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Ethical/Legal Training Manual for Non-Clinical Employees in Virginia Mental Health Settings

A Staff Training Manual with a Reference Appendix for Employer/Provider

(Virginia Edition)

Mary Alice Fisher, Ph.D. (2006)

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(This sample manual is designed to meet the ethical/legal portion of staff training requirements as found in Ethics Codes, Virginia statutes and regulations, and federal HIPAA Regulations.  Included is a CD containing a copy of the manual in three formats – WORD, Word Perfect, and WORKS – so you can easily “personalize” it for your own setting.)

Table of Contents

I. Office Environment

A. Establishing & Maintaining Appropriate Atmosphere

B. Responding to Difficult Patient Situations

C. Responding to Patients’ Questions

II. Patient Privacy & Confidentiality

A. Understanding the Ethical & Legal Requirements

1. Ethical Rules About Confidentiality & Consent for Disclosure

2. Legal Rules About Confidentiality & Consent for Disclosure

3. Consequences of Unauthorized Disclosures

B. Following Our Policies About Privacy & Confidentiality

1. Protecting Patient’s Right to Privacy While In Our Office

2. Protecting Patient’s Right to Confidentiality (Non-Disclosure)

a. Rule: Disclose Information Only With Patient Consent

b. Rule: Handle/Store/Dispose of Patient Information Carefully

c. Protocol: Responding to Requests for Patient Information

d. Protocol: Telephone

e. Protocol: Photocopier

f. Protocol: E-Mail

g. Protocol: FAX

3. Signing the Employee Confidentiality Contract

III. Billing Patients and/or Third Parties for Reimbursement

A. Ethical & Legal Requirements/Limitations

1. Providing Accurate Information; Avoiding Insurance Fraud

2. Monitoring Electronic Transmissions of Claims

3. Honoring Limitations in Provider Contracts

B. Policies re: Electronic Transmission of Claims & Treatment Plans

IV. Other Policies/Procedures With Ethical/Legal Implications

A. Maintaining Boundaries & Avoiding Dual Relationships With Patients

B. Operating Within Specified Job Description

C. Monitoring Privacy, Confidentiality, and HIPAA compliance

APPENDIX

Ethical Standards

Legal Requirements

Virginia Statutes, Regulations, & Cases (Listing)

Federal HIPAA Regulations (Summary)

Sample Forms & Contracts

Documentation of Employee Training

Employee Confidentiality Contract

Sample Employee Test

Cost of Manual Only: $30.00, includes sales tax, postage, and handling

Cost of Manual + CD of text in three formats – WORD, Word Perfect, and WORKS – so you can easily “personalize” it for your own setting.): $40.00, includes sales tax, postage, and handling

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Home Study Test for Ethical/Legal Training Manual

4 CE Credits — (30 test items)

Cost of test: $54.00, includes sales tax, postage, and handling

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