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Kristy Grant-Hart has become widely known as the author of How to be a Wildly Effective Compliance Officer. Her wisdom comes from her many years as a compliance professional, including serving as Chief Compliance Officer at United International Pictures, the joint distribution company for Paramount Pictures and Universal Pictures in 65+ countries.

She recently completed a new work the Wildly STRATEGIC Compliance Officer Workbook.

In this podcast Kristy shares her insight into creating more effective compliance and ethics program objectives, strategies and plans.

Hint: it’s better if you have them than if you don’t.

She discusses what makes for the right set of objectives, especially focusing on those that the compliance department controls. From there she moves on to creating strategies that work, and the ins and outs of planning.

Plan on listening in.

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Few relationships are as important as the one between the compliance officer and the organization’s Board of Directors.  When a healthy relationship is in place, the compliance team can benefit from high-level support, greater management involvement, and tone at the top that truly does come all the way from the top.

And, having the right relationship is now more important than ever.  The compliance program evaluation questions recently released by the Department of Justice demonstrate that the government is looking for greater board involvement.

So, what makes for a successful relationship?  Cindy Matson and Ruth Krueger of Sanford Health lay out the challenges and opportunities when working with the board.

Listen in to hear them discuss:

• The key elements of a dynamic board report
• Successfully educating the board
• Language to use and terms to avoid
• Major challenges including access to the board itself
• Planning your time with the board carefully

Ruth Krueger
Ruth is currently the Compliance Program Administrator for Sanford Health.  She obtained a Bachelor of Science degree in Health Sciences from Western Michigan University and completed her Masters in Healthcare Administration at the University of South Dakota.

Cindy Matson
Cindy is currently the Senior Executive Director of Health Services Compliance at Sanford Health. She obtained a Bachelor of Science degree in both Chemistry and Medical Technology from Mount Marty College in Yankton, South Dakota and has completed coursework for her Masters in Business Administration at the University of Sioux Falls in Sioux Falls, SD.

Podcast: Play in new window | Download (Duration: 12:20 — 11.3MB)

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Lisa Fine, Director, Global Compliance at gategroup shared some of her wisdom about helplines in Europe during the 2017 European Compliance and Ethics Institute.

Listen in to the podcast to gain her insights into::

• Why implementation of helplines in Europe has lagged the US
• Some of the biggest challenges, and strategies for making helplines work
• Logistics and challenges of making a hotline work in-country versus on a global scale
• The inherent challenges in dealing with differing laws from country-to-country
• Some of the benefits of using a third-party vendor
• Potential changes to hotline regulations with the implementation of GDPR
• Her experience with usage and reporting once hotlines are active
• The many reasons to keep trying, despite the challenges

[Read more…]

Podcast: Play in new window | Download (Duration: 12:36 — 11.6MB)

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Anna Whites provides fascinating insight into the world of telehealth/telemedicine.   In a wide-ranging conversations she discusses the opportunity to better serve patients, especially those living in remote areas or wanting more anonymity in their treatment.

She also discusses some of the risks, both real and perceived:

• Stark Law and Anti-Kickback
• HIPAA compliance
• Cloud storage and data security
• Data retention policies, and
• Patient consent

Anna Whites is a graduate of the University of Kentucky College of law and operates Anna Whites Law Office. Her practice focuses on healthcare issues from the provider perspective, including reimbursement, audit responses, compliance education and telehealth. Anna is committed to pro bono legal work with youth particularly in the behavioral health arena.

Anna is the Rural Subcommittee Co-Chair of the AHLA Behavioral Health Task Force; a founding member of the Kentucky Governor’s Advisory Committee on Autism Spectrum Disorders; a founding member of the national Community Action Agency CAPLAW legal network and the Kentucky Bar Associations Youth Issues Committee. Anna works with the Kentucky Telehealth Board and Kentucky providers and legislators to enhance coverage for telemedicine in the Commonwealth.

Podcast: Play in new window | Download (Duration: 19:23 — 17.8MB)

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Odell and Kortney sit down over a cup of coffee at SCCE’s European Compliance & Ethics Institute in Prague to discuss the last 30 years of compliance, including:

• The biggest compliance challenges they faced 30 years ago;
• How to get over the challenge of compliance as a “cost center”;
• Building a defensible case for the company to prevent or negate criminal intent allegations;
• Persuading your business partners (the ones creating the risk) that they are ultimately responsible for the risk;
• The forward progress in compliance in Europe:
  • Why are things evolving so quickly;
  • Focus on compliance in the anti-corruption and bribery realms;
  • The post-Snowden impact on privacy;
• Danger areas for current compliance professionals;
• When a Compliance Officer knows about and is complicit in criminal activities;
• Why Compliance professionals should reach outside their comfort zones; and
• Where compliance is heading in the next 30 years.

Odell Guyton is a Certified Compliance and Ethics Professional and the Co-Founder and a Member of the Board of Directors of the world’s largest compliance organization, the Society of Corporate Compliance and Ethics.  He is a recognized industry leader in designing, implementing and managing effective corporate compliance programs for multi-national organizations.

Mr. Guyton is the former Corporate Vice President, Head of Global Compliance for Jabil Circuit, Inc., and the former Assistant General Counsel, Anti-trust Compliance Officer and Director of Compliance for Microsoft Corporation.

Mr. Guyton has served as an Assistant United States Attorney and as a Deputy District Attorney. He has been named as one of the “100 Most Influential Persons in Business Ethics” and “Attorneys Who Matter.” Mr. Guyton is a frequent lecturer on the implementation of anti-corruption/anti-bribery compliance measures focused on U.S. Foreign Corrupt Practices (FCPA) and the U.K. Anti-Bribery Act and the administration of 3rd party due diligence compliance. In addition, he participates on several United Nations workshops and holds the Martindale-Hubbell “AV” (Preeminent) Highest Peer Review Rating. He received his Juris Doctor degree from the American University, Washington College of Law and earned his Bachelor of Arts degree from Moravian College, Bethlehem, Pennsylvania.

Podcast: Play in new window | Download (Duration: 13:02 — 12.0MB)

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Regina, Gary and Kortney sit down at HCCA’s Compliance Institute to discuss the impact of compliance on Drug Diversion, including:

• What drug diversion is and why it is an important compliance issue;
• Statistics that show how harmful drug diversion can be, including:
  • In 2015, Medicare spent $4 billion on commonly abused opiods;
  • A large percentage of pharmacists, nurses, and MDs self-disclose drug abuse issues;
  • 1 in 3 Medicare beneficiaries is receiving some type of opiod;
• Why Compliance is in a unique position to break the silos;
• How compliance can address issues in real time, where criminal investigations can’t;
• Compliance officers can engage in conversations with employees to gain insight into what is happening in the facility;
• The importance of reporting the illegal prescribing of opiods;
• Is compliance training enough?
• We need to concentrate on preventing diversion – once it happens it’s too late; and
• How compliance can proactively help clinicians avoid diversion issues (using data).

Regina Gurvich has worked in health care in New York City for over 15 years, specializing in compliance and regulatory affairs. She currently heads the compliance effort for AdvantageCare Physicians, a newly-created 450-physician and 3,500-employee private medical practice in New York City. Prior to promotion, she served as a CCO of Manhattan’s Physician Group, one of the 4 legacy practices comprising AdvantageCare Physicians. Prior to joining Manhattan’s Physician Group, she served as Chief Compliance Officer of University Physician Associates, a faculty practice plan of University of Medicine and Dentistry New Jersey in Newark, where she was responsible for the compliance education and audit program for 700 New Jersey Medical School faculty physicians. She also served as a Director of Compliance and Special Investigations Unit for Health Plus PHSP Inc., one of the largest Medicaid managed healthcare plans in New York City.

Regina served on an Advisory Task Force for New York Office of Medicaid Inspector General Compliance Guidance for Managed Care Organizations. She is a frequent speaker at the industry forums with Health Care Compliance Association and Healthcare Financial Management Association and is a member of the editorial review board of HCCA Auditing & Monitoring Tools publication.

Gary Cantrell is the Deputy Inspector General for Investigations and leads the Office of Investigations (OI) within the Department of Health and Human Services (HHS), Office of Inspector General (OIG). Since 2012, he has been overseeing the operations and resources of OI, an office with more than 600 employees including investigators, analysts, forensic examiners, and administrative staff. Under Mr. Cantrell’s leadership, OI has had record accomplishments with nearly 6,800 criminal and civil actions, more than 18,000 exclusions, and over $21 billion in investigative receivables.

Through his engagement with the Health Care Fraud Prevention and Enforcement Action Team (HEAT), Mr. Cantrell coordinates with the Department of Justice and State law enforcement agencies to prevent fraud in the Medicare and Medicaid programs. In June 2016, this partnership oversaw the largest national health care fraud takedown in history, resulting in charges against 301 individuals for approximately $900 million in false billing

Podcast: Play in new window | Download (Duration: 18:06 — 16.6MB)

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HHS Office for Civil Rights Senior Advisor for HIPAA Compliance and Enforcement, Iliana Peters, joins Kortney at HCCA’s Compliance Institute to give our listeners an OCR Enforcement Update, including:

• Recent cases and settlements reflecting ongoing compliance and enforcement issues;
• The importance of enterprise-wide risk analysis and safeguards required by the Security Rule;
• Privacy and disclosure issues (and tips for getting employees to understand who, what, where, and when they may disclose);
• Breach trends and issues with cybersecurity;
• The scary business of removable media like laptops, thumb drives, and cell phones (if it can walk away, it will);
• Changes to provisions in the HITECH Act regarding sharing of recoveries;
• Guidance on PMI research programs and the “All of US” campaign (How do you protect information when HIPAA doesn’t cover it?) ; and
• Advice for dealing with Certified EHR Technology.

For a copy of Iliana’s Compliance Institute OCR Update Slides, click here.

OCR’s HIPAA Guidance Materials, click here.

Iliana L. Peters, J.D., LL.M., is the Senior Advisor for HIPAA Compliance and Enforcement at the HHS Office for Civil Rights. In this role, Ms. Peters is the national lead for OCR enforcement of the HIPAA Rules, and works closely with OCR’s ten regional offices to promote compliance with the HIPAA Rules. Additionally, she supports many other OCR policy and outreach initiatives, including rulemakings, compliance initiatives with other federal agencies, and training, including of the State Attorneys General.

Prior to joining the Health Information Privacy Division headquartered in D.C., Ms. Peters worked as an Equal Opportunity Specialist and compliance investigator in Region VI in Dallas, Texas. Ms. Peters received her Law Degree from Duke University’s School of Law and her Masters of Law in Health Care Law from the University of Houston’s, Law Center’s, Health Law and Policy Institute. Prior to joining OCR, she worked in private practice in San Antonio, Texas.