The Investopedia definition for a compliance program is also applicable to a program necessary for corporate compliance—a "set of internal policies and procedures put into place in order to comply with laws, rules, and regulations or to uphold the business's reputation. A compliance team examines the rules set forth by government bodies, creates a compliance program, implements it throughout the company, and enforces adherence to the program." While organizations may be governed by industry specific rules, especially in healthcare, there are some key elements that are largely standard in a corporate compliance program.
Compliance can be a major headache for healthcare organizations, requiring much time and energy. Compliance programs are mandatory in healthcare; the Affordable Care Act (ACA) Section 6401 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). One thing that sets healthcare compliance apart from that in other industries is the Health Insurance Portability and Accountability Act, known throughout the healthcare world as HIPAA, which governs the privacy of personal health records and was signed into law in 1996. In the years since then, HIPAA has become one of the most widely cited and discussed regulations in healthcare compliance.
The Investopedia article linked above lists the 7 components of a strong compliance program for healthcare providers. They are:
At the heart of HealthStream compliance-focused solutions is the intention to build a strong culture of healthcare compliance. We facilitate our customers' use of training that underscores the duty to report problems and compliance violations and supports a policy of non-retaliation when an issue or concern is reported in good faith. One way to do this is to incentivize staff by making completion of compliance training and attesting to the code of conduct requirements for annual evaluation merit increases. Ultimately, the goal is to create a culture characterized by a sense of shared responsibility for compliance. This kind of environment can be built on a foundation of training that helps employees apply complex laws and regulations to their daily work, with access to organizational policies and procedures for guidance. In addition, healthcare compliance training is much more meaningful when it provides examples of illegal or suspicious behaviors that should be reported.
HealthStream enables customers to avoid costly violations by ensuring their workforce maintains compliance with innovative, comprehensive, and engaging compliance training and education. Our compliance courseware covers essential topics employees need in order to be compliant with federal and state laws and regulations. We make it possible to healthcare organizations to be confident that they have reduced organizational compliance risks.
Learn more about HealthStream solutions focused on improving quality and compliance.
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 & Performance
When 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 & Compliance
Fulfill 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 Products
HealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.View All Reimbursement
Learn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.View All Resuscitation
Expand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.View All Clinical Development
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.View All Products
Learn more about HealthStream's provider credentialing, privileging, & enrollment solutions for healthcare organizations.View All Credentialing
Make sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.View All Scheduling