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Category: Ambulatory Surgery

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Perioperative orientation and education for RN's in ambulatory surgery centers (41.6 CNE)
Perioperative orientation and education for RN's in ambulatory surgery centers (41.6 CNE)
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Produced by: Association of periOperative Registered Nurses (AORN)
The Ambulatory Surgery Center Association (ASCA) is the national membership association that represents ambulatory surgery centers (ASCs) and provides advocacy and resources to assist ASCs in delivering high...
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The Ambulatory Surgery Center Association (ASCA) is the national membership association that represents ambulatory surgery centers (ASCs) and provides advocacy and resources to assist ASCs in delivering high quality, cost-effective ambulatory surgery to all the patients they serve. Developed by leading Subject Matter Experts, the ASCA Ambulatory Surgery Center Regulatory Training Series is a collection of titles designed to train your staff on the most current standards of care. The library contains clinical and non clinical courses to help your organization improve competency, reduce risk, and maintain compliace.
The Ambulatory Surgery Center Association (ASCA) is the national membership association that represents ambulatory surgery centers (ASCs) and provides advocacy and resources to assist ASCs in delivering high quality, cost-effective ambulatory surgery to all the patients they serve. Developed by leading Subject Matter Experts, the ASCA Ambulatory Surgery Center Regulatory Training Series is a collection of titles designed to train your staff on the most current standards of care. The library contains clinical and non clinical courses to help your organization improve competency, reduce risk, and maintain compliace.
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Produced by: Ambulatory Surgery Center Association (ASCA)
This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for...
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This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for avoiding errors •Identify methods for improving drug safety •Recognize how to reconcile medications across a patient’s care
This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for avoiding errors •Identify methods for improving drug safety •Recognize how to reconcile medications across a patient’s care
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This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for...
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This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for avoiding errors •Identify methods for improving drug safety •Recognize how to reconcile medications across a patient’s care
This course will help you: •Improve drug safety in your ambulatory surgery center (ASC) •Comply with accreditation standards related to drug safety •Learn the common causes of drug errors •Learn methods for avoiding errors •Identify methods for improving drug safety •Recognize how to reconcile medications across a patient’s care
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This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about:...
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This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about: •Adverse drug events and drug interactions •High-alert medications •Hazardous drugs and other substances, including medical gases
This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about: •Adverse drug events and drug interactions •High-alert medications •Hazardous drugs and other substances, including medical gases
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Each year, approximately 1.5 million patients are harmed by medication errors. These preventable drug mistakes occur in healthcare facilities. Most medication errors can be prevented. This course discuss...
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Each year, approximately 1.5 million patients are harmed by medication errors. These preventable drug mistakes occur in healthcare facilities. Most medication errors can be prevented. This course discuss keeping your patients safe from drug errors as well as keeping yourself safe when working with hazardous drugs. Participants will learn about adverse drug events and drug interactions, high-alert medications, and hazardous drugs and other substances, including medical gases.
Each year, approximately 1.5 million patients are harmed by medication errors. These preventable drug mistakes occur in healthcare facilities. Most medication errors can be prevented. This course discuss keeping your patients safe from drug errors as well as keeping yourself safe when working with hazardous drugs. Participants will learn about adverse drug events and drug interactions, high-alert medications, and hazardous drugs and other substances, including medical gases.
[READ LESS]
This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about:...
[READ MORE]
This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about: •Adverse drug events and drug interactions •High-alert medications •Hazardous drugs and other substances, including medical gases
This course will examine drug errors and hazards. This course will help you: •Keep your patients safe from drug errors •Keep yourself safe when working with hazardous drugs You will learn about: •Adverse drug events and drug interactions •High-alert medications •Hazardous drugs and other substances, including medical gases
[READ LESS]
Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk...
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Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help you protect: •Yourself •Your coworkers •Your patients •Your family This course will cover how to: •Work safely with blood and body fluids •Protect against exposure to bloodborne pathogens
Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help you protect: •Yourself •Your coworkers •Your patients •Your family This course will cover how to: •Work safely with blood and body fluids •Protect against exposure to bloodborne pathogens
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Some organisms that cause disease are carried in a person’s blood and other body fluids. Ambulatory surgery center (ASC) staff are routinely exposed to the blood and body fluids of their patients. They are...
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Some organisms that cause disease are carried in a person’s blood and other body fluids. Ambulatory surgery center (ASC) staff are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help ASC staff protect themselves, their coworkers, their patients and their family. This course will discuss how to work safely with blood and body fluids and how to protect against exposure to bloodborne pathogens.
Some organisms that cause disease are carried in a person’s blood and other body fluids. Ambulatory surgery center (ASC) staff are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help ASC staff protect themselves, their coworkers, their patients and their family. This course will discuss how to work safely with blood and body fluids and how to protect against exposure to bloodborne pathogens.
[READ LESS]
Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk...
[READ MORE]
Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help you protect: •Yourself •Your coworkers •Your patients •Your family This course will cover how to: •Work safely with blood and body fluids •Protect against exposure to bloodborne pathogens
Some organisms that cause disease are carried in a person’s blood and other body fluids. Healthcare workers are routinely exposed to the blood and body fluids of their patients. They are therefore at risk for contracting disease. This course will help you protect: •Yourself •Your coworkers •Your patients •Your family This course will cover how to: •Work safely with blood and body fluids •Protect against exposure to bloodborne pathogens
[READ LESS]
Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and...
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Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and challenges Understanding these features will enable you to better meet your patients’ needs.
Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and challenges Understanding these features will enable you to better meet your patients’ needs.
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A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to...
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A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to patient care. Age-specific competencies require caregivers to provide care according to a patient’s chronological age, developmental age, and maturity level. Age-specific competencies improve the quality of patient care and assist ambulatory surgery centers to comply with accreditation standards and state laws. Nurses and other healthcare professionals are expected to incorporate age specific competencies into their daily care. This course will discuss important age-specific characteristics and care needs of adult patients.
A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to patient care. Age-specific competencies require caregivers to provide care according to a patient’s chronological age, developmental age, and maturity level. Age-specific competencies improve the quality of patient care and assist ambulatory surgery centers to comply with accreditation standards and state laws. Nurses and other healthcare professionals are expected to incorporate age specific competencies into their daily care. This course will discuss important age-specific characteristics and care needs of adult patients.
[READ LESS]
Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and...
[READ MORE]
Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and challenges Understanding these features will enable you to better meet your patients’ needs.
Healthcare professionals should be committed to providing quality patient care. In order to do so, they must understand a patient’s age-specific: •Characteristics •Needs •Typical milestones and challenges Understanding these features will enable you to better meet your patients’ needs.
[READ LESS]
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow...
[READ MORE]
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow you to provide optimum care for all of your patients.
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow you to provide optimum care for all of your patients.
[READ LESS]
A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to...
[READ MORE]
A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to patient care. Age-specific competencies require caregivers to provide care according to a patient’s chronological age, developmental age, and maturity level. Age-specific competencies improve the quality of patient care and assist ambulatory surgery centers to comply with accreditation standards and state laws. Nurses and other healthcare professionals are expected to incorporate age specific competencies into their daily care. This course will discuss important age-specific characteristics and care needs of pediatric patients.
A “competency” is a set of knowledge, skills, and abilities that allow a person to perform a task. Healthcare staff in the ambulatory surgery center must develop and demonstrate competencies related to patient care. Age-specific competencies require caregivers to provide care according to a patient’s chronological age, developmental age, and maturity level. Age-specific competencies improve the quality of patient care and assist ambulatory surgery centers to comply with accreditation standards and state laws. Nurses and other healthcare professionals are expected to incorporate age specific competencies into their daily care. This course will discuss important age-specific characteristics and care needs of pediatric patients.
[READ LESS]
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow...
[READ MORE]
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow you to provide optimum care for all of your patients.
As a healthcare professional, you are committed to providing quality patient care. To do so, you must understand a patient’s age-specific: •Characteristics •Needs •Challenges This understanding will allow you to provide optimum care for all of your patients.
[READ LESS]
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our...
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The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time: •An estimated 33,015 people with a new diagnosis of AIDS in 2010, and approximately 476,732 people in the United States living with an AIDS diagnosis overall •An estimated 13,712 people with an AIDS diagnosis who died in 2012, and approximately 658,507 people in the United States with an AIDS diagnosis who have died overall. •Over 34 million people worldwide who have died from AIDS, including 1.2 million in 2014. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today: •About 50,000 new cases of HIV infection are reported each year. •Over 1.2 million people are living with HIV. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on: •HIV testing options and the importance of testing •HIV treatment •Specific strategies for preventing the spread of HIV
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time: •An estimated 33,015 people with a new diagnosis of AIDS in 2010, and approximately 476,732 people in the United States living with an AIDS diagnosis overall •An estimated 13,712 people with an AIDS diagnosis who died in 2012, and approximately 658,507 people in the United States with an AIDS diagnosis who have died overall. •Over 34 million people worldwide who have died from AIDS, including 1.2 million in 2014. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today: •About 50,000 new cases of HIV infection are reported each year. •Over 1.2 million people are living with HIV. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on: •HIV testing options and the importance of testing •HIV treatment •Specific strategies for preventing the spread of HIV
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The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time....
[READ MORE]
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today, about 50,000 new cases of HIV infection are reported each year and over 1.2 million people are living with HIV. HIV is now a chronic disease and patients with this chronic disease may be treated in every healthcare setting across the continuum of care. Every nurse, including ambulatory surgery center nurses, can expect to encounter and need to provide care for an HIV patient. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on HIV testing options, the importance of testing, HIV treatment, and specific strategies for reducing the risk of HIV exposure and infection, both within and outside the healthcare setting.
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today, about 50,000 new cases of HIV infection are reported each year and over 1.2 million people are living with HIV. HIV is now a chronic disease and patients with this chronic disease may be treated in every healthcare setting across the continuum of care. Every nurse, including ambulatory surgery center nurses, can expect to encounter and need to provide care for an HIV patient. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on HIV testing options, the importance of testing, HIV treatment, and specific strategies for reducing the risk of HIV exposure and infection, both within and outside the healthcare setting.
[READ LESS]
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our...
[READ MORE]
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time: •An estimated 33,015 people with a new diagnosis of AIDS in 2010, and approximately 476,732 people in the United States living with an AIDS diagnosis overall •An estimated 13,712 people with an AIDS diagnosis who died in 2012, and approximately 658,507 people in the United States with an AIDS diagnosis who have died overall. •Over 34 million people worldwide who have died from AIDS, including 1.2 million in 2014. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today: •About 50,000 new cases of HIV infection are reported each year. •Over 1.2 million people are living with HIV. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on: •HIV testing options and the importance of testing •HIV treatment •Specific strategies for preventing the spread of HIV
The first cases of AIDS were reported to the Centers for Disease Control and Prevention (CDC) in 1981. Since that time, HIV/AIDS has emerged as one of the single most significant health threats of our time: •An estimated 33,015 people with a new diagnosis of AIDS in 2010, and approximately 476,732 people in the United States living with an AIDS diagnosis overall •An estimated 13,712 people with an AIDS diagnosis who died in 2012, and approximately 658,507 people in the United States with an AIDS diagnosis who have died overall. •Over 34 million people worldwide who have died from AIDS, including 1.2 million in 2014. In spite of efforts to contain this epidemic, HIV continues to spread. In the United States today: •About 50,000 new cases of HIV infection are reported each year. •Over 1.2 million people are living with HIV. This course has been designed to help you do your part in slowing the spread of HIV infection by providing you with essential information on: •HIV testing options and the importance of testing •HIV treatment •Specific strategies for preventing the spread of HIV
[READ LESS]
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to...
[READ MORE]
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to prevent fires. They must also know what to do if a fire does occur. This course will teach you: •How to identify fire risks and prevent fires •How to respond to a fire emergency •How accrediting organizations and the Centers for Medicare and Medicaid Services (CMS) expect ASCs to handle fire safety
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to prevent fires. They must also know what to do if a fire does occur. This course will teach you: •How to identify fire risks and prevent fires •How to respond to a fire emergency •How accrediting organizations and the Centers for Medicare and Medicaid Services (CMS) expect ASCs to handle fire safety
[READ LESS]
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to...
[READ MORE]
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to prevent fires. They must also know what to do if a fire does occur. This course will teach you: •How to identify fire risks and prevent fires •How to respond to a fire emergency •How accrediting organizations and the Centers for Medicare and Medicaid Services (CMS) expect ASCs to handle fire safety
Patients are often unable to protect themselves from harm. This means that fires in ambulatory surgery centers (ASCs) can be especially dangerous. Healthcare workers must be able to identify fire risks to prevent fires. They must also know what to do if a fire does occur. This course will teach you: •How to identify fire risks and prevent fires •How to respond to a fire emergency •How accrediting organizations and the Centers for Medicare and Medicaid Services (CMS) expect ASCs to handle fire safety
[READ LESS]
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to...
[READ MORE]
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to safety policies and procedures can help: •Minimize hazards •Maximize safety This course will teach you: •How to identify and define different types of hazards •How to identify staff at risk for exposure to each hazard •How to safeguard against different types of hazards
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to safety policies and procedures can help: •Minimize hazards •Maximize safety This course will teach you: •How to identify and define different types of hazards •How to identify staff at risk for exposure to each hazard •How to safeguard against different types of hazards
[READ LESS]
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to...
[READ MORE]
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to safety policies and procedures can help: •Minimize hazards •Maximize safety This course will teach you: •How to identify and define different types of hazards •How to identify staff at risk for exposure to each hazard •How to safeguard against different types of hazards
Ambulatory surgery centers (ASC) can have many hazards. If safeguards are not put in place, these hazards can lead to: •Injury •Lawsuits •Poor regulatory reviews On the other hand, staff commitment to safety policies and procedures can help: •Minimize hazards •Maximize safety This course will teach you: •How to identify and define different types of hazards •How to identify staff at risk for exposure to each hazard •How to safeguard against different types of hazards
[READ LESS]
As a worker in the healthcare industry, you are affected by the Administrative Simplification requirements of HIPAA. You are required by law to follow these rules. In 2009, the American Recovery and...
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As a worker in the healthcare industry, you are affected by the Administrative Simplification requirements of HIPAA. You are required by law to follow these rules. In 2009, the American Recovery and Reinvestment Act (ARRA) made changes to HIPAA. Individuals who obtain protected information without authorization can face criminal penalties. This includes employees at ambulatory surgery centers. The Patient Protection and Affordable Care Act (PPACA) made additional changes to HIPAA to enhance compliance and standardize certain rules. This course will help you comply with HIPAA rules and regulations. You will learn about: •Which organizations are covered by HIPAA •The penalties for violating HIPAA •The Administrative Simplification requirements of HIPAA, and how to comply with each
As a worker in the healthcare industry, you are affected by the Administrative Simplification requirements of HIPAA. You are required by law to follow these rules. In 2009, the American Recovery and Reinvestment Act (ARRA) made changes to HIPAA. Individuals who obtain protected information without authorization can face criminal penalties. This includes employees at ambulatory surgery centers. The Patient Protection and Affordable Care Act (PPACA) made additional changes to HIPAA to enhance compliance and standardize certain rules. This course will help you comply with HIPAA rules and regulations. You will learn about: •Which organizations are covered by HIPAA •The penalties for violating HIPAA •The Administrative Simplification requirements of HIPAA, and how to comply with each
[READ LESS]
Recently, the American Recovery and Reinvestment Act (ARRA) and the Patient Protection and Affordable Care Act (PPACA) made changes to HIPAA to enhance compliance and standardize certain rules. Individuals...
[READ MORE]
Recently, the American Recovery and Reinvestment Act (ARRA) and the Patient Protection and Affordable Care Act (PPACA) made changes to HIPAA to enhance compliance and standardize certain rules. Individuals who obtain protected information without authorization can face criminal penalty. This includes employees at ambulatory surgery centers. The Office for Civil Rights (OCR), the office responsible for enforcing the Privacy and Security rules, has received over 128,937 HIPAA complaints. Currently, no allowance for lack of knowledge is made, even for accidental breaches, which makes compliance more important than in the past. This course will provide nurses with the information they need to understand and appropriately comply with HIPAA regulations.
Recently, the American Recovery and Reinvestment Act (ARRA) and the Patient Protection and Affordable Care Act (PPACA) made changes to HIPAA to enhance compliance and standardize certain rules. Individuals who obtain protected information without authorization can face criminal penalty. This includes employees at ambulatory surgery centers. The Office for Civil Rights (OCR), the office responsible for enforcing the Privacy and Security rules, has received over 128,937 HIPAA complaints. Currently, no allowance for lack of knowledge is made, even for accidental breaches, which makes compliance more important than in the past. This course will provide nurses with the information they need to understand and appropriately comply with HIPAA regulations.
[READ LESS]