Employees Give 'Generous Donation' to United Way
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Keeping SoutheastHEALTH Employees Informed
Cape County Volume 34, Number 11 March 19, 2014
Employees Give ‘Generous
Donation’ to United Way
Holly Bauwens of Human Resources and SoutheastHEALTH
President and CEO Wayne Smith hold a check, representing
the donation of more than $23,000 to the 2013 local United
Way campaign by Southeast employees. United Way of
Southeast Missouri officials thank the Hospital and our
employees for the “very generous donation.”
The local United Way helps fund over two dozen area
organizations such as Habitat for Humanity, Boy and Girl
Scouts, the Safe House for Women and many
others. Learn more at unitedwayofsemo.org.
SoutheastHEALTH is an exclusive
corporate sponsor of the United Way of
Southeast Missouri.
Pathology’s Terry Simpkins Wins iPod
Shuffle for Survey Participation
Congratulations to Terry Simpkins of Pathology. She won an iPod Shuffle in
the first of four weekly drawings this month for participating in the Patient
Safety Culture Survey.
Terry, who has worked at Southeast for 27 years, says it’s the first time
she has won anything!
There’s still time to complete the Patient Safety Culture Survey by the
Monday, March 31 deadline. Click here or find the link on the Compass to
take the survey.
All participants will receive a coupon for a free cookie in the Hospital
cafeteria. Participants will be entered into a weekly drawing for an iPod
Shuffle throughout March. Even better, participants will be entered into a
grand prize drawing for an iPad. So don’t delay. Fill out the survey today.
March Happy Hump Day Challenge: We Have a Winner!
Congratulations to Lynn Thompson of Southeast Primary Care – West Campus, who is the March winner
of our Happy Hump Day Challenge!
Lynn correctly answered that over 66,000 regular rolls of toilet paper were used at Southeast
Hospital in 2010. Her name was chosen from among all those who submitted correct answers to the quiz.
Lynn said she learned this fun fact from going to SEhealth.org and consulting the winter 2010 issue
of our Healthier Look magazine. The Healthy Bits feature on Southeast “Going Green” reports our efforts
to conserve resources, recycle and use post-consumer paper products.
Watch for our Happy Hump Day Challenge on the first Wednesday of every month. Your correct
answer could win you a $30 gift card to Wehrenberg Theaters!
Flash Mob
Brings Smiles
to
Cancer Patients
A “feel good” flash mob danced in the parking lot of the
Southeast Cancer Center on Friday afternoon, March 14,
to bring a little cheer to patients undergoing infusion
therapy. The “mob” consisted of dance students from
Southeast Missouri State University.
Cancer patient Kevin Hand, who has been
undergoing chemotherapy for the past three months,
came up with the idea. After several four- to five-hour
treatments, he thought it would be nice to liven up the
view outside the windows of the infusion bays.
With the help of Dr. Marc Strauss from SEMO’s
Theatre and Dance Department and the choreography
of University Dancers United, the view of a parking lot
was transformed into an all-out dance show.
InforMed is an online publication for
the employees of SoutheastHEALTH
1701 Lacey, Cape Girardeau, MO 63701
Corporate Communications Manager:
Sally Owen
Publications Coordinator/Editor:
Mark Bliss
Graphic Design Coordinator:
Renée Shandy
Jackson Location Provides Lab Please address all communications
Convenience for Southeast Employees and article suggestions to
Do you need lab work done? Southeast employees, you can stop by our Lab Mark Bliss at mbliss@SEhealth.org
Services location at Jackson Convenient Care, 2432 East Main Street. or call 986-6607.
“It is a walk-in, draw station like our lab in Doctors’ Park,” notes Laboratory
Manager Kim Fuller, BS, MT (ASCP). “If you live in the Jackson/Fruitland area, it’s
convenient to have your blood drawn at Convenient Care,” she says. The Lab is
open from 7 a.m. to 7 p.m., seven days a week.
Jackson Lab Services collects both blood and urine samples by physicians’
orders. The Lab is the only one of Southeast’s offsite lab facilities that is open on
weekends, Fuller points out. If you have questions, call Jackson Lab Services at
573-755-2306.
2
Congratulations!
Debbie Hoffman, BSN, RN, CNML,
nurse manager of Medical Telemetry,
has successfully completed the
New Faces examination offered by the American
Obstetrics welcomes administrative Organization of Nurse Executives Give your brain a workout by
assistant Ashley Brown. to obtain status as a certified nurse deciphering
Emily Brown has joined the manager and leader. this clue to a common phrase!
Pharmacy as a pharmacy technician. Interventional Radiology has
Food & Nutrition Services has two certified vascular interventional
hired food service workers Brenna technologists – Josh Abell, who was
Cummings and Haley Williams. certified last month, and Juliann
Environmental Services welcomes Sechrest, who was certified in March
housekeepers Leanna Dale and Jesse 2011. The American Registry of
Smith. Radiologic Technologists lists only 2,186
Medical Telemetry has hired nurse such certified technologists nationwide
assistants Lacey Greer and Lauranna and only 56 in Missouri.
Starkey-Cobb, and unit secretary
Kristen Hunt.
Unit tech Jimmy Randle has joined
Adult Special Care 2H.
Cardiac Progressive has hired nurse
assistant Jessica Ribble. ANSWER BELOW
Neurosciences welcomes nurse
assistant Suzanne “Mickell” Swanner.
The Psychiatric Unit has hired Hey Baby! Book Fair
Helen Waters, RN. SoutheastHEALTH employees welcome
the following new additions to their
Tomorrow
families: and Friday
Paige Caudle, of CPC, and John Don’t forget the
Now in the Gift Shop “Cody” Caudle, welcomed a daughter,
Chloe Marie, 5 lbs., 14 oz.; 19 inches; on
Auxiliary’s Book Fair in the Hospital
Lobby tomorrow from 9 a.m. – 6 p.m.
Feb. 19. and on Friday from 7 a.m. – 3 p.m.
Mistie Ressel, of Respiratory Shop for best-sellers, cookbooks,
Therapy, and Jacob Ressel, welcomed a children’s books, educational materials
daughter, Brynlee Diane, 4 lbs., 14 oz.; and more. And while supplies last, you
18.5 inches; on Feb. 24. can get a $25 Restaurant.com gift card
Elizabeth Kuhlenberg, of with any single transaction of $50 or
Orthopedics, and James Kuhlenberg, more before tax!
welcomed a son, Hunter James, 8 lbs., Cash, checks, debit, major credit
8 oz.; 21 inches; on March 6. cards and payroll deduction for
Brian Noland, General Counsel, and
30% OFF
purchases over $25 will be accepted
Gabrielle Noland, welcomed a daughter, for payment. Proceeds will be used to
Camilla Marie, 6 lbs., 10 oz.; 19 inches; on
all Southeast Logo March 10.
support Auxiliary projects.
Jackets & Shirts!
Tickets Still Available!
The 5th Annual Easter EGG HUNT FOR ADULTS (21 years and older) is
New Jewelry & Scarves scheduled for Saturday, April 12, from 6 to 11 p.m. at the Bavarian
arriving daily! Halle in Jackson. Proceeds from the Easter Egg Hunt will benefit
Southeast Hospice. Tickets are $25 each and may be purchased
Auxiliary Wishing Well Gift Shop from the Hospice Office at 10 Doctors’ Park or from Volunteer
off the Hospital Lobby • Ext. 6639 Services on the main campus. Call 335-6208 for more information!
BRAIN GAMES ANSWER: throw in the towel 3
March 19, 2014
In February, the SoutheastHEALTH System Board of Directors approved a new
Corporate Compliance Program. The program is based on three components: the compliance plan,
the corporate compliance officer and compliance committees. Please take a few minutes to learn more
about our Corporate Compliance Program and why it is important to all of us.
Board Approves Corporate Compliance Program
The SoutheastHEALTH System Board of Directors approved a regulations. Finally, several compliance committees have
new Corporate Compliance Program on Feb. 11. The Program been established to ensure Southeast conducts its business at
provides a framework to effectively address compliance every level in accordance with the highest ethical standards
allegations as they arise and to remedy the effects of and applicable laws and regulations.
noncompliance. The Program applies to all employees of The Program is on the Compass (Intranet) and copies
Southeast. can be obtained at the General Counsel Office at 1708 Lacey
Southeast is committed to assuring that all of its Street. If you have any questions regarding the new Corporate
employees and professionals conduct themselves ethically Compliance Program, please contact Regina Faulkenberry
and in conformance with all applicable laws, regulations, at 651-5541 or by email at rfaulkenberry@sehealth.org or by
policies and procedures. visiting the General Counsel Office.
The Program was designed in a manner consistent
with applicable federal and state laws and regulations. The
purpose of the program is to facilitate the creation of a work
environment conductive to compliance by heightening the Faulkenberry Appointed
awareness of all employees, as well as establish compliance
standards and effectively communicate these standards to all
Corporate Compliance Officer
Regina Faulkenberry, JD, has
employees.
been formally appointed as the
Corporate Compliance Officer for
The following are the core elements
SoutheastHEALTH, in addition to her
of the Corporate Compliance Program:
role as Associate General Counsel.
• Written Standards of Conduct Faulkenberry assumed the duties
• Established Corporate Compliance Officer as compliance officer last summer and
• Education and training for all employees in February was formally appointed to
the position by the SoutheastHEALTH
• Anonymous reporting process (ComplianceLINE)
System Board of Directors.
• Disciplinary standards for noncompliance
As corporate compliance officer, Faulkenberry is
• Auditing and Monitoring risk areas responsible for overseeing the Corporate Compliance
• Investigating and preventing noncompliance Program and compliance activities at all facilities
within the SoutheastHEALTH system to ensure that
The Program is based on three components: the the organization complies with all applicable laws and
compliance plan, the corporate compliance officer and regulations. She is certified in healthcare compliance
compliance committees. The compliance plan contains through the National Compliance Certification Board.
general procedures and standards of conduct for all Before joining SoutheastHEALTH in 2012,
employees to follow when conducting Southeast business. Faulkenberry served as assistant prosecuting attorney for
The corporate compliance officer has the responsibility for Audrain County, Mo. She holds a bachelor of arts degree
managing and operating the compliance program, as well in political science and a juris doctorate degree from
as ensuring Southeast complies with all applicable laws and Southern Illinois University in Carbondale.
Corporate Compliance Plan
The new Corporate Compliance Program
contains the following general procedures related to compliance:
Exclusion Screening – No individual or organization who has engaged in illegal
SoutheastHEALTH or unethical behavior and/or who has been convicted of a healthcare-related crime will
Standards of Conduct be employed by Southeast. To ensure Southeast does not employ or contract with any
individuals or entities who have been excluded from participation in a federal healthcare
The System Board of Directors has approved program, Southeast screens all individuals to ensure they are not excluded persons.
new SoutheastHEALTH Standards of
Conduct. The Board established these Duty to Report – All employees shall report information regarding the possibility
legal and ethical standards of conduct as of a known or suspected violation of any applicable laws, regulations, requirements or
guidance for conducting hospital operations Southeast policy as soon as they become aware of such violation.
and transacting business in accordance with
the Corporate Compliance Program. The new ComplianceLINE – Southeast has established a Compliance Line to receive
Standards involve compliance with all laws calls regarding compliance with all applicable laws and regulations, and suspected
and regulations and ethical principles. They noncompliance within the System. The hotline is an anonymous, toll-free number for all
are included in the new Compliance Program to use.
and can be accessed on the Compass.
Non-Retaliation – Southeast will not retaliate against any employee who in good
faith reports suspected misconduct or cooperates in the investigation of such reports.
The compliance officer may review records periodically to ensure that those who report
Compliance Policies suspected misconduct are not subject to retaliation or other improper conduct.
& Procedures Investigations – Southeast will investigate all reported concerns of misconduct,
Compliance policies and procedures have non-compliance or fraud and abuse and document the results of any investigation.
been established in accordance with the
Corporate Compliance Program. Most of Corrective Action – A corrective action policy will be established to appropriately
these policies and procedures concern explain disciplinary or corrective action that may be taken for failure to comply with
areas where no written policy or procedures applicable laws, regulations, and/or policies and procedures of Southeast.
previously existed. They provide guidance
and establish written procedural rules to Monitoring/Auditing – Southeast will maintain a structured process to conduct
follow in certain circumstances. They are regular monitoring and auditing of compliance activities. All audit reports should be
included in the new Compliance Program communicated to the compliance officer.
and can be accessed on the Intranet.
Billing – Southeast employees shall accurately and honestly bill for services performed
at Southeast. Southeast will not participate in upcoding or duplicate coding. Southeast
will only bill for actual services rendered, and only when those services were consistent
with accepted standards of medical care.
False Claims – Southeast employees shall not knowingly or willfully make or cause
to be made any false statement or representation in any claim or application for benefits.
New ‘Compliance’
Education/Training – Southeast will provide compliance training to all new
Section on the employees and no less than annual compliance training to all current employees.
Intranet
The Intranet now includes a Compliance
tab where employees can easily access all
compliance materials. This includes the
Compliance Program, Compliance Policies
ComplianceLINE
and Procedures, Legal and Compliance The ComplianceLINE is available at all Southeast facilities! You
Updates and other materials! can anonymously report any compliance concerns through the Compli
an
hotline number. The number is the same for all locations. The Hotline ce
ComplianceLINE posters were updated and distributed earlier 888-
394-22
this year. If your department did not receive a new poster, 91
contact Regina Faulkenberry or Roxie Davis at 651-5505.
Legal and Compliance Updates Notice of Privacy Practices
The General Counsel Office distributes Legal and Compliance The Cape locations’ Notice of Privacy Practices were updated
Updates periodically as issues or concerns are identified. If last year and new posters were put up earlier this year. Regional
you’ve identified compliance issues or concerns or fixed a locations will receive updated Notice of Privacy Practices and
compliance problem, which you feel the entire system would posters in the next couple months. If you have any questions
benefit from learning about, contact our office at 651-5505. about our new Notice of Privacy Practices, contact Regina at
Copies of Legal and Compliance Updates are maintained in the 651-5541.
Compliance section on the Compass.
Office of General Counsel
The Office of General Counsel is located in the 1708 Lacey building
in Cape Girardeau and serves as the corporation’s legal and compliance department.
The office is open from 8 a.m. to 5p.m., Monday through Friday.
– Staff –
Dan Berry serves as Vice President and General Counsel. Dan is available to answer questions and concerns
regarding corporate governance, acquisitions, real estate transactions and any other legal questions. Dan was admitted
to the Arkansas and Missouri Bars in 1993 and has been with Southeast for 18 years. Dan is a member of the American
Health Lawyers Association and the Missouri Society of Hospital Attorneys.
Regina Faulkenberry serves as Associate General Counsel and Corporate Compliance Officer. Regina handles all
compliance-related concerns and matters. Additionally, Regina is responsible for reviewing contracts, leases and any
other legal matters. Regina has been a member of the Missouri Bar for five years and with Southeast for two years. She
is certified in Healthcare Compliance by the National Compliance Certification Board and is a member of the American
Health Lawyers Association and Health Care Compliance Association.
Brian Noland is a degreed paralegal and his primary areas of responsibility include keeping track of all insurance
matters, including claims and policy renewals involving the SoutheastHEALTH System’s various lines of insurance such
as general liability, professionally liability, property and vehicle fleet. Brian investigates complaints and occurrences
that are potentially covered by insurance and coordinates with the appropriate carrier’s claim adjuster. Any questions
regarding investigation or settlement of claims for such items as ‘slip and falls,’ allegations of negligence, property
damages and automobile accidents should be directed first to Brian, who will then consult the appropriate attorneys as
needed for claims reporting, investigation, adjudication and final disposition. Brian has been with Southeast for three
years.
Finally, Executive Assistant Roxie Davis serves as the corporate recording secretary for the boards of directors
of SoutheastHEALTH System and Southeast Hospital. She coordinates and schedules all board activities and general
communications, and maintains the corporation archives and records. Roxie is a member of the Missouri Health Care
Executive Assistants Association and has been with Southeast for 25 years.
Contact Information
Dan Berry – dberry@sehealth.org – 573-651-5523
Regina Faulkenberry – rfaulkenberry@sehealth.org – 573-651-5541
Brian Noland – bnoland@sehealth.org – 573-651-5521
Roxie Davis – roxdavis@sehealth.org – 573-651-5505
ComplianceLINE – 888-394-2291
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