Piedmont Health Services, Inc' InternTraineeResearch Associate OnLine Orientation Instructions

1
Piedmont Health Services, Inc.Intern/Trainee/Rese
arch Associate On-Line Orientation Instructions

• Thank you for your interest in collaborating with
  Piedmont Health Services.
• We ask that you please review the entire Ppt.
  presentation that follows,
• then complete the following forms, and bring them
  with you to your first day of work and give them
  to the Health Center Manager, or at Corporate
  Office, to Betty Melanson
• Print out and complete the Application
• Print out the PHS Orientation Overview Test and
  complete it
• Print and Sign the Drug-Free and Patient
  Confidentiality forms
• Please print and fill out the top two lines of
  the Employee Health Record form and bring
  up-to-date copies of all immunization
  records/student/occupational health records with
  you on your first day. (Note Current health
  professional students/residents at Duke or UNC
  Schools of Medicine, Nursing, and Pharmacy are
  assumed compliant and do not need to bring
  records).
• Failure to bring forms on your first day of work
  may postpone or prevent the
• start of your rotation.

2
Piedmont Health Services, Inc.

• An Overview

3
What is a Federally Qualified Health Center
(FQHC)?

• FQHCs are grantees of the Bureau of Primary
  Health Care of the US Department of Health and
  Human Services and include community and migrant
  health centers, health care for the homeless
  sites, and school-based centers. FQHCs are
  overseen by community boards and provide primary
  health care access to underserved groups. All
  offer care of a siding-fee scale tied to the
  Federal poverty level.
• There are 1150 FQHC grantees nationally with
  thousands of clinical sites, including 23 FQHCs
  with 104 sites in North Carolina. Nationally
• 17 million Americans receive care each year from
  FQHCs
• 38 of FQHC patients are uninsured
• 70 of FQHC patients live in poverty
• It is estimated that FQHCs save the national
  health care system between 9.6 billion and 17.6
  billion a year by helping patients avoid
  emergency rooms and making better use of
  preventive services.

4
Our Mission

• We believe that quality health care for everyone
  in our community is a fundamental right. Our
  mission is to ensure this right.

5
Our Historical Timeline

• March 1970 First incorporated as
  Orange-Chatham Comprehensive Health Services, a
  joint venture of the UNC Division of Health
  Affairs and a Local Community Action Program
• Late 1970 Opened Prospect Hill Carrboro
  Moncure CHCs
• May 1995 - Name changed to Piedmont Health
  Services, Inc.
• 1996 Opened Charles Drew CHC
• July 2001 Acquired the Scott Clinic
• December 2002 Opened Siler City CHC
• February 2006 Opened a new facility to house
  Siler City CHC
• August 2007 Began conversion to Electronic
  Health Records
• October 2008 PHS Senior Care opens in
  Burlington

6
What we do

• Health Centers Primary Health Care
• Physician and Midlevel Provider medical care
• Dental Services with diagnostic XRAY
• Pharmacy Services onsite
• Lab Services both in-house and Reference
• Social Work/Case Management Services for any
  patient
• Women Infants and Children (WIC) and nutritional
  services
• Referrals for Specialty Services
• Program of All-Inclusive Care for the Elderly
• All-inclusive care for nursing home-eligible
  residents of Alamance and Caswell Counties who
  wish to remain independent in their communities.

7
PHS Center Locations
6 centers in 4 counties, providing health care
to more than 35,000 unduplicated people each year
8
Pharmacy

• Pharmacy locations at the following sites
• Carrboro
• Charles Drew
• Moncure
• Prospect Hill
• Siler City
• Scott
• Total prescriptions filled in 2007
• Over 195,000

9
PHS Patients Ethnic Profile

• Calendar year 2007

10
Encounters by Payment Source
50 30 11 7
11
Sources of Revenue

• 70 of our health center revenue comes from
  patients, with the following payer mix
• Sliding Scale (Self-pay) 51
• Medicare 10
• Medicaid/S-CHIP 27
• Private Insurance 12
• The remainder of our health center revenue comes
  from other sources including our Federal Health
  Center Grant (about 20 of our revenue) and other
  State, local grants and contracts.

12
JCAHOJoint Commission for Accreditation of
Healthcare Organizations

• JCACHO is an external evaluator of the quality of
  our clinical and fiscal policies.
• PHS is one of only 25 of all health centers in
  the country that are JCAHO accredited, and we
  were one of the first to receive this
  accreditation.
• April 2001 - PHS became JCAHO accredited
• June 2007 Completed 3rd survey
• Triennial Accreditation Cycle
• Periodic Performance Review (performed annually)
• Unannounced Surveys
• Self-assessment mid-cycle - PPR
• 150 Standards (totaling over 350 pages) for
  Ambulatory Care, alone

13
PHS Performance Improvement

• The Performance Improvement program
• Incorporates quality improvement planning
  throughout the organization
• Provides a systematic monitoring of critical
  elements or dimensions of care
• Identifies and prioritizes risks, inefficiencies
  or strategic threats to PHS
• Establishes and follows up on activities to
  address quality of care issues
• Reassesses the organizations improvement plan on
  a periodic basis

14
Performance Improvement (contd)

• To accomplish these goals and objectives, the
  following structure has been established
• Board of Directors Ultimate responsibility and
  oversight for the PHS Performance Improvement
  Program. Composed of gt50 Health Center
  Patients.
• Senior Management Committee Delegated the
  overall responsibility for implementing and
  maintaining the Performance Improvement Program
• Five standing committees will monitor,
  problem-solve and follow-up on critical aspects
  of the organization. These committees are
• 1. Safety and Facilities Committee
• 2. Clinical Steering Committee
• 3. Center Management Committee
• 4. Human Resource/Credentialing Committee
• 5. Pharmacy and Therapeutics Committee

15
HIPAA Regulations

• If you have already been instructed on HIPAA,
  please take time to review the next few slides to
  refresh your knowledge of HIPAA.
• If you have not been instructed on HIPAA, the
  following information will be useful in your
  understanding of this important law and the
  importance we place on HIPAA at PHS.

16
PHS Health Information Privacy Practices

• Notice of Information Privacy Practices
• All Patients Offered Notice of our privacy policy
  at Registration
• This policy lists how PHS can disclose Patient
  Health Information
• The policy also lists patient rights
• Record Release Restriction Request
• Limits PHS use of PHI

17
PHS Privacy Health Information (PHI) Practices
(contd)

• PHS Privacy Officer Yvette McMiller
• PHS Trains 100 Employees on HIPAA
• PHS Confidentiality Policy
• PHI will not be discussed outside work, when not
  related to patient care, or in areas audible to
  other patients/staff

18
Important Information to Remember about Patient
Privacy

• The Golden Rule applies here!
• If you see a patient out in public, you cannot
  acknowledge them unless they acknowledge you
  first.
• Access to patient medical records by anyone at
  PHS is only authorized on a need-to-know basis
  involving the care of a patient.
• You cannot give out any patient information over
  the phone (even if the person is the patient).
• Do not view patient information on screens when
  at others desks.
• All conversations with or about patients should
  be done in private, not public areas.
• Records can only be released by authorized staff
  and you are not authorized to release records.

19
Cultural Ethnic Diversity

• At PHS we recognize diversity of values,
  interactional styles and cultures in our work
  environment. We ask that our employees and
  trainees respect the many ethnic and culturally
  diverse customs and beliefs of our vast patient
  population.
•  
• We ask that you be mindful of the following
  situations
• Religious beliefs may affect a patients
  willingness to be treated or tested in a clinical
  setting
• Some patients may be gender-sensitive about
  physical exams
• Occasionally, you may find cultural customs that
  may seem vastly different from those you may be
  accustomed to we ask that you remain respectful
  of others beliefs and customs at all times

20
Safety

• We make safety of our staff, visitors and
  patients paramount at all times in our clinics.
  We ask that you strictly observe all PHS safety
  rules and procedures.
• The following codes are utilized by PHS to alert
  employees to emergency situations
• Code Yellow Tornado (move to interior room
  without windows)
• Code Red Fire (use RACE protocol see next
  slide)
• Code Blue Medical Emergency
• Code Green Potentially violent situation
  (immediately report to your supervisor or your
  community health center leadership and remove
  yourself from the situation)

21
Safety (contd)

• In case of fire, PHS uses the word, RACE to help
  remember what to do
• R Rescue those in immediate danger
• A Alert (Page overhead Code Red with location
  of fire)
• and dial 911
• C Contain (Close doors and windows to room
  where
• fire is located)
• E Evacuate and extinguish fire (if small in
  size).

22
Fire Safety (contd)

• Remember the PASS method when using a fire
  extinguisher to put out a small, contained fire.
• P Pull Pin on extinguisher
• A Aim at base of fire
• S Squeeze handle
• S Use sweeping motion to extinguish fire

23
Safety (contd)

• It is the responsibility of every employee and
  trainee to know where the fire extinguishers and
  fire exits are located in the site in which they
  are working. The Center Manager at your site
  will review the centers fire protocol with you
  on your first day in clinic.

24
OSHA

• OSHA Occupational Safety and Health
  Administration
• Employees, including part-time, temporary, or
  per diem, who are potentially exposed to
  Bloodborne pathogens (BBP) or other potentially
  infectious material (OPIM) must receive education
  about practicing universal precautions, and the
  epidemiology, modes of transmission and
  prevention for HIV, HBV and HCV. Employees
  trained in first aid and identified by PHS as
  responsible for rendering medical assistance as
  part of job duties must also receive training.
• All employees who may be potentially exposed to
  BBP or OPIM will be trained at their specific
  sties on issues having to do with their specific
  jobs
• Every clinic has an employee health provider
  responsible for a needle stick injury. To
  protect yourself, please report any needle stick
  immediately, so we can
• Obtain source information before the involved
  patient leaves the premises
• Treat you promptly when indicated

25
PHS Abuse and Neglect Policy

• Any staff/trainee witnessing potential abuse or
  neglect should report it to their supervisor or
  lead provider
• PHS has policies in the following areas
• Child abuse
• Elder abuse
• Domestic Partner Abuse
• If you see or suspect signs of abuse, report it
  to your supervisor and refer to the abuse and
  neglect policy in the clinical manual.

26
Dress Code

• At Piedmont Health Services, we want all people
  to be treated with respect and dignity. Part of
  this process is how we present ourselves to the
  public we serve. We ask that you respect our
  patients by following the PHS dress code dressing
  appropriately
• Please refer to the HR policy manual or check
  with your supervisor if you have any questions
  regarding our dress code.
• The following items may not be worn at any time
• Jeans, T-shirts, Sweat shirts, Tank tops, Shorts,
  Sheer clothing with undergarments visible, Sweat
  pants, Low-cut shirt or dresses (either front or
  back), Flip flops, Visible tattoos or body
  piercing (earrings are an exception), Clothing
  that displays bare midriffs.

27
Congratulations!

• You have completed the PHS orientation training.
• You are now ready to take your test. Please
  remember to
• Follow the instructions on page one of this
  PowerPoint
• presentation.
• Good luck! We look forward to welcoming you to
  PHS!