4/9/2015. Large Hospitals and Health Systems HCCA 19 th Annual Compliance Institute. Session Goal. Discussion Facilitators: PREAM1 APRIL 19, 2015
|
|
- Roger Luke May
- 6 years ago
- Views:
Transcription
1 Large Hospitals and Health Systems HCCA 19 th Annual Compliance Institute PREAM1 APRIL 19, 2015 Session Goal This session is the opportunity for Large Hospital and Health System compliance officers to engage in a collaborative discussion of both emerging and chronic challenges to effective compliance programs unique to such organizations, share model practices and practical solutions. A panel of experienced large system compliance professionals will introduce and speak to such topics, engage the audience in an interactive exchange of perspectives and approaches and solicit additional issues of concern. You should take away from this session an enhanced understanding of challenges common to compliance programs in large organizations, new approaches to these challenges and the wisdom of your colleagues. Discussion Facilitators: Suzie Draper VP, Business Ethics and Compliance Intermountain Healthcare John Steiner Chief Compliance and Privacy Officer and Associate General Counsel Cancer Treatment Centers of America Cheryl L. Wagonhurst Law Office of Cheryl Wagonhurst 1
2 Overview I. Compliance Best Practices II. Subject Matter Challenges III. Emerging s Evolution of a Compliance Program Complexity Regulatory Agency Enforcement and Oversight 2
3 Evolution of a Compliance Program Proliferation 2014, Intermountain Healthcare 19 websites checked daily 3,287 regulations reviewed (> 32,000 pgs) 451 Prime assignments 2,090 FYI Communications Regulatory Agency Enforcement and Oversight Evolution of a Compliance Program Regulatory Agency Enforcement and Oversight Federal Compliance Program Guidances stipulates the need for an Effective Compliance Program Silent on how to measure effectiveness Emphasizes that to be effective, the program must Be fully implemented Be adequately resourced Have an annual independent audit of effectiveness (select programs) Have effective board oversight Increased push for outcomes and performance measures Evolution of a Compliance Program Solo Practitioner or Large Integrated Delivery System o s facing a healthcare entity Regulatory Financial Patient Safety Reputational Scalability 3
4 Evolution of a Compliance Program Scalability Solo Practitioner or Large Integrated Delivery System o Assessing the environment in which your Program exists Size and diversity of business lines Available expertise and budgetary resources Leadership / organizational structure Compliance Program Evolution Initial Establish Program Elements Basic Metrics Maturing Activity Metrics Demonstrate Elements of Compliance Program Monitor Compliance Program Elements Mature Performance Metrics Demonstrate Effectiveness & Consistent Improvement Benchmarking and Trending Elements of an Effective Compliance Program High Level Commitment Policies and Standards of Conduct Training and Education Effective Lines of Communication Auditing and Monitoring Response and Prevention Discipline Assessment 4
5 Element: High Level Commitment High Level Commitment Which of the following has been the most challenging for your organization? Culture of Compliance Tone at the Top Compliance Program Performance Metrics Partnering Internal Audit/Quality/ Management Employee Engagement High Level Commitment Culture Element: High Level Commitment 5
6 Cultural Maturity High Level Commitment Culture What is the maturity of your culture? Are you an advisor or an afterthought? Do they run to you, or from you? Do you have routine access to Senior Management and the Board of Directors? Do you partner with Internal Audit? Auditing and Monitoring Element: Auditing and Monitoring Element: Auditing and Monitoring Auditing and Monitoring In which area do you think your organization has the best Auditing and Monitoring infrastructure? Clarity of Roles: 3 Lines of Defense Data Mining Proactive Regular Dashboard Reporting Routine Process Monitoring System-wide Learning 6
7 Auditing and Monitoring Clarity of Roles 3 Lines of Defense Element: Auditing and Monitoring Compliance Program Three Lines of Defense Board of Directors and Audit Committee Senior Management Operations Management Monitoring Processes and Procedures Training Issue Reporting Issue Correction Compliance Issue Management Regulatory Analysis Assessment Process Operational Oversight Tools and Resources Internal Audit Independent Audits Collaboration with Compliance Based Audits Issue Correction Verification Improvement Opportunities External Auditors Regulators Response and Prevention Element: Response and Prevention 7
8 Response and Prevention Shift from reactive to proactive Element: Response and Prevention Compliance Program Evolution Detect / Identify Effective / Identify Next Issue Reactive Investigate Sustain Proactive Assess CAP Payback Sanction Penalties CAP Process Standardization Education Controls Monitors Evolution of ERM and GRC GRC o Governance o Management o Compliance RACI o Responsible o Accountable o Consultation o Information 8
9 Element: Response and Prevention Response and Prevention Even with extensive resource infusion, which area in your organization continues to have the most problems/errors? Ethics in Patient Referral Act (Stark Law) Government Payor Audits Reimbursement Denials Information and Data Security Privacy and Data Breaches Limited English Proficiency / ADA Assessment Element: Assessment Assessment Assessment Moving from checking-the-boxes Prioritization Strategies Identification Mitigat Identification Mitigation Prioritization 9
10 Assessment Process Strategies Mitigation Identification Prioritization Identification Mitigation Prioritization Strategy Assessment All risks are not equal Moving from checking-the-boxes 10
11 Subject Matter Challenges I. Compliance Best Practices II. Subject Matter Challenges III. Emerging s Moving from checking-the-boxes Assessment Which regulatory area is creating the most activity within your organization? Quality / Joint Commission OIG Workplan CoPs Agency Surveys Certifications / Best of Class Status Evolving Organizational Response to 11
12 Healthcare Outlook Changes in Corporate Structure o Clinical System Integration o Zero Harm Reporting and Escalation Changes in Physical Plant o Smaller facilities o Expanded delivery of services Changes in Delivery Structure o Accountable Care Organizations Systems Improvement Agreements New and Effective means of preventing termination and closure One year Use of IRO Focus on Conditions of Participation Systems Improvement Agreements Allows for process improvements Integrates quality and compliance Promotes sustainable compliance 12
13 Emerging s I. Compliance Best Practices II. Subject Matter Challenges III. Emerging s Assessment In which area do you feel your organization is the least mature? Electronic Health Record Information Systems Security Business Innovation Mergers and Acquisitions Stakeholders Added Value Contracts Moving from checking-the-boxes Assessment Identification Monitoring Audits Regulatory updates Compliance issue and risk trends CMS/OIG identified risk areas Gaps in controls Functions / activities with high impact 13
14 Moving from checking-the-boxes Assessment Emerging s Clinical Documentation EHR copy and paste Adjustment Coding ACO/ Shared Accountability Population Health Management LA County 350,000 NASDA Q unknown Ebay 145,000,000 Nintend o 240,000 Advocate Medical Group 4,000,000 Wallgreens 100,000 Adobe 152,000,000 Touchston e 300,000 Florida Courts 100,000 South Africa Police 16,000 Korea Credit Bureau 20,000,000 Sony 145,000,000 SnapCha t 4,700,000 Drupal 1,000,000 Texas DHHS 2,000,000 Hudson Gas 110,000 Internationa l Bank Heist $1 billion stolen Target 70,000,000 LexisNexis 1,000,000 AOL 92,000,000 Montana DDHS 1,300,000 Boston Children s unknow n Macrumor s.com 800,000 WA State Courts 160,000 Premier 11,000,000 CHS 45,000,000 Nieman Marcus unknown Anthem 80,000,000 Cross industry Breaches
15 Intermountain Healthcare Suzie Draper Vice President, Business Ethics and Compliance Intermountain Healthcare Salt Lake City, UT (801) Intermountain Healthcare Serves Utah and southeastern Idaho Not-for-profit healthcare system 22 hospitals >185 clinics o 24 community clinics for low-income, homeless and uninsured; 6 owned,18 receiving financial support 1,100 physician multi-specialty Intermountain Medical Group Health insurance SelectHealth o 750,000 covered lives Homecare and Hospice Clinical Quality Board Goals 36,000 employees Total assets of $6.3 billion Total operating revenues of $5.5 billion Cancer Treatment Centers of America John Steiner Chief Compliance and Privacy Officer and Associate General Counsel Cancer Treatment Centers of America Schaumburg, IL (847) John.Steiner@ctca-hope.com Cancer Treatment Centers of America National network of cancer hospitals founded in 1988 Serves patients from all 50 states, at specialty hospitals located in Chicago, Tulsa, Philadelphia, Phoenix and Atlanta Focuses on complex and advanced-stage cancer Offers fully integrated approach to cancer treatment o Traditional treatments like surgery, radiation and chemotherapy, and complementary therapies like nutrition, acupuncture and mind-body medicine to manage side effects, all under one roof Known for delivering the Mother Standard of care and Patient Empowerment Medicine 4,500 employees (called stakeholders at CTCA) Partners with nearly 300 different organizations to educate, support local communities and improve health and wellness Cheryl L. Wagonhurst Cheryl Wagonhurst Attorney at Law Law Office of Cheryl Wagonhurst Santa Barbara, CA (805) cwagonhurst@wagonhurst.com 15
Large Hospital Systems
Large Hospital Systems HCCA 17 th Annual Compliance Institute PREAM1 April 21, 2013 Session Goal 2 This session is the opportunity for Large Hospital and Health System compliance officers to engage in
More informationLarge Hospital Systems
Large Hospital Systems HCCA 17 th Annual Compliance Institute PREAM1 April 21, 2013 Session Goal 2 This session is the opportunity for Large Hospital and Health System compliance officers to engage in
More informationLarge Hospital Systems
Large Hospital Systems HCCA 18 th Annual Compliance Institute PREAM1 March 30, 2014 Session Goal 2 This session is the opportunity for Large Hospital and Health System compliance officers to engage in
More informationCreating a Culture of Compliance Through Effective Program Structure 2012 HCCA Compliance Institute
Creating a Culture of Compliance Through Effective Program Structure 2012 HCCA Compliance Institute Sarah Campbell, Director Al Josephs, Senior Director Ryan Whitehill, Manager Ethics and Compliance Tenet
More informationPOSITION DESCRIPTIONS
Chief Executive Officer Responsible for planning, directing, coordinating and controlling the overall operations of the organization and subsidiaries. Directs short and long-range functions including development
More informationBenchmarking Compliance Programs. Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract
Benchmarking Compliance Programs Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract Health Care Compliance Association INDIANAPOLIS, IN Regional Conference September
More information2005 OIG Supplemental Compliance Guidance for Hospitals Focus on Culture & Leadership Hospitals with an organizational culture that values compliance
Tools for Documenting Compliance: Tracking Systems and Scorecards 2005 OIG Supplemental Compliance Guidance for Hospitals Focus on Culture & Leadership Hospitals with an organizational culture that values
More informationLeveraging Internal Audit and Corporate Compliance for Effective Risk Management
Leveraging Internal Audit and Corporate Compliance for Effective Risk Management April 18, 2016 Don Sinko Chief Integrity Officer Cleveland Clinic Agenda Cleveland Clinic Integrity Office Model The 3 Lines
More informationImplementing a System-Wide 340B Compliance Program One System s Perspective
Implementing a System-Wide 340B Compliance Program One System s Perspective Presented by Richard Bucher, B.S. Pharm., J.D. Intermountain Healthcare, Utah So What Can Go Wrong? Diversion Many ways this
More informationImplementing a System-Wide 340B Compliance Program So What Can Go Wrong?
Implementing a System-Wide 340B Compliance Program One System s Perspective Presented by Richard Bucher, B.S. Pharm., J.D. Intermountain Healthcare, Utah So What Can Go Wrong? Diversion Many ways this
More information2/24/2017. Analytics: Enhancing Your Hospital Compliance Program. Today s Session. Polling Question: What is Your Role in Compliance?
Analytics: Enhancing Your Hospital Compliance Program Kate Conklin, B.A., CPMSM, CPHQ, Chief Compliance Officer Trissi Gray, MBA, CHRC, Assistant Director, Health System Compliance Today s Session 1 Objective
More informationTake the pulse of your Practice
Take the pulse of your Practice How healthy is your business and what can you do to survive the economic downturn? Presented by: Rochelle Glassman Partner and CEO, Phoenix Physician Services Welcome Welcome
More informationCOMMUNICATING WITH THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD: LEADING PRACTICES
COMMUNICATING WITH THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD: LEADING PRACTICES KELLY J. SAUDERS PARTNER DELOITTE & TOUCHE LLP AHIA 31 st Annual Conference August 26-29, 2012 Philadelphia PA www.ahia.org
More informationA View from the Other Side: Tales from a Compliance Liaison
A View from the Other Side: Tales from a Liaison SCCE & Ethics Institute September 27, 2016 Sahar Oswald Customer Care Manager Jeannette Woo Regulatory Affairs Manager READ AND DELETE For best results
More informationCORPORATE COMPLIANCE AND INTERNAL AUDIT WORKING CLOSER RESULTS VP-CHIEF AUDIT, COMPLIANCE, EXECUTIVE SCRIPPS HEALTH, SAN DIEGO
CORPORATE COMPLIANCE AND INTERNAL AUDIT WORKING CLOSER TOGETHER FOR OPTIMAL RESULTS GLEN C. MUELLER VP-CHIEF AUDIT, COMPLIANCE, INFORMATION SECURITY & ERM EXECUTIVE SCRIPPS HEALTH, SAN DIEGO AHIA 32 nd
More informationImplementing and Managing an Effective Anti Corruption Compliance Program
Implementing and Managing an Effective Anti Corruption Compliance Program Mvolkov@volkovlaw.com http://corruptioncrimecompliance.com effective compliance The Importance of an Ethics and Compliance Program
More informationThe following topics will be covered in this course: 1) Don t let pressure influence ethics and reasoning 2) Be careful about rationalizations 3)
The following topics will be covered in this course: 1) Don t let pressure influence ethics and reasoning 2) Be careful about rationalizations 3) Enforcement matters 4) Create a flatter organization and
More informationWhat is Enterprise Risk Management (ERM)? What the Heck is ERM? Is There an 8 th Element of a Good Compliance Program?
What the Heck is ERM? Is There an 8 th Element of a Good Compliance Program? Kim Otte, Chief Compliance Officer Chris Davies, Regional Compliance Officer, NW Wisconsin Brenda Mickow, Revenue Compliance
More informationThe power of the Converge platform lies in the ability to share data across all aspects of risk management over a secure workspace.
Converge Platform The transition to value-based care is breaking down the barriers between the CNO, CMO, and Chief Legal Counsel in managing enterprise risk. It s time to take a proactive systems approach
More informationCompliance Program Start Up: What are the Basics Needed for your Infrastructure?
Compliance Program Start Up: What are the Basics Needed for your Infrastructure? Debbie Troklus, CHC-F, CHRC, CCEP-F, CHPC, CCEP-I Managing Director, Aegis Compliance & Ethics Center Sheryl Vacca, CHC-F,
More information2017 North American Pulse of Internal Audit. Public Sector Focus. Courageous Leadership: Instilling Confidence from Within
2017 North American Pulse of Internal Audit Public Sector Focus Courageous Leadership: Instilling Confidence from Within Agenda Pulse Overview Topics Communications Not Traditionally Subject to Assurance
More informationPointers And Pitfalls In Gaining Physician Buy-In To A Compliance Program
Pointers And Pitfalls In Gaining Physician Buy-In To A Compliance Program Robert H. Ossoff, DMD, MD, CHC Assistant Vice Chancellor for Compliance and Corporate Integrity Vanderbilt University Medical Center
More informationEnterprise Risk Management Framework
Enterprise Risk Management Framework 2018 Johnson & Johnson 1 2 Introduction In order to deliver value to our consumers, patients, caregivers, employees, communities and shareholders, we at Johnson & Johnson
More informationVIRTUA DATE OF LAST REVIEW 5/11; 4/14, 8/16
8/16 POLICY Virtua is committed to helping the people of our region be well, get well, and stay well. Part of our commitment to the communities we serve is to provide services of the highest quality to
More informationHCCA Compliance Institute : Intersection of Internal Audit & Compliance. April 17, Agenda. Where are we today?
HCCA Institute 2018 708: Intersection of & April 17, 2018 Agenda Objectives Where are we today? Corporate Integrity: The intersection of, and Privacy Questions 2 Where are we today? 3 1 Regulatory change
More informationEffective Compliance Programs How Does Your Program Measure Up?
Effective Compliance Programs How Does Your Program Measure Up? Maryland Leading Age 2016 Karla Dreisbach, CHC, CHPC Vice President of Compliance, Peace Church Compliance Program What is the compliance
More informationENTERPRISE RISK MANAGEMENT
ENTERPRISE RISK MANAGEMENT MICHAEL L. SOMICH EXECUTIVE DIRECTOR, OFFICE OF INTERNAL AUDITS AHIA 32 nd Annual Conference August 25-28, 2013 Chicago, Illinois www.ahia.org Organization 2 MANAGEMENT STRUCTURE
More informationCompliance Plans. Kelly S. McIntosh July 20, 2017
Compliance Plans Kelly S. McIntosh July 20, 2017 Roadmap The importance of compliance and compliance programs Common compliance issues know your risk areas! Guidance for drafting or updating your compliance
More informationHCCA 2006 Compliance Institute April 25, 2006
Case Study: Building and Operating an Integrated Compliance and Internal Audit Department HCCA 2006 Compliance Institute April 25, 2006 Heidi Crosby CPA, CIA Director, Audit Services Trinity Health Michael
More informationNicklaus Children s Health System
COMMUNICATING WITH YOUR AUDIT AND COMPLIANCE COMMITTEE FROM BOTH A COMPLIANCE OFFICER S AND BOARD MEMBER S PERSPECTIVE Nicklaus Children s Health System o o Free-standing Pediatric Care Facility Providing
More informationEnvironmental Scanning and Risk Assessment
Margaret Hambleton CHC-F, CHRC Vice President and Corporate Compliance Officer Dignity Health Environmental Scanning and Risk Assessment Health Care Compliance Association Orange County, CA Regional Conference
More information2013 STRATEGIC PLAN: INTRODUCTION
2013 STRATEGIC PLAN: INTRODUCTION The Association of Inspectors General s Strategic Plan identifies our collective aspirations of what this organization may achieve in the years to come. It is designed
More information3/16/2016. How to Implement a Monitoring Program Presented by: Kelly Nueske April 2016 OBJECTIVES AGENDA
How to Implement a Monitoring Program Presented by: Kelly Nueske April 2016 OBJECTIVES Discuss strategies for implementing a monitoring program. For example, using the quality platform. A complete walkthrough
More informationPART 1: REVENUE INTEGRITY PROGRAM DESIGN, PROCESS AND IMPLEMENTATION CAROLINE RADER ZNANIEC OWNER/FOUNDER LUNA HEALTHCARE ADVISORS
1 PART 1: REVENUE INTEGRITY PROGRAM DESIGN, PROCESS AND IMPLEMENTATION CAROLINE RADER ZNANIEC OWNER/FOUNDER LUNA HEALTHCARE ADVISORS AHIA 33 rd Annual Conference September 21-24, 2014 Austin, Texas www.ahia.org
More informationHealthcare Expertise for Your Business
Healthcare Expertise for Your Business The Premier Bank Serving Healthcare Businesses in Texas Texas Capital Bank specializes in serving the diverse and complex needs of the rapidly changing healthcare
More informationDATA INTEGRATION Defensibly reducing your data during Mergers, Acquisitions & Divestitures
DATA INTEGRATION Defensibly reducing your data during Mergers, Acquisitions & Divestitures Ronke Ekwensi Thursday November 17, 2016 ARMA NJ Contact: ronke.ekwensi@gmail.com Mobile: +1 973 356 5495 My Background
More informationSCCE Compliance & Ethics Institute. Agenda. Trust & Verify: Investigation and Compliance Forensic Tools. September 16, 2014
SCCE & Ethics Institute Trust & Verify: Investigation and Forensic Tools September 16, 2014 Martin Wolin Chief Risk & Officer Mercer North & Latin America Boston, MA Alan K. Halfenger Chief Officer Bain
More informationEvolving Core Tasks for Improved Internal Audit Performance. Copyright 2018 AuditBoard Inc. 1
Evolving Core Tasks for Improved Internal Audit Performance Copyright 2018 AuditBoard Inc. 1 Introductions Built by experienced auditors, AuditBoard allows enterprises to collaborate, manage, analyze and
More informationMergers and Acquisitions: Factors to Consider When Restructuring a Compliance Program. HCCA Compliance Institute, Orlando, FL April 21, 2015
Mergers and Acquisitions: Factors to Consider When Restructuring a Compliance Program HCCA Compliance Institute, Orlando, FL April 21, 2015 Robert Michalski, CHC, CHPC, CHRC Chief Compliance Officer Disclaimer
More informationDisclaimer. Outline. Mergers and Acquisitions: Factors to Consider When Restructuring a Compliance Program 3/17/2015
Mergers and Acquisitions: Factors to Consider When Restructuring a Compliance Program HCCA Compliance Institute, Orlando, FL April 21, 2015 Robert Michalski, CHC, CHPC, CHRC Chief Compliance Officer Disclaimer
More informationSALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM. Compliance Program. March 2018
SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM Compliance Program March 2018 Salinas Valley Memorial Healthcare System, 450 East Romie Lane, Salinas, California, 93901 PROGRAM GOAL/PURPOSE The Salinas Valley
More informationUsing a Compliance Program Assessment for Strategic Impact
SCCE 10th Annual and Ethics Institute Using a Program Assessment for Strategic Impact Laura LaCorte, University of Southern California Andrew Reisman, Ernst & Young LLP September 13, 2011 Overview Goals
More informationAdvanced Contracting Course
Advanced Contracting Course Stephanie Levin, AD, Commercial Data Acquisition & Scouting Bayer Healthcare Leslie Yendro, VP Business Development Avella Specialty Pharmacy Agenda Introduction Common Types
More informationSuccess in Joint Ventures: Sustained Compliance and Audit Oversight
Success in Joint Ventures: Sustained Compliance and Audit Oversight Gene DeLaddy, CIA Senior Vice President, Chief Compliance & Privacy Officer, Chief Audit Executive Dave Pyland, CPA Director, Internal
More informationComprehensive Revenue Integrity Support Program
Comprehensive Revenue Integrity Support Program The need to improve the bottom line while reducing organizational costs has never been greater for healthcare organizations. New reimbursement models, the
More informationAPPLICATION FOR CONTINUING EDUCATION UNITS
HCCA s 21st Annual Compliance Institute SESSION RECORDINGS (NON-LIVE) Live Event Held on March 26-29, 2017 in National Harbor, MD ** Submit this application to the Compliance Certification Board (CCB)
More information360 O Healthcare BI Solution
360 O Healthcare BI Solution BI solutions - HTC's complete healthcare management suite - that includes HMS, LIMS, Payer, Provider, Physician, and Insurance Management Data Analytics Gives a 360 O Healthcare
More informationCONFLICTS OF INTEREST PRESENTATION OVERVIEW CONFLICT OF INTEREST DEFINED 3/12/2017 H C C A C H A R LOTTE R EGI O N A L P R ESENTATI O N
CONFLICTS OF INTEREST H C C A C H A R LOTTE R EGI O N A L P R ESENTATI O N M A RC H 1 7, 2 0 1 7 Jennifer R. Bottoms, JD Novant Health COI Coordinator, Corporate Compliance Kathryn J. Dever Carolinas HealthCare
More informationSHRINERS HOSPITALS FOR CHILDREN CORPORATE COMPLIANCE PLAN
SHRINERS HOSPITALS FOR CHILDREN CORPORATE COMPLIANCE PLAN 1.0 INTRODUCTION Shriners Hospitals for Children ( SHC ) is committed to conducting itself according to applicable business ethical standards and
More informationGeisinger Health System
Geisinger Health System Creating a Revenue Cycle Strategy for Mergers and Acquisitions (B08) October 29, 2013 Presented by Barbara M Tapscott, CHFP, CPAM VP Revenue Management, Geisinger Health System
More informationHow to Put Your Meaningful Use Program Into AutoPilot. AMGA April 3, 2014
How to Put Your Meaningful Use Program Into AutoPilot AMGA April 3, 2014 Presenters Teresa Hall Director of Outcomes Improvement and Reporting Intermountain Medical Group Beth Houck Vice President, Client
More information3/21/2017. How and when should you leverage internal audit? March 28, Agenda. What are your initial thoughts on internal audit?
How and when should you leverage internal audit? March 28, 2017 Agenda Internal Audit foundation 3 lines of defense Trends in consultative & value enhancement work Why you should care Key takeaways 2 What
More informationUNIVERSITY OF SOUTHERN CALIFORNIA. Chief Strategy and Business Development Officer, Medical Center Job Code:
UNIVERSITY OF SOUTHERN CALIFORNIA Chief Strategy and Business Development Officer, Medical Center Job Grade: OT Eligible: Comp Approval: 99 No 12/6/2011 JOB SUMMARY: Has responsibility for development
More informationThe Art of Putting It Together STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS
STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS STANDARDIZE PROCESSES BEFORE CONSOLIDATING REVENUE CYCLE OPERATIONS By Robert Parris, managing director, and Melanie Schoenvogel, senior
More informationAppointment of the Inspector General and Director of Oversight Office
Executive Board Annual Session Rome, 12 16 June 2017 Distribution: General Date: 13 June 2017 Original: English Agenda Item 10 WFP/EB.A/2017/10-F Administrative and Managerial Matters For approval Executive
More information: Chief Financial Officer and Head of Corporate Services
Date: October 2012 Job Title Department Location Reporting To : Chief Financial Officer and : Corporate : Waitemata District Health Board, Head Office : Chief Executive Officer Scale of Operations : Annual
More informationMeasuring Compliance Program Effectiveness
Measuring Compliance Program Effectiveness Measuring Compliance Program Effectiveness: A Resource Guide HCCA Hawaii Regional Debbie Troklus, CHC-F, CCEP-F, CCEP-I, CHRC, CHPC Aegis Compliance and Ethics
More informationHCCA AUDIT & COMPLIANCE COMMITTEE CONFERENCE
HCCA AUDIT & COMPLIANCE COMMITTEE CONFERENCE EXTERNAL AUDIT AND THE AUDIT COMMITTEE CHRIS IDEKER, CPA CHRISIDEKER@ALVAREZANDMARSAL.COM February 25 th, 2013 QUESTIONS TO BE ADDRESSED The involvement and
More informationGenetic Research at Intermountain Healthcare. Marc S. Williams, MD, FAAP, FACMG Director, Clinical Genetics Institute Feb.
Genetic Research at Intermountain Healthcare Marc S. Williams, MD, FAAP, FACMG Director, Clinical Genetics Institute Feb. 12, 2009 Objectives Describe research philosophy at Intermountain Goals of genetics
More informationHow to Put Your Meaningful Use Program Into AutoPilot. AMGA April 3, 2014
How to Put Your Meaningful Use Program Into AutoPilot AMGA April 3, 2014 Presenters Teresa Hall Director of Outcomes Improvement and Reporting Intermountain Medical Group Beth Houck Vice President, Client
More informationROAD MAP. MDaudit Road Map Preparing for Change: 7 Steps to Risk-based Audits
ROAD MAP MDaudit Road Map Preparing for Change: 7 Steps to Risk-based Audits Six out of ten Chief Audit Executives identified an increased focus on risk management as their top initiative in a recently
More informationUsing Metrics to Improve Your Third-Party Risk Management Program
Using Metrics to Improve Your Third-Party Risk Management Program Presented by Randy Stephens & Michael Volkov Copyright 2017 NAVEX Global, Inc. All Rights Reserved. Page 0 Agenda NAVEX Global s 2017 Third-Party
More informationCompliance Program Effectiveness Guide
Compliance Program Effectiveness Guide June 2017 This Guide is a comparison of: Compliance Program Elements New York State, Social Services Law 363-D Office of Inspector General (OIG) Compliance Program
More informationPhysician Compliance Program
Mike Runquist Seriously? Objectives Develop Compliance Program where physician leadership helps drive the process Establish engaged physicians in your audit process Effective methods for compliance education
More informationFinancial Consultant - Managed Care Contracting
HFMA-EMC PLACEMENT COMMITTEE NEWS Best of luck on your job search! Also, remember to check the Professional Recruiting section on our website. Financial Consultant - Managed Care Contracting Reporting
More informationCompliance in 2016: Navigating the New Expectations
Compliance in 2016: Navigating the New Expectations Prepared by: Kathleen Marcus Stradling Yocca Carlson & Rauth, P.C. 660 Newport Center Drive, Suite 1600 Newport Beach, CA 92660 949.725.4080 P 949.725.4100
More informationGUIDELINES. Corporate Compliance. Kenneth D. Gibbs President & Chief Executive. Martin A. Cammer Senior Vice President & Corporate Compliance Officer
GUIDELINES Corporate Compliance Kenneth D. Gibbs President & Chief Executive Martin A. Cammer Senior Vice President & Corporate Compliance Officer Joyce Leahy Executive Vice President for Legal Affairs
More information5 Core Must-Haves for Improved Internal Audit Performance. Copyright 2018 AuditBoard Inc. 1
5 Core Must-Haves for Improved Internal Audit Performance Copyright 2018 AuditBoard Inc. 1 Introductions Built by experienced auditors, AuditBoard allows enterprises to collaborate, manage, analyze and
More informationA message from the Chief Audit Officer...
A message from the Chief Audit Officer... Jim Jarrell, CPA, CIA Chief Audit Officer, Office of Hopkins Internal Audits Thanks for looking into career opportunities with us at Johns Hopkins. We have a unique
More informationNYSARC/CP Compliance Seminar: Risk Assessments. May 2, 2016 Robert Hussar and Melissa Zambri
NYSARC/CP Compliance Seminar: Risk Assessments May 2, 2016 Robert Hussar and Melissa Zambri rhussar@barclaydamon.com mzambri@barclaydamon.com Agenda Introductions Compliance Risk Assessment Process OMIG
More informationBeyond the Elements:
Beyond the Elements: Operationalizing Compliance HCCA s 23 rd Annual Compliance Institute Presented by: Betsy Wade, MPH, CHC, CNA, Corporate Compliance Officer, Signature HealthCARE Connie Rhoads, CHC,
More informationThe University of Texas MD Anderson Cancer Center Internal Audit Annual Report for FY2016
Purpose of the Annual Report Table of Contents I. Compliance with Texas Government Code, Section 2102.015: Posting the Internal Audit Plan, Internal Audit Annual Report, and Other Audit information on
More informationOptimization: The Next Frontier
Optimization: The Next Frontier A White Paper Impact Advisors LLC January 2015 400 E. Diehl Road Suite 190 Naperville IL 60563 1 800 680 7570 Impact Advisors.com Table of Contents Introduction... 3 Optimization
More informationEXECUTIVE DIALOGUE EXECUTIVE DIALOGUE
EXECUTIVE DIALOGUE Regulatory Oversight 51 SPONSORED BY: E X E C U T I V E D I A LO G U E 10 PANELISTS Anne Adams CH IEF COMP LIANCE OFFICER & CH IEF P RIVACY OFFICER Emory Healthcare ATLANTA Christine
More information2017 The Global ABB Integrity Program.
2017 The Global ABB Integrity Program www.abb.com/integrity Tone from the Top Don t Look the Other Way A culture of integrity is a prerequisite for a world-class business. Many valuable customers choose
More informationAligning and Integrating ERM and Business Process. Federal ERM Summit September 9, :00-12:00
Aligning and Integrating ERM and Business Process Federal ERM Summit September 9, 2013 11:00-12:00 1 Agenda Defining Risk and ERM The ERM Value Proposition An Integrated ERM Framework Aligning ERM with
More informationFlorida Health Care Association 2013 Annual Conference
Florida Health Care Association 2013 Annual Conference The Westin Diplomat Resort & Spa Session #7 Strategic Capital Planning Monday, August 5 9:30 to 10:30 a.m. Regency 3 Upon completion of this presentation,
More informationTaking the Lead in Revenue Cycle Transformation
Taking the Lead in Revenue Cycle Transformation Kamron Lachney Vice President of RCM Operations, McKesson Change Healthcare August 29, 2017 Today s Speaker Kamron Lachney, MBA Vice President, Hospital
More informationAll expenses are inclusive of taxes. Please note there may be occasions whereby there is a delay in posting an expense due to timing of travel.
TRAVEL AND HOSPITALITY DISCLOSURES The Government of Canada has implemented a series of measures to strengthen public sector management by enhancing transparency and oversight of public resources in the
More informationSDHFMA Sponsorship THANK YOU, June 2017 Welcome to the Quill Exchange. To learn more about the Quill Exchange's namesake, Georgia Quill, click here.
Page 1 of 9 Subscribe Past Issues Transla SDHFMA Sponsorship THANK YOU, June 2017 Welcome to the Quill Exchange. To learn more about the Quill Exchange's namesake, Georgia Quill, click here. View this
More informationChief Audit Executive Roundtable and Discussion. Association of Healthcare Internal Auditors 2010 Annual Conference
Chief Audit Executive Roundtable and Discussion 2010 Annual Conference Official Disclaimer The views expressed in this presentation and the accompanying materials are solely that of the authors and should
More informationThe FIFTEENTH ANNUAL PHARMACEUTICAL REGULATORY AND COMPLIANCE CONGRESS
The FIFTEENTH ANNUAL PHARMACEUTICAL REGULATORY AND COMPLIANCE CONGRESS Pre-Conference II: Innovations in Auditing and Monitoring 11.03.14 Presented by L. Stephan Vincze Innovations in Auditing and Monitoring
More informationUsing a Compliance Program Assessment to Elevate Institutional Compliance Effectiveness
Using a Compliance Program Assessment to Elevate Institutional Compliance Effectiveness Kevin Robinson Associate Vice President, Office of Audit, Compliance & Privacy Auburn University Michael Somich Executive
More informationVolume to Value: The Transition to Value Based Healthcare
Volume to Value: The Transition to Value Based Healthcare Vaco Healthcare 2016 Insight Series Presented by: Peyman Zand, Vaco Healthcare Partner Today s Agenda Introduction Value Based Healthcare Trends
More informationPHYSICIAN PRACTICE SOLUTIONS
PHYSICIAN PRACTICE SOLUTIONS www.healthdirections.com PROGRAM OBJECTIVE The objective of the Physician Practice Solutions offering is to provide programs and services to improve the operational and financial
More informationWhy Your Provider Workforce Plan Isn t Working
Why Your Provider Workforce Plan Isn t Working Providers are the cornerstone of the health system, leading disease management and care delivery for patients and communities as well as serving as a primary
More information2014 Global Council. Dubai, UAE 6-9 March 2014 DAY 2. globaliia.org
2014 Global Council Dubai, UAE 6-9 March 2014 DAY 2 Opening Remarks Paul J. Sobel, Chairman of the Board Agenda - Tuesday Opening Remarks P. Sobel Expanding the Umbrella of the IIA D. Beran Tuesday Discussion
More informationThe Rye Ambulatory Surgery Center, LLC Compliance Plan
The Rye Ambulatory Surgery Center, LLC Compliance Plan Approved By Board of Managers October 27, 2010 INTRODUCTION The Rye Ambulatory Surgery Center ( Rye ASC ) is committed to conducting its operations
More informationAccelerated Learning Healthcare Compliance and Policy Applications
Accelerated Learning Healthcare Compliance and Policy Applications Pamela Hrubey Crowe Horwath LLP Sergio Alegre Osmotica Pharmaceutical Dan O Connor PharmaCertify by NXLevel Solutions L. Stephan Vincze
More informationRethinking the Role of IT
White Paper Title Rethinking the Role of IT The Second Curve of Health IT Value Authors: Shawna Schueller, Carol Chouinard and Bob Schwyn Fueled by the Meaningful Use (MU) program, healthcare organizations
More information2/12/2014. Physician Hospital Integration 1. Physician-Hospital Integration Compliance Considerations. Agenda
Physician-Hospital Integration Compliance Considerations Frank E. Sheeder III Chair, Health Care Enforcement and Compliance Practice DLA Piper LLP (US) 214-743-4560 frank.sheeder@dlapiper.com Agenda 1.
More informationDriving Improvement to your Bottom Line:
White Paper Title Driving Improvement to your Bottom Line: Untapped Opportunities to Begin Tackling Now Given the current and anticipated reimbursement and cost pressures facing healthcare providers today,
More informationFrom Dubai to Beijing
From Dubai to Beijing (How we use your GC input) Anton van Wyk, Chairman of the Board What Happens After GC? Global Council plays a key role in the governance process of The IIA. Discussion results are
More informationAsset Acceptance Capital Corp.
Asset Acceptance Capital Corp. A Practical Approach to Enterprise Risk Management Detroit Chapter IIA September 14, 2010 1 Presenters Jeffrey S. Bankowski, CIA, CPA, CFF Jeff is currently the Vice President
More informationMACRA Session 3: Alternative Payment Model Planning Key Elements. June 13, 2016/ 12:00-1:00 PM EST
MACRA Session 3: Alternative Payment Model Planning Key Elements June 13, 2016/ 12:00-1:00 PM EST How to Participate Today 2 Today s Presenters Craig Tolbert Principal, DHG Healthcare Works in the DHG
More informationThe compliance implications of valuebased. October 2017
The compliance implications of valuebased healthcare October 2017 The compliance implications of value-based healthcare: questions you should be asking. While advances in research and technology have led
More information5/16/2017. Conducting Compliance Risk Assessments: Understanding Risk at the Functional Level. Career - Responsibilities.
SCCE Higher Education Conference Monday June 5, 2017, 1.45-2.45 pm Conducting Compliance Risk Assessments: Understanding Risk at the Functional Level Sonal J. Shah, CPA, MSPA, CHC, CGMA Chief Ethics and
More informationBravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture
Bravely Addressing Disputed Claims John Woerly, RHIA, CHAM, FHAM Senior Principal, Accenture Session Outline Session Objectives Defining Disputed Claims Operational Impacts Conceptual Model Organizational
More informationGE Healthcare. Centricity Solutions Financial Management for Large Practices
GE Healthcare Centricity Solutions Financial Management for Large Practices Our organization has saved not only time and resources with the automated workflows and low-touch billing aspects of Centricity
More informationInternal Audit Division FY 17 - Audit Plan Overview
Division FY 17 - Audit Plan Overview Our Value Proposition - Objective Insight and Catalyst for Positive Change delivers value-added services that are catalysts for positive institutional change in governance,
More information