Compliance

At SWHRCIN, we are deeply committed to conducting our business operations with high ethical standards and in full compliance with all applicable federal and state laws, rules and regulations. As an employee of SWHRCIN, you are responsible for representing the organization in a manner that reflects and upholds this commitment.

Each one of us has the power to influence the reputation of our organization through our words, actions, and decisions.

Your essential compliance duties are:

  • Stay aware of the laws and policies that affect your role and function within the organization
  • Hold (yourself and others) accountable for your actions
  • Share concerns, ask questions, and report suspicions of misconduct

Compliance Training and Education

Compliance education is provided to our community through various delivery mechanisms.  Formal training is primarily made available online through self-paced interactive modules. All employees are expected to complete initial compliance education at the time of hire and annually thereafter. Timely completion of all assigned compliance training is a requirement and a condition of employment for all employees.

What you need to know

Compliance protects us and the people we serve at SWHR. Healthcare is a highly regulated industry, that’s why there are policies and procedures in place to help us navigate this complex environment. These policies and procedures are put in place to help us make the right decisions.

The Compliance Program at SWHR consists of a comprehensive strategy including policies, personnel and resources designed to assist employees in adherence to the Code of Conduct, compliance policies, laws and regulations. The Program includes the essential elements necessary for an effective compliance program and builds upon the practices of checks and balances, ethics, trust and best practices. The elements of SWHR’s Corporate Compliance Program Plan are:

  1. Written Policies and Procedures and Standards of Conduct
  2. Compliance Officer, Compliance Council and High-Level Oversight
  3. Effective Training and Education Developing effective lines of communication.
  4. Effective Open Lines of Communication
  5. Well-Publicized Disciplinary Standards and Enforcement
  6. Prompt Response to Compliance and Fraud, Waste and Abuse Issues
  7. Exclusion Screenings
  8. Plan Amendments

We are very fortunate at SWHR to have leaders who demonstrate the commitment to a culture of compliance.

Compliance is everyone’s responsibility at SWHR, not just a review or audit conducted by a member of the Corporate Compliance team. As an SWHR employee, you are the first line of defense to ensure the organization’s compliance. Compliance is the day-to-day interactions SWHR employees have with patients, other clinicians, and staff. Real compliance is doing the right thing when no one is looking and leaders having an expectation to do things right even when it seems like there is an “easier” way.

Help each other foster compliance in the workplace:

  • Encourage accountability with one another
  • If you see a teachable moment to ensure compliance, talk to your colleague
  • It’s important to do the right thing
  • Recognize each other as Compliance Champions through Applause
  • Have open lines of communication with your supervisor and teammates
  • Attend department-specific refresher training and ask for them during meetings
  • Collaboration with other departments
  • Don’t be afraid to speak up

Code of Conduct: The Code of Conduct explains key compliance expectations for all individuals associated with SWHR-CIN and provides additional guidance to all persons associated with SWHR-CIN business. Through this Code, we demonstrate our commitment to complying with applicable federal and state standards, statutes, regulations, sub‐regulatory guidance and contractual commitments. You are required to read the Code and are expected to demonstrate these commitments into your daily activities.

Download the Code of Conduct here.

Compliance Program Policies and Procedures: In addition to the standards and requirements described in the Code of Conduct, you are expected to read, understand, and abide by compliance standards, policies, and procedures specific SWHRCIN. You are required to read and understand all compliance program policies and procedures.

Compliance Program Plan 

Questions

Email:
SWHRcompliance@southwesternhealth.org

Compliance Helpline:
1-800-673-0108

Mail to:
Compliance
1701 River Run, Suite 902
Fort Worth, TX 76107

Meet Chief Compliance Officer Wendy Carver

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