t’s time to describe the monitoring tools for your two compliance plans in a way that all employees will understand at a large medical facility where you are the Compliance Officer.
- Your assignment is to write a 2-3 page section describing the monitoring tools for each compliance plan. (That means a total of 4-6 pages for the two plans; you can write them in one Word document.)
- Then, create a 1-page procedure based on one of your monitoring tools. Monitoring tools you should cover for each plan should relate to the policies and procedures you developed in previous modules.
- You chose policies/procedures under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention. (Check them out if you forget! Remember, you may have written about different policies/procedures for the two different compliance plans.)
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Introduction:
For any medical facility or organization, compliance with regulations and ethical standards is a crucial aspect. As a compliance officer, it is our responsibility to ensure that all employees understand the compliance plans and monitoring tools that we have in place. This assignment focuses on describing the monitoring tools for two compliance plans related to key compliance areas, including compliance standards, high-level responsibility, education, communication, monitoring/auditing (for safety), enforcement/discipline, and response/prevention.
Answer:
Compliance Plan 1: Patient Data Privacy
For the compliance plan on patient data privacy, we have implemented several monitoring tools to ensure that all employees comply with the relevant policies and procedures. The first monitoring tool we have in place is the regular training sessions for all employees. These sessions are conducted at least twice a year and cover all aspects of patient data privacy policies and procedures. These training sessions include role-playing exercises that help to reinforce the importance of respecting patient data privacy rights.
The second monitoring tool we have in place is the monthly audits of patient data records. These audits are conducted by designated compliance officers who check to ensure that all patient information is stored securely and only accessed by authorized personnel. Any discrepancies or violations uncovered during the audits are reported to the relevant department head for corrective action.
Finally, we have implemented a reporting system that enables all employees to report any suspected or actual patient data privacy violations. This system ensures that employees who may be hesitant to report incidents are protected from retaliation, and incidents are promptly addressed to prevent further violations.
Procedure based on monitoring tool: Auditing patient data records
Objective: To ensure that all patient data records are maintained securely and accessed only by authorized personnel.
Procedure:
1. The designated compliance officers will randomly select patient data records for auditing every month.
2. The compliance officers will check to ensure that all patient data records are stored securely, whether in electronic or paper form, and that only authorized personnel have access to the records.
3. The compliance officers will review the access logs to verify that all access requests were legitimate and authorized.
4. Any discrepancies or violations uncovered during the audit will be reported to the relevant department head for corrective action.
5. The compliance officers will document the audit findings and maintain a record of all audits conducted.
