How internal monitoring and auditing is conducted

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.

Create a 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

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