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UCLA Health Sciences Overview Entities Comprising UCLA Health Sciences * David Geffen School of Medicine at UCLA 24 Academic Departments of Instruction.

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Presentation on theme: "UCLA Health Sciences Overview Entities Comprising UCLA Health Sciences * David Geffen School of Medicine at UCLA 24 Academic Departments of Instruction."— Presentation transcript:

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2 UCLA Health Sciences Overview

3 Entities Comprising UCLA Health Sciences * David Geffen School of Medicine at UCLA 24 Academic Departments of Instruction 5 Organized Research Units 5 Large Centers and Institutes 3 Affiliated Academic Institutions 5 Major Affiliated Medical Institutions The UCLA Health System UCLA Medical Group/Physician Support Services (PSS) Community Physicians Network (CPN)/Sports Medicine UCLA Hospital System Ronald Reagan UCLA Medical Center Santa Monica - UCLA Medical Center and Orthopaedic Hospital Resnick Neuropsychiatric Hospital at UCLA

4 David Geffen School of Medicine Stats 3194 Faculty 2,877 Community Physicians 1,330 Interns & Residents 725 Medical Students - 46 M.D./Ph.D. Students 483 Ph.D. Students 6,205 Staff 24 Departments of Instruction 5 Organized Research Units 5 Large Centers & Institutes

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6 Note: *Hospital Transfers include $84.9 Million in Equity Transfers from Hospital System

7 Trivia Game What is the mission of the University of California? Who is our current UC President? Who is our Chancellor? Who is the Dean in the School of Medicine? How many campuses does UC have today? Name the Campuses: Name the 5 Medical Centers in the UC system: 5 MINUTES TO ANSWER! THE GROUP THAT HAS THE MOST CORRECT ANSWERS WINS!

8 Trivia Game Answers What is the mission of the University of California? Who is our current UC President? Who is our Chancellor? Who is the Dean in the School of Medicine? How many campuses does UC have today? Name the Campuses: Name the 5 Medical Centers in the UC system:

9 History On October 19, 1945, the University of California Board of Regents voted to establish a medical school at UCLA. In 1949 construction began for the Medical Center and school of Medicine. The Medical Center opened in 1955. The first School of Medicine class began in 1951. – Dr. Stafford L. Warren was appointed as the first dean – 28 students (26 men and 2 women). – 15 faculty members – Lecture room and five laboratories

10 History Dr. Sherman Mellinkoff succeed as Dean in 1962. – 1960’s – Opening of Neuropsychiatric Institute, Brain Research Institute and Marion Davies Children’s Center. Construction began on Jules Stein Eye Institute and Reed Neurological Research Center. – 1970’s – Formal affiliation with Venice Family Clinic. Dr. Kenneth Shine succeeded as Dean in 1986. – Initiatives in ambulatory education, community service, mathematics and science education in public schools and the construction of new research facilities. Dr. Gerald Levey succeeded as Dean in 1994. – Human Genetics, Gonda Neuroscience and Genetics Research Center were established. – In 2002 Mr. David Geffen announced a $200 million unrestricted endowment for the school. – Instrumental in opening RRUCLA Medical Center.

11 Cultural Diversity Sum total of the way of living; includes values, beliefs, language, thinking patterns, behavioral norms and communication styles. Guides decisions and actions of groups through time. Cultural awareness involves both attitude and knowledge – It is essential to understand the way people do things may be different from your way, but they are still equally valid. – Knowing something about different culture’s beliefs, values and traditions is important. This can have a positive impact on patient are and the connection you make with your patient. – Respect the beliefs and practices of others – Don’t stereotype; expect variation; learn what Qs to ask Special considerations may include: – Food and medical care preferences; rituals; gender role; eye contact and communication style; decision making systems; alternative therapies Population-specific groups – Considering who you serve – Unique needs of each patient and patient group

12 Staff Diversity & AA/EEO Compliance Supports the University’s mission of research, teaching and public service by: – Providing consultative services – Enhancing the campus environment where diversity is celebrated and valued – Providing educational programs that address the needs of a diverse staff – Implementing cost-effective strategies for conflict resolution – Increasing the visibility of UCLA in the general community Program Objectives- A fair workplace where everyone is treated with dignity and respect A workplace where all employees have access to campus programs and services A workplace where diversity is valued and celebrated Staff Diversity & AA/EEO Compliance Office Suite 1050, UCLA Wilshire Center Phone 310-794-0691 Fax 310-794-2800 Mail Code 135548

13 13 University Holidays Martin Luther King Day President’s Day Cesar Chavez Day (Last Friday in March) Memorial Day July 4 th Labor Day Veteran’s Day Thanksgiving Day Day After Thanksgiving Christmas Eve Christmas Day New Years Eve New Years Day

14 Vacation Reference Charts Vacation Employment Service AccrualMonthly Working Hours in 2015 MonthHoliday Dates Working Days in Month Working Hours in Month January1, 1922176 February1620160 March2722176 April22176 May2521168 June22176 July323184 August21168 September722176 October22176 November11, 26, 2721168 December24, 25, 3123184

15 Sick Leave Accrual Staff accrue up to 12 days per year Does not “expire” Biweekly staff – Accrue on the leave accrual dates – 13 leave accrual dates per year – If REG hours for the period equals 160 hours then accrual is 7.38 hours. Monthly staff – Accrue once a month – Accrual varies depending on amount of working days in the month

16 Jury Duty Employee GroupReferenceCareerLimited/Casual/ Contract Casual/RestrictedPer Diem Non-Represented (99) EXEMPT PPSM 46.BYes No Non-Represented (99) NON-EXEMPT PPSM 46.BYesNoYesNo Clerical (CX)CUE Article 14.F1YesNo10 daysNo Research Support Professional (RX) UPTE Article 18.F1YesNo10 daysNo Technical (TX)UPTE Article 18.F1YesNo10 daysNo Service (SX)AFSCME Article 14.EYes 10 daysNo Patient Care Technical (EX) AFSCME Article 14.EYes 10 daysNo Health Care Professional (HX) UPTE Article 14.F1YesNo10 daysNo Nurses (NX)CNA Article 14.EYesNo10 daysNo Note: Effective April 1, 2000, paid jury duty service is limited to 10 days per jury summons for non-represented employees working in the Westwood Medical Center, the Neuropsychiatric Hospital, Santa Monica Hospital and all entities within the UCLA Health System and the School of Medicine.

17 Blood Donation Program UCLA Blood and Platelet Center Blood Drives Receive up to 2 hours paid leave time to donate blood Donors will receive 4 hours of paid leave (blood time on HBS timesheet) More information go to the website or call: http://gotblood.ucla.edu/ (310) 825-0888 x2

18 Commonly visited websites www.mednet.ucla.edu – HIPAA Privacy and Information Security Training for New Workforce Members – Code of Conduct Training and Quiz http://atyourservice.ucop.edu – Enroll in your benefits (during your PIE period) – Update beneficiaries, address, tax withholding and sign up for online W-2 – Read “news features” from UCOP https://hbssome.mednet.ucla.edu/ – Completing your timesheet to get paid on time!

19 Full service financial institution established in 1951 at UCLA Main branch at 1500 S. Sepulveda Blvd (Cross street is Ohio) ATMs all over campus: Ackerman Union, Anderson School, Residence Halls, CHS Plaza at Marion Davies Children’s Center, 300 Medical Plaza, RRUCLA by cafeteria, SMUCLA by cafeteria, Wilshire Center by post office http://www.ucu.org/index.html

20 UCLA’s Staff and Faculty Counseling Center (SFCC) fosters a productive and supportive work environment for all employees. – Confidential counseling for employees and family members – Management consultation – Coaching/Training – Retreat Facilitation – Work-Life Programs – Support Groups – Community Resource Referrals Services are free, voluntary and confidential Campus Human Resources, Staff & Faculty Counseling Center is located at: 10920 Wilshire Boulevard, Suite 380 Los Angeles, CA 90024-6504 Mail Code: 145748 Phone: (310) 794-0245 FAX: (310) 794-0251Office Hours Monday – Friday 8 a.m. to 5 p.m. Saturday and Sunday Closed

21 Employee Privileges Employee Reduced Fee Enrollment – non probationary employees who meet admission requirements of the University are eligible for a 2/3 reduction in course fees University Extension Courses 25% discount Child Care Services http://www.childcare.ucla.eduhttp://www.childcare.ucla.edu Santa Monica Big Blue Bus and Culver City Bus –show your BruinCard and ride for 50 cents UCLA store (Ackerman Union) UCLA Library

22 Employee Privileges UCLA Fowler Museum of Cultural History www.fowler.ucla.eduwww.fowler.ucla.edu Hammer Museum of Art http://hammer.ucla.edu http://hammer.ucla.edu Geffen Playhouse http://www.geffen.ucla.edu http://www.geffen.ucla.edu UCLA Center for the Performing Arts http://www.performingarts.ucla.edu http://www.performingarts.ucla.edu UCLA Recreation http://www.recreation.ucla.edu http://www.recreation.ucla.edu UCLA Central Ticket Office http://www.tickets.ucla.edu http://www.tickets.ucla.edu Botanical Gardens

23 Annual Events at UCLA (Staff Assembly) All-Staff Picnic (summertime) Breakfast with the Chancellor (quarterly) Casino Night

24 Department of Epidemiology Management of Bloodborne Pathogen Exposure, UCLA WW Management of Exposure Site: Wound and skin: wash with soap and water Mucous membrane: flush with water No evidence supporting expressing fluid or using antiseptic 7:30 a.m. – 5:30 p.m. weekdays: Go directly to OHF, 67-120 CHS or Page 93333 After hours, weekends, holidays: Go to Emergency room and follow up next work day in OHF Bring source name and hospital ID number

25 Dept. of Epidemiology Numbers and Websites Office: 40187 Fax: 40195 Director: David Pegues MD X 52456 ICP: Dana Russell: ICP: Teresa Zaroda: Pager 90339 Administrative Analyst: Carlos Acosta On Call pager: 94040 To access Infection Control Policies: http://www.mednet.ucla.edu/ http://infectioncontrol.mednet.ucla.edu/

26 CICARE E VERYONE ON E VERY E NCOUNTER

27 Today’s Agenda  UCLA Health System Mission and Vision  What is CICARE?  Practice using CICARE in your role

28 What inspired you to join UCLA? Caring for and healing people.

29 What We Do INNOVATE We INNOVATE to improve quality of life EDUCATE RESEARCH We EDUCATE & RESEARCH the future of healthcare TREAT We TREAT People LIVES We Save LIVES INNOVATE We INNOVATE to improve quality of life EDUCATE RESEARCH We EDUCATE & RESEARCH the future of healthcare TREAT We TREAT People LIVES We Save LIVES

30 UCLA Health’s Mission and Vision Mission: Mission: Delivering leading edge patient care, research and education. Vision: Vision: Healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness. Service Goal: Service Goal: To create a welcoming, healing, caring, safe, and professional environment for our patients, their families, visitors and each other.

31 CICARE everyone on every encounter

32 Putting CICARE into Action C C onnect I I ntroduce C C ommunicate A A sk R R espond E E xit C …with C ompassion I …with I ntegrity C …with C larity A …with A ction R …with R espect E …with E mpathy

33 Connecting What ways can we make a connection with others? Make eye contact and smile Engage by using the person’s preferred name “The secret of success in life isn’t very hard to figure out. The better you are at connecting and communicating with other people, the better the quality of your life. And it all begins with trust.” - Nicholas Boothman

34 Introduce

35 Communicate What you are going to do How long it will take How it impacts the person Not all communication is created equal! EXERCISE “Welcome to UCLA. My name is ____. How may I help you?”

36 Ask and Anticipate Ask and anticipate the needs of the individual you are speaking with.  Being engaged in the moment means you are paying attention to subtle communication signals  What’s missing?

37 Respond Respond to questions and requests with immediacy. What would you do if you don’t know the answer to a patient’s question?

38 Exit  Close the encounter courteously, letting the person know what will come next.  Always ask if there is anything additional you can do to help  Follow up—do what you say that you are going to do

39 The Practice of CICARE CC Connect with Compassion by addressing the patients as Mr./Ms. or by the name that they prefer. II Introduce yourself with Integrity by stating your name and your role. CC Communicate with Clarity what you are going to do, how long it is going to take, and how it will impact the patient. AAA Ask and Anticipate with Action the patient needs, questions, or concerns. R R Respond with Respect to patient questions or requests with immediacy. EE Exit with Empathy by ensuring all of the patient’s needs are met.

40 Quote “I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” – Maya Angelou

41 World-Class Practices

42 First Impressions How long does it take for a person to make a judgment about you? Answer: 2 seconds!  You never get a second chance to make a first impression!  Be the co-worker that you would like to work with.

43 Telephone Interactions Before answering the phone, discontinue conversations or activities that may be heard by the caller. Answer the phone within 3 rings. Use “please” and “thank you” as much as possible. Use a professional greeting (time of day, thank the caller for contacting your department, state name, and offer assistance). Never eat or chew gum when on the phone with a customer.

44 Face-to-Face Interactions  Eye contact, smiling, greeting  Wearing your badge on the upper third of your body  Professional appearance  Way finding  Being aware of our voices  “Professional” vs. “unprofessional“ behavior  Respecting confidentiality  Use of cell phones and iPods

45 Face-to-Face Interactions Scene #1: Lost at SMUCLA

46 What Went Wrong?  Eye contact, smiling, greeting  Wearing your badge on the upper third of your body  Professional appearance  Way finding  Being aware of our voices  “Professional” vs. “unprofessional“ behavior  Respecting confidentiality  Use of cell phones and iPods

47 Nondiscrimination in Employment It is the policy of the University not to engage in discrimination against or harassment of any person employed by or seeking employment with the University of California on the basis of race, color, national origin, religion, sex, gender identity, pregnancy, physical or mental disability, medical condition, genetic information, ancestry, marital status, age, sexual orientation, or service in the uniformed services.

48 Email Policy and Guidelines The University of California encourages the use of electronic communications to share information and knowledge in support of the University’s mission. Link to policy: http://www.adminpolicies.ucla.edu/app/Default.aspx?&id=45 5 Link to policy: http://www.adminpolicies.ucla.edu/app/Default.aspx?&id=45 5 Email shall not be used for: – Unlawful activities – Commercial purposes not under auspices of the University – Personal financial gain – Uses that violate policies or guidelines

49 Sexual Harassment Definition: unwelcome sexual advances, requests for sexual favors, and other verbal, nonverbal, or physical conduct of a sexual nature. Sexual harassment is conduct that explicitly or implicitly affects a person’s employment or education or interferes with a person’s work or educational performance or creates an environment such that a reasonable person would find the conduct intimidating, hostile, or offensive. Sexual harassment includes sexual violence. Every member of the community should be aware that the University prohibits sexual harassment and sexual violence, and that such behavior violates both law and University policy. The University will respond promptly and effectively to reports of sexual harassment and sexual violence, and will take appropriate action to prevent, to correct, and when necessary, to discipline behavior that violates this policy on Sexual Harassment and Sexual Violence.

50 Sexual Harassment Complaint Resolution The University will provide a prompt and effective response to reports of any such conduct. The HR Dept. provides assistance in investigating and resolving complaints of sexual harassment. Emphasis is on prevention, education and early resolution. Online tutorial required for all managers administered through the Learning Management System (LMS).

51 Smoke-Free Environment Policy Smoking is prohibited inside or outside any: – University-owned, occupied or leased buildings, including stairwells, loading docks and outdoor areas – University vehicles including buses, shuttles, trucks, vans and automobiles – For UCLA Health System and Health Sciences: Indoor and outdoor areas of our hospitals and health-sciences campuses in Westwood (bounded by Gayley to Tiverton Avenues and Le Conte Avenue to Charles E. Young Drive South). Indoor and outdoor areas of our hospitals and health-sciences campuses in Santa Monica (bounded by Wilshire Boulevard to Arizona Avenue and 15th to 16th Streets). Buildings along the Charles E. Young Drive South research corridor.

52 Tobacco-Free Environment Policy Tobacco Use is not permitted on any University Owned or Leased Property, including any portions of such Property that may have been previously designated smoking areas. The sale, advertising, promotion, or distribution of Tobacco Products is also prohibited on all University Owned or Leased Property. – Tobacco Product means any form of tobacco, including but not limited to cigarettes, cigars, pipes, water pipes (hookah), smokeless tobacco products and unregulated nicotine products (e.g., “e-cigarettes”). – Tobacco Use means the act of using any Tobacco Product, including smoking, chewing, spitting, inhaling, ingesting, burning, or carrying any lighted or heated Tobacco Product.

53 Substance Abuse in the Workplace Substance Abuse Policy – Employees are required to report to work physically and mentally able to perform their duties and carry out their responsibilities optimally without endangering own health or safety of others. – Employees are encouraged to seek assistance as appropriate. – Staff and Faculty Counseling Center (310) 794-0245

54 UCLA Workplace Violence Prevention Policy University is committed to maintaining a campus free from intimidation and acts or threats of violent behavior Violent or threatening behavior includes, but is not limited to: – Weapons in the UCLA Community – Physically aggressive acts towards others – Stalking – Communicated threats of harm – Intimidating behavior raising concern for personal safety – Willful or intentional behavior which causes damage to property – Suicide threats

55 Hotline and Reporting Process To report concerns, make suggestions, raise questions and seek guidance, employees should: – Discuss with their immediate supervisor or higher level manager – Discuss with Employee Relations – Contact the Confidential Compliance Hotline (1-800-296-7188) or log on at www.universityofcalifornia.edu/hotline which provides:www.universityofcalifornia.edu/hotline  Anonymous and confidential reporting  Outside Telephone service sends reports to the Compliance Officer  Call back date for response and report number for reference  Protection policy prohibits University officials with interfering and retaliating.

56 Security Precautions: (HIPAA)  Lock your computer desktop screen when you walk away, even if only for a few moments  Use only encrypted laptops, mobile devices and flash drives.  Ensure information on computer screens is not visible to passersby (privacy screen is recommended)  Create a “strong” password and do not share passwords with anyone else  Ensure paper charts are returned to applicable areas in nursing station, medical records, or designated file rooms

57 Patient Privacy Requirements: (HIPAA) Access only information that you need to do your job Access or disclose only the minimum information necessary Discuss patients only within the context of your work flow and only with those who need the information to do their jobs. When speaking about patients make sure you are in a discreet area when possible Take special care to protect your passwords Place paper documents with PHI in locked shedder bins only, as well as reasonably keep them concealed while in the work space (placing paper documents face-down or locked away when unattended) For any patient privacy or computer security concerns contact your supervisor or Privacy Officer Bob Gross.

58 Your Safety at UCLA David Geffen School of Medicine New Employee Orientation 2014 Alex Norris Safety Specialist, Injury Prevention Division UCLA Office of Environment, Health & Safety www.ehs.ucla.edu

59 Today’s Discussion Injury and Illness Prevention Program (IIPP) Injury Prevention Emergency Preparedness Next Steps: Your Safety Training

60 Injury and Illness Prevention Program CCR Title 8, Section 3203 Department Specific Covers: – Hazard Identification, Control, and Communication – Injury Reporting and Investigation – Compliance Injury and Illness Prevention Program (IIPP) Manual

61 IIPP – Injury Reporting If you’re injured at work… Inform supervisor Fill out Incident Report & Referral for Medical Treatment Form and DWC-1 Claim Form Get medical attention – Occupational Health Facility (OHF) – CHS 67-120 – Ronald Reagan Medical Center (after hours) – Students: Arthur Ashe

62 IIPP – Injury Reporting If the injury is SERIOUS… Call 911 immediately Immediately call EH&S 310- 825-9797 and notify supervisor ASAP What constitutes a serious injury?

63 IIPP Injury Reporting ALL Biological exposures and spills – call 310- 825-9797 This includes needle sticks, fluid exposures, animal bites, etc.

64 IIPP – Hazard Identification & Control Inspections – Office, Laboratory, Machine Shop Standard Operating Procedures (SOPs) Hazard Notification/Safety Recommendation Form

65 IIPP – Safety Communication Safety Manuals Safety Committees Safety Bulletin Boards Postings/Placards

66 Injury Prevention DGSOM FY 2013-14

67 Injury Prevention Always wear proper Personal Protective Equipment (PPE) Comply with CDC sharp safety guidelines Complete required training

68 Injury Prevention – Slips, Trips & Falls Stairs – Use handrails Walking Surfaces – Wet/uneven surfaces – Footwear Be aware – Don’t text and walk

69 Injury Prevention - Ergonomics RMI/RSI/MSD Posture Proximity Equipment Breaks/stretching

70 Injury Prevention – Back Safety Staggered stance Keep it close Build a bridge Feet first Ask for help if you need it!

71 Emergency Preparedness Anchor furniture over 5 feet Store hazardous items properly Identify danger spots Participate in drills Practice drop, cover and hold

72 Emergency Preparedness - Evacuation Always use the stairs Use the nearest identified exit to evacuate Report to evacuation spot for accountability

73 Emergency Preparedness – Fire Alarms Evacuate immediately – Do not wait for someone to tell you to leave – Use the stairs

74 Emergency Preparedness – Fire Safety Rescue – rescue/remove anyone who is in immediate danger Alarm – activate the fire alarm Contain – close any doors you can to contain the fire Extinguish – attempt to extinguish the fire if it is safe to do so

75 Emergency Preparedness– Fire Safety Fire Extinguishers: To use: PASS Types: – Class A: combustible materials – Class B: flammable liquids – Class C: electrical – Class D: combustible metals

76 Emergency Preparedness – Fire Safety Know where to go: Evacuation route Meeting spot If you’re on fire… Stop, drop and roll! Eyewash/shower stations located within 10 seconds of every lab/shop

77 Emergency Preparedness Emergency Response Plan – Review departmental program/evacuation procedures BruinAlert – Sign up for text alerts (https://www.emergency.uc la.edu/bruinalert)

78 Off-Campus Ambulatory Clinics Off-Campus Clinics fall under the oversight of the Health System Safety Dept. and have a clinic specific Health System IIPP Familiarize yourself with your site specific information & resources Health System Safety Dept. Contact info: Carolyn Genovese, Safety Specialist Email: cgenovese@mednet.ucla.educgenovese@mednet.ucla.edu

79 Off-Campus Ambulatory Clinics Reporting SERIOUS Injuries at off-site clinics… Call 911 immediately Immediately page Health System Safety Department at 310-206- 8477, pager ID# 90248

80 Next Steps: Your Safety Training Employee Safety Handbook – https://ucla.app.box.com/ehs-employee-safety- handbook https://ucla.app.box.com/ehs-employee-safety- handbook Classroom Training – https://www.ehs.ucla.edu/training/schedule https://www.ehs.ucla.edu/training/schedule – training@ehs.ucla.edu training@ehs.ucla.edu Ergo Evaluation – ergonomics.ucla.edu ergonomics.ucla.edu General Questions – injuryprevention@ehs.ucla.edu injuryprevention@ehs.ucla.edu

81 Security Violence in the Workplace OVERVIEW

82 SECURITY Report suspicious activities/persons or request assistance from Security at x77100. Available 24/7. Escort Service: x77100 (Security Dispatch) Always wear your ID badge when on hospital property. After Hours Access: Reagan/Westwood & Resnick entrance, security checkpoint 9pm-6am Panic Alarms Keep secure or sensitive areas limited to auth. personnel Safety Tips: –Be aware of your surroundings. –Don’t bring valuables to work. Lock up all belongings. –Park in well-lit area; don’t linger in parking structures. Stairwells: –Building Core Stairwells = Communicating stairwells –Unit/Pod/Tower Stairwells = Emergency Exit stairwells

83 OVERHEAD CODE PAGES Emergency overhead pages are used at the hospital to alert staff to potential emergency situations and to summon staff who are responsible for responding to specific emergency situations. CODE PINK Infant Abduction CODE PURPLE Child Abduction CODE GRAY Abusive or Combative Person SILVER CODE SILVER Person with Weapon/Hostage Situation

84 VIOLENCE IN THE WORKPLACE Staff Code of Conduct “SOM and the UCLA Hospital System strive to maintain an environment free from intimidating, disruptive, threatening, bullying and violent behavior.” Zero Tolerance

85 VIOLENCE IN THE WORKPLACE Response To Worse Case Scenario Plan Ahead Using Situational Awareness – Always be mentally prepared – Know your surroundings – Pre-plan an exit Strategize to Survive an Active Shooter Event – Get Out! ESCAPE – Take Cover - Get behind something that will stop a bullet – Hide and don't bunch up – Play Dead LOOK FOR CHANCES TO ESCAPE

86 VIOLENCE IN THE WORKPLACE UCPD Dispatch: (310) 825-1491 Crime Prevention Officer: (310) 825-6111 CSO Escort Service: (310) 794-WALK Center for Women and Men: (310) 825-3945 Staff and Faculty Counseling Center (310) 794-0245 UCPD website: www.ucpd.ucla.edu L.A County District Attorney’s Office Victim Witness Assistance Program

87 Your UC Benefits

88 Health & Welfare Benefits Eligibility

89 Health and Welfare Benefits, Eligibility Employee: - Full Benefits: Assigned to work at least 50% time for one year or more - Mid Level Benefits: Assigned to work 100% time for less than one year - CORE: Assigned to work at least 43.75% – 99% time Dependents: Refer to Your Group Insurance Plans booklet for definition of Spouse, Domestic Partners, children, grandchildren, legal ward, & overage disabled child. NOTE: California is not a common law state.

90 Health and Welfare Benefits, Eligibility Special Note: UC Office of the President (UCOP) - Secova will request documentation to verify eligibility of dependents - conducts annual Family Member Verification audit of dependents

91 Health and Welfare Benefits, Eligibility “Period of Initial Eligibility” (PIE) is a limited timeframe to enroll For new hires 31 days from hire date Usually 31 days from date of an eligible Family Status Change, e.g. marriage date, adoption of a child, etc. If PIE is missed – default coverage for employee Annual Open Enrollment to enroll or change plans HIPAA for late medical enrollment

92 Medical Plans

93 Medical Salary Bands Please refer to handout titled: 2015 UC and Employee Monthly Costs Medical, Dental, Vision and Legal Plans

94 Medical Plans Health Maintenance Organizations (HMOs)  Kaiser and Health Net Blue & Gold Preferred Provider Organization (PPO):  UC Care PPO  Health Savings PPO (aka HSA PPO) Fee for Service: Core – Default Plan (Catastrophic Coverage) UC medical plans do not have pre-existing condition clauses.

95 HMO vs. PPO overview HMO PPO Restricts medical provider access (PCP/medical group or Kaiser). Care starts with PCP; PCP refers to specialists; medical group authorizes most care outside of PCP’s office. Only ER and urgent care covered outside of medical group. Fixed costs – most services have flat copayments. Must live in service area. Access to larger network of doctors. Not assigned to a doctor or group. Self-refer to doctors and specialists; no authorization requirement to see doctors. Health plan must authorize surgery and some services and medications in advance. Costs vary depending on whether provider is participating with plan and other factors. Out-of-network providers cost you more.

96 Health Net Blue & Gold and Kaiser HMOs Primary Care Physicians (PCP) coordinates all care Cost containment: – $20 doctor office visit co-pay – $20 office co-pay Chiropractic/Acupuncture American Specialty Health, maximum 24 aggregate visits annually – $20 office co-pay; PCP coordinates with Optum Behavioral Health – $100 co-pay, outpatient surgery – $250 co-pay, hospitalization (100%) – $75 co-pay, ER (waived if admitted) No claim forms, no deductibles Must live or work within plans service area, 30 miles Prescription Drug Coverage (see slide #20)

97 UC Care PPO UC Care PPO – no PCP or medical group, no referrals or authorizations to see specialists. Blue Shield processes claims. Select tier includes UC providers and set co-pays for many services. – $20 copays for office visits; $200-250 ER; $250 hospital and skilled nursing unit in hospital admission; $100 outpatient surgery in hospital. – Some services not covered on Select tier (including stand-alone skilled nursing facility, home health, hospice, prosthetics/orthotics, acupuncture, chiropractic, outpatient surgery at freestanding ambulatory surgery center). Preferred tier includes Blue Shield PPO network and worldwide coverage; deductibles and coinsurance apply, up to annual maximums. Services outside the US covered as Preferred PPO. Non-preferred providers covered; higher out-of-pocket costs. Set co-pays for prescriptions, except specialty drugs. Read summary grid for more details of plan coverage, and review full plan coverage booklet on UCNet, http://ucnet.universityofcalifornia.edu/forms/category.html

98 UC Care PPO Member ResponsibilityUC SelectPreferredOut-of-Network^ DeductibleNone$250 / $750$500 / $1,500 OOP Maximum: Medical$1,500 / $4,500$3,000 / $9,000$5,000 / $15,000 OOP Maximum: Drugs$3,600 / $4,200 (network pharmacy only)No OON OOP max Doctor/Urgent Care/Physical Therapy $2020%50% Ambulatory Surgery CenterNot covered20%50% 1 Outpatient surgery in Hospital$10020%50% 1 Hospitalization non-Emergency$25020%50% 2 ER Facility & ER Physicians~ Ambulance $200 or $250~ $200 flat $200 or $250~ $200 flat Chiropractic*N/A20%50% Acupuncture*N/A20% Mental Health BenefitsCarved out to Optum (see slide #21) Prescriptions 3 Copayments or coinsurance (specialty rx) subject to Rx OOP (see slide #20) TeleDoc (phone, mobile, online) $20 (24/7/365) copay does not apply to deductible, does apply to OOP *Up to 24 visits aggregate between chiropractic and acupuncture ^Balance billing not applied to OOP 3 Not applied to OOP ~$200 ER co-pay otherwise $250 if admitted to the hospital Plan Pays maximum of: 1 50% on $350/day facilities 2 50% on $600/day facilities

99 Services with non-preferred providers (providers who are not contracted and do not have a fee agreement with the plan) are paid by plan based on allowed amounts (not billed charges). Members are responsible for coinsurance and any amounts in excess of allowed amounts. Amounts in excess of allowed amounts do not apply to deductibles or out-of-pocket maximums. Services with day or visit limit accrue to the limit even if the deductible has not been met. Read summary grid for more details of plan coverage, and review full plan coverage booklet online. UC Care – Be Aware of Limitations

100 UC Care PPO UC Select - www.uc-care.org UC Care Concierge 855.201.2087 UC medical centers, facilities and physicians Additional select Blue Shield providers in areas where UC medical centers and physicians may not be accessible Blue Shield Preferred Network - blueshieldca.com/uc 855.201.8375 376 hospitals 22,061 primary care physicians 50,197 specialists BlueCard Network coverage outside of CA and the U.S. Out-of-network providers Select an out-of-network provider Have a higher deductible; pay a higher share of costs 88% of providers in California are in the Blue Shield Preferred network

101 UC Care PPO, UC Select UC Select Providers Citrus Valley Medical Center - Queen of the Valley Downey Regional Medical Center Garfield Medical Center (San Gabriel Valley) Glendale Adventist Medical Center Good Samaritan Hospital (Los Angeles) Henry Mayo Newhall Hospital (Santa Clarita Valley) Huntington Memorial Hospital (Pasadena) Providence Little Company of Mary (Torrance and San Pedro) Providence Tarzana Medical Center Simi Valley Adventist Hospital (Dignity) St. Mary Medical Center (Long Beach) Torrance Memorial Medical Center UCLA: Mattel Children's Hospital, Resnick Neuropsychiatric Hospital, Ronald Reagan Medical Center, Santa Monica UCLA Medical Center White Memorial Medical Center Whittier Hospital Medical Center San Antonio Community Hospital

102 Health Savings Account PPO PPO plan with a Health Savings Account – HDHP = High deductible health plan, Blue Shield Plan works like a PPO; once deductible is met, co-insurance begins – Use money in HSA to pay for expenses applied to deductible – Use money in HSA to pay for member responsibility to co-insurance – HSA = Health Savings Account, Health Equity UC contributes $500 Single / $1,000 Family (prorated for midyear hires) Employee contributes up to $2,850 Single / $5,650 Family Can change election mid-year Catch-up contribution up to $1,000 for participants age 55 or older Employee responsible for not over-contributing Tax Savings: – No FICA & Federal taxes on contributions and growth (CA taxes apply) – No taxes on distributions when use for eligible health expenses – Can use money for any reason; taxes will apply if not used for health » 20% early age penalty applies if non-health money is used before age 65

103 HSA PPO (cont’d) ContributionIndividualFamily (2+) UC$500$1,000 EnrolleeUp to $2,850Up to $5,650 Services /Co-InsuranceNetworkNon-network^ Annual Deductible$1,300 / $2,600 3 $2,500 / $5,000 3 Out-of-pocket max.$4,000 / $6,400$8,000 / $16,000 Physicians & Specialists, Pregnancy & Maternity, Rx & Chiropractic* 20%40% ER Services / Acupuncture*20% Outpatient Surgery ASC20%40% 1 Hospitalization20%40% 2 PreventiveNo Charge40% Mental Health BenefitsCarved out to Optum (see slide #21) ContraceptivesNo Charge~Not Covered Prescription Drugs 20% retail & mail 40% retail only; no specialty drugs ~ participating pharmacies only ^ Balance billing not applied to OOP * Up to 24 visits aggregate between chiropractic and acupuncture/year Plan Pays maximum of: 1 50% on $350/day facilities 2 50% on $600/day facilities 3 Individual deductible/OOP does not apply if you have family coverage.

104 HSA PPO (tidbits) Services with non-preferred providers are paid by plan based on allowed amounts. Members are responsible for coinsurance and any amounts in excess of allowed amounts. Amounts in excess of allowed amounts do not apply to deductibles nor out-of-pocket maximums. Contributions FDIC insured; can invest excess >$2,000 in mutual fund If 2 or more members are enrolled, family deductible and OOP apply Not an FSA plan; no “use it or lose it” provisions Take HSA with you if you separate Cannot be enrolled in FSA or use with an FSA Cannot have spouse participate in FSA if enrolled in this plan Cannot be covered by another insurance plan, including Medicare If age 65 or older, beware of retroactive enrollment into Medicare Part A Cannot be claimed as a tax dependent by another person Must have valid US address; no postal boxes

105 CORE Medical Annual Deductible$3,000 / individual Out-of-pocket max.$6,350 / $12,700 ^ Preventative Health Benefits No Charge Physicians20% Outpatient facilities20% 1 Hospitalization facilities20% 2 ER Services20% Chiropractic20% * Acupuncture 20% * Mental Health Benefits20% Prescriptions20% *Up to 24 visits aggregate between chiropractic and acupuncture per year. Home health, hospice, bariatric surgery, durable medical equipment and mail order rx not covered out of network. Non-network member responsibility: 1 20% on $350/day plus balance over $350 2 20% on $600/day plus balance over $600 ^Balance billing not applied to OOP.

106 Prescription Drugs 30-day supply (pharmacy) UC Care PPO**^Blue & GoldKaiser Generic$ 5.00 $ 5.00 $ 5.00 Brand$25.00$25.00$25.00 Non Formulary$40.00$40.00 N/A Specialty30% up to $150/fill$20.00$25.00 90-day supply (mail-order and select network pharmacies for maintenance meds) UC Care PPO^Blue & Gold Kaiser Generic$10.00$10.00$10.00 Brand$50.00$50.00$50.00 Non Formulary$80.00$80.00 N/A HSA PPO and CORE members: Rx subject to deductible and coinsurance, up to OOP max. Mandatory generic drugs formula; non-generic drugs require medical necessity. ^Rx subject to Rx OOP max. **Some adult vaccines are covered under pharmacy benefits with no copayment (tetanus, pertussis, pneumococcal, meningococcal, HPV, shingles). Must use contracted pharmacies.

107 Behavioral Health Outpatient Benefits^ Kaiser HMO (Kaiser or Optum, no out-of-network coverage) – Optum: First 3 visits no member co-pay, then $20 co-pay/visit – Kaiser Providers $20 co-pay/individual therapy $10 co-pay/group therapy Health Net Blue and Gold HMO (Optum only, no O-o-N coverage) – First 3 visits no member co-pay, then $20/visit co-pay UC Care PPO (Optum, in- and out-of-network coverage*) – In-network first 3 visits no co-pay, then $20/visit co-pay – Out of network: subject to $500 deductible and 50% coinsurance* Prior auth requirements for some services (e.g. 60 minute+ sessions) Health Savings PPO (Optum, in- and out-of-network coverage*) – Subject to in- or out-of-network deductible and coinsurance, up to max* CORE (Blue Shield) – subject to deductible/coinsurance, up to max.* ^Behavioral health plan coverage levels track to medical plan for inpatient and outpatient services. *Balance billing may apply; plan will process out of network claims based on allowance, not billed charges.

108 Dental Plans, www.deltadentalca.org

109 Delta Dental PPO Premium paid by UC Worldwide coverage -- may use any dentist – Use any PPO dentist – Higher benefits with Premier dentists Maximize benefits with Delta dentists $1,500 annual maximum benefit – Preventive dentistry covered in full 100% Twice a year cleanings Once a year bite wing x-rays – Dental work $50 deductible then coinsurance 25% coinsurance on minor work 50% coinsurance on major work

110 DeltaCare USA Premium paid by UC Must use PMI dentists only ) otherwise no coverage – Except in emergencies California network only (limited) – UCLA Faculty Group Practice does not accept Delta Care – UCLA School of Dentistry does not accept Delta Care No annual maximum benefit Preventive dentistry covered in full 100% – Once a year bite wing x-rays – Twice a year cleanings Co-pays required for Basic dentistry

111 Vision www.vsp.com

112 Vision Service Plan - VSP Premium paid by UC One exam per year – Higher benefits with Choice network providers Prescription Glasses – One set of lenses per year $40/$60/$80 single/bifocal/trifocal lenses – One set of frames every other year $130 frame allowance $70 frame allowance at COSTCO – $10 co-pay on exam; $25 co-pay on materials Cosmetic contact Lenses, $110 lens benefit – Contact lens benefit in lieu of glass lenses – $10 co-pay on exam

113 ARAG Legal Plan Administered by ARAG Group – – 800-828-1395 – http://members.araggroup.com/ucop Refer to “Your Group Insurance Plans” booklet for details Only available to new employees Domestic, consumer, misdemeanor defense, IRS, major trial representation, and identity thief issues Online Directory of Participating Attorneys Monthly Premium Rates: – Self - $10.02 – Self & Child(ren) or Self & Adult- $13.78 – Self, Adult & Child(ren) - $15.03

114 Disability Insurance

115 Short Term Disability UC employees DO NOT participate in California State disability nor Paid Family Leave UC pays entire premium for Short-Term Disability Basic coverage for disabilities not related to work Pays 55% of monthly salary up to $800/month maximum (taxable) Maximum of 26 weeks Waiting period 7 calendar days (will assume supplemental disability waiting period)

116 Supplemental Disability Employee paid plan – Cost based on age, salary & wait period – Rates found on UC Net http://ucnet.universityofcalifornia.edu/compensation-and- benefits/disability-life-accident/premium-calculator.php http://ucnet.universityofcalifornia.edu/compensation-and- benefits/disability-life-accident/premium-calculator.php Benefit: – First 12 months, 70% – 12 months+, 70% if offsets apply (e.g. Social Security, UCRP Disability, Workers’ Comp, etc.) – 50% if offsets do not apply – $100/month min. benefit (up to age 65 if disabled pre-age 60) Maximum monthly benefit 70%, combined with other sources, up to $15,000 – Integrates UC Short Term Disability benefits Wait period of 7, 30, 90, or 180 days

117 Life Insurance and AD&D

118 UC offers a variety of Life Insurance and Accidental Death & Dismemberment insurance for you and your family members Please refer to At Your Service website for coverage levels and costs – http://ucnet.universityofcalifornia.edu/compensation-and- benefits/disability-life-accident/premium-calculator.php http://ucnet.universityofcalifornia.edu/compensation-and- benefits/disability-life-accident/premium-calculator.php Designate beneficiaries at UC At Your Service website; click on Your Benefits Online then log in Note: If you enroll in Supplemental Life Insurance, or Dependent Life Insurance, during your PIE, there are no pre-existing conditions

119 Pre-Tax Flexible Spending Accounts, Conexis

120 Health & DepCare Flexible Spending Accounts (FSAs) Set aside pre-tax dollars for eligible expenses: – FICA, federal and state tax free – Health expenses (medical, dental, vision); costs that exceed insurance limits, co-pays, chiropractic/acupuncture, etc. OTC drugs require prescriptions; OTC medical supplies do not. – Daycare expenses for child(ren) up to age 16, parents Refer to Conexis FSA website for more details, eligible expenses Coverage is effective the first of the month following the month of eligibility (subject to pay compute deadlines)

121 Health & DepCare FSAs Enrollment allowed upon initial hire; during annual Open Enrollment period, or within 31 days of a Family Status change IRS imposed “use it or lose it” accounts Eligible expenses must be incurred between January 1 thru December 31 – New rule for 2015 Health FSA contributions; “carry over” provision for up to $500 of money not used within participation year; no grace periods – Any money over $500 not used by December 31 st will not carry over and will be lost Requires positive re-enrollment during Open Enrollment periods

122 Health & DepCare FSAs Health FSA Annual Maximum $2,500 per eligible employee Health FSA Annual minimum $180 per person Debit Card convenience DepCare FSA Annual Maximum $5000 per household, or $2500 if married but filing a separate income tax return Does not have Debit Card convenience

123 Work Life Benefits (subject to HEERA) (Premium paid by UC) UC Living Well – Wellness initiation program, Optum provider – Incentive $75 gift card Point system; 7,500 points to earn gift card Many UC and vendor activities to earn points Bright Horizons Care Advantage – Provider service website Nannies, babysitters, eldercare, pets (walkers/care), tutors and housekeepers Nannies, babysitters, eldercare, pets (walkers/care), tutors and housekeepers – Participant responsible for all hiring arrangements and payments for services – www.careadvantage.com/universityofcalifornia

124 Enroll Online at UCnet ucnet.universityofcalifornia.edu

125 UC Retirement Plan – UCRP pension plan

126 UCRP Pension Benefits Membership automatic based on appointment Member contributions required Vested after 5 full years of UCRP service credit – No partial vesting – Elect a refund of contributions if vested status not attained; refund negates associated service credit Defined Benefit Plan; pension benefit is based on formula, not contributions: – Age Factor at Retirement – UCRP service credit (does not include “limited” or student time) – HAPC (highest average 36-consecutive month plan compensation, full time equivalent) – Multi-Tier status for some members

127 UCRP Pension Benefits 2013 Tier Employee contributions 7% Covers non-represented and certain unions – CX, LX, A7, GS, M6 and Ks Age factors – 55 = 1.1% – 65 = 2.5% No Lump Sum Cashout option 2013 “A” Tier Employee contributions 9% - $19/month Covers certain unions – NX, HX, TX, RX, SX, EX, AFSCME Age factors – 50 = 1.1% – 60 = 2.5% Lump Sum Cashout option

128 UCRP Age Factors Age in YearsProrated age factor; months from last birthday to retirement date Tier 2013A/2013 01234567891011 5055.0110.0111.0112.0114.0115.0116.0117.0118.0119.0121.0122.0123 5156.0124.0125.0126.0128.0129.0130.0131.0132.0133.0135.0136.0137 5257.0138.0139.0140.0142.0143.0144.0145.0146.0147.0149.0150.0151 5358.0152.0153.0154.0156.0157.0158.0159.0160.0161.0163.0164.0165 5459.0166.0167.0168.0170.0171.0172.0173.0174.0175.0177.0178.0179 5560.0180.0181.0182.0184.0185.0186.0187.0188.0189.0191.0192.0193 5661.0194.0195.0196.0198.0199.0200.0201.0202.0203.0205.0206.0207 5762.0208.0209.0210.0212.0213.0214.0215.0216.0217.0219.0220.0221 5863.0222.0223.0224.0226.0227.0228.0229.0230.0231.0233.0234.0235 5964.0236.0237.0238.0240.0241.0242.0243.0244.0245.0247.0248.0249 60+65+.0250

129 UCRP Pension Benefits UCRP Pension calculation: Age factor x UCRP Service credit = Benefit % Benefit % x HAPC = Basic Retirement Income Generate estimates on At Your Service (UCnet) once you have received 3 monthly paychecks

130 UC Retirement SaVings Program (UC RSVP): DCP, 403(b) and 457(b)

131 UC RSVP: DCP, 403(b) and 457(b) Record keeping and transactions administered by Fidelity Retirement Services Fidelity online at www.netbenefits.fidelity.com, click on New User Registration, or call 1-866-682-7787 Must establish PIN# with Fidelity May invest contributions in: -UC Core Funds, Fidelity Mutual Funds, Calvert Mutual Funds, Vanguard Funds and one Dimensional Fund

132 DCP Mandatory Pre-Tax Employee Contributions: – Limited Appointment employees during 1000 qualifying hours pay 7.5% to the DCP Safe Harbor and 1.45% to Medicare. No OASDI taxes and no UCRP credit. – Contributions automatically invested in UC Savings Fund. To redirect contribution to another investment fund contact Fidelity. Voluntary After-Tax Contributions – 100% up to $52,000 year max., worksheet required – Contributions are after-tax, earnings and interest are pre- taxed. Early age distribution penalties apply.

133 403(b) & 457(b) Voluntary pre-tax savings plans. Can enroll anytime. No employer matching contributions. 2014 annual contribution limit to each: – $17,500 if under age 50 – $23,000 if age 50 or over. Enroll by contacting Fidelity. May concurrently contribute to both 457(b) and 403(b) plan. – 403(b) has a loan feature; money can be withdrawn while employed if age 59½ or older. – 457(b) does not have early age distribution penalties (except on monies rolled into the plan).

134 Online References http://ucnet.universityofcalifornia.edu - designate Life Insurance and AD&D beneficiaries - view New Employee Orientation video - look up health & welfare plan info. - find a Primary Care Physician - run a UCRP pension estimate www.netbenefits.fidelity.com - UC RSVP enrollments, balances and transactions - designate UC RSPV beneficiaries - may call Fidelity at 1-866-682-7787 - must establish a Fidelity PIN#

135 Welcome to the UCLA family!


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