Why Do We Have a Compliance Program?
Health care has become more complex in recent years with an increased emphasis on financial considerations. In addition, there are numerous government fraud prevention and enforcement initiatives to protect against fraud and abuse. The Department of Health and Human Services and its Office of the Inspector General (OIG) now strongly encourage all health-care providers to implement effective compliance programs.
The primary method of accomplishing this task has been through implementation of health care compliance programs focused on preventing and detecting violations of state and federal health care laws and regulations. UC San Diego’s Compliance Program is modeled after the Federal Sentencing Guidelines and strives to promote an ethical culture, raise awareness of doing the right thing for the right reasons, and fosters an environment where our workforce members may report concerns without fear of retaliation. Each of us are responsible for adhering to policies and laws which can be complex. We’re here to help.
What is the Purpose of the Program?
The Compliance Program has been developed in the context of our core teaching, research, patient care, and public service missions. The specific purposes of the Program are to:
- Maintain and enhance quality of care
- Demonstrate sincere, on-going efforts to comply with all applicable laws
- Maintain and enhance quality of care
- Revise and clarify current policies and procedures in order to enhance compliance
- Enhance communications with governmental entities with respect to compliance activities
- Empower all responsible parties to prevent, detect, and resolve conduct that does not conform with applicable laws, regulations and the program; and
- Establish mechanisms for employees to raise concerns about compliance issues and ensure that those concerns are appropriately addressed.
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