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Exit Interview Questionaire
Safety Training (30 Days after Hire)
Please complete the Quizzes Below
Quiz 1: Bloodborne Infectious Disease
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Name
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Email
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Phone Number
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1. Universal precautions implies that you treat all persons as if they are infected with HIV, Hepatitis B or some other germ.
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True
False
2. HIV, Hepatitis B and Hepatitis C can be transmitted through small openings in the skin.
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True
False
3. There is an effective vaccine to prevent HIV infection.
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True
False
4. 2 doses of hepatitis B vaccine are considered a complete series.
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True
False
5. 40% alcohol based hand sanitizer products are approved for use when a sink with soap and running water is not easily accessible.
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True
False
6. A supervisor/manager must be notified of a work-related BID exposure incident.
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True
False
7. The younger an individual is when infected with hepatitis B, the more likely they are to develop a chronic infection.
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True
False
8. Contaminated surfaces should be cleaned first and then treated with an appropriate disinfectant according to the directions on the label.
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True
False
Submit
Quiz 2: Medicaid Compliance Quiz
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Date
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Name
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First
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Phone Number
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1. People receiving services have a right to know if the information in their Electronic Health Record has been breached.
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True
False
2. Anyone can bring a false claims suit if they suspect a provider is committing fraud.
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True
False
3. Staff who file a suit under the Federal/MI False Claims Act cannot be charged with fraud if the staff reporting it took part in the accusation or made false accusations.
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True
False
4. Your employer cannot retaliate against you/your job for reporting fraud or participating in an investigation/legal process
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True
False
5. It is ok to for providers to give each other rewards/money for making or getting consumer referrals.
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True
False
6. If a provider/person is found guilty of fraud, they have to pay financial penalties/fines and may go to prison.
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True
False
7. Medicaid Integrity means making sure Medicaid monies are being spent the way they are supposed to with the services we provide to consumers
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True
False
8. Billing for a service that you didn’t document could potentially be fraud.
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True
False
9. Providing a service that’s not medically necessary could potentially be fraud
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True
False
10. Not having a current treatment plan/individual plan of service while still providing services could potentially be fraud.
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True
False
11. Being reimbursed for expenses (such as mileage traveled in your own car) that are related to your job function could be fraud.
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True
False
12. If you suspect any type of fraud you must report it right away to the OIG, local Compliance liaisons or the CMHPSM Compliance Officer
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True
False
Submit
Quiz 3: Person Centered Plan Test
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Date
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Name
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Phone Number
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1. Pick the answer that does not belong: According to the Person Centered Planning Policy Guideline, some of the values and principles of the PCP process are:
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a. The process is highly individualized and designed to respond to the expressed needs/desires of the individual
b. Choices & preferences shall always be honored & considered, if not always granted
c. The person's cultural background recognized and valued in the decision-making process
d. Services are chosen for the individual based on need
2. The Person Centered Planning Process is an ongoing process.
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True
False
3. Pick the answer that does not belong: The PCP will be effective if:
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a. You believe in the abilities of the person you support
b. You believe in the value of inclusion
c. It is only about writing a document for MDCH
d. You do not elevate yourself above the individual and their circle of support.
4. An individual designated to exercise powers concerning another individual's care and medical or mental health treatment, or authorized to make an anatomical gift on behalf of another individual, or both is called a:
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5. A Crisis Plan is a legally binding document in which the recipient decides what issues to address in a crisis, which people will be enlisted for support during the crisis, and who will get a copy of the plan.
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True
False
6. A Psychiatric Advanced Directive is a legally bound notarized document signed by a legally competent adult giving direction to health care providers about recipients' treatment choices in specific circumstances including but not limited psychiatric situations.
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True
False
7. All staff can only honor a DNR if a consumer is enrolled in a licensed hospice setting and consumer is in the care of a licensed setting, supportive living, or respite setting.
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True
False
8. Name one of the principles of Self- Determination:
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9. All consumers have the option to develop a crisis plan and use a Independent Facilitator.
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True
False
10. Name one of the 10 components of Recovery:____________
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Submit
Module Completion Verification
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Date
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Name
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Email
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Phone Number
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Important: By checking "yes" in the boxes below, you are verifying that you have read and understand the modules. These trainings are very important to the successful completion of your job. It is your responsibility to contact your program coordinator with any questions or concerns. If you need reminders, these modules are always available for your reference.
Please complete all four of these powerpoints and submit your yes's at the same time.
By checking the yes box below, I am verifying that I have reviewed the Cultural Competency training
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Yes
By checking the yes box below, I am verifying that I have reviewed the Grievance and Appeals training
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Yes
By checking the yes box below, I am verifying that I have reviewed the Day 1 Recipient Rights training.
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Yes
By checking the yes box below, I am verifying that I have reviewed the Limited English Proficiency training
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Yes
Submit