Healthcare Best Compliance Practices 2013 Forum Trustee Compliance Training, Education and Governance Greg Radinsky, JD, MBA Vice President, Chief Corporate Compliance Officer
North Shore-LIJ North Shore-LIJ cares for people of all ages throughout Long Island, Queens, Manhattan and Staten Island
North Shore-LIJ Overview Integrated healthcare system Service area of 7 million people in Long Island, Manhattan, Queens and Staten Island More than 46,000 employees Recipient of the National Quality Forum’s 2010 National Quality Healthcare Award Home of the largest “corporate university" in the healthcare industry – the Center for Learning and InnovationSM Home of the nation’s largest patient simulation center – the Patient Safety InstituteSM
Scope of Compliance Roles Board of Trustees – Oversee the management of the Compliance Program Management – Actively support the Compliance Program and to ensure implementation of the Compliance Program activities Corporate Compliance – Operational responsibility of the Compliance Program which primarily includes education, conducting audits, implementing other proactive monitoring tools, and responding to compliance inquiries (i.e., Medicare and Medicaid)
Sample Training Video
What to Report to the Board Priori%ze Educate on industry developments Audit Work Plans Audit status reports Annual, semi-‐annual or quarterly reports Proac%ve vs. reac%ve informa%on
Risk Assessment Resource Guide
Compiled semi-‐annually and the areas covered include the followng:
The status of ongoing Compliance ini%a%ves Key changes and updates to per%nent rules and regula%ons Risk profile chart Health System financial data and benchmarks
Sample Training Video
Questions
Greg Radinsky, JD, MBA Vice President & Chief Corporate Compliance Officer North Shore-LIJ Health System (516) 465-8327 gradinsk@nshs.edu