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Learn MoreMany healthcare organizations consider compliance to be a major headache and ask themselves why they spend so much time and energy on this function. That’s why it is important to remember that compliance programs are mandatory; Section 6401 of the Affordable Care Act (ACA) states that every “Provider of medical or other items or services… shall establish a compliance program as a condition for enrollment in Medicare, Medicaid, or the Children’s Health Insurance Program” (CHIP). Training and education makes up one of the seven essential elements of an effective program, as stated in the U.S. Sentencing Guidelines, with additional guidance available from the Office of Inspector General (OIG). Also, training is typically a key requirement in an integrity agreement or corporate integrity agreement that results from the government settlement of an organizational healthcare compliance violation. Importantly, organizations should always track their employees’ completion of compliance training, in order to have proof in case of audit.
This blog post, the second in a series of four, is based on our webinar, “4 Necessities to Building an Indestructible Compliance Training Program,” in which compliance training experts from HCCS, A HealthStream Company, shared their insights and wisdom about using compliance education to strengthen the organizational approach to healthcare compliance. Effective compliance training can help every employee understand their compliance obligations and make them extensions of the compliance team.
Christine Thomas, Content Development Team Manager at HCCS, shared that training plays a vital role in setting the compliance tone for the entire organization, especially in terms of its commitment to compliance. If done well, compliance training can facilitate more successful communication between employees and your compliance office, particularly if training occurs in person, so that compliance becomes a function involving people, not just spreadsheets and meetings. Even in online training, learners can benefit by learning who your organization really is and that all input from staff is welcomed. This enables training that encourages employees to become your eyes and ears—detecting suspicious behaviors or activity and aware of what to do when it is identified.
Compliance Training Completion Should Always Be Tracked
Thomas mentioned earlier that many healthcare organizations make the completion of annual compliance training and review of the code of conduct a requirement for pay increases and sometimes for continued employment. A system that tracks completion of required training plays a strong role in effective compliance programs. Thomas offered that anyone who has had to work under an Integrity Agreement (IA) or Corporate Integrity Agreement (CIA) can attest to the power of proof of training, especially if the OIG wants verification of training completions. She suggested, “Maybe you're getting audited or suddenly receiving subpoenas from the government and suspect there may be a whistleblower case—that is where all your hard work with training is going to pay off.” Robust training as part of a proactive compliance program can help to lessen the damage in the event that there's an enforcement action.
What exactly constitutes proof for the OIG? Thomas added, “If you're bumping up against the OIG or another enforcement agency, they are likely to request proof of learning—I think that's exactly how they phrase it.” They may ask for evidence such as sign-in sheets or computer logs, showing dates, attendance, who conducted the training, how much time was spent in the training, etc. They'll also look for proof of completion, including passing percentages. Thomas advised, “And as you would expect, 100% is always the goal.” Additional proof can include copies of training materials, whether digital or printed, and any policies regarding training.
Watch the full webinar here.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementStreamline the revenue cycle management process and protect your bottom line with expert-backed education.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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