Compliance Enhancement for Healthcare Organizations

Compliance Enhancement
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Compliance Enhancement
Introduction
After experiencing several minor compliance incidents in this healthcare facility, strengthening the compliance program has become fundamental to eradicating these occurrences and maximizing patient quality care. Recent assessments reveal that gradually updating the compliance program is one of the effective strategies for improving the organization’s controls, aligning with the emerging national and state standards, and improving the overall workforce practices and behavior. While many techniques exist for adopting the best practices, investigating other healthcare facilities’ compliance programs can also provide insights into areas that leadership should emphasize and bolster. In this context, this paper will compare the compliance programs in two hospitals in a matrix to inform critical areas that the leadership can borrow and integrate into their compliance program.
Matrix for Boston Children’s Hospital and Children’s Hospital Los Angeles
ComponentBoston Children’s HospitalChildren’s Hospital Los AngelesInternal monitoring and auditingBoston Hospital uses feedback and regular review of processes for internal monitoring and auditing (Boston Children’s Hospital, 2021). The facility executes periodic audit findings review, onsite visits, contractors’ and employees’ questionnaires, medical records reviews, and other written materials (Children’s Hospital Los Angeles, 2020). Compliance and practice standards The facility has established complex protocols for enforcing existing compliance laws. It also integrates ongoing improvement practices based on worker and patient feedback. Children’s Hospital Los Angeles (CHLA) relies on HIPAA, statutes, and hospital policies to guide best practice standards. It also considers the inputs of its workforce and follows these with regular monitoring. Reporting and relationship of a compliance officerThe chief compliance officer (CCO) is Timothy C. Hogan. Boston Children’s Hospital (2021) indicates that he is answerable to the general counsel. This officer should also relate with the governing board directly. Meg Grimaldi is the CCO in CHLA. She reports to the facility’s chief executive officer, and they maintain a seamless relationship with other players, such as the board. Education and trainingProvide annual mandatory education and training for its workforce. Topics comprise patient privacy, compliance, and information security (Boston Children’s Hospital, 2021).Training occurs annually, covering regulations and applicable laws. Educators tailor the training to employees’ responsibilities. Detecting, reporting, and correcting violationsRegular monitoring detects violations. The hospital encourages self-initiated reporting approaches and retrains and counsels workers to prevent recurrence. CHLA has systems for monitoring violations, including mechanisms for anonymous reporting. It counsels affected parties appropriately. It also uses a root-cause analysis. Developing communication linesOfficial co...