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Required Steps:
1. Read and review the Annual Mandatory Education Manual (linked on our website)
2. Proceed ONLY if scheduled for 2019 (new manual/test will be released for 2020 in January).
3. Ensure #1 is filled in with identifying information!
4. Obtain a 100% on remainder of test; repeat until 100% achieved.
5. PRINT the final score page. IMPORTANT: once you exit the score page, you will have no way of retrieving it again; if you exit without printing/saving, you will have to retake the test again in order to provide proof of successful completion. 
6. Submit to your school for validation.

There is no limit to the number of times you can take this test.

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* 1. Please acknowledge the statement below and include your contact information in the comment/text field below it (required).

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* 2. Confidentiality and Information Access Control Policy Attestation: I certify that I have read the UH AMD 1501 Confidentiality and Information Access Control Policy contained in this CBL and fully understand the requirements of me as set forth in this document. I agree specifically to act in accordance with the policies of the hospitals and clinics, and understand that I will be subject to disciplinary action, including termination, for violating the policies.

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* 3. Confidentiality and Information Access Control Policy Attestation: Please place your initials in the box below for electronic signature of this policy.

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* 4. HEALTH PROMOTION ACROSS THE LIFESPAN: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 5. HARASSMENT & DISCRIMINATION AWARENESS: Sexual harassment is not limited to physical contact. It can occur any time that an individual is uncomfortable with another person’s approaches, comments, or discussions.

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* 6. HARASSMENT & DISCRIMINATION AWARENESS: Quid Pro Quo harassment is a form of sexual harassment when there is a request or demand of sexual favors in exchange for employment benefits or threatening reprisals if the favors are not given.

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* 7. HARASSMENT & DISCRIMINATION AWARENESS: Jim persists in asking his coworker, Maria, out to dinner, even though she turns him down each and every time he requests a date. She has told him several times to stop asking. Jim’s behavior does not constitute sexual harassment because sexual harassment may only occur between a male boss and a female subordinate.

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* 8. HARASSMENT & DISCRIMINATION AWARENESS: Alexander frequently tells off-color jokes during team meetings. Lilly is offended. She doesn’t think Alexander’s jokes are funny. Alexander’s behavior is not sexual harassment because his jokes are all in fun, and he does not intend to sexually harass anyone.

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* 9. HARASSMENT & DISCRIMINATION AWARENESS: Due to strict privacy laws, supervisors cannot monitor employee email or be found liable for sexual harassment via email by their employees.

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* 10. HARASSMENT & DISCRIMINATION AWARENESS: I agree to abide by the Mission, Vision, Values and policies of WVU Medicine, University Healthcare, Berkeley Medical Center, Jefferson Medical Center and University Healthcare Physicians to ensure a respectful workplace.

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* 11. HARASSMENT & DISCRIMINATION AWARENESS: I have reviewed and understand the information in this course and have had any questions answered to my satisfaction.

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* 12. RECOGNIZING THE SIGNS & SYMPTOMS OF STROKE: Which of the following increases a person's risk of having a stroke?

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* 13. RECOGNIZING THE SIGNS & SYMPTOMS OF STROKE: Which of the following are signs and/or symptoms of a person having a stroke?

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* 14. RECOGNIZING THE SIGNS & SYMPTOMS OF STROKE: A good way to remember the signs that a person is having a stroke is the word....

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* 15. RECOGNIZING THE SIGNS & SYMPTOMS OF STROKE: I understand that this is my electronic acknowledgement stating I have reviewed this Computer Based Learning program and have had any questions answered to my satisfaction.

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* 16. ACCOUNTABLE CARE ORGANIZATION COMPLIANCE ATTESTATION: I acknowledge that I have received and completed the Accountable Care Organization Compliance module, as required per my organization’s participation in Accountable Care Organization of West Virginia.

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* 17. PRIVACY & SECURITY: HIPAA rules control:

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* 18. PRIVACY & SECURITY: Providing each user with a unique username and password is a technical safeguard. You should never share your password with anyone else, not even for training purposes.

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* 19. PRIVACY & SECURITY: You should always choose secure passwords. Which of the following is the most secure password?

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* 20. PRIVACY & SECURITY: Which of the following actions can you take to help maintain patient confidentiality?

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* 21. PRIVACY & SECURITY: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 22. CORPORATE COMPLIANCE: As defined by the Office of Inspector General (OIG), there are 7 Elements that represent good business practices that organizations should have in place.

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* 23. CORPORATE COMPLIANCE: Compliance is Everyone’s Responsibility!

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* 24. CORPORATE COMPLIANCE: The Emergency Medical Treatment Act (EMTALA) was implemented to promote public access to emergency care regardless of a patient’s ability to pay.

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* 25. CORPORATE COMPLIANCE: Debbie Lupton, RHIT, CHC is the WVU Medicine - East Compliance Officer.

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* 26. CORPORATE COMPLIANCE: Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program.

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* 27. CORPORATE COMPLIANCE: Waste includes practices that, directly or indirectly, result in unnecessary costs to the Medicare Program, such as overusing services. Waste is generally not considered to be caused by criminally negligent actions but rather by the misuse of resources.

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* 28. CORPORATE COMPLIANCE: Abuse includes actions that may, directly or indirectly, result in unnecessary costs to the Medicare Program. Abuse involves paying for items or services when there is no legal entitlement to that payment, and the provider has not knowingly or intentionally misrepresented facts to obtain payment.

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* 29. CORPORATE COMPLIANCE: There are differences among fraud, waste, and abuse. One of the primary differences is intent and knowledge. Fraud requires intent to obtain payment and the knowledge the actions are wrong. Waste and abuse may involve obtaining an improper payment or creating an unnecessary cost to the Medicare Program but do not require the same intent and knowledge.

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* 30. CORPORATE COMPLIANCE: Stark Law prohibits a physician from making referrals for certain designated health services (DHS) payable by Medicare to an entity with which he or she (or an immediate family member) has a financial relationship (ownership, investment, or compensation), unless an exception applies.

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* 31. CORPORATE COMPLIANCE: You can reach the Compliance & Ethics Hotline 24 hours a day, 7 days a week. You can leave an anonymous report or give your name when reporting. The way to contact the hotline is to dial (855) 236-2041 or online at www.wvuhs.alertline.com.

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* 32. ATTESTATION AND AGREEMENT OF COMPLIANCE AND INTEGRITY: I certify that I have read the Compliance & Ethics, Privacy & Information Security PowerPoint and fully understand the requirements of me as set forth in this PowerPoint. I agree to act in accordance with the policies of WVU Medicine-East and WVU Health System. I also understand that I will be subject to disciplinary action, up to and possibly including termination, for violating those policies or failing to report violations of those policies.

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* 33. INFANT & CHILD ABDUCTION PREVENTION: Which of the following can be considered behavior of a "potential" abductor:

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* 34. INFANT & CHILD ABDUCTION PREVENTION: The offender profile is usually female with a sense of high esteem and over 40 years of age.

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* 35. INFANT & CHILD ABDUCTION PREVENTION: At our facility, all infants and mothers on OB are banded with matching bands at birth, and an infant security tag is applied to all infants on the unit.

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* 36. INFANT & CHILD ABDUCTION PREVENTION: Both OB and Pediatrics are locked 24/7 and staff must let visitors in and out of these units.

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* 37. INFANT & CHILD ABDUCTION PREVENTION: If an infant or child abduction occurs, which of the following must you do?

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* 38. INFANT & CHILD ABDUCTION PREVENTION: I have read the information on this course and have had any questions answered to my satisfaction.

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* 39. INFECTION CONTROL & PREVENTION: What is the single most important means of preventing the spread of an infection?

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* 40. INFECTION CONTROL & PREVENTION: Which of the following exposures poses a risk for a bloodborne pathogen infection?

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* 41. INFECTION CONTROL & PREVENTION: The first step in an employee exposure is notifying your immediate supervisor.

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* 42. INFECTION CONTROL & PREVENTION: Waste is considered infectious when it is:

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* 43. INFECTION CONTROL & PREVENTION: Which of the following are ways to reduce my risk of developing Hepatitis B?

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* 44. INFECTION CONTROL & PREVENTION: When sustaining an occupational exposure, I should do which of the following?

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* 45. INFECTION CONTROL & PREVENTION: The influenza vaccination is considered mandatory and is a condition of employment for University Medicine staff.

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* 46. INFECTION CONTROL & PREVENTION: Which type of precaution is it required to use a N95 Respirator?

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* 47. INFECTION CONTROL & PREVENTION: I understand that this is my electronic acknowledgement stating I have reviewed this Computer Based Learning program and have had any questions answered to my satisfaction.

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* 48. NATIONAL PATIENT SAFETY GOALS: What two (2) patient identifiers do we use?

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* 49. NATIONAL PATIENT SAFETY GOALS: What is the number one way to reduce health care associated infections?

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* 50. NATIONAL PATIENT SAFETY GOALS: All patients should be screened for risk of suicide.

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* 51. NATIONAL PATIENT SAFETY GOALS: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 52. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: The only benefit to learning about cultural awareness is to not offend anyone.

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* 53. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: Which of the following is not a descriptive consideration of culture?

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* 54. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: Learning about various cultures helps us to treat patients with respect, dignity, and compassion.

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* 55. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: Lack of understanding of culture may lead to miscommunication, inappropriate diagnosis and treatment and patient frustration.

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* 56. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: It is important to learn about each different generation to understand our differences of thinking while working together in the workplace.

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* 57. CULTURAL AWARENESS, CULTURAL SENSITIVITY, & INTERPRETIVE SERVICES: I have reviewed and understand the information in this course and have had any questions answered to my satisfaction.

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* 58. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: Maintaining patient confidentiality is just one way to ensure the patient's rights are protected.

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* 59. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: Patients have a right to have their protected health information read only by those persons who need to know this information to do their job.

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* 60. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: Our patients have the right to formulate advance directives such as Living Will, Medical Power of Attorney, Combined LW/MPOA.

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* 61. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: An Ethics Consultation can be requested by...

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* 62. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: I do not need to ask my patient permission to start a procedure, I can assume that just by the patient being here that is consent enough

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* 63. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: My ID badge should be:

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* 64. RIGHT TO PRIVACY, ADVANCE DIRECTIVES, & ETHICS CONSULTATIONS: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 65. ABUSE, NEGLECT, EXPLOITATION, & HUMAN TRAFFICKING: An incapacitated adult arrives in the ED with fractures of the arm. When performing the patient assessment, the nurse notices what appears to be cigarette burns on the patient's back. What action is required by law?

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* 66. ABUSE, NEGLECT, EXPLOITATION, & HUMAN TRAFFICKING: If someone handed you an infant (for Safe Haven) what should you do?

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* 67. ABUSE, NEGLECT, EXPLOITATION, & HUMAN TRAFFICKING: Some signs that may be a red flag for a possible human trafficking case:

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* 68. ABUSE, NEGLECT, EXPLOITATION, & HUMAN TRAFFICKING: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 69. RESTRAINT, SECLUSION, & PAIN MANAGEMENT: Patients have the right to be treated with dignity and respect.

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* 70. RESTRAINT, SECLUSION, & PAIN MANAGEMENT: You work in environmental services. You can assist in the pain management of a patient by doing which of the following:

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* 71. RESTRAINT, SECLUSION, & PAIN MANAGEMENT: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 72. PERSONAL SAFETY: You should take all threats seriously and call for help.

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* 73. PERSONAL SAFETY: Which of the following is a common cause of agitation?

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* 74. PERSONAL SAFETY: Which Code do you call for help in a crisis situation?

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* 75. PERSONAL SAFETY: University Healthcare has a ZERO tolerance to violence in the workplace, this includes harassment or bullying.

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* 76. PERSONAL SAFETY: I have reviewed and understand the information in this course and have had any questions answered to my satisfaction.

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* 77. QUALITY MANAGEMENT: National Patient Safety Goals are designed to promote quality and safety in patient care. What patient identifiers are used by University Healthcare to improve the accuracy of patient identification?

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* 78. QUALITY MANAGEMENT: The newest national patient safety goals for this year is clinical alarms. Setting alarms is meant to improve patient safety and outcomes.

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* 79. QUALITY MANAGEMENT: Risk Management is an organizational wide program designed to promote high quality care in a safe environment through risk prevention, risk analysis, risk financing, and the patient advocacy program.

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* 80. QUALITY MANAGEMENT: What can you do to be more involved in Risk Management?

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* 81. QUALITY MANAGEMENT: I have reviewed the information in this course and have had my questions answered to my satisfaction.

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* 82. THE JOINT COMMISSION EDUCATION: In 1951, what organization(s) formed The Joint Commission?

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* 83. THE JOINT COMMISSION EDUCATION: Hospitals must meet all Joint Commission standards to be accredited.

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* 84. THE JOINT COMMISSION EDUCATION: How often does The Joint Commission re-survey hospitals for re-accreditation?

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* 85. THE JOINT COMMISSION EDUCATION: Berkeley Medical Center has which of the following Joint Commission disease-specific certifications?

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* 86. THE JOINT COMMISSION EDUCATION: What is the role of staff during a Joint Commission survey?

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* 87. THE JOINT COMMISSION EDUCATION: What should staff do to be prepared for surveys?

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* 88. THE JOINT COMMISSION EDUCATION: I understand that this is my electronic acknowledgement stating I have reviewed this Computer Based Learning program and have had any questions answered to my satisfaction.

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* 89. RESPONSE TO AN ACTIVE SHOOTER: Most shooters are male and usually have more than one firearm.

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* 90. RESPONSE TO AN ACTIVE SHOOTER: There are 5 stages of development of an active shooter: Fantasy, Planning, Preparation, Approach and Implementation.

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* 91. RESPONSE TO AN ACTIVE SHOOTER: All of the following are indicators of potentially violent behavior EXCEPT:

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* 92. RESPONSE TO AN ACTIVE SHOOTER: An appropriate response to an active shooter situation is to:

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* 93. RESPONSE TO AN ACTIVE SHOOTER: Important information you should provide to Law Enforcement or 911 dispatcher includes:

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* 94. RESPONSE TO AN ACTIVE SHOOTER: I have reviewed and understand the information in this course and have had any questions answered to my satisfaction.

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* 95. CODE AWARENESS: What is the number to communicate a code at either Berkeley Medical Center or Jefferson Medical Center?

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* 96. CODE AWARENESS: A patient's family member is shouting at you and attempts to hit you. What code should be initiated?

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* 97. CODE AWARENESS: This code is called when an inpatient is exhibiting signs of clinical deterioration and additional clinical expertise is needed. The purpose for this team is to improve patient outcomes by providing early intervention to prevent a cardiac or respiratory arrest.

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* 98. CODE AWARENESS: If asked to search your work area for a bomb, you should perform the search by which of the following:

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* 99. CODE AWARENESS: Our organization has a zero tolerance for workplace violence and harassment.

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* 100. CODE AWARENESS: You work in housekeeping and spill a large container of cleaning chemicals with noxious fumes. What code should be called?

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 50% of survey complete.

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