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TO: Medicaid Waiver Employees FROM: Olive Crotwell, RN, BSN RE: Notes and Credentials Effective immediately: All employees turning in notes for the previous month after the 5 th of the present month will be reimbursed at minimum wage. Notes should be turned in weekly on Mondays by 4pm. Please contact Joetta prior to 4pm if you have a problem getting your notes in timely. Please follow up with a phone call on Tuesdays before 1pm to verify receipt of your notes. We attempt to notify every one of the expiration dates for credentials. However, it is your responsibility to maintain current credentials and provide us with copies. This is a requirement for employment. Thank you for your time and please feel free to call for any questions. I HAVE READ AND UNDERSTAND THE ABOVE. EMPLOYEE SIGNATURE DATE

Instructor: Department of Mental Health Bureau of Intellectual & Developmental Disabilities Mandated by Department of Mental Health Minimum Standard No. 12.1 A, B ; 12.4 ANNUAL INSERVICE TRAINING/STAFF DEVELOPMENT (Quarterly Training Requirement Excluded) 5 Contact Hours Olive Crotwell, RN/ Medicaid Program Director BSN from University Medical Center BS of Psychology from Millsaps College 22 years Clinical experience A. Southern Healthcare Agency Mission B. Southern Healthcare Policy and Procedure Manual Review C. Health and Safety * Basic First Aid * CPR * Infection Control (a) Universal precautions (b) Hand-Washing *Work Place Safety (a) Fire and Disaster Training (b) Emergency/Disaster Response (c) Incident Reporting (d) Reporting of Suspected Abuse/Neglect D. Rights of Individuals Receiving Services E. Confidentiality F. Family/Cultural Issues/Respecting Cultural Differences G. Basic Standards of Ethical/Professional Conduct *Drug Free Workplace *Sexual Harassment H. Southern Healthcare Handbook HR Employee Records I. Southern Healthcare Handbook- Ethics Policy J. Southern Healthcare Employee Specific Job Description K. Crisis Prevention/Intervention

L. Recover/Resiliency Oriented Systems of Care M. Person Centered Thinking N. Abuse Reporting * Vulnerable Adult Act *MS Child Abuse Law *Restraint Policy O. Record Keeping * Attendant * Nursing Respite P. DMH Operational Standards for Mental Health Intellectual/Developmental Disabilities Q. Southern Healthcare Agency Employee Training & Orientation Training R. Handbook for ID/DD Program Clients S. Medicaid Fraud T. Annual Satisfaction Survey Results * Positive Reviews *Negative Reviews *Ideas for Improvement Learning Objectives for Staff Development A. Be able to verbalize Southern Healthcare s Agency Mission B. Be knowledgeable of Southern Healthcare Agency s Policy & Procedure Manual C. Be able to identify and use correctly: Basic First Aid CPR Infection Control Measures Work Place Safety D. Display a working knowledge of & adhere to: The Rights of Clients

Confidentiality Family Culture Issues & Differences Standards of Ethical Conduct E. Understand & Maintain requirements for Employee Records F. Understand & Maintain all Ethical requirements G. Understand & Practice appropriate job description requirements H. Verbalize and practice a working knowledge of: Crisis Prevention & Intervention Abuse Reporting for Adults & Children Standards for Record Keeping I. Maintain & practice a working knowledge of the Operational Standards for the ID/DD program J. Maintain & practice all information contained in handbook for ID/DD employees K. Understand definition of fraud and consequences of fraud Employee Name: Employee Signature: E-Mail Address: DATE:

WAGE INFORMATION FOR DMH/IDD PROGRAM Annual Medicaid In-Service November 18, 2014 (Name) has been employed by Southern Healthcare Agency, Inc., having the necessary training and credentials to care for clients eligible for the IDD Elderly and Disabled Waiver Programs. The wages agreed upon for the services needed are: Home and Community Support IDD Waiver Program @ $10.00/unit hr. Home and Community Support (Dual) IDD Waiver Program @ $12.00/unit hr. Employee Signature Date Southern Healthcare Representative Date