Annual Training Topics 1
CHILD MALTREATMENT TEST (updated April 2010) Employee Name 1. If you work children in a licensed facility, you are legally required or mandated to report and cannot shift the responsibility of reporting to your supervisor or to anyone else at your licensed facility. 2. If you know or suspect that a child is in immediate danger, the first thing you need to do is: a) Call the Department of Human Services b) Call the local County Social Services Agency c) Call 911 d) None of the Above 3. A mandated reporter who knows or has reason to believe a child is or has been neglected or physically or sexually abused and fails to report is guilty of a misdemeanor. 4. The internal review must include an evaluation of whether: a) Related policies and procedures were followed b) The policies and procedures were adequate c) There is a need for additional staff training d) The reported event is similar to past events with the children or the services involved e) There is a need for corrective action by the license holder to protect the health and the safety of children in care f) All of the Above 5. Internal reviews will be completed by (unless this person were involved in suspected or alleged maltreatment): a) Your Supervisor b) Human Resources c) Program Director d) CEO/President Employee Signature Date Score / 5 2
Emergency Preparedness Test Updated April 2010 Employee Name 1). What is the purpose of Emergency Preparedness? 1. To promote staff safety and readiness in the event of an emergency or disaster 2. To insure consistency in care delivery and promote client safety, in circumstances where agency operations my be disrupted, such as inclement weather, power outages, natural and unnatural disasters 3. To insure continuation of core functions during an emergency or disaster 4. All of the above 2). In an event of inclement weather, natural or man made disasters, employee will be encouraged to: 1. Listen to your local radio station and or TV channel for weather updates, road conditions and any possible announcements concerning office closings and public safety. 2. Wait for his/her supervisor to call with directions as to what to do. 3. Stay in a locked bathroom with no windows until the conditions get better. 3). Fire Response Procedures are: 1. Rescue 2. Alert 3. Confine 4. Extinguish 5. All of the above 4). If in a client s house, you should do the following: Assist the client and take shelter in the basement or a small central room in the lowest level of the building. Bathrooms and closets are good potential shelters. 5). Which of the following preventative actions will be taken at all times for home visit situations? 1. Communicate any information concerning potential for violence to your supervisor and other affected staff 2. Take responsibility for your own safety 3. Avoid carrying a purse 4. All of the Above Score / 5 Employee Signature Date 3
First Aid Test Updated April 2010 Employee Name 1. The following are all examples of types of wounds: Avulsion, Bruise, Cut, Puncture, and Scrape. Circle One: False True 2. How is a splinter in the skin removed? a) With your fingernails b) With tweezers c) With a needle d) None of the above 3. Which type of burn involves only the top layer of skin? a) 1 st degree b) 2 nd degree c) 3 rd degree d) All of the above 4. If you think someone may possibly have a head or spinal injury you should do the following: a) Roll the person over on their back b) Pick the person up and move them to a safe place c) DO NOT move him or her! Leave the victim lying flat. EMS will be able to move and treat the patient without causing further injury. d) None of the above 5. A occurs when an arm or a leg twists in such a way that the broken bone ends tear through the skin, causing an open wound. a) dislocation b) sprains c) strains d) open fracture 4
6. The first thing you need to do if a conscious choking adult becomes unconscious is to lower him or her to the floor on his or her back? Circle One: False True 7. If a choking conscious adult is noticeably pregnant or too obese for you to wrap your arms around them, which thrust would you perform? a) chest thrusts b) abdominal thrusts 8. In what ways can a person be poisoned? a) Ingestion b) Inhalation c) Absorption d) Injection e) All of the above 9. Which of the following are examples of Heat-Related Illnesses? a) Heat Cramps b) Heat Exhaustion c) Heat Stroke d) All of the above 10. is the freezing of body tissues. a) Hypothermia b) Cold Emergency c) Frostbite d) None of the Above Total Score /_10_ Employee Signature Date 5
Fraud, Waste, and Abuse Comprehension Test (updated April 2010) Employee Name 1). What is the definition of Fraud? a). over-utilization of services and the misuse of resources. b). excessive or improper use of services or actions that are inconsistent with acceptable business or medical practice. c). an intentional act of deception, misrepresentation or concealment in order to gain something of value. 2). How often is Fraud, Waste, and Abuse training required? a). Once at time of hire and then never again b). At new hire and yearly thereafter; it is required annually c). Once every 3 years 3). Name a Fraud, Waste, and Abuse billing example? a). Billing for services not provide b). Promotion of off- label drug use c). Doctor shopping 4). Name one Law of Fraud, Waste, and Abuse? a). Prescription drug switching b). Marketing schemes c). False Claim Act 5). How do you report Potential Fraud, Waste, and Abuse? a.) Organization s Compliance Officer or compliance hotline b). Compliance Officer or compliance hotline of the applicable Plan Sponsor(s) with whom you participate c). 1-800-MEDICARE d.) All of the above Score / 5 Signature Date 6
International Quality Homecare Corporation International Quality PCA Services Alpha Services Company of Rochester HomeKeepers International Omega Medical Supply Acknowledgement of Annual Fraud, Waste and Abuse Compliance Training The Centers for Medicare and Medicaid Services (CMS) requires annual Fraud, Waste, and Abuse training for all employees that work for organizations that provide health care services or administrative services for a Medicare-eligible individual under the Medicare Advantage or Medicare Part D programs. Our agency falls within this category. All employees of International Quality Homecare, International Quality PCA Services, Alpha Services, and affiliated companies must complete annual Fraud, Waste, and Abuse training. This includes direct care staff (such as PCAs, HHAs, Homemakers) as well as Nurses and Management. By signing below, you acknowledge that you have received, read, and understand this mandatory training, which is available as a training printout from the corporate and all branch offices or online at our company website at www.alphaiqh.com under the Employees link located on the left hand side of our homepage. Employee Name: Position/Location: Signature: Date: Once you receive the training, sign this acknowledgement and drop it off to your local office. You can also mail or fax it. Corporate Office Decorah New Prague Worthington 3261 19 th St NW 512 Montgomery St 125 W. Main St 1607 N. McMillan St Rochester, MN 55901 Decorah, IA 52101 New Prague, MN Worthington, MN 56187 Fax 507-252-1985 Fax 563-382-4683 Fax 952-758-4523 Fax 507-376-3344 Austin Mankato Owatonna La Crescent 101 4 th St SW 406 Belgrade Ave 606 Hoffman Dr 306 Main St. Suite 4 Austin, MN 55912 N. Mankato, MN 56003 Owatonna, MN 55060 La Crescent, MN 55947 Fax 507-433-7106 Fax 507-625-2409 Fax 507-451-6288 Fax 507-895-2579 7
Vulnerable Adult Test Employee Name: 1). A vulnerable adult or child is a person who is unable or unlikely to report an incident of abuse or neglect without assistance, because they have a mental, physical, or emotional impairment. 2). Which of the following people are considered Mandated Reporters? a) Doctors, Nurses, and Health Care Professionals b) Direct Care Staff c) Teachers d) Law Enforcement e) All of the above 3). Yelling, screaming, swearing, threatening, ignoring or any non-therapeutic conduct or repeated conduct that produces or could reasonably be expected to produce mental or emotional distress is the definition of abuse. a) Sexual b) Emotional c) Physical d) Financial 4). Using a vulnerable person s body or property to gain profit or advantage is and obtaining money or services from a vulnerable person through the use of undue influence, harassment, duress, deception or fraud is considered abuse. a) Sexual b) Emotional c) Physical d) Financial 5). Neglect is the failure to provide necessary food,, shelter, healthcare or supervision. a) beverages b) free time c) clothing d) none of the above 8
6). VA Laws protect all reporters from retaliation for making a report in good faith, 7). The 1 st step in the Reporting Procedure (Internally) is to report the incident to your supervisor. 8). When reporting a Vulnerable Adult incident, it is very important that you report the following facts: a) Name and Location of the vulnerable person and program b) Nature of abuse or neglect c) Date and Time it occurred d) History of abuse/neglect THIS IS IMPORTANT e) Name and Address of Reporter and the Alleged Perpetrator f) Any other information which will assist the investigator g) All of the Above 9). When reporting an incident EXTERNALLY, the incident must be called in within of knowledge of the incident. a) 48 hours b) 24 hours c) 1 week d) None of the Above 10). Examples of Results of the Investigation include: a) Substantiated b) Inconclusive c) False d) All of the Above Score /10 Employee Signature Date 9
International Quality Homecare Corporation International Quality PCA Services Alpha Services Company of Rochester HomeKeepers International Vulnerable Client Training Topics Covered: 1. Definition of a Vulnerable Client 2. What is Abuse / Maltreatment / Neglect? 3. Mandated Reporters 4. Reporting Procedure a. Assessment b. Internal Reporting Procedure c. Investigation Procedure d. External Reporting Procedure 5. Common Entry Points 6. Confidentiality 7. Agency Responsibilities 8. Prevention Employee Name (Printed) Employee Signature Date Trainer Name (Printed) Trainer Signature Date 10
International Quality Homecare Corp. International Quality PCA Services Alpha Services Company of Rochester Omega Medical Supply Training Disclaimer I understand that, as an employee of International Quality Homecare (and all affiliates), I am responsible for completing the training requirements that qualify me for the position(s) I have been hired for. By signing below, employee acknowledges that he/she is the person who completed annual training regarding the following topics: Child Maltreatment Emergency Preparedness First Aid Fraud, Waste, & Abuse Vulnerable Client Employee Name Employee Signature Date 11