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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 ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
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View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
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View All ProductsIn 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 ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
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 ProductsMake 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 ProductsExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
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View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreCompliance jobs exist across many industries, but job duties and responsibilities for them are remarkably similar, regardless of where you work. They all pursue a similar goal—for an organization to be run legally and ethically, in compliance with all applicable industry regulations. Here some of the typical positions representative of a healthcare compliance program:
Compliance Officer
From the top of the compliance pyramid, the compliance officer leads the development and management of an organization’s compliance program. Not only does this person implement significant recommendations from compliance audits and risk assessments; he or she also incorporates industry best practices to ensure adherence with all governmental standards. One vital component of ensuring compliance is training—the compliance officer takes the lead in providing compliance training and education programs for healthcare staff and tracks completion of that training. This person often serves as the face authority for compliance information to management and senior leadership. The person in this position works with the legal department or chief legal counsel and the finance department to keep tabs on high-risk areas, respond to identified issues, and intervene as necessary to prevent problems.
Depending on the scale and breadth of an organization, a team of compliance-focused staff is necessary to meet compliance responsibilities and support the compliance officer. The involved positions may require special training and experience, up to a graduate degree, such as an MBA or law degree. According to Michigan State University, “The Bureau of Labor and Statistics projects the need for compliance officers to continue to grow by over 8% from 2016 through 2026” (MSU, 2018).
Compliance Analyst
A compliance analyst focuses on data and analyzes it to assess compliance activities. From identifying risk areas to protecting patient information, the compliance analyst assists the efforts of compliance leadership with the information to support decision-making. This person “needs to present conclusions and recommendations from the analytics, which could include opportunities for intervention, recommending more efficient processes and identifying shifts in patient data. Communication is key, as this complex data analysis needs to be presented in an easily understandable manner” (MSU, 2018). The compliance analyst must have superior skills at documentation and keep accurate records of data, reporting, all compliance team activities, as well as organization communications about compliance, in case they need to be shared with regulators and auditors. For this position, “an analytical mindset, critical thinking skills, and experience with healthcare information systems are all beneficial” (MSU, 2018).
Compliance Auditor
The compliance auditor looks for evidence of compliance on the frontlines of healthcare. This can involve reviews, monitoring, and examination of all internal policies andprocedures. Often this position engages in regular, periodic patient record and billing audits, to assess processes and the compliance of individual staffers and departments. Findings often lead to improvement in internal procedures. An accounting or legal background can be helpful in this position, as can an ability to work collaboratively.
Patient Privacy and Protection Specialist
The patient privacy and protection specialist is often an expert on the requirements of HIPAA (Health Insurance Portability and Accountability Act of 1996), the United States legislation that provides data privacy and security provisions for safeguarding medical information. A great deal of attention is normally given to how secure information and records systems manage “sensitive and confidential patient information, including medical records, authorization forms and personal financial and billing records” (MSU, 2018). Safeguarding information security is a crucial part of this role, which involves system reviews, risk assessments, investigations, and audits to ensure protection of confidential patient information. They may also monitor access within the organization or by third parties to systems and records. This person needs to stay abreast of healthcare privacy best practices and the latest trends in privacy training.
References
Michigan State University (2018). Career Opportunities in Healthcare Compliance.
July 5, 2018, Retrieved at https://www.michiganstateuniversityonline.com/resources/healthcare-management/career-opportunities-in-healthcare-compliance/
Learn more about HCCS Solutions for healthcare compliance training.
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 ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
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 & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
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 ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
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 ProductsLearn more about HealthStream's Provider Credentialing, privileging, & enrollment solutions.
View All CredentialingExperience standardized and centralized healthcare credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
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 scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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