WELCOME TO ALL STAFF IN
SERVICE
2025 DEERFIELD STAFF IN - SERVICE
• What?
o Online training that refreshes learning on key elements of work and life at Deerfield
• Who?
o All Deerfield Staff – mandatory for every Deerfield employee
• Why?
o Ensure we're working at our best
o Ensure we are living up to required legal and professional standards
2025 DEERFIELD STAFF IN - SERVICE
• How?
o Four learning modules
o One quiz
o View each module
o Take the quiz and pass with an 80% or higher
o And you're done
• When?
o Now!
o Thank you for reviewing all modules and taking your quiz by May 6, 2025
WHAT WILL YOU BE LEARNING?
• 2025 In-Service Includes the following important topics:
o Annual TB attestation (completed through BambooHR)
o Code of Conduct and Policy Acknowledgement (completed through BambooHR)
o Online training for:
Chapter1: CorporateCompliance,RiskManagementandHIPAA
Chapter2: InfectionControl,BloodbornePathogensandQAPI
Chapter3: BodyMechanics,EyeWash/HazardCommunication,Fire&MaintenanceSafety
Chapter4: SilverAlert,ElderAbuseActandResidentRights
LET'S GET STARTED
CHAPTER 1 COMPLIANCE BASICS
UNDERSTANDING OUR SHARED
RESPONSIBILITY
CORPORATE COMPLIANCE
OUR SHARED COMMITMENT TO WORKING WITH INTEGRITY
OUR SHARED COMMITMENT
• We have a shared commitment to working with integrity, adhering to laws, working to established standards and working ethically—every day
• We have a responsibility to live up to our no tipping policy, and we understand that receiving tips of any kind—money or otherwise—is prohibited
OUR SHARED COMMITMENT
• We have a responsibility to ensure that no director, supervisor or employee will solicit or accept any personal favor, gift, gratuity or offer of entertainment directly or indirectly from a supplier who is doing or seeking to do business with Deerfield
• We understand that if we have a question, see a violation of our standards or are concerned about any aspect of our work, we should bring that concern forward
WAYS TO REPORT A CONCERN
Questions can be brought to:
→ Your supervisor
→ Any Deerfield leader
→ Deerfield's Compliance Officer/Chief HR Officer
→ Or be reported anonymously through the hotline
HOTLINE SUPPORT
• Provides an anonymous reporting mechanism
• Administered by third-party organization, Navex Global
• Another way to share concerns with the Deerfield leadership team
• Confidential reporting of concerns via telephone or online
• Find posters campus-wide near every timeclock
• Program managed by Deerfield's Compliance Officer
RISK MANAGEMENT
OUR FOCUS ON SAFETY
WHAT IS RISK MANAGEMENT?
• Our combined focus to identify, evaluate and correct potential risks that could lead to injury of anyone on our campus and/or result in property loss or damage
• Focusing on providing a safe and healthy working environment
• Ensuring proper communication occurs whenever there is a question or concern
• Identifying issues and speaking up
INCIDENT REPORTING
• Every work-related incident should be reported to your supervisor
• Deerfield reviews incidents to find ways to continuously improve
• If you are injured, we have protocols and resources in place to support your care, recovery and return to work
INCIDENT REPORTING
• Deerfield's Risk Management team assesses potential hazards and actively seeks to promote a safe and healthy workplace
• Your suggestions and feedback are always welcome
• Contact the VP of Facilities or Chief HR Officer anytime you have a question or comment
EMPLOYEES
HAVE THE RIGHT TO:
File a confidential complaint with OSHA to have their workplace inspected.
Receive information and training about hazards, methods to prevent harm, and the OSHA standards that apply to their workplace. The training must be done in a language and vocabulary workers can understand.
Get copies of their workplace medical records.
Participate in an OSHA inspection and speak in private with the inspector.
EMPLOYEE RIGHTS & RESPONSIBILITIES:
You have a right to file a complaint with Occupational Safety and Health Administration (OSHA) if you have been retaliated or discriminated against by your employer as the result of requesting an inspection or using any of your other rights under OSHA.
EMPLOYEE RIGHTS & RESPONSIBILITIES:
You have the right to file a complaint if punished or discriminated against for acting as a “whistleblower” under the additional 21 federal statutes for which OSHA has jurisdiction.
HIPAA
PROTECTING
INFORMATION WITH INTEGRITY AND CARE
WHAT IS HIPAA?
Health Insurance
Portability and Accountability
Act – Federal Law
Protects the individually identifiable Protected
Health Information (PHI) of both residents and staff
Examples of PHI Include:
•Names, address, phone and other contact info
•Social security number
•Health plan beneficiary number
•Medical diagnosis
•Medical records
•Certificate and license numbers
•Photographs and images
PROTECTING
PATIENT PRIVACY: DO’S & DON’TS
DO:
• Close curtains and speak softly when in semi-private rooms or areas
• Log off your computer when finished/walking away from your screen
• Dispose of patient information by shredding or properly storing in locked containers for destruction
• Clear patient information off your desk when you leave
PROTECTING PATIENT INFORMATION: DON'T
Do not retell
Do not discuss
Do not look
Do not retell information to others if you hear personal/private information about a patient/resident/ coworkers
Do not discuss protected information in public areas such as hallways, elevators or dining rooms
Do not look at information about a patient unless it's absolutely necessary to do your job
RESIDENTS HAVE RIGHTS TO PRIVACY, INCLUDING:
Right
• Right to written Notice of Privacy Practices regarding PHI, including how it will be used and to whom it will be disclosed
Right
• Right of timely access to see and copy records
Right
• Right to request amendment of record
Right
• Right to restrict access and use
Right
• Right to an accounting of disclosures
Right
• Right to revoke authorization
PENALTIES FOR VIOLATING HIPAA PROVISIONS
CAN BE SEVERE
Civil Penalties under HIPAA: Maximum fine of $25,000 per violation
Criminal Penalties under HIPAA: Maximum of 10 years in jail and/or a $250,000 fine for serious offenses
Deerfield's actions: Employees who violate HIPAA face disciplinary actions including suspension or termination
KEY THINGS TO REMEMBER:
Ask yourself: Do I need to know? 01 Do I need this information to do my job and provide good patient care? 02 What is the least amount of information I need to do my job? 03