MCCCD Program Description

Overview of Healthcare Compliance

Course: HRC101

First Term: 2016 Summer

Lecture 1.0 Credit(s) 1.0 Period(s) 1.0 Load
Subject Type: Occupational
Load Formula: S - Standard Load

Description: Introduction and overview of healthcare compliance; evolution of the field as a profession. Exploration of federally legislated mandates for a Compliance Program. Program elements. Organizational steps for implementation in specific settings.

MCCCD Official Course Competencies
1. Summarize and compare compliance programs and ethics/integrity programs. (I) 2. Specify who needs a compliance program and the ethical and legal reasons for implementation. (I) 3. Describe the roles of the Department of Health and Human Services, Center for Medicare and Medicaid Services, Office of Inspector General, and the Office for Civil Rights in regulating health care. (I) 4. Discuss the Seven Essential Elements of an effective compliance program. (II) 5. Construct the organizational steps for compliance program implementation. (III) 6. Contrast and discuss methods of tailoring your compliance program. (IV)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. What`s in a Name A. Compliance Program Versus Ethics/Integrity Program B. Compliance Activities in the Health Care Organizations C. What is a Compliance Program D. Who Needs a Compliance Program and Why E. What Impact Does Health and Human Services (HHS), Center for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), and Office for Civil Rights (OCR) have on a Compliance Program II. The Seven Essential Elements A. Standards of Conduct Policies and Procedures B. Compliance Officer and Compliance Committee C. Education D. Monitoring and Auditing E. Reporting and Investigating F. Enforcement and Discipline G. Response and Detection III. Organizational Steps A. Support and Commitment B. Establish Financial Support C. Development of a Code of Conduct D. Identification of Staffing Needs E. Execution of Internal Assessment F. Development of Mission and Goals G. Plan-Do-Check-Act IV. Tailoring Your Compliance Program A. Communication B. Continual Evaluation C. Measure Effectiveness D. Organizational Fit E. Advancing Your Program

MCCCD Governing Board Approval Date: March 22, 2016

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.