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PRESENTED BY
CHRIS HYLTON, MA
EAPA WEBINAR
MAY 10, 2016
EAP Documentation:
Tips for Successful Best Practices
Description of Webinar
2
This webinar will review documentation best practices for EAP
providers and pay special attention to EAPA Standards. We will also
review protocols for preserving confidentiality and discuss processes
for releasing information with and without consent. The webinar will
present the challenges of documenting electronic communications in
EAP services and provide strategies to overcome these challenges.
Learning objectives:
 Understanding documentation and records management, including
electronic documents.
 Understanding EAPA Standards and Guidelines for program
records.
 Understanding and communicating protocols for confidentiality and
release of information.
Introduction
3
Background:
 Effective processes for documentation and records management have
evolved dramatically over the past few decades thanks to the proliferation
of technology in the workplace. In this age where so much communication
happens electronically, EAP practitioners need to know how to document
and manage both traditional paper files and electronic files. This webinar
will give you the tools you need to meet EAPA standards for record keeping
and ideas on how to effectively manage documentation. We will also
discuss how records management processes can be designed to maintain
privacy and exceptions to maintaining confidentiality.
Polling questions:
 Are any of the webinar attendees currently using electronic communication
to deliver services? If so, what are some of the challenges you have faced
while transitioning to online service delivery?
 Do you think EAP service documentation will ever be captured exclusively
electronically? What, if any, might some of the challenges be with this type
of records management?
About our Speaker
4
 Chris Hylton runs an EAP serving Canadian
employers, and US EAPs for their Canadian
population.
 He is also a benefits and HR consultant.
 A frequent speaker at EAPA and EASNA events,
Chris brings a unique multi-disciplinary perspective
to the EAP field.
 Chris has seen the value of EAP first hand and is one
of the field’s strongest advocates.
Disclaimer
5
The information presented to you today is considered
to be general best practices only. The information is
not intended to provide legal counsel or legal advice.
Did you know?
6
A dog’s sense of smell is said to be a thousand times
more sensitive than that of humans! They can smell
one week’s history with their incredible noses.
Learning Objectives
 Understanding documentation and record
management
 EAPA Standards and Guidelines
 How to manage electronic documents
 Protocols for preserving confidentiality and
releasing information
7
Expectations have changed
8
Image obtained from www.processexcellencenetwork.com
9
Documentation is King!
Definition of Document
10
 Any piece of written, printed, or electronic matter
that provides evidence or that serves as an official
record
 Forms
 Letters
 Transcriptions
 Emails
 Website content
 Instant messaging
 Social media posts
File Management vs. Record Management
11
 File management is a series of tools, procedures, and
policies designed to organize and file documents so
information can be easily located and retrieved when
required
 Organizations have more
flexibility with file management
systems than record management
protocols
File Management vs. Record Management
12
 Record management involves identifying, classifying,
prioritizing, storing, securing, archiving, preserving,
tracking, and destroying records
 Records must be created and received in compliance
with legal obligations
 This can include tangible documents like a driver’s license or
digital information such as data, website content, and
electronic mail
Source: http://en.wikipedia.org/wiki/Records_management
Internal Records Management
13
 Requires a dedicated staff member or department,
depending on the size of the organization
 Standardized across the organization with one point of
contact who can easily obtain requested records
 Abide by clear and well documented records
management policies
 Can be a combination of physical and digital records
management
 Be able to meet all applicable audit standards
 Should be audited on a regular basis
 Practices, systems, technologies, and facilities
Why Documentation Matters
14
 Creates an objective historical document
 Can help to create and implement new policies and
procedures
 Provides objective evidence of services provided to
the organization and clients
Why Documentation Matters
15
 Provides accurate records to assist with metrics,
certifications, and audits
 Helps to protect the service provider in the event of
an accusation of negligence or malpractice
 Helps to protect against accusations of professional
misconduct
This is not the way to do it!
16
Image: http://www.patrina.com/wp-content/uploads/2012/08/data-compliance-carl-cartoon.jpg
17
EAPA Standards and Guidelines
EA Program Records
18
 All EA program records should comply with EAPA
Standards and Professional Guidelines
 All EA Programs should comply with the EAPA
Standard for Record Keeping
 The EA program should create and maintain client records
that are consistent with the employee assistance program
service delivery system, organization policies, program
procedures, and applicable legal requirements
 There may be variance based on the laws and requirements in
different geographical areas
EAPA Standard for Record Keeping
19
1. The EAP must maintain retrievable documentation
of all direct services and recommendations.
2. EAP records must be maintained in accordance
with all applicable laws and regulations.
3. EAP records must be maintained for the minimum
period of time required by law or organization
policy.
EAPA Standard for Record Keeping
20
4. The storage, transfer and destruction of records must
be handled in a manner to assure confidentiality.
5. Every effort must be made by the EAP to prevent the
involvement of EAP records in arbitration, litigation, or
any other dispute. EAPs are not in place to help solve
workplace disputes!
6. EAP client records must be kept in a secure location
and be available only to authorized EAP personnel.
Client records and rooms where client records are
stored must be locked, and computerized records must
be maintained in a secure environment and separated
from other data systems and all other records.
EAPA Standard for Record Keeping
21
7. The EAP must make every effort to assure the
confidentiality of information sent by mail, fax,
modem, E-mail, or other electronic communication
technology. A limit of disclosure statement must
be included in all communications.
8. Ownership of EAP records must be clearly
delineated through policy or contract language.
9. The content of EAP records must be consistent
with the scope of the service delivery system.
22
Electronic Documents
Image from http://www.triplefin.com/technology
Types of Electronic Documents
23
 Emails
 Text messages
 Instant messages
 Social media
Image from https://www.koernercpa.com/portals/0/images/electronic-documents.png
Every document matters!
24
Email
25
 Print email correspondence and place in paper file
 Import emails into Customer Relationship
Management programs
 Emails should be added to files at regular intervals
 Check with your organization about their email management
standards and guidelines
Text Messages
26
 Texting with clients and co-workers should only be
done from a work issued phone and should be
limited to work related matters
 Texts should be printed and placed in the
appropriate file, then deleted
 Texts can be transcribed and placed in the
appropriate file, then deleted
 Complete text exactly as it was received
 Time and date text was received
 Phone number the text was sent from
Instant Messages
27
 Instant messaging with clients and co-workers
should only be done from work approved
programs/apps and should be limited to work
related matters
 Instant messages can be printed and placed in the
appropriate file, then deleted
 Instant messages can be imported into Customer
Relationship Management programs
Social Media
28
 Interaction on social media should be limited to
general information sharing designed to enhance
knowledge of services available and how to access
them
Image from http://www.artsalliance.com/wp-content/uploads/2015/02/social-media.jpg
29
Document Confidentiality
and Release of Information
Privacy is Paramount
30
Image from http://web.jhu.edu/sebin/b/b/data-recovery-confidential.jpg
Potential Exceptions
31
 Provincial or State mandated reporting
 Legal subpoena
 Labor agreements
 Danger to self or others
 Company policies
 Drug testing regulations
Keeping Records Confidential
32
 Limited access
 Records should be kept in a secured location
 Trackable access
 There should be a written record of who has access to the documents
 Written consent
 Some information can be shared with the employer upon receipt of
written consent from the employee
 Professional due diligence
Keeping Electronic Records Confidential
33
 Encryption
 Back up systems
 Password
protection
 Firewalls
 Virus Protection
 Hardware
 Software
 Third-party services
Release of Information
34
 As required, information from an individual case file
is released only after the client has provided written
consent
 Written consent is not required in instances where
the law permits the release of information from the
file
Written Consent
35
 Name of agency or individual to whom the information is
being released
 A summary of the specific information being released
 Date the consent became
effective
 The date the consent expires
 The client’s signature
Hope this has helped!
36
37
Questions?
THANK YOU!
38
Thank you for the opportunity to
present to you today!
Contact us
39
#517-7620 Elbow Drive SW
Calgary, AB T2V 1K2
403-264-5288 www.hylton.ca
800-449-5866 chris@hylton.ca
Let’s get social!
40
Facebook facebook.com/pages/cghylton
Twitter @HyltonYYC
Google + plus.google.com/u/0/109237546846077340442/posts
YouTube youtube.com/user/CGHylton
LinkedIn ca.linkedin.com/in/cghylton

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Documentation Best Practices for EAPs

  • 1. PRESENTED BY CHRIS HYLTON, MA EAPA WEBINAR MAY 10, 2016 EAP Documentation: Tips for Successful Best Practices
  • 2. Description of Webinar 2 This webinar will review documentation best practices for EAP providers and pay special attention to EAPA Standards. We will also review protocols for preserving confidentiality and discuss processes for releasing information with and without consent. The webinar will present the challenges of documenting electronic communications in EAP services and provide strategies to overcome these challenges. Learning objectives:  Understanding documentation and records management, including electronic documents.  Understanding EAPA Standards and Guidelines for program records.  Understanding and communicating protocols for confidentiality and release of information.
  • 3. Introduction 3 Background:  Effective processes for documentation and records management have evolved dramatically over the past few decades thanks to the proliferation of technology in the workplace. In this age where so much communication happens electronically, EAP practitioners need to know how to document and manage both traditional paper files and electronic files. This webinar will give you the tools you need to meet EAPA standards for record keeping and ideas on how to effectively manage documentation. We will also discuss how records management processes can be designed to maintain privacy and exceptions to maintaining confidentiality. Polling questions:  Are any of the webinar attendees currently using electronic communication to deliver services? If so, what are some of the challenges you have faced while transitioning to online service delivery?  Do you think EAP service documentation will ever be captured exclusively electronically? What, if any, might some of the challenges be with this type of records management?
  • 4. About our Speaker 4  Chris Hylton runs an EAP serving Canadian employers, and US EAPs for their Canadian population.  He is also a benefits and HR consultant.  A frequent speaker at EAPA and EASNA events, Chris brings a unique multi-disciplinary perspective to the EAP field.  Chris has seen the value of EAP first hand and is one of the field’s strongest advocates.
  • 5. Disclaimer 5 The information presented to you today is considered to be general best practices only. The information is not intended to provide legal counsel or legal advice.
  • 6. Did you know? 6 A dog’s sense of smell is said to be a thousand times more sensitive than that of humans! They can smell one week’s history with their incredible noses.
  • 7. Learning Objectives  Understanding documentation and record management  EAPA Standards and Guidelines  How to manage electronic documents  Protocols for preserving confidentiality and releasing information 7
  • 8. Expectations have changed 8 Image obtained from www.processexcellencenetwork.com
  • 10. Definition of Document 10  Any piece of written, printed, or electronic matter that provides evidence or that serves as an official record  Forms  Letters  Transcriptions  Emails  Website content  Instant messaging  Social media posts
  • 11. File Management vs. Record Management 11  File management is a series of tools, procedures, and policies designed to organize and file documents so information can be easily located and retrieved when required  Organizations have more flexibility with file management systems than record management protocols
  • 12. File Management vs. Record Management 12  Record management involves identifying, classifying, prioritizing, storing, securing, archiving, preserving, tracking, and destroying records  Records must be created and received in compliance with legal obligations  This can include tangible documents like a driver’s license or digital information such as data, website content, and electronic mail Source: http://en.wikipedia.org/wiki/Records_management
  • 13. Internal Records Management 13  Requires a dedicated staff member or department, depending on the size of the organization  Standardized across the organization with one point of contact who can easily obtain requested records  Abide by clear and well documented records management policies  Can be a combination of physical and digital records management  Be able to meet all applicable audit standards  Should be audited on a regular basis  Practices, systems, technologies, and facilities
  • 14. Why Documentation Matters 14  Creates an objective historical document  Can help to create and implement new policies and procedures  Provides objective evidence of services provided to the organization and clients
  • 15. Why Documentation Matters 15  Provides accurate records to assist with metrics, certifications, and audits  Helps to protect the service provider in the event of an accusation of negligence or malpractice  Helps to protect against accusations of professional misconduct
  • 16. This is not the way to do it! 16 Image: http://www.patrina.com/wp-content/uploads/2012/08/data-compliance-carl-cartoon.jpg
  • 17. 17 EAPA Standards and Guidelines
  • 18. EA Program Records 18  All EA program records should comply with EAPA Standards and Professional Guidelines  All EA Programs should comply with the EAPA Standard for Record Keeping  The EA program should create and maintain client records that are consistent with the employee assistance program service delivery system, organization policies, program procedures, and applicable legal requirements  There may be variance based on the laws and requirements in different geographical areas
  • 19. EAPA Standard for Record Keeping 19 1. The EAP must maintain retrievable documentation of all direct services and recommendations. 2. EAP records must be maintained in accordance with all applicable laws and regulations. 3. EAP records must be maintained for the minimum period of time required by law or organization policy.
  • 20. EAPA Standard for Record Keeping 20 4. The storage, transfer and destruction of records must be handled in a manner to assure confidentiality. 5. Every effort must be made by the EAP to prevent the involvement of EAP records in arbitration, litigation, or any other dispute. EAPs are not in place to help solve workplace disputes! 6. EAP client records must be kept in a secure location and be available only to authorized EAP personnel. Client records and rooms where client records are stored must be locked, and computerized records must be maintained in a secure environment and separated from other data systems and all other records.
  • 21. EAPA Standard for Record Keeping 21 7. The EAP must make every effort to assure the confidentiality of information sent by mail, fax, modem, E-mail, or other electronic communication technology. A limit of disclosure statement must be included in all communications. 8. Ownership of EAP records must be clearly delineated through policy or contract language. 9. The content of EAP records must be consistent with the scope of the service delivery system.
  • 22. 22 Electronic Documents Image from http://www.triplefin.com/technology
  • 23. Types of Electronic Documents 23  Emails  Text messages  Instant messages  Social media Image from https://www.koernercpa.com/portals/0/images/electronic-documents.png
  • 25. Email 25  Print email correspondence and place in paper file  Import emails into Customer Relationship Management programs  Emails should be added to files at regular intervals  Check with your organization about their email management standards and guidelines
  • 26. Text Messages 26  Texting with clients and co-workers should only be done from a work issued phone and should be limited to work related matters  Texts should be printed and placed in the appropriate file, then deleted  Texts can be transcribed and placed in the appropriate file, then deleted  Complete text exactly as it was received  Time and date text was received  Phone number the text was sent from
  • 27. Instant Messages 27  Instant messaging with clients and co-workers should only be done from work approved programs/apps and should be limited to work related matters  Instant messages can be printed and placed in the appropriate file, then deleted  Instant messages can be imported into Customer Relationship Management programs
  • 28. Social Media 28  Interaction on social media should be limited to general information sharing designed to enhance knowledge of services available and how to access them Image from http://www.artsalliance.com/wp-content/uploads/2015/02/social-media.jpg
  • 30. Privacy is Paramount 30 Image from http://web.jhu.edu/sebin/b/b/data-recovery-confidential.jpg
  • 31. Potential Exceptions 31  Provincial or State mandated reporting  Legal subpoena  Labor agreements  Danger to self or others  Company policies  Drug testing regulations
  • 32. Keeping Records Confidential 32  Limited access  Records should be kept in a secured location  Trackable access  There should be a written record of who has access to the documents  Written consent  Some information can be shared with the employer upon receipt of written consent from the employee  Professional due diligence
  • 33. Keeping Electronic Records Confidential 33  Encryption  Back up systems  Password protection  Firewalls  Virus Protection  Hardware  Software  Third-party services
  • 34. Release of Information 34  As required, information from an individual case file is released only after the client has provided written consent  Written consent is not required in instances where the law permits the release of information from the file
  • 35. Written Consent 35  Name of agency or individual to whom the information is being released  A summary of the specific information being released  Date the consent became effective  The date the consent expires  The client’s signature
  • 36. Hope this has helped! 36
  • 38. THANK YOU! 38 Thank you for the opportunity to present to you today!
  • 39. Contact us 39 #517-7620 Elbow Drive SW Calgary, AB T2V 1K2 403-264-5288 www.hylton.ca 800-449-5866 chris@hylton.ca
  • 40. Let’s get social! 40 Facebook facebook.com/pages/cghylton Twitter @HyltonYYC Google + plus.google.com/u/0/109237546846077340442/posts YouTube youtube.com/user/CGHylton LinkedIn ca.linkedin.com/in/cghylton

Editor's Notes

  1. Did you know that a dog’s sense of smell is said to be a thousand times more sensitive than that of humans? They can smell one week’s history with their incredible noses. Unfortunately, humans don’t have that same capability which is why we need meticulous records to keep track of what’s happened!
  2. You can use this image to talk a bit about the evolution of documentation practices over the last few decades. One of the biggest changes has been the shift from paper documents to electronic documents. This would be a great opportunity to share an anecdote about what record keeping was like when you first opened your business compared to today. Talk a bit about how it has changed and what has improved. Image obtained from www.processexcellencenetwork.com
  3. For a long time, documents were anything that was on paper: letters, forms, publications, etc. Now that so much communication happens electronically, the definition of document has expanded to capture the different ways we communicate at work.
  4. Source: http://en.wikipedia.org/wiki/Records_management
  5. - Review each point individually and provide examples or elaboration where applicable.
  6. - Review each point individually and provide examples or elaboration where applicable.
  7. Image: http://www.patrina.com/wp-content/uploads/2012/08/data-compliance-carl-cartoon.jpg
  8. EAPA requires that EAPs meet or exceed the minimum regulations in their jurisdiction for maintaining records Most EAPs in the US follow HIPPA (Health Insurance Portability and Accountability Act) regulations while EAPs in Canada follow provincial guidelines for the maintenance of health information records as well as the rules and regulations set forth by PIPEDA (Personal Information Protection and Electronic Documents Act) and FOIP (Freedom of Information and Protection of Privacy) Source: www.eapassn.org
  9. There are 9 essential components that make up the EAPA Record Keeping Standard. For Point 3: this guideline is established by the applicable regulations for maintaining health records and may vary by state, province, and country. Review each point individually and provide examples or elaboration where applicable.
  10. - Review each point individually and provide examples or elaboration where applicable.
  11. - Review each point individually and provide examples or elaboration where applicable.
  12. - Image from http://www.triplefin.com/technology
  13. - Image from https://www.koernercpa.com/portals/0/images/electronic-documents.png
  14. - All client and work related electronic documentation matters! Everything that you write, regardless of the medium, should be written properly with correct spelling and grammar. Your documentation should always adhere to a professional tone. Never include profanity, inappropriate biases or judgements, or colloquial abbreviations.
  15. Examples of CRM programs currently in use by EAP services include but are not limited to: Penelope Case Management Software, EAP Expert, Medgate, and Daybreak EAP Software
  16. Social media should be used extremely judiciously and should be very closely monitored Even with safeguards in place, like any form of electronic communication, social media activity can quickly become part of the public domain Image from http://www.artsalliance.com/wp-content/uploads/2015/02/social-media.jpg
  17. Maintaining confidentiality is the cornerstone of successful EAP services EAP professionals should clearly and regularly communicate their standards and safeguards for confidentiality to clients EAP professionals must disclose all conditions that may limit confidentiality - Image from http://web.jhu.edu/sebin/b/b/data-recovery-confidential.jpg
  18. EAP and the organization’s leadership can reasonably determine the implications and limits of confidentiality for areas such as provincial/state mandated reporting, legal subpoenas, labor agreements, danger to self/others, company policies, and drug testing regulations BUT the EAP MUST fully disclose conditions that limit confidentiality such as those listed above - Excerpted from http://www.eapassn.org/Portals/11/Docs/EAPAStandards10.pdf
  19. - Review and provide examples or elaborate on each point
  20. Encryption: EA Professionals understand how to access encrypted services to store records and deliver communication. Record storage can be hosted on a secure server with a third-party, stored on the EA Professionals’ hard drive utilizing encrypted folders or stored on an external drive that is safely backed up. - Backup Systems: Records and data that are stored on the EA Professionals’ hard drive are backed up either to an external drive or remotely via the Internet. Password Protection: EA Professionals ensure confidentiality of client communication and other materials by password protecting their computer, drives and stored files or communication websites. Firewalls: EA Professionals utilize firewall protection at multiple levels: desktop/laptop operating system level, local area network level and additionally utilize firewall resources provided by their Internet service provider. Virus Protection: EA Professionals assure that their work computers are protected from viruses that can be received from or transmitted to others. Hardware: EA Professionals understand the basic running platform of the work computer and know whether or not a client’s hardware/platform is compatible with any communication programs the practitioner uses. Software: EA Professionals know how to download and operate software and assist employees and their families with the same when necessary to the delivery of services. Third-party services: EA Professionals utilize third-party technology service providers (e.g. for backup, storage, virus protection and communication) that offer an address and phone number so that contact is possible via means other than email. - From http://www.eapassn.org/TechinEAPs
  21. In cases where written consent is not required to release information: As previously mentioned, limits to confidentiality must be explained to clients at the onset of services, both verbally and in writing Clients should sign a Statement of Understanding that outlines the limits to confidentiality The EAP must inform clients when confidentiality is impacted Excerpted from http://www.eapassn.org/Portals/11/Docs/EAPAStandards10.pdf