Brigham Health Compliance Survey 2018

2018 Brigham Health Compliance Survey

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1. Which best describes your role at Brigham Health?

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2. I work for

Brigham and Women's Hospital

Brigham and Women's Faulkner Hospital

Brigham and Women's Physician Organization

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3. As a Brigham Health 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 Security office

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4. Brigham Health 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

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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?

Yes

If "yes" please explain

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6. Brigham Health 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 Brigham Health 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?

The IS Help Desk at 617-732-5927

911

Hospital Security

Brigham Health Billing Compliance Office at 617-582-0090

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8. Where can you locate Brigham Health's Policies and Procedures?

By accessing the ellucid policy management system through Partners Applications

On the Partners intranet

In the library

I don't know where to locate our policies

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9. Where can you find our Code of Ethical Conduct?

On Partners Pulse

In the ellucid policy management system

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?

Yes

If "yes" please explain

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11. Who is Brigham Health's Chief Compliance Officer?

Ron Walls

Dave McCready

James Bryant

Betsy Nabel

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12. Compliance issues affecting Brigham Health 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

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13. How many times in the past year have you accessed policies through the ellucid Policy Management System?

0 times

1-5 times

6-10 times

more than 10 times

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14. Do you feel you are well educated or well informed on Brigham Health Compliance Rules and Policies?

Yes

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15. Do you know who your compliance contacts are within Brigham Health (BWH, BWPO, BWFH) and how to contact them?

Yes

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16. Are you comfortable reaching out to Compliance with questions or concerns?

Yes

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17. Do you believe the information from your department is reported with a high degree of integrity and accuracy?

Yes

Don't Know

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18. Where can you go to find Brigham Health's Billing Compliance Plan Documents?

BWH PikeNotes or BWFH Connect under Staff/Employee Resources, Compliance, Billing Compliance

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