Regulatory Compliance and Healthcare Law Brionne Harris

1 Regulatory Compliance and Healthcare Law Brionne Harris Trident University International Capstone Case 3 Dr. Sharon Nazarchuk 1/6/2023 2 Executive Summary An ACO, the Bezos Community Medical Center, will be in Arizona. ACOs are physicians, hospitals, and other healthcare organizations that voluntarily collaborate to provide Medicare patients with coordinated, high-quality care. It will connect 28 different facilities, making up a significant healthcare network in the US (Simon et al., 2017). Bezos Community Medical Center predicts its health will improve because of its optimistic assessment of medical care needs. Ethics play a significant role in shaping the culture of organizations and creating a positive brand image for customers. 3 Regulatory Compliance and Healthcare Law Compliance Program At Bezos Community Medical Center, all employees and executives must uphold the organization’s values, mission, and code of ethics. In order to ensure compliance, they must observe all relevant laws, including the Texas Education Code and the Texas Penal Code. Furthermore, they must abide by the organization’s policies regarding harassment, health and safety, use of alcohol and drugs, non-smoking, mobile phone usage, email and internet usage, and recruitment. They must also uphold the code of ethical conduct, which includes showing good faith, fairness, respect, integrity, and honesty in all activities; fostering a rapport with patients; avoiding abuse of power and misuse of authority; safeguarding the privacy of patients; fostering equitability and fairness among patients’ payment processes; and creating a workplace free from coercion to perform unethical or illegal acts, free from sexual harassment, and equitable, healthy, and safe. Because healthcare professionals must detect ethical challenges and make moral decisions while abiding by the regulations that control them, ethics within the industry is crucial (Haddad & Geiger, 2022). Finally, all stakeholders should prioritize patient care and partner with the community to meet their health needs. HealthCare Ethics and Diversity Code of Ethics The Bezos Community Medical Center’s Code of Ethical Conduct ensures that all healthcare executives and staff adhere to the organization’s values, mission, and laws. Ethical conduct also safeguards patients’ rights and safety. Healthcare executives and staff expect the highest ethical standards and adherence to all applicable local, state, and federal laws. Additionally, they must abide by all company policies, including harassment and antidiscrimination, health and safety, drug and alcohol use, non-smoking, mobile phone usage, email and internet use, and recruitment. 4 When dealing with patients and other stakeholders, they must act honestly, fairly, with integrity, respect, and in good faith. To ensure that the highest standards of ethical conduct are upheld, all healthcare executives and employees must also ensure that the workplace is free of coercion, sexual harassment, and discrimination. The code of ethics aims to establish a fair, safe, and secure workplace that prioritizes patient care and promotes an inclusive and respectful environment. Ethical Committee The Healthcare Ethical Committee of Bezos Community Medical Center consists of healthcare executives, representatives from the medical staff, nurses, directors, and board members. The committee, composed of staff and executive-level members, will carry out and uphold the organization’s ethical policies. The committee will be in charge of continuously monitoring the healthcare facilities and its employees’ compliance with the law and ethical standards and dealing with any inconsistencies or violations of those standards. The committee will advocate for any necessary adjustments to the healthcare facility’s policies and offer advice and resources to staff members and executives to ensure their performance in terms of ethics and the law. Ethics and Compliance Training Course Section 1: Course Description and Course Objective This course will introduce students to the ethical and compliance requirements for Bezos health community center. The importance of ethical behavior in the healthcare industry, codes of conduct, and regulations will all be covered. Participants will learn about pertinent laws, rules, and regulations and how to apply ethical standards to their work in the healthcare industry. The primary objective of this ethics and compliance training course is to provide participants with the knowledge necessary to recognize codes of conduct and healthcare 5 regulations that apply to healthcare community service centers, to explain the value of ethical behavior in the healthcare industry and ethical principles that can be applied to work in a healthcare setting, to recognize risk management techniques related to ethical and compliance issues, and to develop an action plan for immoral behavior. Relationship between Ethics and Cultural Competence Cultural competency and ethics are interdependent and linked. While the values and beliefs of culture serve as the foundation for ethics, cultural competence entails learning and respecting the values, beliefs, and practices of many cultures (Sharifi et al., 2019). A moral commitment to patient autonomy and fairness results in providing culturally competent care. Learning about different cultures, accepting diversity, and being accommodating is all part of the ethic of cultural competence. It can be helpful to have a solid awareness of cultural variations to avoid ethical conundrums and uphold ethical standards. Culture significantly influences healthcare since it affects how patients perceive their care, how they understand medical terms, and what they expect from the healthcare system. Ethical issues might result when cultural competence is inadequate, and these social determinants are not addressed. Social determinants of health include poverty, education, and resource availability (Hill-Briggs et al., (2021). These factors can also affect a patient’s health. Cultural insensitivity can result in poor treatment, incorrect diagnosis, and discrimination, which have grave ethical ramifications. Cultural competence is necessary for healthcare professionals to provide high-quality treatment and guarantee that patients get the best care possible. Healthcare professionals must be conscious of their biases and work to give all patients fair, culturally sensitive care. Section 2: Compliance and Ethics Defined Adhering to all legal, disciplinary, and ethical compliance norms in the healthcare industry is called healthcare compliance. The term “ethics” relates to moral standards of right 6 and wrong and the standards upheld by healthcare institutions. Compliance and ethics programs offer a framework for safeguarding patient safety, promoting quality healthcare, protecting patient confidentiality, and combating fraud and abuse (Trocin et al., 2021). Healthcare organizations and professionals must follow the law and professional and industry standards and act morally when providing services and making judgments. Compliance and ethics goals in healthcare facilities make sure of this. Healthcare professionals who receive compliance and ethics training benefit from lower legal and financial risks, better patient care, and increased public trust in the industry. They also gain the knowledge and abilities to recognize and address ethical issues and to make decisions that safeguard patient safety and well-being. Section 3: Components of Ethics and Compliance All Bezos Community Medical Center personnel and healthcare executives are expected to uphold the organization’s principles, mission, and code of ethics and abide by all relevant local, state, and federal laws, including the Texas Education Code and Texas Penal Code. Before being shared with the Senate or any other appropriate government body or individuals, any remarks regarding the management of the healthcare institution must first be vetted by the Board of Trustees. Everyone should also abide by the organization’s policies on recruitment, use of mobile phones, email, and the internet, drink and drug use, health and safety, and harassment and anti-discrimination, which are all contained in the corporate compliance policies portion of the handbook. Healthcare executives and staff members in leadership positions should uphold the organization’s code of ethics, adhere to its vision and objective, and conduct all of their business per the law. They should act with good faith, fairness, respect, integrity, and honesty (Hemberg & Salmela, 2021). Additionally, they should act within the bounds of their authority to establish rapport with patients, promote a climate of dignity and respect, prevent 7 any abuse of power, protect each patient’s privacy and confidentiality, prevent abuse of power, promote equity and fairness in patient payment processes, and adhere to a set of standard operating procedures when making decisions and solving problems. Additionally, they must provide an environment that is fair, healthy, safe, and devoid of sexual harassment, as well as any coercion to engage in unethical or criminal behavior. In order to address the community’s health requirements, they should work with them and promote an inclusive culture. Section 4: Investigations and Penalties The Bezos Community Medical Center’s Board of Trustees will look into any grievances or allegations of breaking any rules or laws in the facility and take the necessary disciplinary action. Penalties like fines, suspensions, or termination may be part of this. The Bezos Community Medical Center accepts cash, checks, credit cards, and insurance as forms of payment. Additionally recognized are Medicaid and Medicare. Bezos Community Medical Center employees shall adhere to all federal and state sentencing guidelines when enforcing discipline. It involves considering any mitigating circumstances when determining the harshness of the punishment. The Federal False Claims Act, which forbids people and businesses from submitting false or fraudulent claims for payment from the federal government, is another regulation the Bezos Community Medical Center staff must follow. Penalties for breaking this law include both civil and criminal ones. Section 5: Reporting Employees and executives should report activities, not in line with the organization’s values, mission, and code of ethics, such as harassment and anti-discriminatory behavior, misuse of power, abuse of power, and any illegal or unethical actions. They have the right to a safe, healthy, and equitable workplace free of any coercion or sexual harassment, as well as the right to partner with the community to meet their health needs. 8 Summary of Implementation Plan All Bezos Community Medical Center personnel and healthcare executives are expected to uphold the organization’s principles, mission, and code of ethics in addition to abiding by all relevant local, state, and federal laws, and this implementation ensures that all BCMC personnel and healthcare executives are held to the highest ethical and legal standards. It encourages good behavior, reinforces the Bezos Community Medical Centre mission, and promotes a safe, healthy, and non-discriminatory work environment. The Bezos Community Medical Center has implemented a system to ensure that its employees follow all applicable laws and regulations and that any grievances are investigated and addressed. It helps maintain the facility’s ethical standards and protect patients’ trust. Following is the schedule for this training: one week for course setup, two weeks for training completion, and one week for incorporating each component into the training. The implementation of this course will take place in phases, beginning with an introductory session, then moving on to a series of lectures, workshops, and case studies to solidify the concepts learned, and finally ending with a review session and action plan to make sure students comprehend the material and can apply it. Conclusion and Recommendations The Bezos Community Medical Center is committed to preserving the highest moral and legal standards for its staff and healthcare administrators. It is admirable that the organization is dedicated to giving low-income individuals access to high-quality healthcare, and this dedication should be strengthened. Two basic suggestions can be made in order to achieve this. Prioritizing the creation of an efficient system for gauging employee adherence to relevant laws and regulations and ensuring that grievances are promptly resolved should be the organization’s priority. Second, the company should consider updating its training 9 curriculum to focus on interactive exercises and case studies to better equip staff with the information and abilities needed to uphold ethical standards. 10 References Haddad, L. M., & Geiger, R. A. (2022, August 22). Nursing ethical considerations StatPearls – NCBI bookshelf. National Center for Biotechnology Information. Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., … & Haire-Joshu, D. (2021). Social determinants of health and diabetes: a scientific review. Diabetes care, 44(1), 258–279. Hemberg, J., & Salmela, S. (2021). Integrity and Efficiency in Nursing Leadership: An Integrative Review. International Journal of Caring Sciences, 14(2), 1496. Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies, 99, 103386. Trocin, C., Mikalef, P., Papamitsiou, Z., & Conboy, K. (2021). Responsible AI for digital health: synthesis and a research agenda. Information Systems Frontiers, 1-19

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes:

<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>