Recent Compliance Guidance Issued for Health Care Governing Boards
May 13, 2015
May 13, 2015
In cooperation with several industry associations, the Office of Inspector General (OIG) at the Department of Health and Human Services (HHS) recently issued guidance to help governing boards of health care organizations perform their compliance duties. The guidance was developed through collaboration between the Association of Healthcare Internal Auditors, the American Health Lawyers Association, the Health Care Compliance Association, and the OIG. The compliance guidance repeats some guidance for other industry groups, such as a compliance program is not a “one size fits all” program. However, the guidance also contains information that is particularly applicable to governing boards.
The guidance addresses the following issues relating to a governing board’s oversight and review of compliance functions: (1) roles of, and relationships between, the organization’s audit, compliance, and legal departments; (2) mechanism and process for reporting within the organization; (3) identifying regulatory risk; and (4) encouraging enterprise-wide accountability for achieving compliance goals and objectives.
The guidance offers some suggestions specific to governing boards about compliance, including the following.
The board may want to consider scheduling regular executive sessions to discuss compliance and quality functions to encourage open communication.