The pressures are mounting for healthcare organizations to comply with a growing number of laws and regulations. With the passage of the Affordable Care Act, sophisticated compliance programs are now mandatory and the penalties for noncompliance are more severe. Increasingly, those who are trained in the fundamentals of healthcare laws and regulations and the complexities of designing and running compliance programs will be in high demand. Managing Legal Compliance in the Health Care Industry is a comprehensive resource that will prepare you to build and manage successful compliance programs for any healthcare service or industry. In three sections, this unique title first examines all the key laws and regulations with which healthcare organizations must comply. In section two, the author explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of healthcare organizations. Designed for administrators and legal counsel in health care organizations, as well graduate-level students in programs of public health, health administration, and law, Managing Legal Compliance in the Health Care Industry is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features: -Examines in detail the current laws and regulations with which all types of healthcare organizations must comply -Explores the seven essential ingredients for a good compliance program -Looks at compliance programs within twelve different types of healthcare organizations -References real-world cases of fraud and abuse -Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking -Accompanied by a Navigate Companion Website that offers an interactive glossary, a list of current compliance events, downloadable documents, and a reading list.
Managing Legal Compliance in the Health Care Industry is a comprehensive text that prepares students for this increasingly critical field in health care administration. In three sections, this unique title first examines all the key laws and regulations that health care organizations must comply with. In section two, it explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of health care organizations.Designed for graduate level students in programs of public health, health administration, and law, the text is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features:- Examines in detail the current laws and regulations with which all types of health care organizations must comply- Explore the seven essential ingredients for a good compliance program- Looks at compliance programs within twelve different types of health care organizations- References real world cases of fraud and abuse- Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking
Litigation is rampant in the home health field - and it's not just about billing and coding. It's also about other practices that could lead to compliance problems, such as substandard employment practices or failing to run background checks. A lawsuit against your agency could come completely out of left field. But you can avoid getting blind-sided and protect your agency. Corporate Compliance in Home Health: Establishing a Plan, Managing the Risks gives home health care providers practical, down-to-earth standards for controlling and preventing losses growing out of corporate compliance. With this new resource from Aspen, get an up-to-date and easy-to-understand review of the law of corporate compliance, find out how the new OIG (Office of the Inspector General of HCFA) model compliance guidance for hospitals impacts home health, and uncover where your agency is at risk. You'll find out what to do if and when your agency comes under investigation, and get important, timely federal reference material from the GAO to HHS, and key parts of the Federal Sentencing Guidelines.
Now in its second edition, Quality Management in Health Care: Principles and Methods addresses the mounting pressure on the health care industry to control costs while providing the highest quality care and services. In doing so, it provides students with a solid foundation in the implementation of quality improvement activities and the tools necessary to evaluate and improve their efforts toward quality of care. With an emphasis on general theory and practical applications, the text delineates the techniques that form the basis of quality management in medicine, such as group processes, process orientation, statistical process control, and statistical techniques. A clear and concise writing style and effective use of examples, illustrations, and case studies elucidate the complex topics presented in the text.
The HCISPP certification is a globally-recognized, vendor-neutral exam for healthcare information security and privacy professionals, created and administered by ISC2. The new HCISPP certification, focused on health care information security and privacy, is similar to the CISSP, but has only six domains and is narrowly targeted to the special demands of health care information security. Tim Virtue and Justin Rainey have created the HCISPP Study Guide to walk you through all the material covered in the exam's Common Body of Knowledge. The six domains are covered completely and as concisely as possible with an eye to acing the exam. Each of the six domains has its own chapter that includes material to aid the test-taker in passing the exam, as well as a chapter devoted entirely to test-taking skills, sample exam questions, and everything you need to schedule a test and get certified. Put yourself on the forefront of health care information privacy and security with the HCISPP Study Guide and this valuable certification. Provides the most complete and effective study guide to prepare you for passing the HCISPP exam - contains only what you need to pass the test, and no fluff! Completely aligned with the six Common Body of Knowledge domains on the exam, walking you step by step through understanding each domain and successfully answering the exam questions. Optimize your study guide with this straightforward approach - understand the key objectives and the way test questions are structured.
Risk management for health care institutions involves the protection of the assets of the organizations, agencies, and individual providers from liability. A strategic approach can result in significant cost savings. Risk Management in Health Care Institutions: A Strategic Approach offers governing boards, chief executive officers, administrators, and health profession students the opportunity to organize and devise a successful risk management program. Experts in risk management have contributed comprehensive, up-to-date syntheses of relevant topics to assist with practical risk management strategies.
Publisher: American Society for Microbiology Press
This totally revised second edition is a comprehensive volume presenting authoritative information on the management challenges facing today’s clinical laboratories. • Provides thorough coverage of management topics such as managerial leadership, personnel, business planning, information management, regulatory management, reimbursement, generation of revenue, and more. • Includes valuable administrative resources, including checklists, worksheets, forms, and online resources. • Serves as an essential resource for all clinical laboratories, from the physician’s office to hospital clinical labs to the largest commercial reference laboratories, providing practical information in the fields of medicine and healthcare, clinical pathology, and clinical laboratory management, for practitioners, managers, and individuals training to enter these fields.
Compliance, Consumerism, and Accountability in the 21st Century
Author: Seth B. Goldsmith
Publisher: Jones & Bartlett Learning
Faced with strict government regulations and increasing service demands by consumers, healthcare providers find themselves accountable on both ends. Written to reflect the realities of the 21st century, Principles of Health Care Management considers the many outside forces influencing health care institutions, and in doing so provides a progressive and modern reference on how to effectively manage a health organization. Using relevant case studies to illustrate key points, this text explains the critical changes and challenges that administrators must deal with as they go about practicing their profession and what students must learn as they begin their study of this vital field. Organized into five sections, The text covers: Essential foundation material on the U.S. health system A review of the essentials of healthcare management an examination of the crucial area of corporate compliance A look at how consumerism affects the healthcare organization A model of accountable management that begins with a reconceptualization of strategic planning and ends with an analysis of the accountable organization.
Although a number of cryptography and security techniques have been around for quite some time, emerging technologies, such as ubiquitous computing and ambient intelligence that exploit increasingly interconnected networks, mobility and personalization, put new requirements on privacy and security with respect to data management. As data are accessible anytime anywhere, according to these new concepts, it becomes much easier to get unauthorized data access. As another consequence, the use of new technologies has brought some privacy concerns. It becomes simpler to collect, store, and search personal information and endanger people’s privacy. Therefore, research in the area of secure data management is of growing importance, attracting the attention of both the data managementand securityresearchcommunities. The interesting problemsrange from traditional topics, such as access control and general database security, via privacy preserving data mining, to new research directions, such as search on encrypted data and privacy-enhancing technologies. This year, the call for papers attracted 29 papers both from universities and industry. For presentation at the workshop,the ProgramCommittee selected 11 full papers (37% acceptance rate) as well as 4 position papers. These papers are also collected in this volume, which we hope will serve you as a useful research and reference material.