You are in charge of General Hospital’s compliance program. As part of the Hospital’s orientation program, you provide an overview of the compliance program to new employees.
Things to consider:
The concept of compliance has been a feature of health care for decades, with many members of the health care team playing a role.
A prominent player of the team for many decades has been the health information professional.
Outline what information you will include in your presentation.
Be specific as to what would be required information to share.
Include:
Keep in mind, they don’t know anything about compliance, they may be hearing this for the first time.
Items to include (examples) are:
Two approaches to developing a compliance program
Protecting health information
Etc.
I think you have to read your text materials before you can design such a program or presentation.
Presentation Outline: Overview of General Hospital's Compliance Program
I. Introduction
A. Welcome new employees to General Hospital's orientation program
B. Explain the concept of compliance in the healthcare industry
C. Emphasize the importance of compliance in maintaining ethical standards and regulatory requirements
II. Role of Compliance in Healthcare
A. Highlight the various members of the healthcare team involved in compliance
B. Stress the significance of health information professionals in ensuring compliance
III. Two Approaches to Developing a Compliance Program
A. Explain the proactive approach:
1. Assessing potential risks and developing preventative measures
2. Implementing policies and procedures to address identified risks
3. Regularly monitoring and auditing activities to ensure compliance
B. Discuss the reactive approach:
1. Investigating and responding to reported compliance violations
2. Developing corrective actions and measures to prevent future occurrences
3. Conducting disciplinary actions when necessary
IV. Protecting Health Information
A. Describe the importance of ensuring the confidentiality, integrity, and availability of health information
B. Explain the Health Insurance Portability and Accountability Act (HIPAA) and its role in safeguarding patient privacy
C. Discuss the need for proper access controls, secure data storage, and secure transmission of health information
V. Reporting Non-Compliance
A. Educate new employees about the importance of reporting any potential compliance violations or concerns
B. Provide information on how to report non-compliance, such as using designated reporting channels or anonymous hotlines
C. Emphasize the protection against retaliation for reporting in good faith
VI. Compliance Responsibilities
A. Outline the general responsibilities of employees in maintaining compliance
B. Provide examples of common compliance-related activities, such as accurate coding, proper documentation, and ethical billing practices
C. Highlight the consequences of non-compliance, including legal ramifications and damage to the hospital's reputation
VII. Resources and Support
A. Inform new employees about the availability of compliance resources, such as policies and procedures manuals, training materials, and compliance officers
B. Encourage employees to seek support or clarification on compliance matters from designated personnel
VIII. Conclusion
A. Recap the key points covered in the presentation
B. Express General Hospital's commitment to maintaining a culture of compliance
C. Encourage new employees to embrace their roles in upholding ethical standards and regulatory compliance in their daily work.