Corporate Compliance

Tip: Enforcing disciplinary standards

Compliance Monitor, January 27, 2010

A difficult, but major part of your compliance program is creating and implementing disciplinary policies and keeping the repercussions consistent to all employees of your hospital. The Office of Inspector General (OIG) recommends creating a checklist to see if your program is effective. See if your compliance program includes the following disciplinary standards:
  • Guidelines exist for disciplining all healthcare professionals who have violated the hospital’s standards of conduct, policies, and procedures, or federal and state laws
  • Written policy detail the levels of disciplinary action taken for individuals who violate the hospital’s standards, policies, and regulations
  • Intentional or reckless noncompliance must result in suspension, privilege revocation, termination, and/or financial penalties.
  • Standards of conduct elaborate on the procedures for handling disciplinary problems and designate who is responsible for taking appropriate action
  • Action is taken on an equitable basis
  • Managers and supervisors discipline employees in an appropriate and consistent manner
  • Range of disciplinary standards for improper conduct is published and distributed for all employees
  • All levels of employees are subject to the same disciplinary action for committing similar offenses 
This week’s tip was adapted from The Compliance Program Effectiveness Handbook. For more information about the book or to order your copy, visit the HCMarketplace.

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