Managing Legal Compliance in the Health Care Industry

Author: George B. Moseley III,Lecturer in Health Law and Management Department of Health Policy and Management Harvard School of Public Health Boston Massachusetts George B Moseley III

Publisher: Jones & Bartlett Publishers

ISBN: 1449639658

Category: Business & Economics

Page: 582

View: 3442

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.

Principles of Health Care Management

Foundations for a Changing Health Care System

Author: Professor Emeritus School of Public Health and Health Sciences University of Massachusetts Amherst Massachusetts Seth B Goldsmith, SCD, JD,Seth B. Goldsmith

Publisher: Jones & Bartlett Publishers

ISBN: 1449610455

Category: Law

Page: 438

View: 6015

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.

Corporate Compliance in Home Health

Establishing a Plan, Managing the Risks

Author: Fay A. Rozovsky

Publisher: Jones & Bartlett Learning

ISBN: 9780834211735

Category: Law

Page: 512

View: 2586

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.

Quality Management in Health Care: Principles and Methods

Author: Donald Lighter,Douglas C. Fair

Publisher: Jones & Bartlett Learning

ISBN: 0763732184

Category: Business & Economics

Page: 589

View: 4438

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 Complete Legal Guide to Healthcare Records Management

Author: Cherilyn G. Murer,Michael A. Murer,Lyndean Lenhoff Brick

Publisher: McGraw-Hill

ISBN: 9780071349642

Category: Law

Page: 796

View: 9805

While much has changed in the delivery of healthcare in this country, what has not changed is the importance of maintaining and managing medical records. All healthcare organizations must keep complete medical records to comply with Federal and state laws, to minimize exposure to malpractice liability and to ensure that quality care is given to patients. With more systems crossing state lines and an increase in centralized medical records departments, The Complete Legal Guide to Healthcare Records Management becomes a valuable resource to the professional who handles records from multiple geographic locations. Users of this resource will be in a position to maintain or improve their records management systems and to protect themselves from regulatory compliance violations and malpractice liability. The Complete Legal Guide to Healthcare Records Management is an "all-in-one" resource and reference for healthcare professionals in a variety of settings. The comprehensive state-by-state format allows organizations who deliver care in diverse geographic locations to understand and account for variations in state requirements on record keeping. Topics covered in The Complete Legal Guide to Healthcare Records Management: -- Records defined -- general discussion and definitions of Federal and state laws -- Ownership issues of medical records -- general ownership, physician/provider conflict -- Records to keep -- Why must you keep records? -- Time requirement for record-keeping -- The electronic record and special problems with advancing technology -- Storing medical records -- Correcting medical records -- Disclosure of records -- such as drug and alcohol abuserecords, communicable disease information -- Dealing with court orders and subpoenas -- Participation in Medical Research -- Disposal of medical records -- Healthcare business records -- what are they and do you keep them? The Complete Legal Guide to Healthcare Records Management is a "must-have" for anyone in the healthcare industry who comes in contact with healthcare records!

Healthcare Information Privacy and Security

Regulatory Compliance and Data Security in the Age of Electronic Health Records

Author: Bernard Peter Robichau

Publisher: Apress

ISBN: 1430266775

Category: Computers

Page: 194

View: 1326

Healthcare IT is the growth industry right now, and the need for guidance in regard to privacy and security is huge. Why? With new federal incentives and penalties tied to the HITECH Act, HIPAA, and the implementation of Electronic Health Record (EHR) systems, medical practices and healthcare systems are implementing new software at breakneck speed. Yet privacy and security considerations are often an afterthought, putting healthcare organizations at risk of fines and damage to their reputations. Healthcare Information Privacy and Security: Regulatory Compliance and Data Security in the Age of Electronic Health Records outlines the new regulatory regime, and it also provides IT professionals with the processes and protocols, standards, and governance tools they need to maintain a secure and legal environment for data and records. It’s a concrete resource that will help you understand the issues affecting the law and regulatory compliance, privacy, and security in the enterprise. As healthcare IT security expert Bernard Peter Robichau II shows, the success of a privacy and security initiative lies not just in proper planning but also in identifying who will own the implementation and maintain technologies and processes. From executive sponsors to system analysts and administrators, a properly designed security program requires that that the right people are assigned to the right tasks and have the tools they need. Robichau explains how to design and implement that program with an eye toward long-term success. Putting processes and systems in place is, of course, only the start. Robichau also shows how to manage your security program and maintain operational support including ongoing maintenance and policy updates. (Because regulations never sleep!) This book will help you devise solutions that include: Identity and access management systems Proper application design Physical and environmental safeguards Systemwide and client-based security configurations Safeguards for patient data Training and auditing procedures Governance and policy administration Healthcare Information Privacy and Security is the definitive guide to help you through the process of maintaining privacy and security in the healthcare industry. It will help you keep health information safe, and it will help keep your organization—whether local clinic or major hospital system—on the right side of the law.

Risk Management in Health Care Institutions: A Strategic Approach

Author: Florence Kavaler,Allen D. Spiegel

Publisher: Jones & Bartlett Learning

ISBN: 9780763723149

Category: Health & Fitness

Page: 444

View: 7816

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.

Encyclopedia of Health Care Management

Author: Michael J. Stahl

Publisher: SAGE Publications

ISBN: 1452265240

Category: Medical

Page: 664

View: 2589

The topic of health care management has escalated to one of the most widely discussed and debated topics in the health care industry, MBA programs, and in the field of medicine in general. In the 1980s, the industry was relatively stable and the need for combining business acumen with medicine was less than today. However, as we enter the 21st century, the need for applying business and management skills to the health care industry is stronger than ever. This Encyclopedia covers every topic a medical professional, institutional administrator, or MBA student would need to know about the business of health care. Key Features * Over 600 entries * More than 160 expert contributors from the fields of medicine, public health, business * Tables on medical degrees, medical specialties, medical organizations, health care acronyms, medical legislation * Unites the business and medical worlds, and spans the academic, corporate, and governmental arenas Topics Covered Accounting and Activity-Based Costing / Economics / Finance / Health Policy / Human Resources / Information Technology / Institutions and Organizations / International Health Care Issues / Legal and Regulatory Issues / Managed Care / Marketing and Customer Value / Operations and Decision Making / Pharmaceuticals and Clinical Trials / Quality / Statistics and Data Mining / Strategy

HCISPP Study Guide

Author: Timothy Virtue,Justin Rainey

Publisher: Syngress

ISBN: 012802089X

Category: Computers

Page: 210

View: 4664

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.

Secure Data Management

4th VLDB Workshop, SDM 2007, Vienna, Austria, September 23-24, 2007, Proceedings

Author: Willem Jonker,Milan Petković

Publisher: Springer Science & Business Media

ISBN: 3540752471

Category: Business & Economics

Page: 212

View: 4879

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.

Risk Management Applications in Pharmaceutical and Biopharmaceutical Manufacturing

Author: Hamid Mollah,Harold Baseman,Mike Long

Publisher: John Wiley & Sons

ISBN: 1118514343

Category: Science

Page: 416

View: 1598

Sets forth tested and proven risk management practices in drug manufacturing Risk management is essential for safe and efficient pharmaceutical and biopharmaceutical manufacturing, control, and distribution. With this book as their guide, readers involved in all facets of drug manufacturing have a single, expertly written, and organized resource to guide them through all facets of risk management and analysis. It sets forth a solid foundation in risk management concepts and then explains how these concepts are applied to drug manufacturing. Risk Management Applications in Pharmaceutical and Biopharmaceutical Manufacturing features contributions from leading international experts in risk management and drug manufacturing. These contributions reflect the latest research, practices, and industry standards as well as the authors' firsthand experience. Readers can turn to the book for: Basic foundation of risk management principles, practices, and applications Tested and proven tools and methods for managing risk in pharmaceutical and biopharmaceutical product manufacturing processes Recent FDA guidelines, EU regulations, and international standards governing the application of risk management to drug manufacturing Case studies and detailed examples demonstrating the use and results of applying risk management principles to drug product manufacturing Bibliography and extensive references leading to the literature and helpful resources in the field With its unique focus on the application of risk management to biopharmaceutical and pharmaceutical manufacturing, this book is an essential resource for pharmaceutical and process engineers as well as safety and compliance professionals involved in drug manufacturing.

Risk Management Handbook for Health Care Organizations, 3 Volume Set

Author: American Society for Healthcare Risk Management (ASHRM)

Publisher: John Wiley & Sons

ISBN: 0470649194

Category: Medical

Page: 650

View: 870

Continuing its superiority in the health care risk management field, this sixth edition of The Risk Management Handbook for Health Care Organizations is written by the key practitioners and consultant in the field. It contains more practical chapters and health care examples and additional material on methods and techniques of risk reduction and management. It also revises the structure of the previous edition, and focuses on operational and organizational structure rather than risk areas and functions. The three volumes are written using a practical and user-friendly approach.

Corporate Compliance

Author: Sharon Oded

Publisher: Edward Elgar Publishing

ISBN: 1781954755

Category: Law

Page: 336

View: 7126

How to induce corporate compliance with regulations? Harsh punishments will cause companies to disguise violations, and mild punishments will cause companies to report their violations and make weak efforts to avoid them. In this book, Sharon Oded canvasses the history of thinking about corporate compliance, and he proposes his own candidate for the best law. This is a sophisticated account of legal incentives that will repay any reader interested in corporate compliance. Robert Cooter, University of California, Berkeley, US The effective control of corporate misconduct is a vital but elusive task for regulators, given the complexity of organization structures and the need to find the right balance between deterrent- and cooperative-based enforcement policies. In this powerful and comprehensive study, Sharon Oded argues for combining different approaches and boldly advocates, in particular, the use of third-party independent corporate monitoring firms to implement self-policing strategies. This will be essential reading for those involved in the theory or practice of regulatory corporate enforcement. Anthony Ogus, University of Manchester, UK and University of Rotterdam, The Netherlands This book considers how a regulatory enforcement policy should be designed to efficiently induce proactive corporate compliance. It first explores two major schools of thought regarding law enforcement, both the deterrence and cooperative approaches, and shows that neither of these represents an optimal regulatory enforcement paradigm from a social welfare perspective. It provides a critical analysis of recent developments in US Federal corporate liability regimes, and proposes a generic framework that better tailors sanction schemes and monitoring systems to regulatee performance. The proposed framework efficiently induces corporate proactive compliance, while maintaining an optimal level of deterrence. This insightful book will appeal to academics in law and economics, behavioral economics, criminology, and business, as well as to practitioners and policymakers.

Health Care Administration

Planning, Implementing, and Managing Organized Delivery Systems

Author: Lawrence F. Wolper

Publisher: Jones & Bartlett Learning

ISBN: 9780763731441

Category: Medical

Page: 953

View: 1861

Health Care Administration: Planning, Implementing, and Managing Organized Delivery Systems, Fourth Edition continues to be the definitive guide to contemporary health administration. it provides comprehensive coverage of detailed functional, technical, and organizational matters that pertain to organized delivery systems. it also extensively covers matters that relate to hospitals and functions that occur at the hospital level. With revisions that reflect the emerging issues in health care, this classic text is a must-have for both health administration students and professionals.

The Social Media Handbook

Rules, Policies, and Best Practices to Successfully Manage Your Organization's Social Media Presence, Posts, and Potential

Author: Nancy Flynn

Publisher: John Wiley & Sons

ISBN: 1118206819

Category: Business & Economics

Page: 370

View: 2970

The Social Media Handbook is a comprehensive risk and compliance management toolkit that walks employers step-by-step through the process of developing and implementing effective social media policy and compliance management programs that are designed to minimize—and in some cases prevent—social networking and web 2.0 risks and other electronic disasters. Throughout this important resource Nancy Flynn (an internationally recognized expert on workplace social media) offers a guide to best practices for creating safe, effective, and compliant electronic business communications. The book contains a thorough review of the risks inherent in employees' social media use and content and explores how organizations can help manage behavior, mitigate risks, and maximize compliance through the implementation of strategic social media compliance management programs. These programs combine written policies, supported by comprehensive employee education and are enforced by proven-effective technology tools. Once these policies and programs are in place employers can safely take advantage of the marketing and communications benefits offered by social media. Covering a wealth of material, the book includes vital information on topics such as social media and the law; managing records and e-discovery compliantly; regulatory compliance; privacy and security; blog risks and compliance rules; mobile devices drive social media risks; a seven-step plan for social media policy and compliance management; conducting a social media audit; creating social media policies; content rules and compliance; policy compliance and education; reputation management; and more. In addition to addressing pertinent topics on risk management, the book contains cautionary, real-life social networking disaster stories that show how organizations can lose revenue and reputations, reveals how employees can lose jobs, and explains how individuals can face public humiliation. The Social Media Handbook is a hands-on guide written for human resource professionals, information technology managers, legal professionals, compliance officers, records managers, and others who need to manage today's technology tools with up-to-date employment rules.

Microsoft SharePoint 2013 Inside Out

Author: Darvish Shadravan,Penelope Coventry,Thomas Resing,Christina Wheeler

Publisher: Pearson Education

ISBN: 0735672229

Category: Computers

Page: 904

View: 8774

Conquer SharePoint 2013—from the inside out! You’re beyond the basics, so dive right into SharePoint 2013—and really put your business collaboration platform to work! This supremely organized reference packs hundreds of timesaving solutions, troubleshooting techniques, and workarounds. It’s all muscle and no fluff. Discover how the experts facilitate information sharing across the enterprise—and challenge yourself to new levels of mastery. Efficiently manage documents throughout the enterprise Build team sites and collaborate with Microsoft OneNote and SkyDrive Design workflows with SharePoint Designer and Microsoft Visio Produce e-forms using Microsoft InfoPath and Access Manage community sites using business social features Connect SharePoint to external data and business systems Create business intelligence dashboards and key performance indicators Customize and control Sharepoint enterprise search

Ethics, Law, and Aging Review, Volume 7

Liability Issues and Risk Management in Caring for Older Persons

Author: Marshall B. Kapp, JD, MPH, FCLM

Publisher: Springer Publishing Company

ISBN: 9780826115799

Category: Medical

Page: 230

View: 3380

Health care and human service professionals often experience anxiety about potential adverse legal repercussions for actions taken or not taken in the course of caring for patients or clients. In this volume, professionally distinguished and diverse authors discuss both the real and perceived legal liability context within which health and human service delivery to older persons takes place. The benefits and costs of litigious, legislative, and regulatory interventions on the quality of care and the quality of life for recipients of geriatric services is evaluated. Most important, chapters present suggestions for ways to effectively reduce or manage legal risks and anxieties while improving patient care. This volume fills a gap in the literature by providing careful and accurate analysis of legal issues rarely translated into practical and useful advice for health care and human service professionals.