Columbia University/Department of Medicine/NYPH
Compliance Calendar 2013
I-STOP   -   HCS Registration for Licensed Providers    DEADLINE: SEPTEMBER

iStop What you need to know

1. If you do not have an HCS account, use the address below.
     • You will receive a form by email within a few hours
     • The form must be signed, notarized and mailed back
     • You will then receive your HCS ID and password by mail
If you have mailed back the notarized form and have not received the final authorized form with your password and ID, call the number on the back of the notarized form you sent in and you will get immediate access.

2. If you have an HCS account with an expired password, it can be reset immediately by calling (866) 811-7957

3. If you are not sure if you have an HCS account, call (866) 811-7957 BEFORE applying on-line

4. If you already have an HCS account and need to register for the PMP, use the address below:

For questions related to following areas, please contact:
GME                                                   Lyuba Konopasek:
Columbia Campus                         John Evanko:
Weill Cornell Campus                    Ralph Slepian:
Ambulatory Care Network             Steven Kaplan:

Annual Health Review (AHR) & Respiratory Fit Test (RFT)    DEADLINE: OCTOBER 21, 2013
Attending AHR Forms
Attending AHR Form (Health Questionnaire)
Attending Physcian 2013 Annual Health Notification

a. Attendings and Fellows - GO TO Workforce Health and Safety, Harkness Pavilion 1st Floor (180 Ft. Washington Avenue)
    (Completed forms should be submitted at this time)

b. Contact Person: Bernadette Miles, Practice Administrator at 212-305-7590

Annual Respirator Fit Testing is an OSHA requirement for staff with direct patient contact.
Direct patient contact is defined as follows:

     • Entering the room of a patient on respiratory isolation
     • Administering aerosolized ribavirin to patients with respiratory syncytial virus (RSV)
     • Performing or assisting at a procedure on a patient with influenza
     • ER consults
Respirator Fit Testing is a condition of continued employment or affiliation for those who come under the program and eligible members who do not meet the requirement will be considered unfit for duty.

Fit Test Locations:
HP7 - Room 725
Hours: Monday - Friday 7:50am - 3:30pm (CLOSE 11:30am - 12:30pm)

Allen Pavilion, Pavilion Cafe
Hours: Tuesdays and Friday 7:30am - 11:30am

c. PENALTY: Administrative time out and possible voluntary resignation

FLU – Influenza & H1N1 vaccine    DEADLINE: OCTOBER 21, 2013

a. MANDATORY for all health care providers –There will be a new process for those who decide     not to receive the vaccination

Flu Vaccination injectable and intranasal available free of charge to all NYPH employees, volunteers and medical staff
Effective immediately: Workforce Health and Safety, Harkness Pavilion 1st Floor

Flu Frequently Ask Question

If You Are Considering Not Being Vaccinated - You are required to complete an online education course, entitled Influenza Vaccine Required Education for Declination, before making a final decision. The course is available in the NYP Learning Exchange at:
Flu Declination Intructions
Influenza Declination Form

This year, the New York State Department of Health (NYS DOH) is requiring any health care worker who declines the vaccination to wear a surgical mask while in areas where patients may be present.
b. PENALTY:Administrative time out and possible voluntary resignation.

COI – Conflict of Interest    DEADLINE: OCTOBER 21, 2013

Log into RASCAL using your activated CU UNI and Password
     • Select “Conflict of Interest” from the Rascal menu
     • On the Conflict of Interest page select “Start New Disclosure”
     • Scroll to the bottom of the page. Underneath the text: "Would you like to file a Conflict of Interest Disclosure Statement?" click the "Yes" button.
     • Answer each of the questions accurately. If you answer YES to any of the questions, you must describe separately each business or activity. Click the blue arrow button to do so.
     • Click "CERTIFY" to complete the disclosure statement. The screen will state: “Your disclosure has been successfully submitted for review”
Print proof of completion:
     • Click “COI Menu”, select “Continue Form in Progress and/or View History”, and then click the blue circle under “View Disclosure and Related Information”.  Print the “General Information” screen and forward to your Administrator as proof of completion.

HIPAA Compliance    DEADLINE: NOVEMBER 1, 2013
Mandatory Online training:
All CUMC faculty, staff, and students are required to complete this training. Sight Training makes the process straightforward and convenient. You may take the courses on any computer; each course should take no more than 30-45 minutes. All courses must be completed by November 1, 2013.

     a) Please follow-up with all faculty and staff to ensure receipt of email which provides login instruction and course information. Course information will vary depending on the role of the individual.
     b) To access the course(s), go to and log in with your UNI and password.

Failure to complete the training by November 1may result in:
     •  notification of your departmental administrator
     •  loss of access to clinical systems, such as CROWN, IDX, and WebCIS; and/ or
     •  loss of access to research systems, such as RASCAL
If you have any questions about the courses or their content, please email the Office of HIPAA Compliance at

Annual Hospital Training for Attending’s    DEADLINE: NOVEMBER 4, 2013
Mandatory Online training:
To complete this training, go to  and select "Annual Hospital Training 2013 for Medical Staff" from the menu on the left side of the page.  Follow the instructions provided on the course registration page. .

When completing the online registration form, please be sure to verify that you have the correct CWID entered into the CWID field. This identification number is used to track your participation in this training. There is a CWID lookup tool incorporated into the registration process to assist those who may not know their CWID.

If you encounter any problems with course registration or navigation, please call 888-345-6788 or send e-mail to

For questions regarding course content or the requirement to complete this training, please call the Medical Staff Office at 212-585-6410.

PENALTY: Administrative time out and $100 fine, continued non-compliance will lead to voluntary resignation.     

Annual Hospital Training for Fellows, NPs, PAs and DPO Staff   DEADLINE: NOVEMBER 15, 2013
NP and PA NYPH AHT 2013 Information

Please follow-up with your NPs and PAs to ensure receipt of the email from COLE and completion of the course.

Please take note of the information regarding mandatory completion of AHT 2013 prior to November 15, 2013 as sent by COLE learning center below. Please inform your NP’s and PA’s that everyone is required to complete the course regardless of hire date.

     •   To access the training, sign into the NYP Learning Center and click on My Transcript.
     •   For a step-by-step guide to accessing and completing AHT13, click here.
     •  Use Internet Explorer as your Web browser to access AHT13.
     •  Your Internet browser must be enabled to accept pop-ups. To enable this feature, select “Tools” in Internet Explorer, and make sure “Pop-Up Blocker” is disabled.

PENALTY: Administrative time out and possible voluntary resignation.

EFFORT - Annual Effort Reporting Certification UPCOMING   DEADLINE: NOVEMBER 19, 2013
Mandatory Online training:
All involved in sponsored research
ICA – Billing Compliance   online trainning will begin soon
Mandatory Online training:
All those involved in clinical practice need to complete the ICA –Billing Compliance training which will
To access the course(s), go to and log in with your UNI and password.
Computer Access for Online Compliance Training

Monday October 14th
HSC 202A  1:30pm – 3:30pm
HSC LL204 12:30 – 2:30pm

Tuesday October 15th
HSC LL204 3:30pm – 6:30pm

Thursday October 17th
HSC 202A 9:30am – 11:30am  
HSC 202A 1:30pm – 3:30pm

Friday October 18th
HSC 202A 9:30am – 11:30am
HSC LL204  1:30pm – 4:30pm