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BWH Compliance Survey 2016
2016 BWH Compliance Survey
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1.
Which best describes your role at BWH/BWPO?
(Required.)
Physician, Resident, Fellow
Physician Assistant, Nurse Practitioner, Certified Registered Nurse Anesthetist, Certified Nurse Midwife
Administrator, Director, Manager, Supervisor
Other (please specify)
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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?
(Required.)
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
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3.
Have you ever felt uncomfortable about reporting an ethics or compliance issue?
(Required.)
Yes
No
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4.
BWH has a firm Non-Retaliation Policy. Which of the following statements regarding this policy is true? (select all that apply)
(Required.)
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
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5.
Have you ever made a report of an ethics or compliance concern that you felt was ignored or was not taken seriously?
(Required.)
Yes
No
If "yes" please explain
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6.
BWHC uses the Partners Compliance HelpLine for reporting of compliance issues. Which of the following statements is true regarding the Partners Compliance HelpLine?
(Required.)
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
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7.
Who can you call if you want clarification about a specific law, rule or policy related to Billing Compliance?
(Required.)
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
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8.
Where can you locate BWH Policies and Procedures?
(Required.)
By accessing the
ellucid
policy management system
On the Partners intranet
In the BWH Library
I don't know where to locate our policies
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9.
Where can you find the BWH Code of Ethical Conduct?
(Required.)
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
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10.
Have you ever been intimidated or experienced any adverse consequences for reporting an ethics or compliance concern?
(Required.)
Yes
No
If "yes" please explain
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11.
Who is BWHC's Chief Compliance Officer?
(Required.)
Stan Ashley
Ron Walls
James Bryant
Betsy Nabel
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12.
Compliance issues affecting BWHC can involve which of the following topics?
(Required.)
Environmental regulations and policies
Billing regulations and policies
Clinical care and risk management/legal
HIPAA/privacy concerns
All of the above
