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Photos of an 80-Year-Old Woman Slumped and Face-Down on a Pillow in an Ohio Nursing Home Causes Social Outcry

Photos of an 80-Year-Old Woman Slumped and Face-Down on a Pillow in an Ohio Nursing Home Causes Social Outcry Providing inadequate supervision and leaving a vulnerable resident with limited mobility positioned face-down on a pillow may be considered neglect and substandard quality of care, resulting in the submission of a false claim. Compliance Perspective – Supervision Policies/Procedures: The Compliance and Ethics Officer with the Administrator and Director of Nursing will review policies and procedures on providing safe positioning and adequate supervision of residents. Training: The Compliance and Ethics

Cyber

Indiana Health Center Phishing Attack Impacts Twelve Thousand Patients

Indiana Health Center Phishing Attack Impacts Twelve Thousand Patients Data Privacy and Security Perspective Communication should be provided to all staff members regarding phishing emails. Examples should be provided to demonstrate potentially harmful email addresses, URLs, and types of attacks A network of seven healthcare centers in Indiana experienced a phishing attack that resulted in an employee’s email account being accessed by an unauthorized individual. The attacker impersonated a healthcare organization that had previously worked with one of the facilities. The supposed sender of the

Kansas Health Plan Alerts 1,625 Members of Impermissible PHI Disclosure

Kansas Health Plan Alerts 1,625 Members of Impermissible PHI Disclosure Data Privacy and Security Perspective When sending group communications, confirm the information is accurate and being sent to the correct parties A health plan in Kansas alerted 1,625 plan members that some of their protected health information (PHI) had been disclosed to other individuals. On November 26, 2018, the health plan mailed ID cards and welcome packets to 1,625 plan members; however, the letters were accidentally sent to incorrect addresses. The letters contained patients’ full names and

Unreported Nurse Error Causing Patient Death Jeopardized Tennessee Hospital’s Medicare Reimbursement Eligibility

Failure to report incidents like a medication error resulting in a resident’s death may jeopardize a facility’s eligibility for Medicare reimbursement Compliance Perspective – Medicare Reimbursement Policies/Procedures: The Compliance and Ethics Officer with the Administrator and the Director of Nursing will review the policies and procedures outlining requirements for reporting incidents to the proper authorities. Training: The Compliance and Ethics Officer with the Director of Nursing will ensure that staff are trained to respond and report incidents such as medication errors in a

Daughter of Elderly Resident with Dementia Sues Illinois Nursing Home for Violating Resident’s Right to Privacy

Is the failure of a nursing home to enforce its policy and procedure prohibiting the use of cell phones in resident areas a significant factor in resident abuse, with the potential for subsequent submission of false claims? [F583 Personal Privacy/Confidentiality of Records; F600Free from Abuse and Neglect; F602 Free from Abuse/Exploitation; F684 Quality of Care; and F689 Free of Accident Hazards/Supervision] Compliance Perspective – Privacy Policies/Procedures: The Privacy Officer will review cell phone policies and procedures to ensure that they address the protection

Family Considers Suing Nursing Home after Abusive Photograph of Resident Goes Viral on Facebook

Does ignoring a resident’s cries for help and neglecting to care for the resident for several hours after an incident where the resident has soiled herself and the area around her with vomit violate the resident’s right to be free of abuse and neglect? And, does it constitute providing substandard quality of care that may result in the submission of false claims to Medicare and Medicaid in violation of the False Claims Act? Compliance Perspective – Abusive Photograph Policies and Procedures:The Compliance

Cyber

Privacy Breach at New York Medical Center Results in Employees Being Terminated

A large medical center, with a comprehensive to safeguard the protected health information of its patients, experienced a breach on an undisclosed number of patients. The medical center terminated an undisclosed number of employees due to its no tolerance policy for breaches of PHI. Compliance Perspective – Privacy Breach: The Compliance and Ethics Officer with the facility’s Privacy Officer, Human Resource Manager, IT Manager, Risk/Safety Manager and Administrator should review the policies and procedures regarding potential breaches of protected health information to

Cyber

Oregon Healthcare System Email Breach Exposes Private Health Information of 38,000 Patients

Compliance Perspective – Breach: The Compliance/Privacy Officer should review the facility’s policies and procedures regarding potential breaches of private health information with the Administrator, the IT Manager and the Compliance Committee to ensure that the appropriate protocol is in place for responding and correcting a breach in a timely manner. The discovery date of the breach is determined based on the first day that the breach becomes known and the procedure to be followed is based upon the size and extent

Dealing with HIPAA Privacy Breaches

In 2017, the Department of Health and Human Services’ Office for Civil Rights (OCR) issued fines and penalties of over $19 million for Protected Health Information (PHI) violations—a significant figure which indicates how serious the government views such incidents. Many of these fines came about as a result of the failure of Health Insurance Portability and Accountability (HIPAA)-covered entities to properly report data breaches on time—so it is just as important to know the exact procedure for reporting as it

Biometrics in Nursing Homes. Huh?

To be honest, when I first thought of biometrics, images of flying cars and killer robots popped into my head. As it turns out, none of my imaginations had anything to do with biometrics. However, if there’s anything I did get right, it’s that biometrics are a wave of the future. In fact, biometrics are being used right now in long-term post-acute care (LTPAC) centers to keep track of employee hours. Biometrics simply refers to measuring and authenticating