BC Advantage - 2019 Issue 9
New DOJ Guidance on Evaluating Corporate Compliance Programs
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Article Overview
This article summarizes updated Department of Justice guidance on evaluating corporate compliance programs. It is aimed at healthcare compliance, legal, and operations professionals who want to understand the broad areas prosecutors may review when assessing a company’s compliance efforts, including program design, implementation, and effectiveness. The discussion is framed around how organizations can use the guidance to strengthen compliance initiatives and related governance processes.
Why This Topic Matters
The guidance can help healthcare organizations benchmark their compliance programs against current federal expectations and identify broad areas of risk, oversight, and program performance that may draw scrutiny during an investigation.
Article Sections
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Overview of the DOJ guidance
Introduces the updated Department of Justice guidance and explains its purpose in the context of corporate compliance reviews. It also notes the relevance for healthcare organizations.
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Is the compliance program well-designed?
Covers the broad factors prosecutors may review when assessing whether a compliance program is structured appropriately. The discussion includes risk assessment, policies and procedures, training, reporting, investigations, and third-party oversight.
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Is the compliance program effectively implemented?
Describes the areas used to evaluate whether a program is operating in practice rather than existing only on paper. It includes leadership involvement, board oversight, compliance staffing, incentives, and disciplinary processes.
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Does the compliance program actually work in practice?
Summarizes how prosecutors may consider whether a compliance program is functioning as intended over time. The section addresses detection, investigation capacity, remediation, program updates, and testing of improvements.
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First Healthcare Compliance resource mention
Briefly references a healthcare compliance software solution and the general categories of compliance support it provides. This material appears as a promotional and attribution-related closing portion of the article.
What You Will Learn
- The broad framework used by the Department of Justice to evaluate corporate compliance programs
- How the article organizes the DOJ’s review into major subject areas
- Why the guidance is relevant to healthcare organizations and compliance teams
- The types of governance, training, reporting, and oversight topics discussed in the article
- How the article connects federal compliance expectations to organizational compliance initiatives
Who Should Read This
- Healthcare compliance professionals
- Health system leaders
- Legal and regulatory affairs staff
- Corporate compliance officers
- Risk management teams
- Operations and governance stakeholders
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