Compliance Comparison Matrix and Executive Summary
Exam Content
Your health care organization has had several small compliance incidents in the past two years, and the organization is now motivated to update its compliance program. Your executive leadership team asked you to review 2 health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt.
Select the type of health care organization you want represented in this assignment (e.g., family practice, hospital, urgent care, or nursing home). I would like nursing home
Locate 2 compliance program documents from comparable health care organizations using your Internet search engine.
Read both compliance program documents and examine the similarities and differences between the 2.
Create and submit a side-by-side comparison matrix that compares how both organizations execute the following compliance components:
How internal monitoring and auditing is conducted.
How compliance and practice standards are implemented.
The designated compliance officer (or person designated to be the contact for compliance matters), who that person reports to, and their relationship to the organization’s governing board.
How employees are trained and educated to model compliant behaviors.
How violations or offenses are detected, reported, and corrected.
How lines of communication with employees are developed.
How disciplinary standards are enforced.
Write a 525- to 700-word executive summary that informs your executive leadership about the matrix you created and offer your opinion as to which best practices the organization should adopt for its own compliance program.
Cite your sources according to APA guidelines. Have properly cited in-text references that support the reference page.
Submit your Side-by-Side Compliance Comparison Matrix and Executive Summary.
Compliance Programs Matrix
Student’s Name
Institutional Affiliation
Course
Instructor
Date
Executive Summary
After reviewing the compliance program documents for both organizations, I have created a side-by-side comparison matrix to examine the similarities and differences between the two. The matrix compares how both organizations execute the compliance components: internal monitoring and auditing, compliance and practice standards, designated compliance officer, employee training and education, detection and correction of violations or offenses, communication with employees, and enforcement of disciplinary measures.
Compliance Component
Organization A
Organization B
Internal monitoring and auditing
Conducted by an external auditing firm, which reports to the board of directors
Conducted by an internal compliance team, which reports to the compliance officer
Compliance and practice standards
Developed by a compliance committee, which includes representatives from all departments and is approved by the board of directors
Developed by the compliance officer in consultation with legal counsel and approved by the board of directors
Designated compliance officer
The compliance officer is an independent contractor and reports to the board of directors
The compliance officer is a member of the executive leadership team and reports to the CEO
Employee training and education
All employees must complete annual compliance training developed by the compliance committee and delivered by an external training firm.
All employees are required to complete annual compliance training developed and delivered by the compliance officer.
Detection, reporting, and correction of violations
Employees are encouraged to report violations through an anonymous hotline, and the compliance committee is responsible for investigating and correcting violations.
Employees are encouraged to report violations to their supervisor or the compliance officer, who is responsible for investigating and correcting violations.
Lines of communication with employees
The compliance committee holds regular town hall meetings to discuss compliance issues and answer questions.
The compliance officer holds regular meetings with all departments to discuss compliance issues and answer questions.
Disciplinary standards
The compliance committee is responsible for enforcing disciplinary standards outlined in the compliance program document.
The compliance officer enforces disciplinary standards outlined in the employee handbook.
A critical distinction between Organization A and Organization B lies in their respective internal monitoring and auditing approaches. Whereas Organization A relies on annual audits conducted by an external firm, Organization B utilizes quarterly audits conducted by an internal team. While both methodologies have inherent advantages, our organization would be better served by adopting a more frequent internal auditing schedule (Gantz, 2014). By doing so...
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