More About the Compliance Program
Why Do We Have a Compliance Program?
Health care has become more complex in recent years, with an increased emphasis on financial considerations. In addition, there has been a growing sense by some that the health-care industry has largely been "under-scrutinized" by the federal and state governments, and, as a result, there has been growing importance on preventing and detecting violations of state and federal health-care laws and regulations. The primary method of accomplishing this task has been the creation of health-care compliance programs as a method of self-policing by members of the health-care sector.
The Department of Health and Human Services and its Office of the Inspector General now strongly encourage all health-care providers to implement effective compliance programs. We have taken up this mandate in part to serve as a role model for good corporate citizenship in health care.
What is the Purpose of the Program?
The Compliance Program has been developed in the context of our core teaching, research, patient care, and public service missions. The specific purposes of the program are to:
- Maintain and enhance quality of care
- Demonstrate sincere, ongoing efforts to comply with all applicable laws
- Revise and clarify current policies and procedures in order to enhance compliance
- Enhance communications with governmental entities with respect to compliance activities
- Empower all responsible parties to prevent, detect, and resolve conduct that does not conform with applicable laws, regulations and the program; and
- Establish mechanisms for employees to raise concerns about compliance issues and ensure that those concerns are appropriately addressed.