BWH Compliance Survey 2016 2016 BWH Compliance Survey Question Title * 1. Which best describes your role at BWH/BWPO? Physician, Resident, Fellow Physician Assistant, Nurse Practitioner, Certified Registered Nurse Anesthetist, Certified Nurse Midwife Administrator, Director, Manager, Supervisor Other (please specify) Question Title * 2. As a BWH/BWPO employee, what is your duty if you believe there has been a violation of our ethical standards, policies or a state or federal health care law? You have no obligation do anything You have a duty to report (to your supervisor, manager, the PHS Compliance HelpLine or the Compliance Officer) any internal problem that violates our standards so it can be corrected You can discuss it first with your spouse or a friend before taking any action You have a duty to report it to the BWH Security office Question Title * 3. Have you ever felt uncomfortable about reporting an ethics or compliance issue? Yes No Question Title * 4. BWH has a firm Non-Retaliation Policy. Which of the following statements regarding this policy is true? (select all that apply) You can lose your job if you make a compliance complaint against your supervisor Nothing bad can happen to you for making a good faith complaint if you think that ethical standards and compliance rules or laws are being violated Any employee who intimidates or retaliates against another employee for reporting in good faith a concern or for calling the Partners Compliance HelpLine is subject to corrective action up to and including termination You are subject to disciplinary action if you make a complaint against a physician Question Title * 5. Have you ever made a report of an ethics or compliance concern that you felt was ignored or was not taken seriously? Yes No If "yes" please explain Question Title * 6. BWHC uses the Partners Compliance HelpLine for reporting of compliance issues. Which of the following statements is true regarding the Partners Compliance HelpLine? Reports made to the PHS Compliance HelpLine are confidential and answered by professionals who are not BWH employees You do not have to give your name if you wish to remain anonymous You can report any type of violation of our ethical standards or policies by using the PHS Compliance HelpLine All of the above Question Title * 7. Who can you call if you want clarification about a specific law, rule or policy related to Billing Compliance? The BWH IS Help Desk at 617-732-5927 911 BWH Hospital Security at 617-732-6565 BWHC Billing Compliance Office at 617-582-0090 Question Title * 8. Where can you locate BWH Policies and Procedures? By accessing the ellucid policy management system On the Partners intranet In the BWH Library I don't know where to locate our policies Question Title * 9. Where can you find the BWH Code of Ethical Conduct? On PikeNotes under Compliance/Risk Management on the Billing Compliance page under Policies and Procedures On the Partners intranet In the ellucid policy management system by going to BWH Policies and Procedures, Administrative and Medical Staff Policy Manual, Part V - Legal and Ethical, 5.2 - Compliance, 5.2.2 Code of Ethical Conduct I didn't know we had a Code of Ethical Conduct Question Title * 10. Have you ever been intimidated or experienced any adverse consequences for reporting an ethics or compliance concern? Yes No If "yes" please explain Question Title * 11. Who is BWHC's Chief Compliance Officer? Stan Ashley Ron Walls James Bryant Betsy Nabel Question Title * 12. Compliance issues affecting BWHC can involve which of the following topics? Environmental regulations and policies Billing regulations and policies Clinical care and risk management/legal HIPAA/privacy concerns All of the above Done
