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Main Elements of an Effective Healthcare Compliance Program

The medical compliance program for your healthcare facility needs to be effective and well implemented, as per the laws. You should not wait until an audit is scheduled to address some concerns that the compliance program might have.

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Written Policies and Procedures

The written policies and procedures should incorporate a corporate compliance program, disaster recovery plan, ethics, and training. They apply to all staff members, employees, hospital management, departments, and volunteers. To make the best of everything, you should factor in your organization’s core values, mission statement, and any applicable regulation or law. A forward-thinking and proactive approach should be used when creating policies. The policies and procedures should also be updated regularly as per the latest regulations and evolving conditions.

Designated Corporate Compliance Committees and Compliance Officer

The head of the compliance program and committee members should be determined before the adoption of the program. Each person should understand his or her roles and group responsibilities. Also, there should be clear guidelines on when to meet, what to discuss during the meetings, and how the discussions will be shared during the meetings.

Effective Education and Training

As good as your medical compliance program might be, it will not be of good use if the staff does not know anything about it. Access, education, and enforcement are the three main things that contribute to the effective management of policies and procedures. The program should outline the training timeline and individuals responsible for training. That should factor in new employees in the future.

Open Communication Lines

Openness should be embedded in the corporate culture. That means that all the employees and staff members should communicate any compliance issue without experiencing retaliation. They should also seek clarification on anything they might be unsure about regarding policies and procedures or potential violations. The healthcare compliance program should outline the right communication channels, including the person to whom the issues should be addressed.  

Disciplinary Guidelines

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There should be a clear outline of how the healthcare compliance program will be implemented. Once that is done, and training and education are completed, the employees and other staff members should know the repercussions or actions to be taken if they fail to adhere to the healthcare compliance program. The knowledge of the repercussions will encourage them to follow all policies and procedures accordingly. …