Compliance Support
Compliance is a never ending job.
Your hospital must be in compliance with regulatory standards. Not only is it the law, but it’s essential to conducting business in an ethical way. Being proactive in your compliance efforts can mitigate risk for your organization and prevent costly fines.
Here’s how QHR can help.
Do the right thing every time, everyday, even when no one is looking.
In this era of heightened regulatory scrutiny, QHR helps hospitals efficiently build compliance into their day-to-day operations.
Our business ethics and compliance program provides guidance and templates you can use to develop your own compliance programs. Our experts are available to help you implement these initiatives.
Our mass purchasing power and presence enable up to negotiate “strategic vendor partner” relationships that provide other essential compliance components. We offer you multiple resources and services to achieve this important goal.
RESOURCES
- NEW! Compliance Officer Tool Kit - Details coming soon!
- Compliance Self Assessment Tool
SERVICES
- Compliance Assessment
- Compliance Support & Education
- Compliance Education (On Site)
- Board of Trustees Education (On Site)
- Compliance Implementation Assistance
- Compliance Program Review (On Site)
RESOURCES
Compliance Officer Tool Kit - More details coming soon!
Compliance Self Assessment Tool
Designed to help identify gaps in a hospital’s compliance program, this assessment also diagnoses possible exposure to compliance violations and assesses hospital wide involvement in compliance. It is intended to help you gain a preliminary understanding of your compliance programs and potential exposure; QHR can use this tool to identify solutions to help you increase compliance and reduce risk.
SERVICES
Compliance Assessment
This assessment is a desktop analysis of compliance documents including, but not limited to charter, code of conduct, policies, procedures, training material, organizational charts, committee minutes, and job descriptions.
Compliance Support & Education
Access to compliance practice experts via electronic mail and telephone. This service includes, research and compilation of regulatory guidance, sample forms, tools, and policies.
Compliance Education (On Site)
This comprehensive education program , that targets the key elements of a compliance program, HIPAA Privacy and Security rules, and the key elements of a broad range of other compliance topics, will demonstrate the compliance industry’s best practices through the use of case studies, round table discussion, as well as question and answer sessions.
Board of Trustees Education (On Site)
This comprehensive education program provides an in depth analysis of the board member’s oversight responsibilities related to hospital compliance activities. Fiduciary duties, including duty of care are explained along with information outlined by the Office of the Inspector General and American Health Lawyers Association, and current case law describing board member liability.
Compliance Implementation Assistance
Compilation of a comprehensive compliance program includes: drafting of a facility code of conduct, policy and procedure manual, job descriptions, training materials, forms, auditing plans, and communication logs specific to the organization.
Compliance Program Review (On Site)
The on site compliance program review includes three phases: Phase I – Review of compliance documents prior to on-site visit including, but not limited to charters, committee meeting minutes, and job descriptions. Phase II – On site interviews with the compliance committee, executive team, board members, and key staff members. Review of business processes and compliance program objectives to determine gaps, weaknesses and strengths of the program. Phase III – Record of findings and formal report to management, Board, or legal counsel as appropriate, by means of an Executive Summary, Findings and Recommendations Report, and Management Action Plan.
