1. Discuss with your colleagues how a health care organizations
can promote a culture of compliance and responsibility?
Through your research, identify a specific organizational
structure or program that could serve as a “best practice” for
other health organizations. What specific health care
organization currently uses the program or structure you
picked? Describe the program in a paragraph. Is it a training
program? A handbook? An immunization program? A patient
care involvement program? A financial management practice?
Penalties for fraud detection and reporting in the organization?
Policy development? Procedure (SOP) creation? Benchmarks?
External QA/QC consultants? Is this “best practice” specific to
just this setting? Peer comments should compare and contrast
their findings with others presented. See
Discussion Expectations and Grading
for rules on discussions.
Assigned reading materials:
It is important that managers understand the responsibilities of
operating within the tax-exempt structure-
http://www.irs.gov/pub/irs-tege/eotopice00.pdf
Corporate Responsibility and Corporate Compliance: A
Resource for Health Care Boards of Directors (n.d)]-
http://oig.hhs.gov/fraud/docs/complianceguidance/040203CorpR
espRsceGuide.pdf
Facts about The Joint Commission’s Hospital Accreditation -
https://www.jointcommission.org/accreditation/accreditation_m
ain.aspx
Benefits of The Joint Commission Accreditations -
https://www.jointcommission.org/benefits_of_joint_commission

2. _accreditation/
Joint Commission: Conflict of Interest -
https://www.jointcommission.org/conflict_of_interest_policy/