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888.862.6742 WWW.TOTALMEDICALCOMPLIANCE.COM

OCT 2011

IN THIS ISSUE WILL THE “FLU” VACCINE MAKE ME SICK? PAGE 1

IS YOUR NETWORK SECURE? PAGE 2

It is true you may experience some side effects, to include redness or swelling at the injection site, headache or low grade fever, but the vaccine is safe for most who receive it. As a reminder it takes two weeks for protection to begin so always take precautions during that time period if providing care to someone with flu-like symptoms.

NEW POSTER NEEDED NOVEMBER 14TH PAGE 2

COMMUNICATIONS UPDATES FROM TMC PAGE 2

ARE YOU READY? GO TEAM! PAGE 3

LASER SAFETY IN DENTISTRY PAGE 3

TMC’S NICHOLE EATON GETS MOVING IN SUPPORT OF MS PAGE 4

ONGOING EDUCATION OPPORTUNITIES WEBINARS, SEMINARS & CONFERENCES PAGE 4

SPECIAL DATES SAVE THE DATE & REGISTER NOW TO ATTEND THE HOLIDAY DENTAL CONFERENCE ON FRIDAY & SATURDAY, NOVEMBER 4TH & 5TH TMC’S KAREN GREGORY, RN WILL BE CONDUCTING AN INFECTION CONTROL TRAINING (SPICE) SEMINAR FOR DENTAL PRACTICES. FOR MORE INFORMATION GO TO WWW.HOLIDAYDENTALCONFERENCE.COM FOR COMPLETE DETAILS AND AND REGISTRATION ON ALL TMC SPONSORED WEBINARS AND SEMINARS, PLEASE GO TO HTTP://WWW.TOTALMEDICALCOMPLIANCE.COM/ CATEGORY/ALL-PRODUCTS/WEBINARS/

Will the “Flu” Vaccine Make Me Sick? It’s the time of the year when the influenza vaccine discussions begin. Some organizations have moved to requiring all employees to receive the vaccine while others simply recommend it to all staff. And while the CDC and ACIP recommend every healthcare worker receive the flu vaccine, it seems worker compliance is not what one might think. In the 2010 – 2011 season, according to a recent CDC report, physicians and dentists, who were grouped together in the figures, had the highest immunization rate of 84.2%. The vaccination rate was 69.8% for nurses and 57.2% for administrative staff. While the numbers for some groups were encouraging there is still a lag in compliance with the recommendation. Reasons vary, but some healthcare providers have actually reported they will abstain from receiving the vaccine because they fear it will make them sick. The flu vaccine for the 2011 – 2012 contains the same viruses as last year, so some may say they do not need to be revaccinated. The truth is the vaccine only protects you for a certain period of time and you would not have adequate protection for this year’s flu season. And no, the vaccine will not make you sick.

Looking at the facts, it becomes apparent the value of the vaccine outweighs the risk for most individuals. Working in the healthcare arena will provide the opportunity for exposure to many who may be ill with the “flu”. Protect yourself, your family and the patients you work with. Get the flu shot today! If you would like additional information for staff and for patients go to http://www.cdc.gov/flu/

FLU FAST FACTS • The flu is a respiratory virus causing mild to severe illness, but could lead to hospitalization at worst case scenario, death. • The virus is spread from person to person by coming in close contact with respiratory droplets of coughs and sneezes. A susceptible person could also become infected by touching a contaminated object then touching their own mouth or nose before washing their hands. This same concept applies to spreading infection from the hands of a healthcare worker to patients. The value of handwashing cannot be overemphasized. • Most healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick. Children may pass the virus for longer than seven days.

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888.862.6742 WWW.TOTALMEDICALCOMPLIANCE.COM network, EVEN if internet access is disabled. Also keep in mind in order to provide protection against new viruses, updates must be completed on every computer as directed by the software.

Is Your Network Secure? A Synopsis of Recommendations from Andy Moore with IASIS Networks. www. iasisnetworks.com Are you really sure your IT network is secure and patient, as well as employee, information is safe? According to Andy Moore with IASIS Networks, each practice must have a “trident of security” in place to ensure adequate protection of confidential information. Protection of electronically stored patient information is not only required by the HIPAA rules, it is a risk reduction strategy for your practice. FIREWALL - An estimated 60% of clients whose networks are reviewed think they have a firewall in place and in fact do not. Many have a basic router in place and are under the assumption this equipment provides adequate protection. While these routers work to provide internet access, they are not a HIPPA compliant firewall. Firewalls have the following capabilities:

SECURITY PATCHES – These patches provide upgrades to the system to address possible opportunities for hacking. Windows updates occur typically on a weekly basis and many users will turn the automatic update function off. Because the vulnerability is published by Microsoft with the update, “lazy hackers” know what issue the patch is meant to resolve and will look for systems which have not applied the patch, entering the system through the vulnerable area. The solution for protection: run security updates consistently and on ALL computers, including your servers. As a quick review: Can you answer “YES” to the following questions? • Are you certain you have a firewall, not just a router? The device will most likely say it is a firewall or Security Appliance if it is one. You should also have its security logs reviewed regularly. • Is there antivirus protection on all computers and is it up to date? • Do you run your “updates” on every computer when they are published? If you have concerns about the security of your network, please contact your IT

New Poster Needed as of November 14, 2011 TMC would like to make its client’s aware of the following new poster requirement.

Firewalls can be purchased for just a few hundred dollars. Once the firewall is in place, be certain to change the factory assigned password to prevent unauthorized access.

The National Labor Relations Board (NLRB) is requiring all employers to notify employees of their rights under The National Labor Relations Act (NLRA). The NLRA addresses the employee’s right to join, form or assist labor organizations and collectively bargain. The notice is in the form of an 11 x 17 poster that can also be displayed in two 8 x 11 sheets either in color or black and white which must be posted in a conspicuous place for employees to read. It is to be displayed in English and also in another language if 20% of the workforce is not proficient in English.

ANTIVIRUS/SPYWARE – Often practices have been infected by a virus and aren’t even aware of it. The purpose of many viruses is to seek out information stored in the practice network looking for SS# and other information in order to steal identities. Antivirus software needs to be individually installed on all computers attached to the

IMPORTANT ADDITIONAL INFORMATION Congress may over turn this Act before November but as it stands now, you should be prepared to provide the poster for employees. THIS POSTER IS OFFERED BY THE NLRB AT NO COST TO THE EMPLOYER. For your convenience, you can obtain a direct download of the poster at https://nlrb.gov/poster.

• Stateful packet inspection – This function monitors the information as it enters the door of the network and confirms the information is legitimate and it is from a legitimate source! • Intrusion detection. • Ability to log entries into the system.

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OCT 2011

TMC Communication Updates Have you noticed? There have been a few changes to the TMC newsletter you are used to receiving! In the past, TMC has supplied you with industry updates and compliance training articles on an every other month basis. The newsletters were delivered in pdf format through email or fax and in some cases sent via postal mail. While we hope that you have found our newsletter to be a resource, we are working hard to make it even better! Some of the improvements include producing the newsletter on a monthly basis and delivering it as a digital publication that is easily shared through email and social marketing channels and can also be printed out for easy distribution within your office. In an effort to assist with the ongoing training of your office staff, TMC will be providing a Proof of Training form each month with the delivery of each newsletter. Simply print out the newsletter and post it in your office along with the Proof of Training Form. Have your staff sign it after they have read the training articles and then file away each month. Going forward all newsletters will be delivered electronically either via email or fax. Simply click on the link within the email notification which will open a web browser and take you to the link where the digital publication is viewed. Copies of each newsletter are housed on the TMC website for easy retrieval of past editions. We hope that these communications updates will allow us to deliver industry news and training topics to your office in a more timely fashion and in a format that is easily shareable within your office and with your industry peers. Should you have any questions regarding the new format or frequency, please let us know. If you are currently receiving the newsletters via fax and would like to receive them via email or if you would like to provide additional email addresses for others within your office, please email your request to Nichole Eaton at nichole@totalmedicalcompliance.com.


Are You Ready? Go TEAM!

What does TEAM stand for?

Contributed by Mr. Shannon K. Miller

T stands for Training.

Dental professionals are outstanding examples of highly trained and eminently skilled healthcare professionals. The skills that dental teams demonstrate each day have at their core professional continuing education.

E stands for Equipment.

It has been our experience that many dental professionals pursue continuing education far beyond the hours required for license renewal. Why? It is because their focus is on maximum competency, not minimum compliance. That mindset is especially important when it comes to medical emergency training, a topic that many dental boards now require for specific licensing classifications. Is your team ready for a potential medical emergency?

Training should include staff training on the management of the most common dental medical emergencies, including syncope, allergic reactions, cardiac events, to name a few. At a minimum, training should cover the use of CPR equipment, emergency oxygen, an automated external defibrillator (AED), and a basic drug stat kit.

T = Training E = Equipment

A = Action Plans All training needs to cover how a medical emergency action plan is established.

A = Action Plans M = Maintenance of Competency, Mock Drills & Inspections

What topics should be covered in a comprehensive dental medical emergency program? We believe that every course should cover topics relative to what we call TEAM Medical Emergency Management™.

M = Maintenance of Competency, Mock Drills & Inspections Training that includes mock drills and inspection is both interactive and beneficial in reinforcing cognitive skills learned.

We ask your staff to put their hands together and raise them to the ceiling and say, “Go TEAM!” Yes, make a commitment today to follow the principles of TEAM Medical Emergency Management™. For the complete whitepaper on TEAM Medical Emergency Management™ go to:

www.myCPRpros.com/team1.

4, shedding light on the fact that without correct eye protection, corneal and retinal injuries may ensue. This means first, look at what classification of lasers you have in your facility. Next, if you are operating Class 3B or 4 lasers then you are required to have written procedural and administrative policies and appoint a Laser Safety Officer (LSO). This person is in charge of the safe operation of lasers in your office.

Laser Safety in Dentistry Article provided by contributing writer & TMC Consultant, Sandi Rudeseal, RDH. As technological advances continue in dentistry we are seeing how lasers play an extraordinary role in patient acceptance and case outcome, but are we prepared to protect ourselves? The most common reasons cited as contributors to laser injuries are lack of wearing appropriate eye protection, being unaware of the hazards, and failure to adhere to safety protocols. Let’s take a look at the dangers and talk about safety compliance. There are four dental laser classifications. Class I lasers are caries detectors and are considered to be eye safe without the use of additional PPE. Most dental lasers are Class

What are your risks? Laser damage to the eye can cause headaches and corneal burns with permanent scarring and vision loss to name a few. Retinal damage may also occur which can lead to blindness and impaired color and night vision. Besides eye damage, you also need to consider laser generated air contaminates, skin protection and the risk of fire hazards when oxygen and nitrous oxide are used in proximity. In order to protect yourself, always look at the manufacturer’s recommendations for guidance. Additionally knowing the wavelength you are working with is imperative because no one pair of goggles or optical inserts cover the entire range of dental lasers. The wavelength and OD value must be permanently inscribed on the eyewear in order to be assured of adequate protection. Do not depend on the color of the eyewear as an indication of level of

My CPR Pros LLC is a TMC Business Partner who offers a 20% discount on training and 10% discount on equipment for any dental or medical client utilizing TMC onsite compliance services. Mr. Shannon K. Miller is COO & Sr. VP of Business Development at My CPR Pros an American Heart Association training organization located in Huntersville, North Carolina. My CPR Pros specializes in providing dental offices in the southeast and mid-Atlantic with medical emergency management training programs and equipment that fall in line with TEAM Medical Emergency Management™ principles. For more information please contact Mr. Miller toll-free at 877.530.5990 x102 or go to www.myCPRpros.com/team1.

protection from laser exposure. The CDC does not support using surface disinfectant on fiber optic materials, only heat sterilization should be used after use unless the product is disposable or the manufacturer’s recommendations are conflicting. If you utilize the disposable fiber optic tips, discard them in the sharps container. Literally, seeing is believing when it comes to the importance of laser safety. Stay informed! Additional guidance for protection: • Wear masks to protect you from the air contaminates. • Use a closed circuit delivery system in the administration of oxygen and nitrous oxide while laser is in use. • Encourage your patients to not wear oil-based lip balm if the laser is to be used on the lip area. • Minimize reflective surfaces (i.e. mouth mirrors) while laser is in use. • Class 3B and 4 lasers are to only be operated by trained, authorized personnel. • Warning signs are required during laser use at all entrances to the treatment area.

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TMC’s Nichole Eaton Gets MOVING in Support of MS On September 24th & 25th, TMC employee, Nichole Eaton rode her bike 125 miles as she participated in the Bike MS: Breakaway to the Beach fundraiser. Bike MS: Breakaway to the Beach is a twoday fundraising bike ride organized by the Mid Atlantic Chapter of the National MS Society. This ride is one of longest standing non-profit events of its kind in the Carolinas with an average of 1,500 cyclists, 400 volunteers and countless supporters and spectators participating each year. The ride starts in the greater Columbia and Charlotte regions and the cyclists ride to the coast, ending in Sunset Beach, NC. The Bike MS Ride raises money for MS research projects and client programs (40% for important national research and programs and 60% that stays in the local chapter for programs that assist those individuals in this region living with the MS). The funds also help to raise awareness about the disease and to educate the public about the FDA-approved drugs now available which may delay or reduce future disability in many people with multiple sclerosis.

Ongoing Education Opportunities - Webinars, Seminars & Conferences Total Medical Compliance strives to provide ongoing education opportunities for clients and the healthcare community. Listed below are upcoming webinars and seminars which will provide additional guidance on many facets of practice function.

HIPAA PRIVACY/SECURITY OFFICER WEBINAR Wednesday, October 5, 2011 9AM – 11:00 AM The role of the privacy and/or security officer seems to be ever changing. Whether you are new to this role or you need a review, this webinar will provide you with the tools to oversee the processes and systems in place in your practice to protect patient information. Register online at www1.gotomeeting.com/ register/256072840

OSHA SAFETY OFFICER WEBINAR Wednesday, October 5, 2011 2:30 PM – 4:30 PM

Are you new to your role as the safety officer or do you just need an update? This session will provide you with an overview of your responsibilities and a review of pertinent forms you may need as you ensure your office is a safe environment for all employees. Register online at www1.gotomeeting.com/ register/176022689

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Multiple sclerosis (MS) usually strikes adults between the ages of 15 and 50. It is a chronic disease of the central nervous system affecting the brain and spinal cord, causing blindness, paralysis, and loss of movement. The symptoms are vast and unpredictably bringing uncertainty to those living with the disease and the future.

Nichole has achieved 70% of her $500 fundraising goal through a generous contribution by her employer, Total Medical Compliance. Donations will continue to be accepted through the month of October. Should you want to contribute to the support of this cause, please visit the donation page online at http://main.nationalmssociety.org/site/TR/ Bike/NCPBikeEvents?px=8674851&pg=per sonal&fr_id=16424

This event raises funding and awareness for: • Moving research forward by relentlessly pursuing prevention, treatment and a cure. • Moving to reach out and respond to individuals, families and communities living with MS. • Moving politicians and legislation to champion the needs of people with MS through activism, advocacy and influence. • Moving to mobilize the millions of people who want to do something about MS now. • Moving together to create a world free of MS.

To learn more about MS, please visit www. nationalmssociety.org

INFECTION CONTROL SEMINAR FOR MEDICAL PRACTICES

HITECH ACT WEBINAR FOR BUSINESS ASSOCIATES – ARE YOU READY TO BE A COVERED ENTITY?

Charlotte, NC October 20 Practical solutions to your infection control challenges will be provided as basic principles of epidemiology, disinfection, sterilization, and techniques to reduce the spread of infection are reviewed. Discussion of CDC guideline and recommendations provided by OSAP and APIC will be an important part of this presentation, which will position your practice to provide a safe work environment for both patients and employees. Register online at www.totalmedicalcompliance. com/all-products/infection/infection-controlspiceseminar-medical/

HITECH ACT CHANGES HIPAA FOR HEALTHCARE WEBINAR – BREACH, BUSINESS ASSOCIATES, ENFORCEMENT AND OTHERS Wed, Oct 26, 2011 2:00 PM – 3:30 PM The HITECH section of the American Recovery and Reinvestment Act of 2009 (ARRA), signed into law in February of 2009, mandated some very significant changes in the HIPAA regulations. Join TMC as breach is defined, the changes in your relationship with your Business Associates is outlined, and increased enforcement provisions are discussed. Register online at www1.gotomeeting.com/ register/284658817

Fri, Oct 21, 2011 12:00 PM – 1:30 PM HITECH section of the American Recovery and Reinvestment Act of 2009 (ARRA) mandated some very significant changes to the HIPAA regulations. The most significant ones change the role of the Business Associate, increase the fines and enforcement and require both BAs and CEs to self-report breaches to HHS and the media. This webinar will address changes impacting the role and responsibilities of the Business Associate. As a covered entity are you sure your BAs are compliant with the new regulations? Register online at www1.gotomeeting.com/ register/572590424

A COMPLIANCE REVIEW – GREATER RALEIGH DENTAL HYGIENE ASSOCIATION Raleigh, NC October 25

A host of compliance issues will be covered in this presentation by Karen Gregory. Would an OSHA inspector approve of the way all clinical staff utilize PPE? Or, is there any chance you would have to report to patients you used instruments for their procedure which had not been adequately sterilized? Finally, what about Facebook? Could it cause a problem for the practice if you are friends with patients? All these questions and more will be answered! *If you are a hygienist in the Raleigh area and are interested in attending this session, please contact Barbara Parker at bhp@bellsouth.net.


OCT 2011

1. ______________________________________________________ 2.

_____________________________________________________

3. _____________________________________________________ 4. _____________________________________________________

Print and post newsletter in office for staff review. Each member should sign this form when completed. Keep on file as proof of training on these topics.

5. _____________________________________________________ 6. _____________________________________________________ 7. _____________________________________________________ 8. _____________________________________________________ 9. _____________________________________________________

WILL THE “FLU” VACCINE MAKE ME SICK? - PAGE 1

10. _____________________________________________________

IS YOUR NETWORK SECURE? - PAGE 2

11. _____________________________________________________

NEW POSTER NEEDED NOVEMBER 14TH - PAGE 2

12. _____________________________________________________ 13. _____________________________________________________

COMMUNICATIONS UPDATES FROM TMC - PAGE 2

14. _____________________________________________________

ARE YOU READY? GO TEAM! - PAGE 3

15. _____________________________________________________

LASER SAFETY IN DENTISTRY - PAGE 3

16. _____________________________________________________ 17. _____________________________________________________ 18. _____________________________________________________ 19. _____________________________________________________ 20. _____________________________________________________ 21. _____________________________________________________ 22. _____________________________________________________ 23. _____________________________________________________ 24. _____________________________________________________ 25. _____________________________________________________ 26. _____________________________________________________ 27. _____________________________________________________ 28. _____________________________________________________ 29. _____________________________________________________ 30. _____________________________________________________

TMC’S NICHOLE EATON GETS MOVING IN SUPPORT OF MS - PAGE 4 ONGOING EDUCATION OPPORTUNITIES WEBINARS, SEMINARS & CONFERENCES - PAGE 4


TMC Advisor - October 2011  

Total Medical Compliance October 2011 Monthly Compliance Communicator

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