AtlantiCare Leader Handbook

COMPLIANCE & LEGAL

HIPAA The Health Insurance Portability and Accountability Act (HIPAA) was enacted in 1996 to accomplish four primary objectives ·Assure health insurance portability by eliminating preexisting medical conditions ·Reduce healthcare fraud and abuse ·Enforce standards for health information ·Guarantee security and privacy of health information Leader Expectation(s): Leaders are expected to know healthcare data security and privacy standards with emphasis on minimum necessary access, use and disclosure of protected health information under the HIPAA Privacy Rule. Leaders are expected to hold their teams accountable to these standards. Refer to the policy site and reach out to the Legal department with questions or concerns I ncident Reporting An incident is an unusual occurrence in or around AtlantiCare property. Everyone is responsible for reporting safety information. Examples of incidents reported through RLDatix (formerly Quantros): Patient and visitor injuries, car accidents, equipment malfunctions, theft and security issues, threatening behavior, lost or damaged property, facilities issues, etc. Exception: Employee injuries are reported through The Starfish by clicking the following links under “Tell Us” on the upper right side of The Starfish page: “Incident Reporting,” “Employee Injury Reporting Site.” Leader Expectation(s): Leaders are expected to know how to report incidents and make sure their team know as well. If assistance is needed with password, log-in, or system issues, please call the help desk at (609) 569-7070 or 3 7070. Employment Law Human Resources departments exist to keep employers compliant with Employment Law. Laws vary from acceptable interview questions to FLSA status to how overtime is calculated to Affirmative Action reporting to disciplinary actions. HR’s primary job is to be knowledgeable about these laws, create policies, and make recommendations on how to best follow them to keep the employer protected from lawsuits. Leader Expectation(s): Leaders are expected to have a basic understanding of Employment Law and how it affects their day to day work within the organization. Leaders are expected to have a good relationship, heed the advice of their Employee Relations partner when given guidance on employment topics, and reach out often whenever they have a question. Leaders should be familiar with key employment policies and know where to find them. You can visit the Policies site here. (Starfish - About AtlantiCare - Policies & Procedures).