Assessment 3 Instructions: Compliance Training

Create a presentation (15-20 slides) to prepare department heads for training their staff on the organization’s new compliance approach. Address the compliance content that department heads will need to convey and best practices for delivery of the compliance training.

Introduction

At this point in your academic career, you know that health care is a heavily regulated industry. While applicable regulations may vary from one organization type to the next, the typical health care organization must navigate through a wide array of laws, quality standards, regulations, and ethical considerations as part of day-to-day operations. What this means is that the staff working in these organizations must also fully understand their organization’s regulatory environment and their role in regulatory compliance.

Successful compliance depends on how well the staff is trained. Managers need to be able to teach their staff compliance best practices. The compliance content in the training is one aspect of the health care manager’s job. The other critical aspect of the job is to be able to convey the compliance content effectively and efficiently. In today’s environment, it is not enough to simply place a check mark next to the staff trained item on the manager’s to do list. Staff members need to be able to retain the compliance best practices they’ve learned and apply them on-the-job. In successful health care organizations, compliance training doesn’t just need to be done; it needs to be done effectively and efficiently. This is no easy task given health care regulations’ complexity.

For the purpose of this assessment, you will assume the role of quality assurance officer in your health care organization. You have been tasked with responsibility for developing a presentation that prepares the organization’s department heads to deliver the compliance training to their staff members.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Analyze health care laws and regulations from a local, state, and federal level.
  • Analyze regulatory compliance and ethical considerations in the health care setting.
  • Describe common health care regulations, compliance requirements, and laws.
• Competency 2: Explain the concept of accreditation in health care.
  • Distinguish accreditation from regulations and ethical considerations in health care.
• Competency 3: Assess the importance of continuous readiness in the health care organization.
  • Explain best practices for training health care staff on compliance.
• Competency 4: Explain how governing body and regulatory agency standards exercise oversight authority within a health care organizational setting.
  • Explain the consequences for noncompliance or ethical breaches.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
  • Develop a clear, persuasive, well-organized, and generally error-free presentation for department heads that prepares them to conduct compliance training for their departments.

Preparation

Conduct independent research on these topics:

• Regulations, accreditation requirements, and ethical standards that govern the health care industry.
• Current best practices in compliance training and health care industry accepted training programs.

Consult your suggested resources as a starting point for your research. You may also want to consult the Health Care Administration Undergraduate Library Research Guide for additional guidance on how to conduct scholarly, professional research.

Instructions

For the purpose of this assessment, you will assume the role of quality assurance officer at one of Vila Health’s community-based hospitals. Vila Health is a medium-sized system of health care operating facilities in Minnesota and Wisconsin. You recently received approval from your organization’s senior leaders to provide compliance training to all staff members based on the new approach to compliance your organization has adopted.

Because of the number of staff requiring training, you will not be able to deliver the compliance training yourself. Instead, your organization’s department heads will conduct the training for their departments. Your job is to develop a presentation to help the department heads train their staff on the organization’s new approach to compliance.

You have scheduled a meeting with the department heads to introduce the compliance training. As you are doing your planning for your presentation to department heads, you have decided that your presentation needs to consist of two parts:

• Part One: Background on Health Care Regulation, Accreditation, and Ethics
  • This addresses the compliance content department heads need to cover in their staff training sessions.
• Part Two: Compliance Training Effectiveness
  • This addresses how to design and deliver compliance training that staff members retain and apply on the job.

You have determined you will need 15–20 slides to cover the content you plan to deliver to the department heads. You have also created an outline of what specifically you need to include in your presentation. Here is the outline you created:

Part One: Background on Regulation, Accreditation, and Ethics in Health Care (10-12 slides)

• Introduce regulatory, ethical, and accreditation compliance in health care (2–3 slides).
  • Distinguish accreditation from regulations and ethical considerations in health care.
• Highlight the risks and consequences of noncompliance (1–2 slides).
• Analyze important health care regulations, such as privacy laws, quality standards, and patient rights (3–4 slides).
• Present key ethical considerations all staff must understand (1–2 slides).
• Explain how the concept of continuous readiness applies to compliance (1–2 slides).

Part 2: Compliance Training Effectiveness (6–8 slides)

• Explain best practices for training health care staff on compliance (2–3 slides).
• Conclude with a final meaningful compliance message, such as a motivational statement or a quote about compliance (1 slide).
• Include your reference slide with current APA formatted references (1 slide).

Now that you have your outline in hand, develop your presentation to department heads on the organization’s new compliance training program that they will be delivering to their staff members.

Additional Requirements

• Written communication: Your slides need to include bullet points highlighting the key concepts. Avoid using block paragraphs or pictures only. Make sure your content is clear, persuasive, well-organized and free of errors in grammar, punctuation, and spelling.
• Title slide: Develop a descriptive title for your presentation of approximately 5–15 words. It should stir interest, yet maintain professional decorum.
• Length: Approximately 15–20 slides. Slides should be professional and appropriately balance text and visuals. Avoid making your slides too text heavy. Instead, make use of speaker notes to include additional content.
• References and reference slide: Include a minimum of 3 citations of peer-reviewed sources in current APA format on a final reference slide.
• Scoring guide: Please review the scoring guide for this assessment so that you understand how your faculty member will evaluate your work.
  

  Resources: Compliance Training Best Practices

• Agris, J. L., & Spandorfer, J. M. (2016). HIPAA compliance and training: A perfect storm for professionalism education? Journal of Law, Medicine and Ethics, 44(4), 652–656.
• Billett, S. (2015). Readiness and learning in health care education. The Clinical Teacher, 12(6), 367–372.
• Boerner, C. M. (2015). Do you call it “fraud, waste, and abuse (FWA)” training? Journal of Health Care Compliance, 17(3), 31.
• Brown, J. (2016). Compliance education and training. Journal of Health Care Compliance, 18(4), 37–38.
• Lawrence, P. (2015). A best practice model for the effective deployment of 360° feedback. Development and Learning in Organizations: An International Journal, 29(6), 13–16.
• Worth, T. (2017). Practice management: Practices need to have comprehensive training program to create a culture of HIPAA compliance. Renal and Urology News, 16(5), 23.

• Resources: Quality Assurance

• AHRQ. (2016). AHRQ announces mobile-friendly web sites for national guideline and national quality measures clearinghouses. Journal of Health Care Compliance, 18(5), 39.