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Be sure to write a summary statement and insert it at the end of the project before the References Page. (See outline below.) In your summary statement, describe your own journey in working on this project. Explain how this project has strengthened your understanding of compliance rules and regulations.Your final plan should include the following. Note the overview at the beginning and the summary statement at the end. Remember to check details to insure that your plans will be understood by all employees at a large medical facility where you are the Compliance Officer.Cover PageOverview of ComplianceFirst Compliance PlanPoliciesProceduresMonitoring ToolsSecond Compliance PlanPoliciesProceduresMonitoring ToolsSummary StatementHow this project has strengthened your understanding of compliance rules and regulations.References PageAt least twelve research references for both compliance plans.
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Running head: COMPLIANCE PLAN
1
Compliance plan
Mary Gibson
April 13,2019
COMPLIANCE PLAN
2
A compliance plan is a comprehensive program that most of the healthcare organizations
and the employee use to ensure that operations are conducted in an ethical and with the highest
level of integrity as well as according to regulatory and legal based requirements.
In the healthcare sector, there are different sets of compliance that can be put in place to
see the success of the institution. Primary there is two key set of agreement that determines the
ultimate results and the performance of the health organization. The two compliance plans
include:
Leadership compliance plan
There will need to offer meaningful support of the senior management within any healthrelated institution. The presence of the senior officers and will help in enforcing policies and
managing the program. The administration provides leadership to the employee to support and
work towards achieving the organizational mission and vision statements.
Training compliance plan
After the development of control and standards, training of the employee will be
essential. Provision of training should be recurrent, consistent and documented in line with the
employee’s personal life
The primary purpose of a compliance plan is to enhance promotion the prevention of
issue related to criminal conducts, enforcing the set rule and government regulations while
providing quality care services to the patients (Cannoy, 2014). Also, this plan will be vital in the
prevention of practices such as improper payment, abuse, and provision of fraud services as well
as other essential liability areas. There is the need to establish compliance programs. This is in
line with the ACA in collaboration with the physicians and other practices in the medical
COMPLIANCE PLAN
3
program. The reestablishment of this program will provide compliance with one condition of
participation.
As a result of increased fraud enforcement initiatives, there has been a challenge for the
medical care to have implemented the compliance plan and risk exclusion from the government
healthcare programs. Enhancing a proper implementation of a worth compliance plan will
significantly help in the protection of improper conduct. The stability of such behaviors will be
as defined by the CMS.
Elements of a compliance plan
There are seven central compliance plan elements as defined by the ACA. Enhancing an
establishment and adoption of written procedure and policies that will see the promotion of the
commitment of the organization to compliance (Legorreta, 2018). Making identification of
individuals and appointing them to serve as the compliance officers as well as encouraging the
individuals to make complaints regarding the compliance items thorough establishment of the
reporting system. Additionally, the compliance will enhance commitment to formal training and
conduction of the training programs to all the employees. Further, the plan will provide an
avenue for assessing the effectiveness of the program through the ongoing monitoring and
auditing systems. Moreover, there will be the enforcement and the development of the policies to
ensure that the activities are conducted in a measure for the employee who fails to comply with
the defined guidelines. Finally, there will be the corrective actions need to be undertaken to
address any identified vulnerability.
COMPLIANCE PLAN
4
Benefits of an effective compliance plan
An effective compliance program serves in the provision of a mechanism that brings both
the private and the public sector together. .This intern helps in reaching the mutual goals that
effectively work to reduce occurrences such as fraud and abusive characters in the health arena.
Further, the developed mechanism will serve in the realization of improvement in the quality of
the operation, with ultimately improved quality in health care well as a reduction in the cost of
healthcare. After the understanding of the quality based services, there will be a positive result to
the business, the government, and the general public. Also, enhancing the performance of a
compliance plan will help in realization and fulfilling the aspired legal duties to ensure
submission of correct and accurate claims to the private players and the government. There will
be an added benefit that the health care will realize after a practical implementation of a
compliance plan.
In a healthcare arena, there will be an adequate internal control, therefore, making it
possible for compliance with the private player, Federal regulations policies as well as an
internal guideline (Becker, 2015). Moreover, there will be a notable change in the keeping of
records as well as documentation. As an additional benefit, there will be an improved
collaboration, communication, and cooperation among different health care providers as those
using the processing the healthcare information. Furthermore, there will be an ability to
effectively and quickly react to the employee operational compliance concern as well as the
capability to effectively target resources to address employee concerns adequately. An effective
compliance plan will make it possible to create a concrete demonstration to the employees and
the community at large. The result will establish a structure for addressing g the compliance
effectively and productively. This plan, in addition, will make it possible to make an accurate
COMPLIANCE PLAN
5
assessment of both the employees’ and the contractor’s behavior that define the basis of fraud
and abuse. Also, the program will make it possible to identify and address unethical and
criminal conducts.
COMPLIANCE PLAN
6
Reference
Cannoy, S. D., & Salam, A. F. (2014). A framework for healthcare information assurance policy
and compliance. Communications of the ACM, 53(3), 126-131.
Legorreta, A. P., Christian-Herman, J., O’connor, R. D., Hasan, M. M., Evans, R., & Leung, K.
M. (2018). Compliance with national asthma management guidelines and specialty care:
a health maintenance organization experience. Archives of Internal Medicine, 158(5),
457-464.
Becker, M. H., & Maiman, L. A. (2015). Sociobehavioral determinants of compliance with
health and medical care recommendations. Medical care, 10-24.
Running Page: CUBA’S HEALTHCARE OUTLINE
1
Cuba’s Healthcare Outline
Mary Gibson
April 18,2019
Outline
CUBA’S HEALTHCARE OUTLINE
2
Thesis Statement: Cuba’s healthcare system has surpassed many challenges while still
maintaining quality care to its residents and foreigners alike.
Introduction: Cuba has a world standing healthcare system that has been utilized by both its
citizens and foreigners. Cuba provides comprehensive free healthcare to its residents with worldclass physicians. The life expectancy for Cubans is the average of Americans at a rate of 77.6
years of age (Pineo, R., 2019). This is due to the productiveness and the quality of healthcare
provided to individuals. Cuba’s healthcare system was one of the first to produce the meningitis
B vaccine and the residents of Cuba are at the lowest in rates for AIDS. Cuba’s medical centers
provide its own antiviral drugs and free medical education throughout the country. (Pineo, R.,
2019).
I.
Comprehensive free health care (Kruijt, D., 2017).
A. Cuba resiliently sustained as well as improve their healthcare systems through
stringent economic conditions
B. Achievements of sustenance were made possible through the political and
collective will
C. Quality healthcare is provided to all residents of Cuba as well as foreigners who
visit their country
II.
Elimination of viral diseases (Kruijt, D., 2017).
A. Cuba has been able to eradicate most diseases from their country
B. Some believe it violates the rights of the HIV infected, but by quarantine, they
have prevented further spread of the infection for the good of the population
(Franklin, A. J., 2017).
CUBA’S HEALTHCARE OUTLINE
3
C. However, it is unknown as to how Cuba has managed to achieve such outcomes
from reoccurring with diseases other than AIDS
III.
Cuba’s Healthcare vs. the United States Healthcare (Stusser, R. J., 2017).
A. Cuba scores higher in infant mortality over the U.S. healthcare systems
B. Cuba spends thousands less per person a year on healthcare
C. The providers in the U.S. are paid more than those in Cuba
IV.
Issues facing Cuban’s healthcare systems (Kruijt, D., 2017).
A. Cuba has recently leaned more towards currency in healthcare, while only treating
patients who can afford services as opposed to living up by the free healthcare for
all who can’t afford it
B. The public sector has become dominant while the government continues to
maintain priorities with the healthcare provided to its citizens
C. The growth of disparity will continue towards further citizens health decreasing
V.
With the developments, implementations, and establishments concerning the
healthcare system of Cuba, such achievements have risen awareness to the public.
Cuba’s have continuously maintained their roots in what is known as a provision, as
opposed to the purchasing of their healthcare systems. The healthcare systems of
Cuba have been vertically integrated and linked in neighborhoods across their
country. Cuba has world-class physicians who have consistently utilized methods of
eradicating and deterring many diseases out of the country.
CUBA’S HEALTHCARE OUTLINE
4
References
Franklin, A. J. (2017). Health, Humanity, and Revolution: An Analysis of Cuban Healthcare and
Cuba’s Emphasis on Health as a Human Right.
Kruijt, D. (2017). Healthcare without Borders: Understanding Cuban Medical Internationalism.
Revista Europea de Estudios Latinoamericanos y del Caribe, (103).
Pineo, R. (2019). Cuban Public Healthcare: A Model of Success for Developing Nations.
Journal of Developing Societies, 35(1), 16-61.
Stusser, R. J. (2017). CUBAN AND US HEALTH CARE SYSTEMS 1900–2016:
SIMILARITIES, DIFFERENCES, AND EFFICIENCIES. In Annual Proceedings (Vol.
27). The Association for the Study of the Cuban Economy.
Running head: COMPLIANCE PLAN
1
Compliance plan
Mary Gibson
April 17,2019
COMPLIANCE PLAN
2
A compliance plan is a comprehensive program that most of the healthcare organizations
and the employee use to ensure that operations are conducted in an ethical and with the highest
level of integrity as well as according to regulatory and legal based requirements.
In the healthcare sector, there are different sets of compliance that can be put in place to
see the success of the institution. Primary there is two key set of agreement that determines the
ultimate results and the performance of the health organization. The two compliance plans
include:
Leadership compliance plan
There will need to offer meaningful support of the senior management within any healthrelated institution. The presence of the senior officers and will help in enforcing policies and
managing the program. The administration provides leadership to the employee to support and
work towards achieving the organizational mission and vision statements.
Training compliance plan
After the development of control and standards, training of the employee will be
essential. Provision of training should be recurrent, consistent and documented in line with the
employee’s personal life
The primary purpose of a compliance plan is to enhance promotion the prevention of
issue related to criminal conducts, enforcing the set rule and government regulations while
providing quality care services to the patients (Cannoy, 2014). Also, this plan will be vital in the
prevention of practices such as improper payment, abuse, and provision of fraud services as well
as other essential liability areas. There is the need to establish compliance programs. This is in
line with the ACA in collaboration with the physicians and other practices in the medical
COMPLIANCE PLAN
3
program. The reestablishment of this program will provide compliance with one condition of
participation.
As a result of increased fraud enforcement initiatives, there has been a challenge for the
medical care to have implemented the compliance plan and risk exclusion from the government
healthcare programs. Enhancing a proper implementation of a worth compliance plan will
significantly help in the protection of improper conduct. The stability of such behaviors will be
as defined by the CMS.
Elements of a compliance plan
There are seven central compliance plan elements as defined by the ACA. Enhancing an
establishment and adoption of written procedure and policies that will see the promotion of the
commitment of the organization to compliance (Legorreta, 2018). Making identification of
individuals and appointing them to serve as the compliance officers as well as encouraging the
individuals to make complaints regarding the compliance items thorough establishment of the
reporting system. Additionally, the compliance will enhance commitment to formal training and
conduction of the training programs to all the employees. Further, the plan will provide an
avenue for assessing the effectiveness of the program through the ongoing monitoring and
auditing systems. Moreover, there will be the enforcement and the development of the policies to
ensure that the activities are conducted in a measure for the employee who fails to comply with
the defined guidelines. Finally, there will be the corrective actions need to be undertaken to
address any identified vulnerability.
COMPLIANCE PLAN
4
Benefits of an effective compliance plan
An effective compliance program serves in the provision of a mechanism that brings both
the private and the public sector together. . This intern helps in reaching the mutual goals that
effectively work to reduce occurrences such as fraud and abusive characters in the health arena.
Further, the developed mechanism will serve in the realization of improvement in the quality of
the operation, with ultimately improved quality in health care well as a reduction in the cost of
healthcare. After the understanding of the quality-based services, there will be a positive result to
the business, the government, and the general public. Also, enhancing the performance of a
compliance plan will help in realization and fulfilling the aspired legal duties to ensure
submission of correct and accurate claims to the private players and the government. There will
be an added benefit that the health care will realize after a practical implementation of a
compliance plan.
In a healthcare arena, there will be an adequate internal control, therefore, making it
possible for compliance with the private player, Federal regulations policies as well as an
internal guideline (Becker, 2015). Moreover, there will be a notable change in the keeping of
records as well as documentation. As an additional benefit, there will be an improved
collaboration, communication, and cooperation among different health care providers as those
using the processing the healthcare information. Furthermore, there will be an ability to
effectively and quickly react to the employee operational compliance concern as well as the
capability to effectively target resources to address employee concerns adequately. An effective
compliance plan will make it possible to create a concrete demonstration to the employees and
the community at large. The result will establish a structure for addressing g the compliance
effectively and productively. This plan, in addition, will make it possible to make an accurate
COMPLIANCE PLAN
5
assessment of both the employees’ and the contractor’s behavior that define the basis of fraud
and abuse. Also, the program will make it possible to identify and address unethical and
criminal conducts.
COMPLIANCE PLAN
6
Reference
Cannoy, S. D., & Salam, A. F. (2014). A framework for healthcare information assurance policy
and compliance. Communications of the ACM, 53(3), 126-131.
Legorreta, A. P., Christian-Herman, J., O’connor, R. D., Hasan, M. M., Evans, R., & Leung, K.
M. (2018). Compliance with national asthma management guidelines and specialty care:
a health maintenance organization experience. Archives of Internal Medicine, 158(5),
457-464.
Becker, M. H., & Maiman, L. A. (2015). Sociobehavioral determinants of compliance with
health and medical care recommendations. Medical care, 10-24.
Outline
a)
Compliance Procedures for Hand-Washing Hygiene
Compliance Procedures
b)
Fire Safety Measure and Compliance
Compliance Procedures
c)
References
Running Head: COMPLIANCE PLANS
Procedures for Compliance Plans in Large Medical Facility
Mary Gibson
April 24,2019
1
COMPLIANCE PLANS
2
a) Compliance Procedures for Hand-Washing Hygiene
The simplest way to prevent or rather counter infection in patients is by observing
proper hygienic procedures such as washing hands. Some of the health care facilities across
the countries including medical facility is missing the mark. The case scenario here is that the
clinical staff members employed in this medical facility are not washing their hands between
patients which is very dangerous as it contributes to spread of infections from patient to
patient. Also the clinical staff members are risking their health by not washing their hands
after attending to each patient. Therefore, before are the compliance procedures that are to be
taken to account by each and every employee at this facility in order to manage the situation
and improve hand hygiene.
Compliance Procedures
The procedures will feature assessment guidelines that will help in demonstrating or
rather projecting the success of the action plan towards making sure that the complains plan
is implemented and met strategically. The four assessment features are intervention by the
hygiene department to improve hand hygiene, assessment of compliance among the health
care workers, assessment of compliance through the providence of necessary hygiene
apparatus and resources, and monitoring settings and guidelines processes to ensure
compliance. Therefore, the procedures for compliance are:
1. Hospital wide education and training on proper hand hygiene through awareness.
The education features seminar, case studies and research presentations on the
infections caused by poor or rather improper hand hygiene among the clinical staff
members, (Gould et al, 2011). The staff should be informed on why it’s important
to wash hands in order to stop the spreading of infection. The training should
COMPLIANCE PLANS
3
happen periodically in order to guarantee the information will be remembered
each and every time the staff is attending a patient.
2. The second procedure is action and accountability. Providing the necessary
apparatus and resources to facilitate hand hygiene is important. The nurses should
be in a position to access hand hygiene apparatus in order after visiting any patient
(Musu et al, 2017). The facilities and resources need to be installed in appropriate
areas such as in every ward, sanitary rooms and designated corners or areas in the
hallway. Each nurse also need to carry a hand sanitizer issued by the respective
department in the medical facility to be used after attending each patient.
3. Monitoring and implementation is the next procedure. Assessing if the hospital
has resources is important (Jones et al, 2017). Reports should be collected and
submitted to the respective channels in order to monitor the progress and practice
of hand hygiene within the medical facility among the staff members. In this case,
every hospital is required to implement a program based on WHO or the CDC
guidelines in order to set goals for compliance improvement.
b) Fire Safety Measure and Compliance
Fire safety complianc is a legal responsibility that every business or entity should
implement. It is important to be compliant with fire safety regulations in any medical facility
as well as ensuring that in the process the …
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