Compliance Corner – Jump Drive Security

November 9, 2017

The use of jump drives (sometimes called thumb drive, flash drive, or jump drive) is a popular way to transfer information.  If you wish to take information from one of these or put information onto one of these for any reason, contact IT first! If someone asks you to get information from one of these, including printing off information, contact IT first! If you find one of these in the…


Compliance Corner – Policies

August 8, 2017

Hannibal Regional has implemented policies and procedures to guide team members to do their job legally and ethically in accordance with the regulations and laws. Policies also guide team members on how to appropriately handle certain situations. Team members can find HRHS policies on the Intranet.  The Policy section of the Intranet is divided into different departmental folders.  The policies are also searchable by keywords to assist with finding the…


Compliance Corner – Survey

July 5, 2017

Starting July 5th, there will be an email with a link to take the short Compliance Effectiveness Survey.  It is done through SurveyMonkey and it is completely confidential. I am asking every Team Member to complete this short survey so that we can determine if you are getting the information you need for our Compliance Program.   It will also tell us how we can make improvements, including getting Team Members…


Compliance Corner – Computer Monitors

June 12, 2017

  Compliance Corner Computer Monitors Do not take photos of your computer monitors and put that photo out on a social media site. If you have it on the home screen showing all your icons, this can give a computer hacker information they need to see what software applications are on the system that they might try to hack into.  Definitely don’t have any patient or financial information showing! Do…


Compliance Corner: Access to Confidential Patient Information (PHI)

May 3, 2017

Protected Health Information (PHI) is any information about a patient and can come in many different forms. It can be electronic, on paper, or spoken/heard words. It may include patient name, address, employer, date of birth, telephone number, email address, Social Security number, account number or photo. Patients receiving medical care expect this information to remain private. Every patient, or parent/guardian of a child, is required to fill out a…



April 4, 2017

Ann Dunham wants to remind you of the Genetic Information Nondiscrimination Act and what that means in our organization.


Username and Passwords

January 9, 2017

Every Team Member, Medical Staff Member and specially designated healthcare professional at Hannbial Regional are given a unique username and password.  The username and password are the unique identifiers for being granted access to HRHS computer systems.  This login information is to be kept confidential by you. Never share yours with anyone. Never ask to use another person’s username and password. If you forget your unique username, please contact IT…


Culture of Compliance

December 6, 2016

Culture represents the way an organization lives their values.  Completion of the online learning modules on Compliance, HIPAA Privacy and Security and signing the Confidentiality Agreement form are all very important.  Living our values and code of conduct is also very important to create a Culture of Compliance at Hannibal Regional. A Compliant Culture also comes from what is seen being done around the organization, to include continual compliance education….


Jump Drive Security

November 4, 2016

Jump Drive Security The use of jump drives (sometimes called thumb drive or flash drive) is a popular way to transfer information.  If you wish to take information from one of these or put information onto one of these for any reason, contact IT first! If someone asks you to get information from one of these, including printing off information, contact IT first! If you find one of these in…


Taking Confidential Patient Information

October 7, 2016

Taking Confidential Patient Information If you are in a clinical department (hospital or clinic) and need to discuss confidential patient information, please keep the following in mind.  If there is a family member or visitor in the room, please ask the patient’s permission to speak in front of them.  Never assume it is okay.  Close the door to the room to provide as much privacy as possible.  If you are…


Compliance and Ethics – Is there a difference?

September 1, 2016

Compliance and Ethics – Is there a difference? You often hear the terms Compliance and Ethics used together.  Although they are similar in nature, there truly is a difference between the two terms. Compliance is obeying laws, regulations and policies.  Being compliant is to abide by all laws, regulations and the HRHS policies.Ethics is doing the right thing.  Acting ethically is done because we have a strong conviction to do…


HIPAA – Information Security

August 1, 2016

Information security is the process of protecting the availability, privacy, and integrity of data.  As we continue to use more electronic devices in our daily work in the healthcare field, it is vital now more than ever to protect the confidential information housed in our computers, tablets, iPads, cell phones and portable memory devices (jump drives).  Healthcare information must be accessible to Team Members and Providers to do their job,…


Reporting Compliance Concerns or Violations

July 5, 2016

Have you witnessed non-compliant, illegal or unethical behaviors while on the job? Were you afraid to report it?  Here are 4 common reasons why many people don’t want to speak up when they witness these types of behaviors:   It might damage my career  HRHS has a NO RETALIATION policy.  When a Team Member reports something in good faith, we will not allow them to be retaliated against.   It…


Hannibal Regional Implements American Heart Association’s Resuscitation Quality Improvement (RQI™) Program to Increase Patient Survival

June 13, 2016

More than 200,000 in-hospital cardiac arrests occur annually and the survival rate from adult in-hospital cardiac arrest is only 25 percent. While CPR may seem to be a basic skill for healthcare providers, research has shown that psychomotor skills related to resuscitation can decay within just three to six months – far before the two-year standard when basic and advanced life support skills are currently evaluated. At Hannibal Regional we…


Patient Experience: Privileged Presence

June 10, 2016

By Julie Leverenz, Vice President – Patient Experience “Healthcare experiences are moments of privileged presence. When people are dealing with illness or injury, their own or a loved one’s, all their senses are intensified.  Health care experiences are defining moments in people’s lives, full of emotion and power, and are remembered for years, often in vivid detail. Healthcare professionals are privileged to be present with patients and families during these…


Compliance Corner: Privacy Practices

June 10, 2016

Notice of Privacy Practices What is it? Notice of Privacy Practices is a document that informs patients of their privacy of information rights under HIPAA.  It explains how patients have the right to view their records, obtain copies and request an amendment to their record.  It also informs patients how providers use and disclose their protected health information, and how to file a complaint with the Office of Civil Rights…


Compliance Corner: Looking Up Patient Test Results

May 4, 2016

Team members are only allowed to look up patient test results if they are currently a participant in the patient’s medical care. Just because you may have access to the Electronic Medical Records does not give you authorization to look up any test result on any patient at any time.  For example, if you hear about a patient having a particular result to a medical test, you do not have…


Compliance Corner: Beware of Phishing!!

April 12, 2016

Phishing is a form of online identity theft or a method to infect computers with viruses.  The phisher sends an email and is hoping you will respond it.  If someone does respond to this type of email, the phisher could gain access to information on your computer and/or could infect your computer with a virus. You may have received an email threatening to close your bank account or credit card…


Compliance Corner: Kickbacks are Against the Law

February 8, 2016

What is a kickback? A kickback is when you receive some kind of side benefit in exchange for making a company decision. HRHS does not receive or pay kickbacks to anyone. Several laws ban kickbacks Paying a kickback to a government office is illegal under a variety of anti-bribery laws, both in the US and abroad. For physicians, taking or paying a kickback for a patient referral is also illegal,…


Compliance Corner: Laptops and Compliance

January 11, 2016

What do Laptop computers and Compliance have in common? If you use a laptop computer, or know there is one in your department that is used, it can potentially be a Compliance risk.  Stolen or lost laptop computers could potentially result in large fines due to it being a HIPAA breach of information.   If you use a laptop computer, keep it in a secure location at all times.  Never…


Compliance Corner: Compliance Officer and Privacy Officer

December 7, 2015

Ann Dunham  Compliance Officer and Privacy Officer Have concerns or feel like someone is not doing their job legally or ethically?  Do you believe someone is not following our policies?  Do you believe someone is accessing confidential information that they do not have a need to know to do their job? We are here to help!  Don’t be afraid to speak up! Report a concern or complaint either verbally or…


Compliance Corner: Patient Documents

November 5, 2015

In our organization, patients are given either Discharge Papers or a Clinical Summary when they are at the end of their visit with us. Recently we have had some HIPAA Privacy violations where patients received a copy of one of these document(s) with a different patient name and healthcare information on them.  Sometimes the incorrect document is mixed in with the patient’s correct papers. If you are working with a…