decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
OIG Model Compliance Plan / Compliance Tips and Tools / Keep Your Eyes Peeled for Quality-of-Care Issues
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Article Overview
This article explains why quality-of-care oversight is an enforcement priority for HHS and the OIG, and why providers should pay attention to quality risks as part of compliance efforts. It is aimed at compliance officers, practice managers, and healthcare providers who want a general overview of the kinds of internal checks, staff reporting channels, and patient survey approaches discussed in compliance guidance.
Why This Topic Matters
Quality-of-care concerns can create compliance exposure and trigger government scrutiny, so organizations need a practical way to monitor risk and document improvement efforts.
Article Sections
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Quality-of-care enforcement priorities
Discusses the government’s broader focus on quality-of-care oversight and the types of healthcare settings that may face increased attention.
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Compliance self-review and internal monitoring
Covers general approaches to internal review, staff reporting, and record monitoring used to identify possible care-quality concerns.
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Patient feedback and survey tools
Describes the role of patient input and a survey-based resource for identifying dissatisfaction that may point to broader quality issues.
What You Will Learn
- How quality-of-care issues fit into compliance monitoring
- Why internal audits and documentation review matter in a compliance program
- How patient feedback can help surface potential quality concerns
- What broad types of healthcare settings are discussed in connection with enforcement
- How survey tools can be used to gather structured patient input
Who Should Read This
- Compliance officers
- Healthcare administrators
- Practice managers
- Physician group leadership
- Facility compliance staff
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