Overview: Healthcare is the most regulated industry in America. Regulatory agencies monitor how practitioners deliver care by establishing and enforcing rules and regulations. The most visible agencies include:
Food & Drug Administration (FDA), responsible for the oversight of drugs, medical devices, vaccines, biologics, and establish rules for how these products are tested, approved, prescribed, and used;
Centers for Medicare and Medicaid Services (CMS) ensures cost-effective care for older adults, disabled or low-income Americans by setting reimbursement levels and standards of care and determines if treatment is medically necessary;
The Office for Civil Rights (OCR) sets voluntary and mandatory regulations that ensure individual patient information is kept confidential and protected in oral, written, and electronic formats. The Occupational Safety and Health Administration (OSHAO) establishes and monitors safety regulations regarding workers with on-site inspections to evaluate hazards, investigate accidents, and provide educational materials for workplace safety.
Accrediting agencies, including The Joint Commission (TJC), the National Committee for Quality Assurance (NCQA), and the Accreditation Commission for Healthcare (ACHC) set standards and provide comprehensive facility inspections to ensure quality care and compliance with safety standards. CMS requires accreditation for reimbursement.
Failure to comply with these and state agency requirements can result in loss of accreditation, lost revenue, reputational damage, medical malpractice, investigations from the Department of Justice, Federal/state Bureau of Investigation, civil and criminal penalties.
Compliance experts navigate these federally-funded agencies by building expertise in one or more series of laws that govern how health care is delivered. Practitioners learn of some laws in medical school but depend on compliance experts to keep them out of harms' way. When delivery of health care for specific patients falls outside a governance agency, practitioners can develop disdain for the laws. This puts the health system in jeopardy to choose between sanctioning practitioners or supporting compliance officers, a choice that requires consistency, a culture of compliance, and significant leadership endorsement.
Why Should You Attend: Compliance Experts are under greater scrutiny today than ever before. Unprecedented penalties, OCR audits, cyber security threats, emergency preparedness mandates, and consumer expectations place enormous pressure on health care's compliance team to keep health care professionals current and compliant.
In an enormously litigious field, compliance officers are the health system's first line of defense, acting as researcher, investigator, educator, and interpreter of laws that govern the delivery of care. But rarely do they receive authority to act as a member of the leadership team, a decision that leads to frustration and weakened spirits, a situation that sets up the facility for system failure.
Underbudgeted and overworked, compliance experts risk losing self-confidence, health issues increase, tempers flare, signs that can result in termination. But a good compliance officer is hard to find, train, and keep, especially when their primary goal is to maintain the safety of the organization and the patients it serves.
Webinar leader, Carolyn Hartley, has seen compliance experts reincarnate their spirits many times. In this session, she offers a compendium of guidance from great leaders who find their compliance experts on sixth or seventh lives and then built a plan to not only keep these invaluable employees but help them thrive.
Areas Covered in the Session:
How leadership support strengthens or weakens the organization's culture of compliance
Strategies that support the heart of a compliance expert
What to do when the support you need becomes weak or toxic
How to rebuild your core compliance instincts
Where to go for help
Food & Drug Administration (FDA), responsible for the oversight of drugs, medical devices, vaccines, biologics, and establish rules for how these products are tested, approved, prescribed, and used;
Centers for Medicare and Medicaid Services (CMS) ensures cost-effective care for older adults, disabled or low-income Americans by setting reimbursement levels and standards of care and determines if treatment is medically necessary;
The Office for Civil Rights (OCR) sets voluntary and mandatory regulations that ensure individual patient information is kept confidential and protected in oral, written, and electronic formats. The Occupational Safety and Health Administration (OSHAO) establishes and monitors safety regulations regarding workers with on-site inspections to evaluate hazards, investigate accidents, and provide educational materials for workplace safety.
Accrediting agencies, including The Joint Commission (TJC), the National Committee for Quality Assurance (NCQA), and the Accreditation Commission for Healthcare (ACHC) set standards and provide comprehensive facility inspections to ensure quality care and compliance with safety standards. CMS requires accreditation for reimbursement.
Failure to comply with these and state agency requirements can result in loss of accreditation, lost revenue, reputational damage, medical malpractice, investigations from the Department of Justice, Federal/state Bureau of Investigation, civil and criminal penalties.
Compliance experts navigate these federally-funded agencies by building expertise in one or more series of laws that govern how health care is delivered. Practitioners learn of some laws in medical school but depend on compliance experts to keep them out of harms' way. When delivery of health care for specific patients falls outside a governance agency, practitioners can develop disdain for the laws. This puts the health system in jeopardy to choose between sanctioning practitioners or supporting compliance officers, a choice that requires consistency, a culture of compliance, and significant leadership endorsement.
Why Should You Attend: Compliance Experts are under greater scrutiny today than ever before. Unprecedented penalties, OCR audits, cyber security threats, emergency preparedness mandates, and consumer expectations place enormous pressure on health care's compliance team to keep health care professionals current and compliant.
In an enormously litigious field, compliance officers are the health system's first line of defense, acting as researcher, investigator, educator, and interpreter of laws that govern the delivery of care. But rarely do they receive authority to act as a member of the leadership team, a decision that leads to frustration and weakened spirits, a situation that sets up the facility for system failure.
Underbudgeted and overworked, compliance experts risk losing self-confidence, health issues increase, tempers flare, signs that can result in termination. But a good compliance officer is hard to find, train, and keep, especially when their primary goal is to maintain the safety of the organization and the patients it serves.
Webinar leader, Carolyn Hartley, has seen compliance experts reincarnate their spirits many times. In this session, she offers a compendium of guidance from great leaders who find their compliance experts on sixth or seventh lives and then built a plan to not only keep these invaluable employees but help them thrive.
Areas Covered in the Session:
How leadership support strengthens or weakens the organization's culture of compliance
Strategies that support the heart of a compliance expert
What to do when the support you need becomes weak or toxic
How to rebuild your core compliance instincts
Where to go for help
Speakers
Carolyn Hartley,
Who Should Attend
- Chief Information Officers
- Chief Medical Information Officers
- Health Compliance Consultants
- Health Law Attorneys
