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Page A18

MARCH 2017

FUNERAL HOME & CEMETERY NEWS

S ec t i on A

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By Jim Starks, CFuE, CCrE

Jim Starks, CFuE, CCrE, is President of J. Starks Consulting in Lutz,

FL, and a nationally-recognized trainer on funeral home and crema-

tory risk management.

He used his experience in both funeral home and crematory oper-

ations and risk management, combined with his involvement with

funeral homes of all sizes and geographies, to become an author-

ity at controlling risk and loss in the death care industry, providing

lectures and presentations to private firms, as well as regional, state

and national associations. He also conducts private audits and risk

assessments to independent funeral homes and crematories in the

US and Canada, often identifying ways to save or generate thou-

sands of dollars of profit.

Jim is a Michigan and Indiana Licensed Funeral Director and

Embalmer and ICCFA- and CANA-certified crematory operator, as

well as Dean of ICCFA University’s College of Cremation Services. He

is a graduate of the University of Wyoming, the Mid-America School

of Mortuary Science, and the ICCFA University. For more information

on risk management in the death care industry, visit jstarksconsulting.

com. Contact Jim at (813) 765-9844 or

jim@jstarksconsulting.com.

Initial Steps to

Reduce Cross-Contamination

The death care profession has changed significantly in the

past 40 years. But the concept of universal precautions when

dealing with cross-contamination is frequently overlooked.

This is important because – when ignored – the entire fa-

cility may be contaminated, creating long-term effects that

spill over to the facility’s staff and the community it serves.

The cross-contamination discussion begins with the

stretchers used to make removals. The stretchers are taken

into morgues and hospitals, long-term care facilities, and

residences to transport deceased. They are then placed in

removal vehicles, which often have carpeted flooring, be-

fore the stretcher arrives in the embalming room or an-

other area to transfer the deceased onto an embalming or

dressing table or refrigeration tray.

Addressing the cross-contamination from transportation

begins with the stretcher wheels, which must be disinfected;

they are likely the home of unknown pathogens. Next is the

Protecting

Your Families

and Business

cations must analyze their facility and develop policies

and procedures to reduce the level of possible cross-

contamination, including what areas and equipment

must be disinfected with an appropriate chemical or

treatment on a regular basis. This process must be doc-

umented when completed to maintain accountability

in the work environment.

floor in the removal vehicle. Many funeral homes use

their removal vehicle for general purposes as well. The-

oretically, anything placed in the back of the van could

be contaminated with unknown pathogens. Even the

route the stretcher is taken through in the facility must

be disinfected to prevent cross-contamination.

Continuing with the stretcher, the mattress should

be sprayed with disinfectant after each deceased is

transferred. And even as important, the stretcher

cover and the metal tubing the stretcher is made of

must be considered. Disposable gloves should always

be used when making the transfer from the place of

death, but during the transfer the stretcher is adjust-

ed with the gloves on, which can transfer pathogens

from the deceased to the frame.

This creates more problems: Many times the stretch-

er is moved without the protection of disposable

gloves, and the person does not wash his or her hands

immediately. Worse yet, he or she moves the stretcher

then handles paperwork for the deceased – paperwork

that is then taken to the office for processing.

Another opportunity for cross-contamination is

shoes worn by staff. A majority of embalmers em-

balm in their everyday shoes without any protective

covering. When they complete their work they re-

move their personal protective equipment, hopefully

wash their hands, and proceed into the general pub-

lic area with those shoes. Now the facility may be

cross-contaminated.

Because this list of opportunities for cross-contam-

ination is not nearly exhaustive, it shows only a few

ways that cross-contamination tends to happen. Lo-

www.nomispublications.com Funeral Home & Cemetery News Contributors share insights and exchange ideas. Blogs

ciation (NFDA) designed to increase compliance with the

Funeral Rule. All the homes found in violation during the

past two years have chosen to enter the FROP rather than

subject themselves to the possibility of an enforcement law-

suit seeking civil penalties of up to $40,654 per violation.

The FROP provides participants with a legal review of the

price disclosures required by the Rule, and on-going train-

ing, testing and monitoring for compliance. Funeral homes

that participate in the program make a voluntary payment

to the U.S. Treasury in place of a civil penalty, and pay an-

nual administrative fees to the NFDA.

The results of the FTC 2015-2016 undercover inspections

for price list disclosures by region are as follows:

• In Bakersfield, California, none of the 10 funeral homes

inspected in 2016 failed to make a price list disclosure;

• In Atlanta, Smyrna and Marietta, Georgia, one of the 10

funeral homes inspected in 2015 failed to make a price list

disclosure;

• In Detroit, Warren and Ann Arbor, Michigan, 10 of the

15 funeral homes inspected in 2015 failed to make a price

list disclosure;

• In St. Louis, Missouri, three of the 16 funeral homes in-

spected in 2015 failed to make a price list disclosure;

• In Alamogordo and Roswell, New Mexico, nine of the 14

funeral homes inspected in 2016 failed to make a price list

disclosure;

• In Bismarck, North Dakota, none of the six funeral homes

inspected in 2016 failed to make a price list disclosure;

• In Oklahoma City, Oklahoma, four of the 34 funeral

homes inspected in 2015 failed to make a price list dis-

closure;

• In Fairfax, Loudoun and Prince William Counties in Vir-

ginia, two of the 17 funeral homes inspected in 2016

failed to make a price list disclosure; and

• In Tacoma, Washington, two of the 11 funeral homes in-

spected in 2015 failed to make a price list disclosure.

Since the FROP began in 1996, the FTC has inspected

more than 3,000 funeral homes and found 530 homes

with violations. In addition, the FTC identified a num-

ber of homes, within the nine states, with only minor

compliance deficiencies. In such cases, the FTC requires

the funeral home to provide evidence that it has corrected

the problems.

The FTC educates consumers in English and Spanish

about their rights under the Funeral Rule, and provides

guidance to businesses in how to comply. For more infor-

mation, read Shopping for Funeral Services, Paying Final

Respects, Your Rights When Buying Funeral Goods and

Services, and Complying with the Funeral Rule.

The Federal Trade Commission works to promote competi-

tion, and protect and educate consumers. You can learn more

about consumer topics and file a consumer complaint online

or by calling 1-877-FTC-HELP (382-4357). Like the FTC

on Facebook, follow us on Twitter, read our blogs and sub-

scribe to press releases for the latest FTC news and resources.

FTC Undercover Inspections of Funeral Homes in

Nine States Prompt Compliance with Funeral Rule

Disclosure Requirements

WASHINGTON,DC—

Federal Trade Commission investi-

gators working undercover in nine states found failures to

disclose pricing information to consumers, as required by

the FTC’s Funeral Rule, in 31 of the 133 funeral homes

they visited during 2015 and 2016.

The FTC conducts undercover inspections to ensure

that funeral homes comply with the Funeral Rule. Issued

in 1984, the Rule gives consumers important rights when

making funeral arrangements. Key provisions require fu-

neral homes to provide consumers with an itemized general

price list at the start of an in-person discussion of funeral

arrangements, a casket price

list before consumers view

any caskets, and an outer

burial container price list

before they view grave liners

or vaults. The Rule also pro-

hibits funeral homes from

requiring consumers to buy

any item, such as a casket,

as a condition of obtain-

ing any other funeral good

or service. By requiring the

provision of itemized pric-

es, the Funeral Rule enables

consumers to compare pric-

es and buy only the goods

and services they want.

Funeral homes that vio-

late the price list disclosure

requirements for the first

time can enter the Funer-

al Rule Offender’s Program

(FROP), a training pro-

gram run by the Nation-

al Funeral Directors Asso-

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