Case Assignment: Compliance and Ethics Overview

Provide 2 recommendations for your organization based on the last paper. (I have attached the last paper)

 In this section of your project, you will be researching laws, regulations, guidelines, and specifications relevant to the business processes of your organization/facility. 

Case Assignment

  1. Regulatory Compliance and Health Care Law
    1. Regulatory compliance in health care is all about a health care organization’s adherence to laws, regulations, guidelines, and specifications relevant to its business processes. Complete an extensive review of federal, state, and local laws, regulations, and guidelines relevant to the business processes of your organization/facility.
      1. Prepare an executive summary of federal, state, and local laws, regulations, and guidelines applicable to your organization/facility. Be sure to identify how patient safety will be maintained.
    1. Corporate Compliance Program (Showalter, 2017, pp. 569-572)
      1. Using the outline created in the Module 2 Discussion and the feedback received from your colleagues, develop a comprehensive document outlining the Organizational Policies and Procedures for your organization/facility.
  2. Health Care Ethics and Diversity 
    1. Using the outline created in the Module 2 Discussion and the feedback received from your colleagues, develop a comprehensive Code of Ethics for your organization/facility.
    1. Design a health care ethical committee.
      1. Identify members.
      1. Distinguish the roles and responsibilities of the committee.
    1. Develop an Ethics and Compliance Training Course for your organization. Your training should be health care-based but specific to your organization. Be creative. Your training should be interactive and provide a setting to ask questions (i.e., gamifications or possibly role play to provide a platform for scenarios to be presented and feedback provided). Your course should include the following components:

      Introduction
      1. Course Description
      1. Course Objectives
      1. Evaluate the Relationship between Ethics and Cultural Competence
        1. Relevance of culture to health care and the social determinants of health Ethical implications for lack of cultural competence

Section 2. Compliance and Ethics Overview

  1. Compliance Defined
    1. Ethics Defined
    1. Goals & Purpose
    1. Advantages of Training



Section 3. Components of Ethics and Compliance

  • Ethics
    • Compliance
    • Leadership Example/Tone
    • Fraud and Abuse
    • High Risk Activities

Section 4. Investigations

  • Investigations and Penalties
    • Discuss two payment programs that are relevant to your organization (i.e., The Deficit Reduction Act or The Medicaid Integrity Program
    • State/Federal Sentencing Guidelines
    • Federal False Claims Act

Section 5. Reporting

  • Activities That Should be Reported
    • Rights of Employees
    • Provide a summary or detailed (descriptive) plan of implementation. In addition, provide a timeline of when employees will complete training upon employment, setting of the course, and your plan to incorporate each piece into the training. The training should be the same for all employees and include training materials.
  • Conclusions and Recommendations
    • Bring this section to a close and provide 2 or 3 recommendations for your organization based on the information researched and identified.

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