UCLA Health Sciences Overview

UCLA Health Sciences Overview

Entities Comprising UCLA Health Sciences *
David Geffen School of Medicine at UCLA 22 Academic Departments of Instruction 6 Organized Research Units 12 Large Centers and Institutes (Clinical and/or Research) 3 Affiliated Academic Programs 5 Major Affiliated Hospitals 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 Mattel’s Children’s Hospital * Specifically related to DGSOM & UCLA Health System

David Geffen School of Medicine Stats
2,869 Faculty 3,162 Community Physicians 1,330 Interns & Residents 707 Medical Students - 37 M.D./Ph.D. Students 521Ph.D. Students 4,807 Staff 23 Departments of Instruction 6 Organized Research Units 12 Large Centers & Institutes

DGSOM Sources of Funding By Percentage Year Ending June 30, 2010
Note: * Of $56.9M in Funding from Hospital System, $52.8 Million Represents Equity Transfers Total: $1,225,334 (Dollars in Thousands)

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!

Trivia Game Answers What is the mission of the University of California? _______, ________ and _________ __________ 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: _____, _____, _____, _____, _____

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

History Dr. Sherman Mellinkoff succeed as Dean in 1962 oversaw many changes in his 24 years. 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.

Present Dr. A. Eugene Washington succeeded as Dean in 2010.
Clinical Departments Basic Science Departments, Organized Research Units (ORUs) and Other Units Anesthesiology Emergency Medicine Family Medicine Pathology and Laboratory Medicine Department of Medicine Neurosurgery Neurology Neuropsychiatric Institute (NPI) OB/GYN Ophthalmology/JSEI Orthopedic Surgery Pediatrics Radiation Oncology Radiological Sciences Surgery Urology Office of the Dean Biological Chemistry Biomathematics Brain Research Institute Molecular and Medical Pharmacology/CRUMP Institute Human Genetics Jonsson Cancer Center Neurobiology Physiology Venice Family Clinic

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

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

Vacation Reference Charts
Vacation Employment Service Accrual Monthly Working Hours in 2012 Month Holiday Dates Working Days in Month Working Hours in Month January 2,16 22 176 February 20 21 168 March 30 April May 28 23 184 June July 4 August September 3 160 October November 11, 22,23 25 December 24,25,31

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

Jury Duty 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. Employee Group Reference Career Limited/Casual/Contract Casual/Restricted Per Diem Non-Represented (99) EXEMPT PPSM 46.B Yes No Non-Represented (99) NON-EXEMPT Clerical (CX) CUE Article 14.F1 10 days Research Support Professional (RX) UPTE Article 18.F1 Technical (TX) Service (SX) AFSCME Article 14.E Patient Care Technical (EX) Health Care Professional (HX) UPTE Article 14.F1 Nurses (NX) CNA Article 14.E

Blood Donation Program
UCLA Blood and Platelet Center Blood Drives Frequently held across campus Annual blood drive at Faculty Practice Group Receive up to 2 hours paid leave time to donate blood Donors will receive 4 hours of paid leave (blood time on OTR timesheet) More information go to the website or call: (310) x2

Commonly visited websites
HIPAA Education and Training Program Code of Conduct Training and Quiz 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 Completing your timesheet to get paid on time!

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

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 Mail Code: Phone: (310) FAX: (310) Office Hours Monday – Friday 8 a.m. to 5 p.m. Saturday and Sunday Closed

Staff Affirmative Action Office
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 Affirmative Action Office Suite 1050, UCLA Wilshire Center Phone Fax Mail Code

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 Santa Monica Big Blue Bus and Culver City Bus –show your Bruin Card and ride for 50 cents UCLA store (Ackerman Union) UCLA Library

Employee Privileges UCLA Fowler Museum of Cultural History Hammer Museum of Art Geffen Playhouse UCLA Center for the Performing Arts UCLA Recreation UCLA Central Ticket Office Botanical Gardens

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

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.

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: shall not be used for: Unlawful activities Commercial purposes not under auspices of the University Personal financial gain Uses that violate policies or guidelines

Sexual Harassment Complaint Resolution
Sexual Harassment Policy - Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature. 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).

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. Dean's Office Human Resources

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)

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 ( ) or log on at which provides: 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.

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

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.

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

David Geffen School of Medicine New Employee Orientation
CICARE: Professionalism and Communication David Geffen School of Medicine New Employee Orientation

CICARE – Achieving Excellence Using The UCLA Operating System

THE UCLA WAY: Strategy Deployment
Mission: Delivering leading edge patient care, education, and research Vision: Healing humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness Values: Compassion: Putting the Patient / Education / Research First Respect: Respect the Individual by Removing Waste, Providing Resources Excellence: Continuous Improvement to Seek Perfection, with Active Mgt Discovery: Scientific Method / Evidence-Based / Innovation Integrity: Every Time, Delivering Highest Performance with Stability Teamwork: Systemic Thinking to Understand Processes and Value Streams Commitment to Care: I will always keep my commitment to care, as I have been entrusted by patients, colleagues, and society (CICARE behaviors that link to values, and in turn, influence culture) Strategies / Value Streams: - Strategic Business Lines (Complex Coordinated Disease Intervention, Specialty Service Disease Intervention, Primary/Secondary/Coordinated Care) - Quality - Service - Coordinated Care - Value Goal Arenas: - People - Operations - Quality / Safety - Strategic Development - Service - Finances Performance System: Performance Management and Improvement System: People/CICARE/Structures + Lean Process/Active Daily Mgt = Outcomes/Stability Purpose People & Performance

W. Edwards Deming—Quality Guru, 20th Century
“It is not enough to do your best; you must know what to do, and THEN do your best.” W. Edwards Deming—Quality Guru, 20th Century

UCLA FPG - SUMMARY SCORES (2010 YTD)

UCLA FPG - INDIVIDUAL ITEMS (2010 YTD)

CICARE System Elements
Hiring the right people – Talent Plus On-boarding – system and department level Specific training for service Reiterating expectations at every opportunity Patient Rounding and Observations at the supervisor, manager, director and executive levels Huddles and department meetings Service Recovery System Celebrate successes: individual and team rewards for exceptional quality, service and compassion Tracking performance of all the above in a linked fashion

World Class Practices Phone Etiquette Courtesy Respect Professionalism
Today We have created these with the input of staff, patients their families What better opportunity to c Lets review the types of behaviors we want our pateints and families and eacah other experience. CICARE

World Class Practices: Making real and caring connections with patients, families and each other
On every encounter: Connect with patients by addressing them as Mr./Ms. or by the name that they prefer Introduce yourself and your role Communicate what you are going to do, how long it is going to take, and how it will impact the patient Ask and anticipate patient needs, questions, or concerns Respond to patient questions or requests with immediacy Exit courteously and/or with an explanation of what will come next (what you will do for them next) By now we have all been introduced to CICARE and remember it as a term, but it is really a tool to remind ourselves of the interactions we want to have with people, the reason so many of us entered healthcare to begin with. But here is the thing, not everyone does this all the time. So how can each of us, as champions, do to exted these behaviors to all our colleagues, 100 percent of the time? Take two minutes and turn to the person next to you and think of two or three or four thing you can do starting to day, to make CICARE an even more common practice at UCLA Health System.

World Class Practices Phone Etiquette
Before answering the phone, discontinue conversations or activities that may be heard by the caller. Answer the phone within 3 rings. Give a greeting, identify your department, give your name, and offer assistance such as, “May I help you?”

World Class Practices: Courtesy
Eye contact, smiling, greeting Elevators Wayfinding Being aware of our voices “Professional” vs. “unprofessional“ behavior Respecting confidentiality Handling conflicts or disagreements Respecting the patient’s language Use of cell phones, MP3’s, and….

World Class Practices: Respect
Privacy and dignity. Respecting the patient’s personal space before entering rooms and before examinations or procedures. Respecting the work of other departments or staff in our comments. Respect individual and cultural differences.

World Class Practices: Professionalism
Personal appearance Attendance Keeping our environment clean and safe. Keeping comments about UCLA colleagues positive and appropriate. Valuing Teamwork

CICARE Thank you! Yes No Did Our Team Member:
We want you to have the best healthcare experience possible. Please check the box “yes” or “no” next to each statement below to let us know how we are doing. Thank you! Yes No Did Our Team Member:   Call you by your last name (Mr./Ms./Mrs.) or by the name you or your child prefer?   Introduce himself /herself, and explain his/her role?   Communicate with you in understandable terms?   Ask permission before engaging or examining you?   Respond to your requests and questions with courtesy and respect?   Exit your visit courteously by explaining what would happen next? CICARE

Compliment Form Form

MD-CICARE

MD-CICARE Committee

MD CICARE Committee Representatives from Dean’s office, faculty, house staff and hospital administration Group deliberated on the nature of excellent physician-patient communication and agreed on “basics” MD CICARE includes: Starting a consult Introducing one’s self and the care team “Hand-offs” following shifts, rotations Explaining role of the admitting and consulting services

MD-CICARE Template

Who We Are

Environment, Health and Safety 310.310.825.9797
Your Safety at UCLA -David Geffen School of Medicine- New Employee Orientation 2012 Good Morning. I am (name) , one of the UCLA’s injury prevention specialists. We are going to spend the next half hour discussing your safety here at UCLA. Before we get started let me get a show of hands, how many of you will be managing or supervising employees in your new job? Ok. Good to know. Your role in safety is just a little bit broader as a manager. I will try to point out some specific differences but everyone please feel free to ask questions as we go along. Environment, Health and Safety

Today’s Discussion UCLA Safety “Your Right to Know” Safety Tips
Reporting Injuries Next Steps: Your Safety Training In today’s discussion, we will go over general safety and the role that my department, the Department of Environment, Health and Safety plays here at UCLA. We will discuss “your right to know” about hazards in the work place and how safety is communicated here at UCLA. We will discuss some tips to help you work safe. How to report injuries. And what next steps you need to take to complete your safety training requirements. Let’s get started.

EH&S- Your Safety Partner
Promote a safe & healthful environment to support research, education, patient care, and public service activities. In your package you each have a copy of the EH&S guide to services. (Pick up copy). As you can see there are a wide variety of areas we cover. Everything from laboratory inspections to managing hazardous waste disposal. The role of EH&S is to “promote a safe and healthful environment to support research, education, patient care, and public service activities”. EH&S will serve each of you differently depending on the nature of work you are going to be doing. If you have any questions or concerns about safety you can call us at

If You Get Hurt on the Job
Inform supervisor Get medical care Call Serious Injury Hotline (310) if: Injury causes permanent disfigurement or loss of function Amputations, severe burns, severe lacerations Severe head injuries Hospitalization If you do get hurt while you are working, you will need to: Report it to your supervisor, they will give you paperwork to take with you when you get medical care. If it is a serious injury, it must be reported to EH&S on the serious injury hotline within 8 hours. A serious injury is one that causes permanent disfigurement or loss of function such as amputations, sever burns, sever lacerations, or severe head injuries. If you are a manager: you will also need to report it to Risk Management within 24hours, and fill out an incident investigation form.

911 Off campus call 911 On campus hard line - call 911
On campus with a cell phone call Program it in your cell as EMERGENCY - UCLA If you do get hurt while you are working, you will need to: Report it to your supervisor, they will give you paperwork to take with you when you get medical care. If it is a serious injury, it must be reported to EH&S on the serious injury hotline within 8 hours. A serious injury is one that causes permanent disfigurement or loss of function such as amputations, sever burns, sever lacerations, or severe head injuries. If you are a manager: you will also need to report it to Risk Management within 24hours, and fill out an incident investigation form.

Injury and Illness Prevention Program
Communication Safety Inspections Hazard Correction Accident Investigations Safety Training Record Keeping Safety Rule Compliance Every employer in California, with 10 or more employees, is required to have an Injury Illness Prevention Program or IIPP. An IIPP includes all these aspects of safety listed here: communication, inspection, correction, investigations, training, record keeping and safety rule compliance. UCLA has a master IIPP available on the EH&S website. Over the next year, I will be working with the School of Medicine Safety Officers to customize IIPP’s for each department.

Safety Communication Safety Manuals Safety Committees
Safety Bulletin Boards Another way safety is communicated is through safety manuals. You should familiarize yourself with all standard operating procedures and safety manuals before starting a task or using equipment you are unfamiliar with. Each of you has a designated safety officer that represents your department on the Health Sciences Safety Committee. You may also have departmental safety committees you may be asked to participate in. Each building has one or more safety bulletin boards. They are all located in public areas. Most of them near elevators or door ways. Safety Bulletin Boards are updated quarterly and provide general safety information such as emergency contact information, legal notifications, hazardous waste pick-up schedules, etc.

Safety Communication Safety Signs Material Safety Data Sheets (MSDS)
One of the ways that safety is communicated throughout the University is through the use of safety signs. These standard symbols are displayed on placards at the entrance-door to any room containing hazards. Many of them are self explanatory but these symbols and the fire diamond shown here will be covered in detail in your online training. This is a Material Safety Data Sheet or MSDS. Is everyone familiar with these? ( Hold up for class to see). Don’t feel bad, I had never heard of an MSDS until I started working in the safety field. An MSDS is a great resource for you. It details all of the properties, health hazards and precautions you need to take when working with hazardous chemicals. Whether we realize if or not, we all use hazardous chemicals on a day to day basis. At home, we use bleach; and in the work place, many researcher use formaldehyde. You can access the MSDS database through the EH&S website. If you are a supervisor and your employees don’t have access to a computer, you need to print them and keep them in a visible location.

If You See a Fire Remove people from the immediate area
Activate fire alarm, call 911 -cell (310) Close any doors you can to contain it Extinguish, aim at base, sweep side to side What is the worst thing you can do in the event of a fire? That’s right! Don’t panic. If you see or smell a fire: evacuate people from the immediate area. Activate the fire alarm and call 911, or from a cell phone dial This is the direct # to campus dispatch. You can call 911, but it gets routed through the CHP back to campus. Close any doors you can. This will help contain the fire and keep it from spreading. If you are comfortable, you can try to extinguish the fire. Aim at the base and sweep side to side.

Fire Extinguishers Class A: combustible materials
Class B: flammable liquids Class C: electrical Class D: combustible metals (magnesium, sodium, lithium, & potassium) Class K: cooking oils Does everyone know that there are different types of fire extinguishers? Familiarize yourself with what class of extinguishers you have available, and don’t use it on anything other than for what it is intended. [If time, review the 5 types.]

Be Prepared! If you’re on fire Stop, drop & roll Eye/shower stations
Within 10 seconds of every shop or lab Know where to go Exit route Meeting spot If you are on fire, stop, drop and roll. Some of you may also have emergency shower stations in your building. Take a moment while you are getting settled in your new job to familiarize yourself with where these safety resources are. And for any emergency, you need to know your nearest exit route and your Department’s meeting spot. [if time: Can anyone tell me why we go to a meeting spot? Yes, to make sure you are out of the building and accounted for. We don’t want to endanger rescue crews if we don’t have to.]

Earthquake Preparedness
Anchor large items Store hazardous items Identify danger spots Windows Hanging objects Chemicals Participate in drills Practice duck, cover & hold Earthquakes are a hazard of living in California. Little ones you can’t feel happen all of the time, and when the big ones happen they can be very destructive. Take daily precautions to be prepared. Anything over 42” high needs to be anchored. Keep hazardous items such as tools and chemicals stored properly. Identify danger spots in your work area such as windows, hanging objects, chemicals agents. In the event of an earthquake, duck, cover and hold under your desk or a strong table.

An Ounce of Prevention “ An ounce of prevention is worth a pound of cure.” Benjamin Franklin. This graph shows the most common type of injuries that occurred in the Health Science Schools in 2010. Why is this information relevant to you, you ask? Well, the intent is that by reviewing tips to prevent the top five categories, we have a better chance of avoiding these same types of injuries ourselves.

Safety is Everyone’s Responsibility!
Wear your Personal Protective Equipment (PPE) Comply with CDC sharp safety Keep Body parts out of the cutting path Complete your required training If your job requires personal protective equipment or PPE, it will be provided to you by your supervisor at no cost. This includes lab coats, safety glasses, gloves and respirators. Will anyone here be working in a lab? Ok. (if yes) You will also need to take the Lab Safety Training prior to beginning work. If you are working or entering a lab remember to always wear long pants, and close-toed shoes. Attend your safety meetings, the frequency of your safety meetings will depend on your department. They can be as frequent as every 10 days for shops or as few as 1x a year for administrative departments. This is a great way to share lessons learned with your peers and co-workers. As I mentioned before, locate you safety bulletin board. And complete your required safety training. Your manager will let you know which of the classes are required for your new job. If you are going to be a manager, take the opportunity to review your employees training logs to make sure everyone is up to date.

Preventing Slips, Trips & Falls
Stairs Use handrails Keep 1 hand free Floors Check for wet floors Clean up spills promptly Watch where you are going If you’re texting, you’re not watching Does anyone remember how many slips, trips and falls occurred last year? 66 right! Almost all of them were due to either an uneven surface or an unseen slippery substance. So how do we minimize our chances of falling? This seems simple but use the handrails. Even if you don’t hold it the whole time, walk next to it, and keep one hand free to catch yourself if you start to fall. Almost all of the floors here on campus are tile or stone. This makes them easier to keep clean, but it also makes them slippery when wet. Take extra caution in restrooms, entering buildings from the rain, and when wet floor signs are present. If you spill. clean it up. I recently investigated a professor who had a nasty fall when she slipped on a piece of tomato out side her office. Lastly, watch where you are going. Although it is not illegal to text and walk, you should try to avoid it. [If time: Review Ladders. Who has ever heard of the 3-points on a ladder rule? Most of you will be using standard foldout ladders or step ladders. When ascending or descending have two hands and a foot or vice versa on at all times.]

Preventing Musculoskeletal Injuries
Use proper posture Avoid over-reaching Use the right tools Take breaks & stretch Back strains Over-use The most common culprit for over use injuries is the computer. This woman is not even moving and her poor posture is straining her back and wrists. Avoid over reaching for your mouse or phone like this man is here. If your are going to be answering the phone a lot, look into getting a headset. Lastly, take breaks and stretch. (Pass out stretch cards.) You can attach these cards to your id badge to remind yourself to stop and stretch. [If time: do the stretches with the group.] X

Plan your work, work your plan.
Keeping Your Back Safe Staggered stance Keep it close Build a bridge Feet first Pivot, don’t twist Ask for help Plan your work, work your plan. Keep a staggered stance. Keep it close to your body. If you can use one hand to lift and the other hand to build a bridge. Feet first, pivot with your feet, don’t twist with your body. Don’t be afraid to ask for help. Plan your work and work your plan. Take the time to review the route, or to schedule a moving crew for heavy items. [if time: Stretching before you lift sends a message to your muscles that they are going to be used. Testing the weight by gently lifting the corner of the item you are planning to lift can give you a feel for the job.]

Going Forward…. Follow safety guidelines Report problems early

Next Steps: Your Safety Training
Online Modules Ergo Evaluation -Thank You-

Security Violence in the Workplace
OVERVIEW Security Violence in the Workplace

SECURITY Report suspicious activities/persons or request assistance from Security at x 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

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 CODE SILVER Person with Weapon/Hostage Situation

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

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

UCPD Dispatch: (310) Crime Prevention Officer: (310) CSO Escort Service: (310) 794-WALK Center for Women and Men: (310) Staff and Faculty Counseling Center (310) UCPD website: L.A County District Attorney’s Office Victim Witness Assistance Program

Your UC Benefits

Health & Welfare Benefits Eligibility

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.

Special Note: UC Office of the President (UCOP) - may request documentation to verify eligibility of dependents - conducts annual random Family Member Verification audit of dependents

“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

Medical Plans

Medical Plans Health Maintenance Organizations (HMOs)
Kaiser, Health Net HMO, Health Net Blue & Gold Point of Service (POS): Anthem Blue Cross Plus Preferred Provider Organization (PPO): Anthem Blue Cross PPO Anthem Lumenos PPO w/Healthcare Reimbursement Account (HRA) Fee for Service: Core – Default Plan (Catastrophic Coverage) UC medical plans do not have pre-existing condition clauses.

Health Net HMO, Health Net Blue & Gold and Kaiser
Primary Care Physicians (PCP) coordinates all care; $15 office visit co-pay No claim forms nor deductible No coverage for Chiropractic care, nor Acupuncture PCP coordinates mental health benefits Provides 100% hospitalization / $ co-pay on hospital admittance / $50.00 co-payment for ER (waived if admitted)

Anthem Blue Cross, (PLUS) Point of Service - POS
In HMO Network Out of HMO Network Deductible $0 $500/$1500 OOP Maximum $1500 $5000/$15000 Office Visit $20/visit 30% Hospital Inpatient $250/admit 30% Outpatient Surgery No co-pay 30% X-Ray/Lab No co-pay 0% Home Health No co-pay 30% Chiropractic* $20/visit Not covered Acupuncture* $20/visit Not covered * Requires self-referral to network providers

Anthem Blue Cross, Preferred Provider Organization - PPO
In PPO Network/Out-of-PPO Network Deductible $250/$750 $500/$1500 OOP Maximum $3000/$9000 $6000/$18000 Office Visit 20% 40% Hospital Inpatient 20% 40% Outpatient Surgery 20% 40% X-Ray/Lab 20% 40% Home Health 20% 40% Chiropractic 20% 40% Acupuncture 20% 40%

Anthem Lumenos, Preferred Provider Organization – PPO w/ HRA
In PPO Network/Out-of-PPO Network Deductible Subject to coverage level OOP Maximum Subject to coverage level Office Visit 20%* 40%* Hospital Inpatient 20%* 40%* Outpatient Surgery 20%* 40%* X-Ray/Lab 20%* 40%* Home Health 20%* 40%* Chiropractic 20%* 40%* Acupuncture 20%* 40%* *After HRA and member responsibility has been met

Lumenos – Benefit Level Summary
HRA Deductible OOP Max. In/Out Employee $1,000* $1,700 $5,000 EE + Adult $1,500* $2,550 $7,500 EE + Child(ren) EE + Family $2,000* $3,400 $10,000 ($700) ($1050) ($1050) ($1,400) OOP Max includes the Total Deductible. * Prorated for mid-year enrollments.

(Anthem) CORE Medical Catastrophic fee-for-service medical coverage
$3,000 annual deductible 20% coinsurance Annual out-of-pocket maximum $7,600, then plan pays 100% of eligible costs for remainder of calendar year No preventive or mental health benefits Requires claim forms Worldwide coverage

UCLA Medical Group Call 1-800-UCLA MD1
Is the doctor you want open for new member enrollment? Contact the insurance company to obtain the Physician/Medical Group ID Number

Prescription Drugs Pharmacy 30-day supply: Anthem Plus & PPO Health Net Kaiser Generic $ $ $ 5.00 Brand $25.00 $20.00 $20.00 Non Formulary $40.00 $ N/A Mail-In 90-day supply: Anthem Plus & PPO Health Net Kaiser Generic $20.00 $10.00 $10.00 Brand $50.00 $40.00 $40.00 Non Formulary $80.00 $ N/A Note: After deductible is met, Lumenos and Core members pays coinsurance until OOP is met.

Behavioral Health Benefits
United Behavioral Health Anthem Blue Cross PLUS Anthem Blue Cross PPO Anthem Lumenos PPO with HRA HealthNet HealthNet Blue & Gold Kaiser First 3 visits require no member co-pay (excluding substance abuse outpatient treatment)

Dental Plans, www.deltadentalca.org

Delta Dental PPO Premium paid by UC
Worldwide coverage -- may use any dentist Maximize benefits with Delta dentists $1,500 annual maximum benefit Preventive dentistry covered in full 100% Other services you pay $50 deductible and coinsurance of 25% to 50% of charges

DeltaCare USA Premium paid by UC
Must use PMI dentists only (except in emergencies) California network only No annual maximum benefit Preventive dentistry covered in full 100% Co-pays required for Basic dentistry

Vision

Vision Service Plan - VSP
Premium paid by UC One exam per year; higher benefits with Choice network providers Prescription Glasses ($130 frame allowance): One set of lenses per year One set of frames every 2nd year $10 co-pay on exam; $25 co-pay on prescription glasses Cosmetic contact Lenses ($110 lens benefit): Contact lens benefit in lieu of glass lenses $10 co-pay on exam Costco – VSP Affiliate Provider (can bill VSP) $70 Frame allowance/normal lens allowance $40/$60/$80 single/bifocal/trifocal lenses

Disability Insurance

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)

Supplemental Disability
Employee pays cost that is based on age, salary & wait period 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 minimum benefit (up to age 65 if disabled prior to age 60) Maximum monthly benefit, combined with other sources, up to $10,000 Wait period of 7, 30, 90, or 180 days

Life Insurance and AD&D

Life Insurance and AD&D
UC offers a variety of Life Insurance and Accidental Death & Dismemberment insurance for you and your family members Please refer to “Your Group Insurance Plans” booklet or At Your Service website for coverage levels and costs 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

ARAG Legal Plan Administered by ARAG Group or Refer to “Your Group Insurance Plans” booklet for details Only available to new employees Domestic, consumer, misdemeanor defense, IRS, and major trial representation Online Directory of Participating Attorneys Monthly Premium Rates: Self - $10.02, Self & Child(ren) - $13.78, Self & Adult - $13.78, Self, Adult & Child(ren) - $15.03

Pre-Tax Flexible Spending Accounts, Conexis

Health & DepCare Flexible Spending Accounts
Set aside pre-tax dollars to pay for eligible Medical, Dental & Vision expenses. OTC medications require prescriptions; OTC medical supplies are eligible. You may set aside pre-tax dollars for Daycare expenses Refer to Health & DepCare FSA booklets for more details Coverage is effective on the first of the month following the month of eligibility (subject to pay compute deadlines)

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 March 15 of following year, while actively employed Positive Re-Enrollment required annually during Open Enrollment

Health & DepCare FSAs Health FSA Annual Maximum $5000 per person
(last year; 2013 = $2,500) 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

Work Life Benefits (subject to HEERA)
Stay Well (Premium paid by UC) Wellness initiation program Incentive: $100/employee, $50/spouse-d.p. Deadlines: June 15, 2012 – Health Assessment December 15, 2012 – Follow-up Activity Sittercity (Premium paid by UC) Provider service website Nannies, babysitters, eldercare, pets (walkers/care), tutors and housekeepers Participant responsible for all hiring arrangements and payments for services

Enroll Online at UC At Your Service
Enroll Online at UC At Your Service

UC Retirement Plan – UCRP pension plan

UCRP Membership automatic based on appointment
Full-benefits position at 50% or more for one year or more First day of the month following 1000 eligible hours on pay status within rolling 12 month period in eligible position Vested after 5 full years of UCRP service Earliest retirement age is 50 Defined Benefit Plan. Pension determined by three factors: Age Factor at Retirement x UCRP service credit x HAPC (Highest Average Plan Compensation) Member contributions required (normal) 3½% - $19/mo. starting July, 2011 (UC = 7%) 5% - $19/mo. starting July, 2012 (UC = 10%)

UCRP Age Factors

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

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

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. Contributions automatically invested in UC Savings Fund. To redirect contribution to another investment fund contact Fidelity. Voluntary After-Tax Contributions 100% up to $50,000 year max., worksheet required Contributions are after-tax, earnings and interest are pre-taxed. Early age distribution penalties apply.

403(b) & 457(b) Voluntary pre-tax savings plans. Can enroll anytime.
No employer matching contributions. 2012 annual contribution limit to each: $17,000 if under age 50 $22,500 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).

Online References - 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 - UC RSVP enrollments, balances and transactions - designate UC RSPV beneficiaries - may call Fidelity at must establish a Fidelity PIN#

Welcome to the UCLA family!

Infection Control Contact Information and Video

Management of Exposure Site: Wound and skin: wash with soap and water
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, 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

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:

UCLA Health Sciences Overview

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