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Compliance Program

Compliance Program

What Are My Responsibilities?

The opportunity for you to ask questions and raise concerns is a cornerstone of a successful corporate compliance program. We support open discussion of ethical and legal questions and concerns regarding compliance issues and will not tolerate retaliation against any individual who, in good faith, raises questions or reports suspected violations.

The rules governing the health-care industry can be complicated. For this reason, it is not always easy to make the right choices when it comes to compliance. If you have questions or concerns with any area of compliance, please ask for help (see below for the suggested approach). It is always better to ask before taking an action that might be improper. UC Davis Health supports open discussion of ethical and legal questions. We have well-developed programs in these areas and will not tolerate retaliation against any employee who, in good faith, raises questions or reports suspected violations.

As a university employee or student, you have a personal responsibility to report any activity that appears to violate the Code of Conduct or any applicable laws or regulations. In general, if you are aware of a compliance violation and fail to report it, you may be subject to corrective or disciplinary action.

If you have a question or concern regarding the appropriateness of a decision or action, you should take the following steps:

  1. Communicate with an immediate supervisor or manager
    You should immediately discuss the issue with your supervisor, manager, or team leader because these individuals should be the most familiar with the particular job requirements and business practices. The supervisor should provide a timely response or work to seek alternative solutions.

  2. Talk with higher level management
    If you are not comfortable speaking with a direct supervisor or manager, you should contact a higher level manager in the department or within the health system.

  3. Contact the chief compliance officer
    The chief compliance officer has been designated as the individual with lead responsibility for compliance issues. The CCO reports directly to executive leadership within UC Davis Health. At any point in the process, you can bring a question or concern to the chief compliance officer or staff within the Compliance Office. This would include situations where you believe that you have not received an appropriate, timely or ethical response from a supervisor.

  4. Obtain help from other university resources
    You can contact university management within other departments or the Office of the President. There are a number of resources within the university that are available to help, including the corporate compliance office, human resources, internal audit, and campus counsel.

  5. Call the Compliance Hotline
    At any point, you can contact the Compliance Hotline to raise questions and clarify issues or to report suspected violations. Reports will be investigated or referred to appropriate personnel for resolution. If you contact the Compliance Hotline, you may choose to remain anonymous. The Compliance Hotline can be reached at the following telephone number:

    (877) Ethics-2
    (877) 384-4272

If you are not comfortable taking any of the above steps, contact the UC Davis Health Compliance Office at (916) 734-8808, e-mail us at or check the compliance Web site at

The people working in these areas are available to respond to any kind of question you might have. If they don't know the answer, they will try to find someone who does. Don't be shy about asking — we are all here to help each other.