Corporate Compliance at Jones Memorial

What is Corporate Compliance?

The purpose of our program is to support and promote a culture that values integrity, honesty, ethical practices and the highest standards of conduct, on the part of the employees, agents, vendors and business associates and to perform their work in accordance with all laws that regulate the Hospital, including applicable fraud, waste and abuse laws.

The program empowers employees and providers to detect any problems and provide a means to solve those problems. It is critical that each employee or agent understand his or her individual responsibility to not only personally adhere to these standards, but also actively participate and promote compliance as representatives of the Hospital. The Corporate Compliance Officer will work with the Compliance Workgroup, Compliance Oversight Committee and the Board of Directors to promote effective communication, implementation and direction of this program.

New York State requires Compliance Programs in Health Care Facilities. The purpose is to establish systemic checks and balances to detect and prevent inaccurate billing and inappropriate practices. Jones Memorial's Compliance Program incorporates these seven elements:

• Written standards of conduct, as well as written policies and procedures that describes compliance expectations and promotes the Hospital's commitment to Compliance.
• A Compliance Officer vested with the responsibility of the day-to-day operations of the program and reports periodically to the governing body.
• Education/Training programs for all employees periodically and at the time of hire through orientation as well as appointee, executive and Board of Directors.
• Policy that encourages good faith reporting of compliance issues; failing to report a suspected problem; participating in non-compliant behavior. Disciplinary actions are addressed the HR's disciplinary process.
• The Compliance Committee routinely identifies risk areas, completes internal audits and self-assessments and completes a yearly work plan.
• A system to respond to allegations of suspected non-compliance are investigated and reported to the Compliance, Oversight and Board of Directors followed by appropriate regulatory agency and refunding over payments.
• Policy for non-retaliation and non-intimidation for reporting potential issues.