide spectrum of primary care and secondary care services, from pediatrics to geriatrics using the medical home model. Ancillary services include on-site laboratories, digital radiology facilities and nutrition services. The clinics offer primary care services six days a week, with urgent care services available at select locations. Urgent care services are also available at the UW Medicine Eastside Specialty Center six days a week. Additional offerings include convenient hours with evening and same day appointments available and online access to personal health information through UW Medicine eCare. Registered eCare users can confidentially email their care team, schedule and cancel appointments, request prescription refills, view their medical history and check lab results. UW Neighborhood Clinics is an entity of UW Medicine, which also includes Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Medical Center, UW Physicians, UW School of Medicine and Airlift Northwest. Areas of Specialization •Acupuncture •Behavioral health •Chronic disease management •Ear, nose and throat care •Eye care •Family medicine •Geriatrics •Integrative medicine •Internal medicine •Obstetrics and gynecology •Pediatrics •Podiatry (over) 41 Areas of Specialization (continued) •Sleep medicine •Sports injuries and musculoskeletal problems •Travel medicine •Women’s health Check with your clinic for a list of services available at that location. Awards, Accolades & Accomplishments • Accredited by the Accreditation Association of Ambulatory Health Care • Leadership award from Premera Blue Cross for clinical performance in key areas of healthcare • National Committee on Quality Assurance has recognized more than two dozen UW Neighborhood Clinics physicians for excellence in diabetic care • The clinics have participated in both the Washington State Collaborative on Medical Home and the Multi-Payer Pilot on Medical Home 2013 Statistics Total clinic sites.......................................................9 Employees...........................................................270 Clinic visits.................................................. 244,139 History UW Neighborhood Clinics first opened in 1997. There are now nine clinic locations throughout the Puget Sound region: Belltown, Factoria, Federal Way, Issaquah, Kent/Des Moines, Northgate, Ravenna, Shoreline and Woodinville. Clinic locations Rev. 07/14 UW Neighborhood Belltown Clinic 2505 2nd Ave., Suite 200 Seattle, WA 98121 UW Neighborhood Factoria Clinic 13231 S.E. 36th St., Suite 110 Bellevue, WA 98006 UW Neighborhood Federal Way Clinic 32018 23rd Ave. South Federal Way, WA 98003 UW Neighborhood Issaquah Clinic 1455 11th Ave. N.W. Issaquah, WA 98027 UW Neighborhood Kent/ Des Moines Clinic 23213 Pacific Highway South Kent, WA 98032 UW Neighborhood Northgate Clinic 314 N.E. Thornton Place Seattle, WA 98125 UW Neighborhood Ravenna Clinic 4915 25th Ave. N.E., Suite 300-W Seattle, WA 98105 UW Neighborhood Shoreline Clinic 1355 N. 205th St. Shoreline, WA 98133 UW Neighborhood Woodinville Clinic 17638 140th Ave. N.E. Woodinville, WA 98072 42 206.520.5000 UW Neighborhood Clinics | 206.520.5000 uwmedicine.org/uwnc Johnese Spisso News & Community Relations Marketing/Media/Outreach UW Human Resources UW Medicine Advancement UW Medicine IT UW Medicine PFS UW Medicine Compliance UW Medicine Financial Operations/Accounting UW Medicine Chief Health Systems Officer 43 Darcy Jaffe Nursing and Healthcare Specialist Practice Critical Care Service Acute Care Service Rehabilitation Medicine Service Psychiatry & Behavioral Health Service Regional Epilepsy Center Comprehensive Stroke Service Cardiology, ECHO, EKG Respiratory Care Burn Center Sleep Lab Gamma Knife Ambulatory Procedure Transcranial Doppler Lab Organ & Tissue Procural Patients Are First Program Patient Relations Patient Education Clinical Education Care Management HMC Intranet Chief Nursing Officer & Sr. Associate Administrator, Patient Care Services Quality Improvement Patient Safety Program & PSN Risk Management – Medical Care Clinical Outcomes Management Infection Control Medical Staff Department Affairs including credentialing and privileges Graduate Medical Education Medical Director, HMC & Associate Dean, UW SOM Richard Goss Primary/Specialty Care Clinics Healthcare for the Homeless and Respite King County Public Health Clinics at HMC (STD, TB) UW Medicine Contact Center Process Improvement Social Work Interpreter Services Spiritual Care Employee Health Associate Administrator, Ambulatory and Allied Care Services Debra Gussin Becky Pierce Associate Administrator, Surgical, Emergent and Integrated Clinical Services Emergency Services Laboratory Services Lean Program Medic One Pathology Services Pharmacy Services Radiology Services Regional Vascular Center Surgical Services Trauma Services CRNA’s HIPRC Executive Director Paul Hayes December 3, 2014 Harborview Medical Center Table of Organization Elise Chayet Facility Planning/MIMP Regulatory Affairs Space Management UW CPO Project Liaison Engineering and Plant Operations Clinical Engineering Nutrition & Food Services/ Gift Shop Parking & Commuter Services Security Services Environmental Services Laundry & Linen Communications Facilities Safety Officer/EOC Associate Administrator, Clinical Support Services & Planning Kera Dennis Assistant Administrator, Finance Emergency Preparedness Emmanuel Okoye Director Consolidated Laundry David Amburgey Director Public Safety, Parking Services Charles Zielinski Director Nutrition Services Toby Purvis Director Environmental Services Ward Yohe Director Teleservices Walter Thurnhofer Assistant Administrator Rachel Cowan Interim Administrator Anatomic Pathology Catherine Taft Director Finance & Administration Dept of Lab Medicine Kevin Kiemele Administrator Otolaryngology, Head & Neck Surgery Becky Rusnak Assistant Administrator Administrative Operations & Oncology __________________________________ Stephen P. Zieniewicz, Executive Director February 10, 2015 Bahaa Wanly Administrator Eastside Specialty Center Sara Wright Director Radiation Oncology Patricia Ashley Director Business Operations Keith Jesse Director Clinical Engineering Geoff Austin Associate Administrator Kay Wicks Administrator Transplant Pam Palagi Associate Administrator Carol Jones Director Ambulatory Care Jennifer Herrman Associate Administrator Design & Construction Management Sandy Slater-Duncan Director Planning & Referral Development Renee DeRosier Director Volunteer Services Dawn Vincic Director Radiology John Capps Assistant Administrator Regional Heart Center Shabir Somani Chief Pharmacy Officer Peggy Cox Director Patient Clinical Infomatics & Support Kathleen Errico Director of Advanced Practice Nursing/ Chief ARNP Keri Nasenbeny Assistant Administrator Patient Care Services, Critical Care Sherri Del Bene Assistant Administrator Operations, Acute Care Christine Sampson Assistant Administrator Women and Infant Specialty Care Linda Sorensen Assistant Administrator Social Work, Care Coordination Cindy Sayre Associate Administrator Patient Care Services, Professional Practice Grace Parker Chief Nursing Officer Heather O’Hara Executive Assistant Helen Shawcroft Sr. Associate Administrator Stephen Zieniewicz Executive Director Julie Duncan Assistant Administrator Center for Clinical Excellence Associate Medical Directors Tom Staiger, MD Medical Director Dan Kaiser Assistant Administrator Perioperative Services John Lang, MD Clinical Director Perioperative & Operative Operations University of Washington Medical Center Table of Organization Ken Feilen Director Operations & Maintenance Patricia Riley Sr. Associate Administrator Shared Service 44 Clinical Research Center Clinical Regulatory Compliance & Accreditation Infection Prevention and Control/Employee Health Palliative Care Program Brian Buchanan Chief CRNA Cindy Angiulo Sr. Associate Administrator UW MEDICINE PATIENTS ARE FIRST THE UW MEDICINE PATIENTS ARE FIRST APPROACH UW Medicine at Harborview Medical Center, UW Medical Center, Northwest Hospital & Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine Airlift Northwest and Valley Medical Center is committed to leadership in service and operational excellence, as prioritized in our Strategic Plan. Achieving consistent service excellence for every patient, every time is a key strategic imperative for the continued success and advancement of UW Medicine as a health system. UW Medicine Patient Are First is our framework for organizational development that provides frontline staff, managers, physicians, and leaders with the tools and tactics to achieve our strategic outcomes. We will strive to create better leaders, to create consistency across our organization, and establish systems of accountability that will help us execute our operational plans. UW Medicine is partnering with the internationally recognized consultant firm, The Studer Group, to assist us in these efforts. Service and operational excellence, and attention to its foundational pieces of accountability and leadership development, will allow us to live our organizational values with integrity, and give us the ability to achieve our mission, vision and the level of success we desire as an organization. THE CULTURE CHANGE IMPERATIVE Patient Are First is the focused orientation of our UW Medicine culture toward service, to support key aspects of what a patient would consider is excellence in service: respectful, compassionate, timely, recognizing and welcoming, personalized, inclusive of families, efficient, coordinated, informative, and innovative in support of their care. This starts from the message we project in their first conversation with us, through the entire episode of care. It includes team interactions and behaviors in the care setting, as well as support service areas that influence patient, staff and physician satisfaction. UW Medicine must deliver consistent standards of service excellence in order to ensure that patients, families, and referring physicians will continue to seek us out for care. Patients and their families view the quality of our care through the lens of how we treat them; through the lens of service. We must be viewed by consumers as providing excellent and efficient access to appointments and referrals, and timely, quality care and service. Patients and families must always feel they were treated well by everyone with whom they interact. They must believe that their needs and their safety are our highest priority. And patients and families must know who is responsible for their care at all times, who to turn to and who to ask for help, advice, and information. UW Medicine Patient Are First is about doing what is necessary and right: going the extra mile to offer care and service that is crafted around the patient’s and family’s needs. It is ultimately about how you and I would want to be treated, and how we would want our family member to be treated. 45 UW MEDICINE PATIENTS ARE FIRST PILLAR GOALS FY 2016 Goal: Become a national leader in patient satisfaction for all patient populations as measured by: • Improving UW Medicine patient satisfaction survey scores as follows: - Inpatient: ≥ 77% Top Box (79th percentile) - Ambulatory Clinics: ≥ 92% Top Box (60th percentile) - Emergency Department: ≥ 87.07 Mean Score (60th percentile) Goal: Improve patient access to primary and specialty care services across UW Medicine as measured by: • Achieving the ≥ 67% Top Box (50th percentile) in the CG-CAHPS Access to Care composite score Goal: Reduce morbidity and mortality, as measured by: • A decrease in hospital acquired infections as follows: - CA-UTI to ≤ 1.75/1000 catheter-days - CLA-BSI to ≤ 0.55/1000 catheter-days • A decrease in Patient Safety Indicator composite score to ≤ 1.95/1000 eligible patients • An increase in hand hygiene best practices to ≥ 98.0% Goal: Create systems that provide for delivery of evidence based, high quality, and timely care for every patient, as measured by: • An increase in the disease management composite score to ≥ 77.0%, by increasing the percentage of patients with hemoglobinA1c at or below 9.0% and blood pressure below 140/90mmHg • An increase in breast, cervical and colon cancer screening rates; and pneumococcal pneumonia and pediatric vaccination rates to a composite score of ≥ 77.3% • An increase in the CMS clinical quality composite score to ≥ 95.0% Goal: Reduce the likelihood of adverse events associated with transitions of care, as measured by: • A decrease in readmissions among patients following care primarily for heart attack, heart failure, pneumonia, stroke, or chronic obstructive pulmonary disease to ≤ 13.6% Goal: Become a national leader in clinician and employee satisfaction, focused on serving patients and their families via a proud and loyal workforce, as measured by: • An overall satisfaction rate of ≥ 68.5% for clinicians with the clinical portion of their UW Medicine activities • An improvement in overall employee engagement of ≥ 0.50% as measured by the annual employee engagement survey Goal: Effectively manage UW Medicine finances to ensure resource availability for patient-centered initiatives, services, and facilities, as measured by: • Achieve a total margin of ≥ 1.0% for the fiscal year 46 UW MEDICINE PATIENTS ARE FIRST SERVICE CULTURE GUIDELINES As a member of UW Medicine, I recognize that the needs of patients and families come first. I am committed to ensuring that each patient and family seeking care within UW Medicine is treated in a manner that is consistently respectful and professional. To show my commitment to our patients, I will: Make the patients and families we serve my HIGHEST PRIORITY by placing their needs first Respect PRIVACY and CONFIDENTIALITY Discuss patients and their care in a confidential setting. Knock and/or ask “Can I come in?” before entering a patient’s room. Use doors, curtains and blankets to create a more private environment when necessary. Access only confidential patient information that is relevant to my job. Discuss confidential organizational issues only with those who need to know. COMMUNICATE effectively Acknowledge patients, family members, and co-workers with a sincere and warm greeting. Introduce myself by name. Explain my role and speak in ways that are easily understood. Ask each patient how he/she would like to be acknowledged (Mr./Mrs./first name). Close every patient encounter with an acknowledgement that is respectful, such as “Thank you” or “Do you have any questions?” Recognize that body language and tone of voice are integral to effective communication. Wear my ID badge where it can be easily seen. Conduct myself PROFESSIONALLY Treat others with courtesy, honesty and respect even in challenging situations. Be sensitive and empathetic to the needs of others. Continue to learn and seek new knowledge to enhance my skills. Recognize that I am responsible for the public’s perception of UW Medicine and that I am an ambassador for UW Medicine. Be ACCOUNTABLE Offer assistance to people who are lost or trying to find their way by escorting them to their destination or taking them to someone who can help them. Help those in need until their issues are resolved or another co-worker has assumed responsibility. Be dependable and timely. Take personal responsibility for keeping the work environment clean and safe by cleaning up litter and spills, or promptly contacting the appropriate resource. Practice consistent hand hygiene to prevent the spread of infection. Be COMMITTED to my colleagues and to UW Medicine Respect and acknowledge differing values, opinions and viewpoints. Recognize and encourage positive behavior. Address inappropriate behaviors in a confidential and constructive manner. Promote interdisciplinary and interdepartmental cooperation. Promote the mission, vision and values of UW Medicine. Follow all UW Medicine policies and procedure. 47 Customer Service and A.I.D.E.T. Use A.I.D.E.T to remind you of the key words at key times to use with customers (i.e. patients, family members, colleagues etc.) that help them to “connect the dots”, feel comfortable in our environment and feel respected. Each letter in A.I.D.E.T. reminds you of specific information to share with Every Patient, Every Time and Every Colleague, Every Time. How will you • answer their questions, • “connect the dots” for them, • reduce their anxiety, and • increase their compliance? The patient/family member is thinking and wondering about the issues below. How will you answer these questions? A.I.D.E.T. • I am here. Do you know? Do you see me? Do you care? • Maybe I should let you know…or do you already know? • I am feeling a little uncomfortable. Acknowledge • • • • Introduce Who are you? What do you do? Are you any good at it? Are you competent? How will you be able to help me? Why should I trust that you or your colleague can do what you say? • How long is this going to take? • I have limited time too by the way. Do you even realize that? • I know you are busy, but so am I and my stuff is important, too. It matters to me. Duration • • • • • Explanation How does your system work? When can I expect to see someone? Will I have to wait long? Will it hurt? How do I get there? Will someone show me the way? What should I expect? Are those people any good down there? • Do you appreciate that I put my faith in you and in your medical center? • Do you realize that I waited patiently for a long time? • Will you recognize and appreciate MY efforts to make this a good situation? 48 Thank You UW Medicine Organization Development and Training The Patient Experience 49 50 The Patient Experience Patient Safety The Patient Safety Team oversees patient safety projects and initiatives including the operating plan patient safety goals. When a patient safety event occurs, the team conducts event reviews and root cause analysis to understand what happened and why. In this way we are then able to look at the overall systems and processes in order to improve patient safety. Teams and Contact Numbers UWMC Lela Holden, PhD, RN, CPPS, Patient Safety Officer 598-6843 lmholden@uw.edu Jessica Yanny- Moody, MS, CNS, CCRN, Patient Safety Manager 598- 8658 jmyanny@uw.edu HMC Christine Cottingham, MS, RN, CCRN, Patient Safety Officer 744-5051 cotting@uw.edu Additional Patient Safety Resources National Patient Safety Goals http://www.jointcommission.org/assets/1/6/2014 HAP NPSG E.pdf Team Strategies and Tools to Enhance Performance and Patient Safety: TeamSTEPPS (we referenced the tool C.U.S.) http://www.ahrq.gov/professionals/education/curriculumtools/teamstepps/instructor/index.html Institute for Health Care Improvement http://www.ihi.org/Pages/default.aspx 51 2015 Hospital National Patient Safety Goals The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them. Identify patients correctly NPSG.01.01.01 NPSG.01.03.01 Use at least two ways to identify patients. For example, use the patient’s name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment. Make sure that the correct patient gets the correct blood when they get a blood transfusion. Improve staff communication Get important test results to the right staff person on time. NPSG.02.03.01 Use medicines safely NPSG.03.04.01 Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up. NPSG.03.05.01 Take extra care with patients who take medicines to thin their blood. NPSG.03.06.01 Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Make sure the patient knows which medicines to take when they are at home. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor. Use alarms safely NPSG.06.01.01 Prevent infection NPSG.07.01.01 Make improvements to ensure that alarms on medical equipment are heard and responded to on time. Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning. NPSG.07.03.01 Use proven guidelines to prevent infections that are difficult to treat. NPSG.07.04.01 Use proven guidelines to prevent infection of the blood from central lines. NPSG.07.05.01 Use proven guidelines to prevent infection after surgery. NPSG.07.06.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. Identify patient safety risks NPSG.15.01.01 Find out which patients are most likely to try to commit suicide. Prevent mistakes in surgery UP.01.01.01 Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body. UP.01.02.01 Mark the correct place on the patient’s body where the surgery is to be done. UP.01.03.01 Pause before the surgery to make sure that a mistake is not being made. This is an easy-to-read document. It has been created for the public. The exact language of the goals can be found at www.jointcommission.org. 52 Do the Right Thing: Promoting a Respectful Culture 53 54 Promoting a Respectful Culture Components of Promoting a Respectful Culture Our Commitment Working with Diversity Our Commitment At the University of Washington and UW Medicine we are committed to respecting and protecting the rights and dignity of each individual and to making this a great place to work for all of us. Individual Accountability: We are all responsible for maintaining a culture in which patients, their families, and our colleagues are all respected. Cultural Competence We follow the “Platinum Rule” “Treat Others the Way They want to be Treated.” Interpreter Services Patient Relations Patient & Family Centered Care Preventing Sexual Harassment Spiritual Care Suspected Child Abuse or Neglect Working with Diversity The University policy on “NonDiscrimination” (Executive Order No. 31) requires that we respect the diversity among us while prohibiting discrimination and retaliation. What makes us diverse? Appearance As a healthcare provider, UW Medicine embraces and serves a culturally diverse and linguistically-rich patient population. National Origin In order to provide the most effective and highest quality care we need to recognize each patient’s cultural differences and serve them considering these differences. Gender In our aim to effectively work with diverse needs we pay special attention to the following areas: Cultural Competence Preventing Sexual Harassment Serving Diverse Spiritual Needs 55 Age Color Socioeconomic Values Sexual Orientation Ability/Disability Health Care Practices Race Language Beliefs Religion Other? Cultural Competence Cultural Competence defined: The ability to interact effectively with people of different cultures. Behaviors that reflect Cultural Competence It is a developmental process that evolves over time. Treat people the way they want to be treated. We recognize that: Ask preferences before acting. Avoid making assumptions. Recognize that not all people within a particular culture or background feel, think, or act the same. Caring for patients and working effectively with people from many cultures and backgrounds benefits everyone. Raising our awareness of other cultural beliefs and practices allows us to show respect and understanding. Culture affects health and should be considered in the care of the patient. Awareness of cultural differences enables care providers to develop more effective treatment plans for individual patients. Differences and preferences that must be considered in order to provide the most effective and highest quality care include: Food/Diet Greetings Religious Practices Personal space Sexual preferences Perspectives of time Body language Beliefs and values Current medications Definition of family and family structure Interpreter Services Departments The Interpreter Services department at each medical center assists when patients need linguistic and cultural interpretation. Our staff interpreters and translators support effective communication between patients and their care teams at UW Medicine. We help patients and families navigate the health care system. We participate in designing culturally appropriate care processes and creative ways to educate patients about self-care. Below is contact information for these services. Our interpreter services department can assist with barriers related to language and culture. As a best practice, ask the patient what he/she needs. Every member of the UW Medicine workforce is responsible for ensuring equal access for patients with disability or language needs. Inpatients should have at least one interpreted encounter every day. Telephonic interpretation is immediately accessible by any staff member or medical provider at the bedside. Most patient consent forms and administrative forms are now available in translation. All staff can access these forms via the intranet. To optimize the patient care experience, all staff are expected to always provide the appropriate translation for the patient. Finally, ask your manager to explain specific protocols related to accessing interpreters and ensuring equal access care for patients in your area. 56 Contact Interpreter Services using the information below: UWMC Interpreter Services Department HMC Interpreter Services Department Coordinator’s Phone: (206) 598-4425 Coordinator’s Email: intrpsvc@uw.edu Phone (206) 744-9250 (use this number for 24/7/365 in-person or telephonic service) Email: isdschedulers@uw.edu For UWMC contact Pacific Interpreters Telephonic modality 24/7: (855) 583-2039 Use these online tools for working with patients from diverse cultures: UWMC – “Culture Clues” http://depts.washington.edu/pfes/ CultureClues.htm HMC – “EthnoMed.org” www.ethnomed.org EthnoMed contains medical and cultural information about immigrant and refugee groups in the Seattle area. Culture Clues are tip sheets for clinicians designed to increase awareness about concepts and preferences of patients from the diverse cultures served by UWMC. Patient Relations Departments The role of Patient Relations is to support UW Medicine to provide the best possible experience for patients and their families. When this does not happen, we assist staff to provide service recovery. If a patient feels that their concerns are not adequately resolved at the point of service, or if a formal complaint is shared with our department, we will consult with providers and staff to review and facilitate complaint resolution. Patient Relations is also a point of contact for Patient Rights and Responsibilities information and resources. The right to file a complaint is a key patient right. Our regulatory agencies require that we have a process to resolve patient complaints. UWMC Patient Relations Department: HMC Patient Relations Department: Phone: (206) 598-8382 Email: uwmcares@uw.edu Phone: 206-744-5000 Email: comment@uw.edu HMC Resource Center: Phone: 206-744-2000 Email: rcenter@uw.edu As staff members, use the Listen and A.C.T. tool to provide just in time service recovery when needed. Talk to your manager and contact Patient Relations for additional resources to support service recovery. Listening enables you to gather information and assist in problem solving. ACT: Ask questions, Correct the issue, say Thank you and Take action to ensure a good outcome. 57 Patient and Family Centered Care Patient & Family Centered Care is an approach to health care that actively engages patients, families, and staff as partners to shape policies, programs, facility design, and day-to-day interactions. Our UW Medicine departments support Patient/Family Advisor Councils, and facilitates patient and family involvement in decision-making at all levels. The information and services we provide equip and empower patients and their families to actively participate on their health care team and make informed decisions about their health and health care. We collaborate with patients, families, and staff in an environment of mutual respect and shared goals to optimize the health care experience. Our primary goal is to help staff create highquality patient education materials that help patients understand and make their best choices about health. UWMC Patient & Family Centered Care HMC Patient & Family Centered Care Contact: Hollis Ryan Phone: (206) 598-2697 Email: pfcc@uw.edu Phone: (206) 744-3477 Contact Patient Care Services for more information Preventing Sexual Harassment The University Policy on Non-Discrimination that addresses sexual harassment has the goal of promoting an environment that is free of: Discrimination against a member of the university community because of sex or sexual orientation. Harassment against a member of the university community because of sex or sexual orientation. Retaliation against any individual who reports concerns regarding harassment, or who cooperates with or participates in any investigation of allegations of harassment or retaliation. Potential of Corrective Action After thorough investigations, individuals found to have displayed behavior that is determined to be sexual harassment may be subject to disciplinary action up to and including dismissal. Sexual Harassment Facts Sexual harassment is a form of discrimination under the Civil Rights Act of 1964, Title VII. Sexual harassment is illegal. Sexual harassment and retaliation are prohibited by UW Policy. Harassers can be held personally liable. Sexual harassment includes deliberate or repeated behavior of a sexual nature that is not welcome, not asked for, and not willingly returned. 58 What is Sexual Harassment? Sexual harassment may include unwanted sexual or gender-based conduct that is severe, persistent or pervasive enough that it either creates an intimidating, hostile or offensive working or learning environment, or unreasonably interferes with academic or work performance. Sexual harassment includes deliberate or repeated behavior of a sexual nature that is not welcome, not asked for, and not willingly returned. The person on the receiving end determines whether the behavior is welcome or seriously offensive. Intent to do harm is not a necessary factor when determining if behavior is sexual harassment. Gender-based (non-sexual) harassment is also sexual harassment. Men or women can be harassed by members of the same or opposite sex. Non-employees (e.g. students, vendors) may be harassed or may be harassers. What is Retaliation? Retaliation is any ‘materially adverse’ employment action that might have dissuaded a reasonable worker from making or supporting a claim of discrimination. May exist with unwarranted corrective action, dismissal or a poor performance evaluation. Could be exhibited through treating or encouraging others to treat an employee in a hostile manner. Can still occur, even if the underlying claim of harassment is found to be unsupported . Your Responsibilities Supervisors must establish and maintain work environments that are free from sexual harassment. Take Action! They must: Ensure that inappropriate behavior stops and doesn’t start again. Take prompt, remedial action when they learn of a complaint – even if the complainant asks them not to. Faculty & Staff are required to report complaints of harassment and to cooperate fully with investigative processes. Resources If you observe or are involved in a situation that makes you feel uncomfortable and may be interpreted as potential sexual harassment or retaliation: Don’t ignore it! Tell someone! You have the right to a work and educational environment that is free of harassment and discrimination. If you have questions or concerns related to sexual harassment, discrimination or retaliation, please contact any of the following resources. A Supervisor, Manager, Director or Administrator. UWMC: (206) 598-6116 UCIRO (University Complaint Investigation & Resolution Office): HMC: (206) 744-9220 206-616-2028 Human Resources: 59 Serving Diverse Spiritual Needs The Department of Spiritual Care serves our patients and their diverse needs. Spiritual Care’s Mission Provide high quality, cross-culturally sensitive spiritual care to patients, families and staff of Harborview Medical Center (HMC) and the University of Washington Medical Center (UWMC), as well as to provide pastoral education to clergy, theological students, and qualified lay persons in the hospital and the larger community which the Medical Centers serve. Spiritual Care Providers are part of the medical care team and wear hospital issued badges. Like our patients, they are from many faith traditions. They respect your faith, beliefs and values and are here to support patients, families and staff of diverse traditions and personal practices. They serve by . . . Listening Prayer Offering support during times of crisis, loss, injury or illness Providing sacraments or rituals such as baptism, communion, blessing, anointing, and viaticum Contacting local clergy of various faiths. Testimonials: “I find such comfort just knowing you are there for others like me in their darkest hour, to hold them up when they feel they are sinking. That’s what you did for me.” ~ Spouse of a seriously injured patient “I want you to know that because of you, I have already changed my own practice as a nurse. I take more time to listen. I hold my patients’ hands longer when they are scared. I take care of their families who are hurting in a way I never felt I had time for in our busy setting. You have changed the way I view how one human being can affect another.” ~ Staff Nurse UWMC Spiritual Care Phone: (206) 598-9174 They will contact you within 10 minutes and can be at the bedside within 30 minutes. HMC Patient & Family Centered Care To contact an on-call Spiritual Care Provider, call the Hospital Operator at (206) 7443000 and ask them to page the on-call Spiritual Care Provider (or Chaplain). Spiritual Care Providers are available to 24 hours a day, 7 days a week. 60 HMC Suspected Child Abuse or Neglect - Reporting Requirement (See UW Administrative Policy 11.8 for more details) University employees and volunteers must orally report suspected child abuse or neglect by telephone or otherwise at the first opportunity, but no later than 48 hours after suspecting abuse has taken place. There are three alternative ways to make such a report: 1. Call the University of Washington Police Department (UWPD) at 206-685-UWPD (8973). If the incident is outside of UWPD’s jurisdiction, UWPD will report it to the appropriate law enforcement agency; or 2. Call the Department of Social and Health Services (DSHS) at 1-866-ENDHARM (1-866-3634276); or 3. Call the law enforcement agency having jurisdiction in the location of the suspected incident, if other than the UWPD. 61 62 Do the Right Thing: Compliance & IT Security 63 64 UW MEDICINE | COMPLIANCE YOUR ROLES AND RESPONSIBILITIES Individual Personal, professional, ethical, and legal accountability Understand role‐ specific responsibilities and applicable policies and procedures; complete all required training Comply with policies and procedures Implement appropriate safeguards, maintain physical security, and utilize appropriate technical controls; observe access rights and restrictions Report concerns, potential breaches and suspected noncompliance to supervisor, manager, unit head or compliance; cooperate fully with investigations Managers, Supervisors, Director Levels Convey expectations for accountability to direct reports; accountable for ensuring compliance Develop and implement effective new employee orientation to ensure direct reports understand their roles and responsibilities, and applicable policies and procedures; enforce training requirements Annually reinforce role‐ specific responsibilities Monitor compliance; accountable for improving audit results Actively manage information access rights upon hire, job change, and termination; monitor use of appropriate safeguards and controls; comply with risk management decisions Address concerns and/or refer to compliance; implement corrective actions and sanctions VERSION: 20140923 65 Unit Heads, Senior Leaders Provide active leadership; establish accountability expectations and professional standards; allocate resources for compliance and security program activities Convene compliance committee Approve UW Medicine policies; support education/outreach activities; convey implementation expectations to operational areas Enforce compliance; evaluate audit findings and convey expectations for improved results Participate in risk assessment process; evaluate results; determine system‐wide risk tolerance; make risk management decisions Receive investigative reports; evaluate findings and determine appropriate corrective actions and sanctions Compliance Assign compliance officer role Maintain effective compliance programs to prevent, detect, and resolve noncompliance with federal/state laws governing compliance and UW policies Establish UW Medicine compliance policies, education and outreach strategies, and implementation tools Audit compliance with UW Medicine compliance policies and internal controls; report findings; analyze trends Assess compliance risks using internal/ external data, trends, and regulatory developments; recommend program modifications Investigate noncompliance with federal and state laws, and UW Medicine policies; notify affected unit heads and senior leaders; report findings; analyze trends 66 67 APS 35.02 PP‐31 1128 A(a)(5) of 42 USC § 1320a‐ 7b(b) Patient Inducement Statute PP 1‐32 42 USC § 300jj 20 USC § 1232g:34 CFR Part 99 COM‐001 COM‐002 COM‐005 COM‐008 42 USC § 1320a‐ 7b(b) Yes Prohibits the exchange of anything of value in an effort to induce or reward the referral of federal health care program business. UW MEDICINE COMPLIANCE Yes Yes Requires entities to develop and implement policies to protect consumers from identity theft (more at Federal Trade Commission Red Flag Rules) Prohibits offering gifts to beneficiaries which can influence their choice of a Medicare or Medicaid provider Yes Yes Yes Protects the privacy of individually identifiable health information Enables notification following a breach Promotes the adoption of meaningful use of health information technology. Addresses the privacy and security concerns associated with electronic transmission of health information Protects the privacy of student education records Yes Yes Yes Yes Yes Yes Yes Up to $10,000 for each wrongful act (these are Civil Monetary Penalties) Federal: $2500 per individual incident State: $1,000 per individual incident After regulatory warning: $11,000 per individual incident Complex, but fines can range from $100 ‐ $50,000 per violation. Criminal penalties can range from 1‐10 years in prison. Up to $50,000 per violation with a maximum penalty amount of $1.5 million for all violations of an identical provision per calendar year. Forfeit federal funding From $5,500 up to $11,000 per claim, and up to three times the value of each false claim Up to five years in prison, with potential of additional criminal fines up to $25,000, and administrative civil money penalties reaching as much as $50,000 and three times the amount of the remuneration provided. Additionally, prohibit participation in federal and state healthcare programs ORGANIZATIONAL FINES 206.543.3098 | 1.855.211.6193 | comply@uw.edu For current information, check out our website: http://depts.washington.edu/comply/ 16 CFR Part 681 P.L. 104‐91 WAC 478‐140 Yes REPORTING REQUIREMENT DESCRIPTION 31 U.S.C. §§ 3729‐ Prohibits defrauding the federal 3733 government POLICY / LAW REFERENCE Identity Theft Prevention Health Insurance Portability and Accountability Act (HIPAA) Health Information Technology for Economic and Clinical Health (HITECH) Family Educational Rights and Privacy Act (FERPA) False Claims Act Anti-Kickback Statute RULE/REGULATION PUBLIC RECORDS AVAILABLE UW Medicine Compliance Regulatory Healthcare Environment Summary Yes Yes Yes Yes No Yes Yes Page 1 of 2 No Yes Yes Yes No Yes Yes INDIVIDUAL PRISON BASED FINES TIME 9/23/2014 P.L. 111‐148 PP29 RCW 42.56 RCW 42.52 COM‐001 COM‐002 COM‐005 COM‐008 APS 47.1 Washington State Public Records Act Washington State Ethics Law Washington State Medicaid False Claims Act Washington State Whistleblower Program RCW 42.40 RCW 74.66 APS 47.2 and 47.3 E032 and E057 RCW 19.255 45 CFR Parts 402 P.L. 111‐148 and 403 COM‐001 COM‐002 COM‐005 COM‐008 Washington State Breach Notification Law Sunshine Act Patient Protection and Affordable Care Act RULE/REGULATION POLICY / LAW REFERENCE 68 Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A From $5,500 up to $11,000 per claim, and up to three times the value of each false claim No Attorney fees costs and daily penalty between $5 ‐ $100 per day Civil action Up to a combined maximum annual total of $1.15 million to manufacturers From $5,500 up to $11,000 per claim, and up to three times the value of each false claim ORGANIZATIONAL FINES 206.543.3098 | 1.855.211.6193 | comply@uw.edu For current information, check out our website: http://depts.washington.edu/comply/ UW MEDICINE COMPLIANCE Provides a venue to report improper government activities Prohibits defrauding Washington State Yes N/A Requires that most records maintained by state, county, city governments be made available to the public Regulates behavior for state employees to act within ethical standards Yes Yes Requires manufacturers of drugs, devices, and biological and medical supplies covered by a federal health program to track and report all financial relationships with physicians and teaching hospitals Ensures that victims of breaches are notified in a timely manner Yes REPORTING REQUIREMENT Expands public and private insurance coverage while reducing the cost of healthcare for individuals and the government. Stipulates that merely submitting a false claim is intent to defraud. Plus additional stipulations. DESCRIPTION PUBLIC RECORDS AVAILABLE UW MEDICINE COMPLIANCE Regulatory Healthcare Environment Summary N/A Page 2 of 2 N/A Yes No Reprimand, suspension, or removal from position or prosecution. Up to $5,000 per violation or three times the value of anything sought or received in violation Yes No No No N/A PRISON TIME No Yes No N/A INDIVIDUAL BASED FINES 9/23/2014 UW MEDICINE | COMPLIANCE CONTACT – UW Medicine Compliance UW Medicine Compliance 206.543.3098 | 1.855.211.6193 | comply@uw.edu http://depts.washington.edu/comply/ Anonymous Hotline 206.616.5248 or 1.866.964.7744 CONTACT – IT HMC, UWMC, UWNC, UWP and ALNW 206.543.7012 | mcsos@uw.edu NWH 206.368.1605 | helpdesk@nwhsea.org https://security.uwmedicine.org/default.asp http://nwh/sites/operations/ims/SitePages/Home.aspx Dean of Medicine 206.221.2459 | domhelp@uw.edu VMC 425.228.3440 x6200 https://depts.washington.edu/uwsom/ information-technology “ITHELP” on web browser http://valleytimes/sites/pnp/IT%20Policies/Forms/Policy% 20List.aspx Prior to calling for IT services, please be ready with information such as: • Name – first and last name of person to be contacted • Location – building/facility, unit/clinic, and room; e.g. HMC NICU 2WH54 • Phone number – direct phone number for the person to be contacted • Computer name – may be located on the bottom right of the desktop background • Detailed description – describe issue or request, include which application you are using, errors messages displayed, and any other details you think are relevant • Medical record number (MRN) – if a patient’s electronic record is involved TOOLS Creating strong passwords http://security.uwmedicine.org/guidance/role_based/end_user/default.asp How to encrypt https://security.uwmedicine.org/training/dept_materials/default.asp Minimum necessary decision tool http://depts.washington.edu/comply/docs/UWM_MinNecDisclosureDescisionTree.pdf Securing your systems and data http://security.uwmedicine.org/guidance/role_based/end_user/default.asp Securing your physical space Contact your building facilities department VERSION: 20150320 69 COMPLIANCE REFERENCES Accounting of Disclosures http://depts.washington.edu/comply/hipaa_disc.shtml Codes of Conduct http://depts.washington.edu/comply/links.shtml Encryption http://security.uwmedicine.org/guidance/technical/encryption/default.asp Compliance Policies http://depts.washington.edu/comply/policies.shtml Health Information Management http://www.uwmedicine.org/patient-resources/medical-records (UW Medicine) http://www.nwhospital.org/visitorinfo/medical_records.asp (Northwest Hospital & Medical Center) https://www.valleymed.org/patients-and-visitors/him-/-medical-records/ (Valley Medical Center) Outside Work Approval Form for State Employees http://www.washington.edu/admin/hr/forms Social Media Policies http://depts.washington.edu/comply/docs/COM-03SocialMedia.pdf http://depts.washington.edu/uwciso/site/files/UW_Social_Media_Guidelines.pdf UW Medicine Compliance http://depts.washington.edu/comply/ WA State Ethics http://www.ethics.wa.gov/ Whistleblower, Washington State Auditor https://www.sao.wa.gov/investigations/Pages/Whistleblower.aspx UW Administrative Policy Statements (APS) and Executive Orders (EO) APS 35.02 Identity Theft Prevention: Red Flag Rules http://www.washington.edu/admin/rules/policies/APS/35.02.html APS 47.1 Summary of the State Employee Whistleblower Act http://www.washington.edu/admin/rules/policies/APS/47.01.html APS 47.2 Personal Use of University Facilities, Computers, and Equipment http://www.washington.edu/admin/rules/policies/APS/47.02.html APS 47.3 Outside Consulting Activities and Part-Time Employment http://www.washington.edu/admin/rules/policies/APS/47.03.html EO 32 Employee Responsibilities and Employee Conflict of Interest http://www.washington.edu/admin/rules/policies/PO/EO32.html EO 57 Outside Professional Work Policy http://www.washington.edu/admin/rules/policies/PO/EO57.html 70 UW MEDICINE │ NEW EMPLOYEE ORIENTATION OBJECTIVES UW Medicine is committed to compliance with rules and regulations that govern the work we do. COMPLIANCE AT UW MEDICINE In this presentation, you will learn: • The services provided by the UW Medicine Compliance Program • How to recognize possible triggers of healthcare fraud and abuse laws • The key concepts of conflicts of interests and standards of ethical behavior • Your responsibilities for data stewardship NEW EMPLOYEE ORIENTATION • How to obtain answers to compliance questions and report a compliance concern UW MEDICINE COMPLIANCE PROGRAM UW MEDICINE COMPLIANCE PROGRAM Handout – Roles and Responsibilities The goals of the UW Medicine Compliance program are to: 1. Reduce risk of fraud, waste and abuse 2. Detect and prevent misconduct and violations of laws, regulations, policies and procedures 3. Educate workforce members about their compliance responsibilities 4. Develop an ethical infrastructure to help guide workforce behavior and activities on behalf of UW Medicine UW MEDICINE COMPLIANCE PROGRAM Actions you must take to achieve compliance: • Appropriately document, code, bill and submit claims WHAT IS COMPLIANCE? • Make ethical decisions and behave in accordance with the code of conduct Compliance is following all applicable laws, regulations and policies. • Appropriately handle confidential UW Medicine data including patient information • Report suspected or actual non-compliance Today, you will learn how some of the compliance rules and regulations link to your work. 71 UW MEDICINE COMPLIANCE PROGRAM UW MEDICINE COMPLIANCE PROGRAM What are the laws and policies? Handout – Regulatory Healthcare Environment False Claims Act Whistleblower Program Code of Conduct Affordable Care Act AntiKickback Statute Compliance Landscape WA False Claims Act Patient Inducement HIPAA WA State Ethics Law UW MEDICINE COMPLIANCE UW MEDICINE COMPLIANCE PROGRAM What is trouble? Key Services of the UW Medicine Compliance Program Some examples: Can I take a selfie with a patient and post it on Facebook? • • • • • • Can I stream music or organize a fundraiser while at work? Can I accept a gift from a patient or accept an all-expense paid trip to Hawaii from a vendor? Consultation and Guidance Policies and Procedures Education and Outreach Auditing and Monitoring Investigation of Concerns Tracking Regulatory Developments Can I take a second job? Can I review my mother’s medical record? Our services are designed to satisfy the required elements of an effective compliance program as defined by the federal government. False Claims Act UW MEDICINE COMPLIANCE PROGRAM Whistleblower Program Affordable Care Act Code of Conduct Code of Conduct • Behave in a respectful, professional and ethical manner • Use institutional resources appropriately • Ensure the privacy and security of all data • Comply with laws, regulations, policies and standards • Avoid conflicts of interests • Maintain accurate and timely records Compliance Landscape WA False Claims Act Patient Inducement HIPAA • Report concerns AntiKickback Statute WA State Ethics Law HEALTHCARE FRAUD, WASTE AND ABUSE Appropriate provision of healthcare services with accurate coding/billing based on documentation. 72 HEALTHCARE FRAUD, WASTE AND ABUSE HEALTHCARE FRAUD, WASTE AND ABUSE Appropriate provision of healthcare services with accurate coding/billing based on documentation Intense Government Focus Definition Fraud Why? A type of illegal act in which something of value is obtained through misrepresentation. Answer: Fraud and abuse results in the losses of trillions of dollars, which cripples the effectiveness of healthcare programs Waste Not receiving reasonable value for goods and services due to mismanagement, inappropriate actions or inadequate oversight. As a result, the government is: Abuse • Implementing new laws and regulations • Increasing education efforts and enforcement activities • Expecting a structured compliance program to prevent, detect and address fraud, waste and abuse Provider practices that are inconsistent with sound medical, fiscal or business practices. False Claims Act WA State False Claims Act False Claims Act HEALTHCARE FRAUD, WASTE AND ABUSE HEALTHCARE FRAUD, WASTE AND ABUSE Submitting a false claim is prohibited A false claim is submitting a request for payment that does not reflect the services provided. Problems that could lead to a false claim: Additionally: • Merely submitting a false claim is sufficient proof of intent to violate the law – ignorance is not an excuse Claim: A request for payment of healthcare goods or services • Individuals can file a lawsuit on behalf of the government and may share a percentage of any recoveries • Unbundling or up-coding • Billing for a service that was not performed • Duplicate billing for the same service • Employers cannot retaliate against employees who report concerns • Billing for services without a documented order • Violations may generate civil and/or criminal penalties • Billing for resident services without the appropriate Teaching Physician documentation • UW Medicine Fraud, Waste and Abuse Prevention policy provides greater detail • Billing a study subject instead of sponsored research account *Resources at the end of the presentation False Claims Act WA State False Claims Act CONFLICTS OF INTERESTS AND ETHICS False Claims Act Whistleblower Program Code of Conduct False Claims Act Affordable Care Act Affordable Care Act Compliance Landscape WA False Claims Act In this section you will learn about: AntiKickback Statute • • • • Patient Inducement HIPAA WA State Ethics Law CONFLICTS OF INTERESTS AND ETHICS Making ethical decisions and behaving consistently with your entity’s Code of Conduct 73 Use of institutional resources Gifts Anti-kickback Statute Patient inducement statute • • • • Outside work Charitable fundraising WA State Ethics Act Whistleblower program CONFLICTS OF INTERESTS AND ETHICS CONFLICTS OF INTERESTS AND ETHICS Making ethical decisions and behaving consistently with your entity’s Code of Conduct Outside Work What is a conflict of interest? • You must obtain approval from your supervisor A conflict of interest is when an outside or personal interest biases your work judgment, or your ability to perform your job duties. • Outside work must not present a conflict of interests with your UW Medicine role • UW employees must register outside work using the Outside Work Approval form Me, My friends, My family, My coworkers … UW Medicine This applies whether the outside work you do is paid or unpaid. CONFLICTS OF INTERESTS AND ETHICS CONFLICTS OF INTERESTS AND ETHICS Use of Institutional Resources Use of Institutional Resources Institutional resources = your work time your work e-mail everything UW Medicine owns/rents Email, internet and local telephone only okay if: Institutional resources are intended for UW Medicine business. Examples • • • • • Computers Internet Email Cash Buildings • • • • • Personal benefit or gain • Brief and infrequent • The benefit or gain of another • Little or no cost • Political purposes • No personal gain, such as an outside business • Personal or commercial business • No interference with your job or with your coworker’s job Equipment Paper Photocopiers Supplies Do not use for: • Special rules for researchers • Illegal or improper activities including gambling or betting pools • Streaming music or videos for personal interest Have an open dialogue with your supervisor about the use of institutional resources. CONFLICTS OF INTERESTS AND ETHICS CONFLICTS OF INTERESTS AND ETHICS Offering and Receiving Charitable Fundraising at Work You may not: • Only allowed with your unit head’s written approval • Solicit, receive or offer anything of value in exchange for healthcare services or referrals • Accept a gift if it can be perceived: • To influence your judgment or actions • As a reward for performance of your job • Give free items or services to federal health plan patients in order to induce them to receive care • Activity must contribute to organizational effectiveness and improved morale; supervisors must document justification • Even authorized fundraising activities must: • Be a brief, infrequent use of a resource or your time • Not interfere with or detract from your work While you can give items such as combs, toothbrushes, toothpaste, avoid giving patients extra supplies or materials in excess of $10. Anti-Kickback Statute Patient Inducement Statute 74 CONFLICTS OF INTERESTS AND ETHICS CONFLICTS OF INTERESTS AND ETHICS Ethical Decision Making for State Employees Ethical Decision Making • Inappropriate use of state resources and conflicts of interests result in personal liability • Anyone can report • Findings are made public Is it illegal and outside policy? Is it unreasonable? Is there personal gain? Is it incurring excessive time or money? How would it look to the public? … • Sanctions include: • Civil penalties • Fines • Other disciplinary measures If it is unethical or you are unsure, refrain from the behavior or activity and seek guidance. Seek advice from your supervisor first. WA Ethics in Public Service Act CONFLICTS OF INTERESTS AND ETHICS False Claims Act Whistleblower Program Summary Conflicts of interests: Code of Conduct • Are often financial in nature, and typically related to outside work • May be actual conflicts or have the appearance of a conflict; both are equally important to manage Affordable Care Act Compliance Landscape WA False Claims Act • Must be disclosed to your supervisor AntiKickback Statute Patient Inducement HIPAA WA State Ethics Law DATA STEWARDSHIP Protecting patient and other confidential information DATA STEWARDSHIP DATA STEWARDSHIP Protecting patient and other confidential information Accountability Definition Information must be kept private and secure no matter what form it is in or how it is transmitted or maintained. Your personal, professional and ethical responsibility to protect all information used in the course of your work for UW Medicine Electronic Computer, mobile devices, electronic medical record HIPAA – FERPA – WA Breach Notification Law, WA Records Law – Grants, Contracts or Agreements 75 Written Verbal Paper records, faxes Information shared in conversation DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Information With Special Protections Protected Health Information (PHI) Identifiers 1. Names 2. Geographic identifier 3. Dates 4. Phone #s 5. Fax #s 6. Email addresses 7. Social Security #s 8. Medical record #s 9. Health plan beneficiary #s 10. Account #s 11. Certificate/license #s 12. Vehicle identifiers including license plate #s 13. Device identifiers and serial #s 14. URLs 15. IP addresses 16. Biometric identifiers 17. Face photographic images 18. Any other unique identifier Encryption Personally Identifiable Information (PII) Identifiers Encryption is the use of computing technology to make electronic data unreadable by anyone that does not have a password or key. 1. Names 2. Social Security #s 3. Account #s 4. Drivers License Encryption is required to protect information from unauthorized access and to mitigate disclosure requirements. UW Medicine provides encryption guidance* for: • Emails • Mobile Devices • Files Use the Minimum Necessary Standard* information to carry out your job responsibilities for treatment, payment and healthcare operations. *Resources at the end of the presentation PP19 Handling of Public Records PP20 Minimum Necessary Requirements DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Best Stewardship Practices – Electronic Mobile Devices Workstations Mobile devices present special risks as they are easily lost or stolen; they are attractive assets. Your responsibilities: • Encrypt devices containing PHI, PII or other confidential information • Do not enable automatic login – use strong passwords to log on to mobile devices • Change passwords every 120 days or less • Update operating system and apps • Workstations must be locked or logged-out when not in use or unattended • Workforce members who use their personal computer for work must secure the computer to the same level as a UW Medicine-owned computer • Do not enter passwords or conduct UW Medicine business from 3rd party kiosks, such as an Internet Café computer Example Mobile Devices Laptops Tablets Smart Phones USB Drives External Drives Personally owned mobile devices, when used for work purposes, must comply with UW Medicine security policies. The owner of the device is responsible for safeguarding information. DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Best Stewardship Practices – Electronic Login Management Passwords • • • • • Use your credentials only for authorized job responsibilities Your credentials leave an electronic footprint Do not share your account information with anyone If someone asks you for your password - do not provide Change your password at least every 120 days or less • Passwords are the key to computing devices. If anyone obtains the key, they will have access to UW Medicine’s data. • Complex passwords may be difficult to remember, recommend using a password safe. • Do not use the same password for all your accounts • Choose passwords that are easy to remember, but hard to guess Your supervisor is responsible for making sure your access rights are correctly assigned at onboarding and updating your access upon role changes, transfers or separations. Use a sentence, for example: I rode my bike 7 miles to work - Irmb7mTW 76 DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Best Stewardship Practices – Electronic Email Phishing • All confidential information (including PHI) must be encrypted when sent outside UW Medicine Phishing is the most common way accounts are stolen. Do not click on links from or submit your credentials to unknown sources. • All UW Medicine email is open to public disclosure Phishing is the attempt to acquire sensitive information such as usernames, passwords and data/information details (and sometimes, indirectly, money) by masquerading as a trustworthy entity in an electronic communication. • Do not forward confidential emails to a third party email system e.g., Yahoo!, AOL, Gmail • Check and double-check all messages for proper recipient email addresses UW Medicine periodically sends phishing messages to our workforce to help raise awareness. You may receive a phishing message in the coming weeks – Don’t click the link! DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Phishing Example Networks When transmitting confidential data (including PHI) through public and wireless networks, use encryption. UW wireless networks labeled “University of Washington” are not encrypted. To ensure encryption, look for HTTPS in the location bar in your web browser’s URL. DATA STEWARDSHIP DATA STEWARDSHIP Best Stewardship Practices – Electronic Best Stewardship Practices – Written Web Browsing Copying, Distributing and Disposing Best practice: use the internet only to perform your job responsibilities. Use plug-ins cautiously: only download if absolutely necessary. When no longer needed, remove the plug-in. Restricted or confidential information in your work area must be secured when not in use. • Ensure faxes are sent to the correct recipient • Always clear restricted or confidential information from printers immediately • Dispose of information appropriately when no longer needed • Carefully check patient’s name on the documents obtained from a printer match the intended recipient Plug-in: A software component that adds a feature to an existing software application. Be aware that “trusted” websites may contain malicious software. Clicking links on websites can download and run programs on your computer. PP28 Faxing Protected Health Information 77 DATA STEWARDSHIP DATA STEWARDSHIP - BREACHES Best Stewardship Practices – Verbal A breach is the acquisition, access, use or disclosure of PHI or PII for non-authorized reasons. Breach examples: In work areas • Discuss PHI for job-related reasons only Information sent to the wrong location via fax, mail, etc. • Discuss PHI in appropriate settings and only with those who have a need-to-know Lost or stolen device containing unencrypted information • Use your professional judgment before discussing PHI in front of the patient’s friends and family - if you are unsure, ask the patient if it is ok to discuss Paper information not shredded or otherwise properly disposed Breaches In public areas • Speak with a soft voice • Be conscious of your surroundings, who is around you and what can be overheard Accessing information of others “out of curiosity” • Only use last or first name when calling patients in a waiting area Paper information handed to the wrong person • Limit patient information discussed to the minimum necessary PP20 Minimum Necessary Requirements PP29 Notification of Impermissible Use or Disclosure DATA STEWARDSHIP - BREACHES DATA STEWARDSHIP Consequences of a Breach Consequence Personal Identity Theft Institutional • Reputation • Loss of patient, employee, and public trust in UW Medicine workforce members • Loss of patient, employee, or public trust in UW Medicine • Investigation • Office for Civil Rights investigation; and Federal law requirements regarding notification and added expenses • Resources • Subject to an investigation, reported to your department, UW Medicine leaders and external regulatory agencies • Liability • Time you will spend on responding to the investigation, in retraining and other remedial activities • Time and resources to investigate and determine appropriate action including cost of legal counsel and other departments • Personal liability • Possible imposition of civil and/or criminal penalties, fines and sanctions on the institution For patient safety and to prevent fraud, you must protect patient information. Follow your entity’s procedures to prevent identity theft. Request government-issued photo identifications from patients: • From patient at check-in • When providing patient information to any individual PP29 Notification of Impermissible Use or Disclosure PP31 Identity Theft Prevention DATA STEWARDSHIP - WHAT YOU CAN DO DATA STEWARDSHIP - WHAT YOU CAN DO Continued… Take proper steps to secure confidential information: To connect remotely, use a Virtual Private Network (VPN) Secure your computer when left unattended Do not save confidential information on your desktop; use secure sites Encrypt and password protect data on all mobile devices used for work purposes Do not save emails, documents or other work-related material on a local hard drive or unencrypted mobile device Do not use email to send confidential information unless it is encrypted or sent through an approved email domain Do not open an email or attachment form an unknown source Report all possible breaches to your IT Help Desk or your Supervisor Obtain approval to take PHI offsite • Best practice: regular backups and safely store Keep your operating system and software, including anti-virus, up to date Manage your login information by keeping your credentials private and use only for authorized job responsibilities Double check patient identity before handing, mailing, faxing, emailing or discussing PHI Taking information offsite… secure it and keep in your possession at all times. Social Media – posting PHI to social networking sites is prohibited. 78 Contact IT for guidance or if you think you have an infected computing device. HMC, UWMC, UWP, and ALNW 206.543.7012 mcsos@uw.edu UW-IT 206.221.5000 NWH 206.368.1605 helpdesk@nwhsea.org SOM 206.221.2459 domhelp@uw.edu VMC x6200 “ITHELP” on web browser PATIENT RIGHTS Federal law grants patients specific rights related to their medical record and PHI Patient rights include the right to: Obtain a Notice of Privacy Practices (NoPP) Access, inspect and obtain a copy of their PHI Request an amendment to their PHI Receive an accounting of PHI disclosures Request restrictions on their PHI disclosures Request restrictions to health plans Request communication to alternative phone number or address Make a complaint PATIENT RIGHTS Federal law grants patients specific rights related to their medical record and PHI PP21 Notice of Privacy Practices PP22 Rights to Additional Privacy Protection PP23 Patient’s Access to Their Protected Health Information PP24 Amendment of Protected Health Information PP25 Accounting of Disclosures of Protected Health Information RECAP Handout – Regulatory Healthcare Environment RECAP QUESTIONS & CONCERNS How to obtain answers to compliance questions Reporting a compliance concern REPORTING COMPLIANCE CONCERNS CONFLICTS OF INTEREST AND ETHICS Reporting a compliance concern How to obtain answers to compliance questions Washington State Whistleblower Program Ask Questions and Report Your Concerns Provides a venue to report “improper governmental action,” that: • You have a duty to report potential violations regarding data breaches, inaccurate claims, ethical dilemmas, etc. • We are all responsible • Federal/State law and UW Medicine policy prohibit retaliation • UW Medicine will investigate concerns and take appropriate corrective actions • • • • • Violates federal or state rules Is a gross waste of public funds or resources Is a substantial and specific danger to the public health or safety Is gross mismanagement Prevents dissemination of scientific opinion or alters technical findings Venue for WA State employees UW Medicine Compliance 206.543.3098 | 1.855.211.6193 | comply@uw.edu http://depts.washington.edu/comply/ Report concerns to: • UW Medicine Chief Compliance Officer: 206.543.3098 • UW Internal Audit Office: 206.543.4028 • WA State Auditor: 360.902.0370 Anonymous Hotline 206.616.5248 or 1.866.964.7744 APS 47.1 State Employee Whistleblower Act 79 YOUR COMPLIANCE RESPONSIBILITIES OBJECTIVES Next Steps • • • • In this presentation, you learned: • Services provided by the UW Medicine Compliance Program Know the policies that apply to your job and follow them Read your entity’s Code of Conduct Complete online compliance training as applicable Annually review and sign the Privacy, Confidentiality, and Information Security Agreement (PCISA) • How to recognize possible triggers of healthcare fraud and abuse laws • The key concepts of conflicts of interests and standards of ethical behavior • Your responsibilities for data stewardship • How to obtain answers to compliance questions and report a compliance concern TOOLS COMPLIANCE RESOURCES Accounting of Disclosures Creating strong passwords • • http://security.uwmedicine.org/guidance/role_based/end_user/default.asp • • https://security.uwmedicine.org/training/dept_materials/default.asp • http://depts.washington.edu/comply/docs/UWM_MinNecDisclosureDescisionTree.pdf • http://security.uwmedicine.org/guidance/role_based/end_user/default.asp http://depts.washington.edu/comply/policies-procedures/ Health Information Management Securing your physical space • http://security.uwmedicine.org/guidance/technical/encryption/default.asp Compliance Policies Securing your systems and data • http://depts.washington.edu/comply/resources/ Encryption Minimum necessary decision tool • http://depts.washington.edu/comply/compliance-programs/hipaa-program/accounting-of-disclosures/ Codes of Conduct How to encrypt • • • Contact your building facilities department http://www.nwhospital.org/visitorinfo/medical_records.asp (Northwest Hospital Medical Center) http://www.uwmedicine.org/patient-resources/medical-records (UW Medicine) https://www.valleymed.org/patients-and-visitors/him-/-medical-records/ (Valley Medical Center) Outside Work Approval Form for State Employees • http://www.washington.edu/admin/hr/forms Social Media Policies • • http://depts.washington.edu/comply/docs/COM-03SocialMedia.pdf http://depts.washington.edu/uwciso/site/files/UW_Social_Media_Guidelines.pdf UW Medicine Compliance • http://depts.washington.edu/comply/ WA State Ethics • http://www.ethics.wa.gov/ Whistleblower, Washington State Auditor • https://www.sao.wa.gov/investigations/Pages/Whistleblower.aspx COMPLIANCE RESOURCES UW Administrative Policy Statements (APS) and Executive Orders (EO) APS 35.02 • http://www.washington.edu/admin/rules/policies/APS/35.02.html APS 47.1 • http://www.washington.edu/admin/rules/policies/APS/47.01.html APS 47.2 • http://www.washington.edu/admin/rules/policies/APS/47.02.html APS 47.3 • http://www.washington.edu/admin/rules/policies/APS/47.03.html EO 32 • http://www.washington.edu/admin/rules/policies/PO/EO32.html EO 57 • http://www.washington.edu/admin/rules/policies/PO/EO57.html IT Security Websites UWM – ITS • https://security.uwmedicine.org/default.asp VMC • http://valleytimes/sites/pnp/IT%20Policies/Forms/Policy%20List.aspx NWH • http://nwh/sites/operations/ims/SitePages/Home.aspx 80 Safety: Workplace Violence Prevention 81 82 Workplace Safety Public Safety/Security Teams Components of Workplace Safety Public Safety/Security Teams The goal of your public safety/security teams are to provide as safe and healing environment as possible. All officers maintain a constant presence, patrolling all areas of your work space. Anytime you see or hear something that doesn't feel right, notify your team. Your work location determines who you contact for non- urgent and urgent reporting. Teams and Contact Numbers When to Call What to Say UWMC Public Safety at UW Medical Center Direct Line to a Security Officer (24/7): 206-598-5555 Public Safety Office (business hours): 206-598-4909 HMC Security Services at Harborview Medical Center Personal Safety Tips 24/7 Non-Emergency: 206-744-3193 24/7 Emergency: 206-744-5555 Universal Protection Services at HMC, Ninth & Jefferson Building Protect Your Property Workplace Violence & Response Safe Campus Resource Code Silver (Active Shooter) & Code Silver Response Lobby: 206-744-6591 Security Office: 206-744-6590 Unico Security Services at the IBM Building, 5th Ave: 206-628-5104 When to Call When you observe suspicious activity call your appropriate Public Safety/Security Team at the numbers provided above. When you observe criminal activity and feel there is an imminent threat or believe police response is necessary call 911. Trust Your Instincts. Call Early. Helpful Descriptors What to Say Identify yourself as an employee of UW What they look like Your name Observed behavior Your location and location of activity Direction of travel The problem you are reporting The suspicious behavior that motivated you to call 83 Personal Safety Tips from the Seattle Police Wear your employee identification name badge at all times during work hours. Be aware of your surroundings, trust your instincts and use common sense. Walk with a co-worker whenever possible. If you see a crime in progress, contact the police by calling 911. Consider wearing clothing and shoes that you can move freely and quickly in, especially when walking or waiting for the bus, train, or ferry. Don't be afraid to cross the street, return to a business, or ask for help based on a "funny feeling". You may be right! Protect Your Property When leaving your office, shut and lock the door Keep personal property secured (e.g. locked in a drawer in your office or in your locker) Make use of locker space when provided and SECURE YOUR LOCKER Do not bring valuable or unnecessary personal items to work Record serial numbers on electronic equipment (cell phone, iPod, etc.) Protect your car from car prowls and vehicle theft o Don’t leave anything of value in your car o Set your alarm or use a locking device o Report suspicious activity in parking lots SAFETY ON OUR UW CAMPUS IS EVERYONE’S RESPONSIBILITY !! 84 What is Workplace Violence? The University of Washington has programs to prevent violence on campus. Workplace Violence Definition Healthcare Setting definition Workplace violence is a verbal threat to cause harm to or physical assault to an employee of the healthcare setting. Other Setting Definitions may include Harasses or intimidates others Interferes with an individual’s legal rights of movement or expression Disrupts the workplace, the academic environments or the University's ability to provide service to the public Reacting to Potential Danger & Responding to Escalating Behavior Listen to and acknowledge the individual – Allow him/her to express their concerns and ask for clarification if necessary Validate vs. Agreement (validate their experience vs agreeing with their complaint) Set limits if necessary Protect yourself, your personal space and notice your exit plan Manage your own responses Maintain a calm demeanor Report concerns and behavior to your manager/ supervisor, public safety or security team and the police as appropriate Know your campus and/or department response plan (e.g. Show of Support, Code Gray) SafeCampus SafeCampus is a UW violence prevention & response program for non-urgent, non-clinical concerns. Behaviors of concern include: Harasses or intimidates others, Interferes with an individual’s legal rights of movement or expression, Disrupts the workplace, the academic environments or the University's ability to provide service to the public. Phone lines answered 24/7 Provide information & resources to reduce risk Collaborate extensively with the Medical Center’s Human Resources, Security and other necessary departments to create action plans to reduce risk Follow up to ensure action plan is completed 206-685-SAFE (7233) Search for ‘SafeCampus’ on the UW website. Link: http://www.washington.edu/safecampus/ 85 Code Silver – Active Shooter Code Silver Definition Code Silver is an event when an individual or group is actively shooting at persons on campus with a firearm. These are the three basic things you need to know to survive. Code Silver Response Measures Staff Response: RUN If within the VICINITY of the shooter: o Staff should not do anything to provoke the shooter o If no shooting is occurring, staff should do what the shooter says and not move suddenly. o Call 911 when safe & give your exact location. If the shooter starts shooting, staff should take decisive action: o Flee for an exit while zigzagging (if appropriate) o Escape if possible, leave belongings behind, and help patients, staff and visitors to escape if possible o Warn others and prevent them from entering the area Staff Response: HIDE If NOT within the VICINITY of the shooter and CANNOT leave the area safely, staff should: o If in a hallway, get to a nearby room and secure it o Unless close to an exit, do not attempt to run through long hallways to get to an exit as there are risks for encountering the shooter o Keep other staff, patients and visitors confined in the area o Lock and barricade doors and windows. Use beds, copiers, cabinets, tables etc. o Turn off TV’s, mobile phones and other devices that emit sound Staff Response: As A Last Resort FIGHT for Your Life! As a last resort, if there is no possibility of escaping or hiding, and only if a person’s life is in imminent danger, one can make the personal choice to FIGHT. Options to consider include: o Throw things, yell, use improvised weapons o Develop an action plan and work as a team o Committing to one’s action to fight for your life or someone else’s life 86 Safety: Infection Prevention 87 88 Infection Control Resources/Important Numbers HAND HYGIENE – 1st Defense Against Infection for Patients and Staff Hand Sanitizer – HMC Infection Control Office: 206-744-9560 Pager 24/7: 206-663-8872 UWMC Epidemiology and Infection Control Office: 206-598-6122 Pager 24/7: 206-598-6190 (paging operator) “Epidemiologist on Call” Webpage: Webpage: https://hmc.uwmedicine.org/bu/infectioncontrol/Pages/d efault.aspx https://uwmc.uwmedicine.org/bu/infectioncontrol/Pages/d efault.aspx Terms and Acronyms: >hands must remain wet with waterless sanitizer for a minimum of 20 seconds >alcohol “dwell time” required to allow gel to break down organisms on hand Soap and Water Wash Hospital Associated Infections (HAI): Infections that patients acquire while they are receiving treatment for another condition in a health care setting. Multidrug Resistant Organisms (MDROs): Microorganisms that are resistant to multiple antibiotics. Most common is MRSA, or Methicillin Resistant Staphylococcus aureus. Others include, but not limited to: • Vancomycin Resistant Enterococcus (VRE) • R- E.coli • R-Acinetobacter • R-Psueudomonas Personal Protective Equipment: PPE >wet hands >apply ample soap >before rinsing, scrub for at least 20 seconds We use Personal Protective Equipment (PPE): • To protect ourselves from acquiring bacteria • To protect our patients as we move from room to room from acquiring bacteria. PPE can be used in different combinations depending on type of bacteria/isolation precautions. PPE includes: • GLOVES >rinse thoroughly • GOWN >dry with paper towel • MASK • EYESHIELDS • RESPIRATORS >use new towel to turn off faucet 89 Gowning and Degowning PPE • Always put on and take off your PPE correctly. • Why? In order to prevent contamination of yourself or the environment. • Each Isolation Precautions Sign will show you how to put on and take of PPE. Questions? Ask your supervisor or contact Infection Control. PRECAUTION SIGNS • Used to identify patients with infections/colonizations that are easily transmissible from patient to patient. • Help us choose proper PPE to protect our patients and ourselves. • Check back of sign for tips about pathogens, dietary, transport, etc. Contact Precautions Used for: • Multidrug resistant organisms (MDRO)MRSA, VRE, ESBL, CR, PRSP • Uncontrollable body substances, etc. PPE: • Gown and Gloves Equipment/Environmental Clean: • Disinfectant towelette (Quat ammonium) Hand Hygiene: • Gel or Soap and Water Contact Enteric Precautions Used for: • Clostridium difficile (C. diff) • Norovirus • Patients with nausea, vomiting, diarrhea of unknown cause PPE: • Gown and Gloves Equipment/Environmental Clean: • BLEACH Hand Hygiene: • Going into room: Gel • Leaving Room: MUST USE SOAP AND WATER Alcohol gel will not kill C. diff spores. You MUST wash your hands upon leaving the room to mechanically remove spores from your hands. 90 Droplet Contact/ Oncology Droplet Precautions Used for: • Influenza and other respiratory viruses • Meningococcal meningitis • Mumps, rubella, pertussis, etc. PPE: • Gown and Gloves, Mask with eye shield Equipment/Environmental Clean: • Disinfectant towelette (Quat Ammonium) Hand Hygiene: • Gel or Soap and Water Airborne Respirator Precautions Used for: • Pulmonary Tuberculosis PPE: • • PAPR training is done yearly with your clinical competencies. PAPR or N95, Gloves, if needed Negative Pressure Room Special Alerts: • HMC Only: Contact Infection Control to “clear” precautions Make sure you are oriented to PAPR/N95 use on your unit. Call Infection Control/Employee Health if you need further education. Equipment/Environmental Clean: • Disinfectant towelette (Quat Ammonium) Hand Hygiene: • Gel or Soap and Water Airborne Contact Precautions Used for: • Chicken pox (varicella) • Disseminated Herpes zoster • Localized Herpes zoster (in an immunocompromised patient) • Measles PPE: • • N95 fit-testing is required annually. Gown, Gloves, Mask with eye sheild Negative pressure room preferred, Contact IC. Special Alerts: • Enter only if IMMUNE • HMC Only: Do not enter if pregnant Equipment/Environmental Clean: • Disinfectant towelette (Quat Ammonium) Hand Hygiene: • Gel or Soap and Water 91 Airborne Respiratory/Contact Precautions Used for: HIGH RISK INFECTIOUS AGENTS • Viral hemorrhagic fevers (Ebola) • MERS-CoV • SARS • Avian Influenza PPE: • • • Gown, Gloves, PAPR/N95, eye protection Negative pressure room Booties and hat can be used if indicated (massive secretions/body fluids) Equipment/Environmental Clean: • Disinfectant towelette (Quat Ammonium) Hand Hygiene: • Gel or Soap and Water Blood or Body Fluid Exposure If you are exposed to blood or body fluids, do the following: 1. Wash, WASH, WASH area exposed for several minutes 2. Eyes or mouth splashed? Rinse, RINSE for several minutes 3. Seek help/report! a. Your supervisor b. Employee Health 0730-0430 Mon-Fri c. Emergency room- after regular business hours Administrative Policy and Procedure available on the intranet: Control Plan for Occupational Exposure to Bloodborne Pathogens Occupational Exposure to Bloodborne Pathogens- WAC 296-823-12005 Infectious Agents Transmitted by Blood or Blood Products Viruses Hep A, B, C, D (delta agent) CMV, EBV, HHV-8 HIV 1 & 2, HTLV I & II Parvovirus B19 West Nile virus Parasites Malaria Babesiosis Trypanosoma cruzii (Principles and Practice of Infectious Diseases 2005) 92 Rickettsia RMSF, Q Fever Spirochetes Syphilis, Relapsing Fever Other Bacteria Red Blood Cells Yersinia enterocolitica Psudomonas fluorescens Platelets Coag neg Staphylococcus Salmonella choleraesuis, E. coli, Seratia, Bacillus, Enterobacter May Potentially contain Bloodborne Pathogens blood any body fluid visibly contaminated with blood semen vaginal secretions amniotic fluid saliva from dental procedures breast milk synovial fluid pleural fluid pericardial fluid peritoneal fluid unfixed tissue, organs & cerebrospinal fluid Occupational Exposure Risk High Risk Large bore needle that has been in a vessel Source patient has Hepatitis B, C, or HIV Low Risk Mucous Membrane exposure Small amount of body fluid Risk of Transmission from Infected Source Patient Viral pathogen Hepatitis B: > 30% Hepatitis C: 1.8% HIV Percutaneous 0.3% Mucous Membrane 0.09% Incubation HBV/HCV: 1-4 months HIV: 1-6 weeks Prevent Transmission of Bloodborne Pathogens Consider all patients potentially infectious Use standard precautions for ALL patients Get a Hepatitis B vaccination if you are a worker who may have contact with blood or body substances/fluid Use barriers to prevent contact with blood, body fluids, and mucous membranes as appropriate Prevent needle sticks and splashes to eyes or mouth 93 94 Safety: Environment of Care 95 96 Environment of Care Components of Safety Emergency Codes Fire Safety Evacuation What is Environment of Care? Harborview Safety Goal: Environment of Care Goal: Provide a safe, supportive, and effective environment at HMC through employee health and safety, hazardous materials and waste management, environmental safety, and emergency preparedness. To maintain a safe environment for everyone. UWMC Safety Goal: Disaster Preparedness Establish and maintain a safe environment for patients, visitors, staff and students; safeguard our resources, equipment and property. Waste Management Hazardous Materials Asbestos Radiation Safety MRI Safety Clinical Engineering Safety Resources Emergency Codes Codes are announced overhead. They are initiated by someone calling the operator or security to report an event. If you are calling in a Code, please provide specific information as to location and what is happening. Use the Emergency Manual as a reference guide for instructions on what to do when you hear a Code called. 97 Fire Safety & Evacuation: Fire Response is activated by a Code Red. Important things to know include: 1. Location of fire extinguishers and how to use them Evacuate laterally, move beyond fire doors &avoid elevators 2. The nearest exit; always use the stairs 3. The fire response plan for your department; 4. The importance of fire doors 5. At UWMC, the location of evacuation equipment on your inpatient unit Evacuation is not always necessary, but if ordered, know the evacuation route and relocation point for your department. This information should be provided to you by your supervisor or, at Harborview, the emergency warden for your department. Disaster Preparedness: Disaster plans are activated by a Code Triage. Follow your department’s disaster plan. Inclement Weather Policy ALL staff are essential. ALL employees scheduled to work are expected to have alternative plans in place to allow them to safely get to work as scheduled. Everyone has a role. Have a personal preparedness/family plan. • Have a kit for work, car and home • Have a family communication plan • Have a proactive alternative transportation and childcare plan Earthquake During • Keep away from windows, doors and falling objects. • Comfort patients • Drop, Cover, Hold • Protect yourself so you can continue patient care “An ounce of prevention is worth a pound of cure.” -Benjamin Franklin After • Assess damages and injuries • Move to safety and stay indoors • Do not use elevators, open flames or telephones • Report to your supervisor • Wait for instructions Disaster/Emergency Resources • Emergency Manual/ Emergency Reference Guide • Department Disaster Plan • Hospital Disaster Plan (available on the intranet) • Employee Hotline o HMC 744-INFO (4636) Waste Management For environmental stewardship and regulatory compliance, please ensure that you dispose of waste in the correct container. Most waste collection rooms have reference posters indicating what waste goes in which container. 98 Asbestos Hazardous Materials Chemical Inventories and Material Safety Data Sheets (MSDS, soon to be Safety Data Sheets) are available on MyChem: http://mychem.ehs.washington.edu Asbestos is safe, as long as it is not disturbed. Airborne asbestos fibers are hazardous to your health. Avoid damaging walls, floors and pipes with carts, beds, etc. MSDS/SDS contain safety information on: • • • • Older buildings contain asbestos insulation in floors, walls, and pipes. Stay out of construction areas. Chemicals Environmental & Health Hazards First Aid & Emergency Procedures Protective Measures i.e. gloves & safety glasses LABEL ALL CONTAINERS Read the label and follow directions Follow departmental procedures for spill clean up Dispose of chemicals properly RELABEL SECONDARY CONTAINERS Secure compressed gases Protect yourself: wear PPE UW Environmental Health and Safety: www.ehs.washington.edu For more information on asbestos, visit: www.ehs.washington.edu/ohsasbestos Radiation and MRI Safety Radiation MRI A radiation accident/incident is a major spill of radioactive material or an injury involving radiation or radioactive materials The MRI Suite contains a powerful magnet and the magnet is ALWAYS “ON” Do not enter a radiation area unless you are trained to work in that area. Do not enter a room when “x-ray in use” sign is lit MRI units can cause injury to people with pace makers, metal plates, shrapnel, or jewelry Metal items become projectiles causing injury or property damage Working in the MRI suite requires safety training “In New York, in July 2001, a 6 year old boy was fatally injured by an oxygen tank that was mistakenly introduced into the MRI suite while he was undergoing an MRI exam.” DO NOT ENTER MRI suite unless cleared by Radiology staff 99 Safety Resources Safety Officer Report safety issues to a Supervisor Medical Equipment Management Tests, repairs, and maintains diagnostic and therapeutic equipment Investigates equipment failures & incidents Complete a Patient Safety Net Report (PSN) for all Codes Must evaluate all patient care equipment When seeking treatment utilize Employee Health or the Emergency Department All equipment failures and incidents must be reported to Clinical engineering Emergencies Within the hospital call 222 Offsite locations call 911 A resource to evaluate patient-owned electronics Safety Resources Safety intranet sites HMC https://hmc.uwmedicine.org /BU/HealthAndSafety/Page s/default.aspx All of us are responsible for keeping a safe environment. UWMC https://uwmc.uwmedicine.or g/BU/Ops/Pages/Fire-andLife-Safety.aspx Reporting hazards and incidents helps UW Medicine prevent further injuries – we need you to help! Safety Hotline Harborview: 206-744-SAFE (7233) UW Medical Center 206-598-5556 Security HMC: 744-5555 Other Safety Resources: If you see something that needs attention, or if you Safety Officers have ideas on how we can Employee Health improve the safety of our Medical Centers, please Ergonomics Specialist call the Safety Hotline Environmental Health and Safety WA Labor and Industries UWMC: 598-5555 Off-site Locations: 911 Environment of Care Safety Orientation 100 At Harborview, Emergency Wardens are trained as leaders during an emergency. • Know who they are in your department (always the Charge Nurse on patient care areas) • Wear an orange vest, so that they are easily recognized • Follow their instructions Human Resources & Payroll 101 102 Human Resources Presenter: Megan Mason mkmason@uw.edu 598-6118 HR Operations Contact Information Employment Classification Labor Relations Payroll Services HR contact info: Questions about your paycheck: Talk to your Payroll Coordinator first HMC 744-9220 UWMC 598-6116 Monday – Friday 8am – 5pm* *Other hours upon request www.washington.edu/admin/hr Harborview Payroll Office: 206-744-9280 hmcpyrl@uw.edu UWMC Payroll Office: 206-744-9280 mcpay@uw.edu Resources To report a lost badge: askkronos@uw.edu Intranet & APOPs Employee Self Service (UW NetID and password required) Access directly: https://prp.admin.washington.edu/ess/uwnetid/home.aspx or Access through http://my.uw.edu (see below) 103 104 Employment Type More information on the HR website: https://www.washington.edu/admin/hr/roles/ee/index.html It says on your hire letter what your classification is. Questions? Ask an HR representative during the module fair. Try searching for “UW Temporary employment program” Hourly/Temporary Employees special rules • • • For more information Can work a maximum of 950 hours every 12 months. RNs exempt from 950 hour maximum. Employees in a temporary appointment matching an SEIU Local 925 or WFSE bargaining unit title become covered by the union after 350 hours worked. Leave Probationary Period Bargaining Unit (union) Pay schedule Benefits Professional Staff Begin accruing annual leave at 10 hrs/month. No probationary period. No bargaining unit. Generally eligible for retirement and health insurance benefits. Contract Classified (union) Begin accruing annual leave at 8 hrs/month. 6-month probationary period. Cannot use annual leave during this time. Classified Non-Union Begin accruing annual leave at 8 hrs/month. 6-month probationary period. Cannot use annual leave during this time. Each employee is assigned to one of several bargaining unit based on job title. No bargaining unit. Hourly/ temporary Usually no paid leave. 6 month probationary period. Regular Salary pay schedule for regular pay, exception pay schedule for everything else. Regular Salary pay schedule for regular pay, exception pay schedule for everything else. Regular Salary pay schedule for regular pay, exception pay schedule for everything else. All pay according to exception pay schedule. Depends on job title. Discuss with manager. 105 Generally eligible for retirement and health insurance benefits. Generally eligible for retirement and health insurance benefits. Generally only eligible for retirement. Pay dates: • • On the 10th of the month On the 25th of the month Sometimes these dates vary due to weekends or holidays. For regular salary pay, hours worked during the 1-15th of the month will be paid on the 25th, and hours worked during the 16th-the end of the previous month will be paid on the 10th. For exception pay, please see the Exception Pay Schedule (next page). Timekeeping: KRONOS is the system that most employees will use for Time Reporting, Scheduling and Leave Management. Separate KRONOS training will be provided if applicable. However, not all departments use KRONOS; check with your department manager for your specific time reporting process. Standard Work Week: Monday-Sunday You are responsible for validating the accuracy of your paycheck and employee leave record. By noon every Monday: • Review your timecard • Submit any changes to your timekeeper • Approve your timecard First paycheck & Direct Deposit • • Make sure you set up direct deposit in Employee Self Service as soon as possible. Direct Deposit is the preferred method of receiving your net pay. If Direct Deposit is setup by 1:00 pm on the cut-off date (indicated in the “Status Change Forms” column of the Exception Pay Schedule, see next page), your first pay check will be Direct Deposit. Please make sure your address on file is current as your first pay check may be mailed to your home address listed in Employee Self Service. Taxes • • To set up your W4 Federal Withholding Form W4, go to the “Tax” tab in Employee Self Service. To opt out of printed W-2s, go to the “Tax” tab in Employee Self Service. Paycheck and Employee Earnings Statement • • • Non-hourly employees are paid half of their monthly regular salary pay each payday, which is listed as REGULAR EARNINGS on your Earnings Statement. Hourly paid employees are EXCLUSIVELY paid on the Exception Pay Schedule. See next page. Any premium pay (i.e. shift differentials, overtime, etc.) is paid on the Exception Pay Schedule. See next page. 106 Payroll Schedules: https://intranet.uwmedicine.org/BU/Payroll/Pages/Schedules.aspx Timecard Exception Cutoff Schedule 2015 (through 6/15/16) Exception Pay Includes: • • • • • • • • • • • * Direct Deposit Cutoff ** Monday is holiday, so Kronos close is on Wednesday 107 Hourly/Per Diem Pay Overtime Extra Shift Shift Differential Charge Standby Call back Holiday Pay Weekend Premium Nightshift Premium Leave Without Pay Schedule Hours The following are the number of hours required to meet the “work obligation” for the earnings of monthly paid employees. The total hours can be a combination of hours worked and benefit hours (vacation, etc.) For percentages not listed here, multiply the work period by the percentage to arrive at the required “work obligation” hours. FTE 100% = 1.00 95% = .95 90% = .9 85% = .85 80% = .8 75% = .75 70% = .7 65% = .65 60% = .6 55% = .55 50% = .5 Hours per 40 Hour Work Period 40 38 36 34 32 30 28 26 24 22 20 Hours per 80 Hour Work Period 80 76 72 68 64 60 56 52 48 44 40 Leave Holidays Prorated for part-time employees. 10 holidays per year. Ask your supervisor or timekeeper how your department compensates employees for holidays. 2016 Holiday Schedule Holiday New Year’s Day MLK Day Presidents’ Day Memorial Day Independence Day Labor Day Veterans Day Thanksgiving Day Day after Thanksgiving Christmas 12/26/16* Annual Leave Prorated for part-time employees. Visit HR web page for detailed accrual rates. Professional staff begin accruing 10 hours/month. Classified staff begin accruing 8 hours/month. Must wait until end of probationary period to use. Can accumulate a maximum of 240 hours. Excess vacation must be used or lost; cannot be paid out. 108 Day of Week Friday Monday Monday Monday Monday Monday Friday Thursday Friday Monday *Christmas Day 2016 is observed 12/26/2016. Sick leave Prorated for part-time employees. All staff accrue 8 hours/month. Can be used as soon as it’s accrued. Personal Holiday 1 personal holiday per calendar year. Pro-rated for part-time employees. Must be used by 12/31. Date Observed 1/1/16 1/18/16 2/15/16 5/30/16 7/4/16 9/5/16 11/11/16 11/24/16 11/25/16 Must use entire holiday day at once. Available after 4 months of continued employment. Leave Accrual Newly hired employees in leave-bearing positions (hourly employees generally are not eligible to accrue leave) who start work before the 16th of the month, accrue full leave hours during the first calendar month of employment. Newly hired employees who start work on or after the 16th of the month do not accrue leave hours for the first month but begin accruing leave hours at the end of the second calendar month of employment. Other leave programs: If you have questions about any of these, contact your leave specialist in your HR office. Definition of Family Member - employee's spouse or same or opposite sex domestic partner; child; parent; grandparent; grandchild; sister; or brother. Family member also includes individuals in the following relationships with the employee's spouse or domestic partner: child, parent, or grandparent. It also includes those persons in a “step” relationship. Family and Medical Leave Act (FMLA) Eligible after working 12 months and 1250 hours. Provides 12 weeks of job protected leave and benefits coverage per year to employees who meet FMLA eligibility requirements. If your leave doesn’t meet FMLA requirements, you may still be able to take leave, it just won’t be FMLA and is subject to department approval. Family Care Act is a Washington State program that allows you to use accrued leave to care for a family member with a serious health condition. Shared Leave -- for severe, extraordinary, or life-threatening conditions. Allows eligible employees to donate a portion of their accumulated leave to another Washington state employee who is eligible to receive shared leave. Disability Accommodation: If you require some kind of Disability Accommodation, contact your Leave Specialist through HR. They work with Disability Services Office and your department to provide appropriate accommodations. Parental leave: Covered by FMLA (if eligible), but you can still request parental leave regardless of your FMLA eligibility. Parental leave is not paid but you may use accrued leave during parental leave. Ask your leave specialist for details about Parental Leave. 109 110 New Employee Orientation: Date ____________ Please take a moment to share your candid feedback about your experience at New Employee Orientation. Evaluation Scale: 1 = Needs Improvement 2 = Good 3 = Excellent Check-in & Badging Photos: Organization & Process: 1 Comments: 3 2 Welcome & Logistics: Content: 1 2 Comments: 3 Delivery: 1 2 3 Executive Welcome: Content: 1 2 Comments: 3 Delivery: 1 2 3 Patients Are First Discussion (NEO Facilitator): Delivery: 1 Content: 1 2 3 Comments: 2 3 The Patient Experience - Patient Safety: Delivery: Content: 1 2 3 Comments: 2 3 1 Do the Right Thing - Interpreter Services, Patient & Family Centered Care, Cultural Competence, Prevention of Sexual Harassment, Spriritual Care: Delivery: 1 2 3 Content: 1 2 3 Comments: Do the Right Thing - Compliance Delivery: Content: 1 2 3 Comments: 1 2 3 Do the Right Thing - IT Security Delivery: Content: 1 2 3 Comments: 1 2 3 See Reverse Safety: Workplace Violence Prevention: Delivery: Content: 1 2 3 Comments: 1 2 3 Safety: Infection Prevention: Content: 1 2 3 Comments: Delivery: 1 2 3 Safety: Environment of Care: Content: 1 2 3 Comments: Delivery: 1 2 3 Benefits Overview Content: 1 Comments: 3 Delivery: 1 2 3 Human Resources & Payroll Content: 1 2 3 Comments: Delivery: 1 2 3 2 Module Fair: Process & Organization: Comments: 1 2 3 General Feedback: Please take a moment to comment on your overall experience today. Delivery: 1 2 3 Materials: 1 2 Content: 1 2 3 Comments: 3 See Reverse Husky Card Eligibility NE 45th Street UW Tower 15th Ave NE (downhill) To qualify for a UW ID card (Husky Card), your position must be either a faculty appointment or classified as permanent working at least 50 percent full-time equivalency. Staff classified as temporary and/or hourly do not qualify for the Husky Card. New Employees Employees obtaining a Husky Card will need their UW employee ID number and their U.S. state- or federally-issued photo ID (such as a driver's license or passport). The Husky Card system is not updated in real time and requires a nightly feed from the employee payroll system. Once you are entered into the payroll system, it will generally take until the following business day for the system to send the update to our Husky Card database. In order to save you an unnecessary trip to our office, you can call us at 206-6160689, and we can check your eligibility over the phone. Hours: Monday-Friday 8am – 5pm NE Campus Parkway Take “sky bridge” on corner of NE Campus th Parkway & 15 towards Red Square Red Square Pass the George Washington Statue Look for sandwich board that says “Husky Card Office” Directions Walk east (towards the University Campus) on 45th. Walk south (downhill) on 15th. Take the “sky bridge” at the corner of 15th and NE Campus Parkway. Pass the George Washington Statue. Walk towards Red Square. Look for the sandwich board advertising the Husky Card Office. Required Tasks: Meet with Union (if applicable) Pick up Badge & Husky Card (near HR tables) Personnel to complete I-9 Form Visit Human Resources or Nursing Visit Employee Health (complete top portion of pg. 14 of workbook BEFORE it’s your turn) Turn in NEO Evaluation UWMC Badges UWMC HR Harborview HR HMC Badges Module Fair Schedule – 3:35-4:45 UWMC Nursing Personnel Whole U Go to the HR Tables that correspond to the color of your NEO workbook (blue or green): Nursing Personnel Tables: If you are a Nurse, ARNP, CRNA, or PA Human Resources Tables: Everyone else Compliance HMC Nursing Personnel IT Security Commute Concierge Laptop Buffet: (IT Services) Employee Health 3. When you have completed all required tasks, you are free to go. Have a wonderful afternoon! 2. You do not need to go to the station if you’ve already completed the action items required for that station (i.e. you have already visited employee health). 1. Complete required (yellow) tasks before suggested tasks. Instructions: Evaluation Basket Check out with a facilitator Suggested Activities: Sign-up for a Benefits Orientation Set-up Net ID Email Manager (if needed) Read/Sign: Integrity at Work booklet PCISA form Visit laptop buffet Visit the Commute Concierge to learn about commute options including UPass Credit Unions