The Strengths And Weaknesses Of Oneida Healthcare Compliance Program

Mandatory in-services and mandatory weekly audits will be initiated in all areas of non-compliance. Chart reviews, audits and surveys of the staff allow directors and administration to evaluate the required in-services and education provided to staff in regards to the current non-compliant areas. Addressing hospital wide issues with visual reminders and cues. The increase audits and chart reviews will be initiated until the compliance level of “ORXY initiative” is within The Joint Commission requirements of 85% (Commission, 2013).

In accordance with this the hospital makes sure we follow guidelines laid down by Joint commission Standards. The compliance includes four areas…Information management, Infection control, Communication and Medication Management. The Goal here is patient safety and providing patients with safe and effective care of the highest quality and value.

Answer – As mentioned above, we have our own, clearly written policies and procedures, which are stored in the main staff office and online and are available to all employees. Compliance is demonstrated by adhering to the policies in place and ensuring that they are updated as and when required. All health and safety risk assessments are reviewed on an annual basis, or before if required, and regular communication with the staff team and maintenance team takes place, to ensure that procedures are being followed correctly. Information is shared across the whole company, which in turn supports others to comply with legislative and organisational health, safety and risk management policies, procedures and practices relevant to their work.

It is often recommended for (HCO)’s to have a corporate compliance plan to be more efficient, reduce errors, and not have small errors turn into large errors. As (OIG) it’s a necessary and fundamental need to incorporate a corporate compliance plan to have for staff and management to stay organized and lessen the chance of fraud, waste, and abuse in the company. Stated by, (Cleverly, Song, & Cleverly, 2011), it is effective only if it includes management support, effective communication, continuous monitoring, and individual accountability. All these aspects are a continual monitoring requirement as long the corporate compliance is in place for the duration.

However, the organizations achieve regulatory and accreditation compliance of each organization will help each organization by making sure that they are in compliance with up to date information and laws to better serve the patients and staff. For instance it will offer different services like Awareness, Education and Organization, which helps to create the awareness, obtain executive management commitments. It will also offer Assessment and Risk Analysis, Training, documentation and ongoing monitoring. By making sure each employee receive the necessary classes and training they will be successful in achieving the organizational performance in which is set by the organizational team. By improving the overall organizational performance different things can be done from appraising and rewarding the necessary employees that do go over and beyond for the organization. Also, by making sure everyone is doing the necessary jobs in which need to be done by following the plan in which is set regarding the organizations.

Signatures are obtained on the Verification of Training forms and are to be submitted to Human Resources for retention in the employee’s personnel folder. Employee misconduct will be monitored in by supervisory review of actions taken by employees, by conducting yearly surveys and also by implementing a reporting system. In our monitoring, we will be reviewing compliance and targeting deviations to our established ethical behavior. When the method of surveys is utilized, they will be nameless and must be completed within the thirty day allotted time. One feature of our reporting system is the establishment of our APEX Ethics Hotline, (800) 555-5555. This line is monitored by the Ethics Office and is open to anyone, the public, employees and customers to anonymously report unethical behavior or to ask ethics questions. With this system we are able to effectively monitor and evaluate unethical behavior and to take corrective action as required. The Ethics Officer compiles this data monthly and reports to the CEO with the trends and analysis.

Administrative law usually deals with the in house laws such as HIPPA, HITECH, and other ethical laws. When working as a medical biller and coder you should follow all of the laws and regulations that deal with how you do your job. HIPPA is an example of administrative law. You as a biller or coder should never release any personal or medical information pertaining to a patient; always keep it safe from others that do not have authorization to the information. If you should disclose any of this information, than you could be reprimanded, fired from your job or even fined for the breach of information.

What is HIPAA Compliance? HIPAA stands for Health Insurance Portability and Accountability Act. This act was created in 1996 by congress and signed by president Bill Clinton. It inspires systematization of medical data. HIPAA contains two rules which are privacy and security. HIPAA Security Rule conducts collections,transmittal, IT systems,and storage of electronic patient records. While HIPAA privacy rule controls paper records, HIPAA keeps medical information confidential and protects patient’s information from being put on social media or given to unknown people. Every medical company has devised it’s own standard for interpreting the HIPAA regulations.

Effective healthcare organizations routinely monitor and audit compliance performance. The processes ensure that the organization complies with regulations and uncovers compliance risks.

1) Oversight Accountability & Resources – ensure that the governing authority is knowledgeable about the operation of the compliance and ethics program and are able to exercise the appropriate oversight with regard to the execution and efficiency of the program (Parson & Weiss, 2013). The Chief Compliance Officer will have the overall responsibility of overseeing the program and that it is implemented properly. The day-to-day operations will be

Compliance programs are more focused on risk management. The duties include informing staff about the laws and guidelines regulating the business and monitoring adherence to these policies (Nelson, 2012). (Nelson, 2012) By monitoring compliant behavior the programs reduce the episodes of litigation, negative press, loss of support, and confidence from the public(Nelson, 2012).

The Department of Health and Human Services Office of Inspector General (OIG) on April 20, 2015, working in partnership with the American Health Lawyers Association and the Association of Healthcare Internal Auditors, published Practical guidance for health care governing boards on compliance oversight. The guidance describes the OIG’s expectations of the compliance oversight and the roles governing boards should play in a healthcare organization.

This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health

Having an effective ethics and compliance in health care training course for employees within a company is a positive effort to keep not only the company running strong and efficient, but also developing standards for other companies to follow who are trying to create a more applicable format for corporate regulations. According to federal guidelines, designated and regulated by the Office of Inspector General (OIG), a company in compliance to federal healthcare standards will have effective education of employees, investigation measures, discipline and enforcement measures, intervention of violation standards, strong internal audit standards, compliance officers and staff, and lastly, written company standards and policies that is freely available to all employees.

The health administrator is new to Well Care Hospital, and the hospital for the past six months has been under scrutiny for breach of medical compliance. It is important that the top administrator be concerned about the importance of his or her conduct within