Compliance
Compliance
Hotline: 888-511-1370
Phone:
954-473-7500
Submit an Update to Your COI Form:
Program Purpose
Broward Health is committed to complying with all of the Federal and State laws and regulations surrounding health care. In 1999, to support this commitment, we established a Corporate Compliance Program.
Our program is focused on preventing, detecting and correcting any fraud, waste or abuse within our hospitals and facilities in connection with Federal health care programs as well as other payors. The Corporate Compliance Program is modeled after the United States Sentencing Commission Guidelines which contain seven elements of an effective program. The seven major components of our Corporate Compliance program include:
- High-level oversight provided by our Corporate Compliance Officer
- Written standards and policies;
- Training and Education;
- Auditing and monitoring;
- Open lines of communication through our Compliance Hotline;
- Response to detected deficiencies; and
- Disciplinary action as warranted.
For additional information, contact the Corporate Compliance Offices email: compliance@browardhealth.org
Written Standards
Code of Conduct
Broward Health has developed, implemented and distributed a written Code of Conduct to employees.
Code of Conduct Booklet
Code of Conduct Certification
Policies and Procedures
Broward Health has implemented policies and procedures regarding its Compliance with Federal Health Care Program requirements. The policies address specific areas including the False Claims Act, the Stark Law and the Anti-kickback Statute. Policies and Procedures are posted on the intranet and made available to all employees.
Policies and Procedures Certification
List of Key Policies and Procedures
Other Documents
Training and Education
All employees receive Compliance Training upon hire and annual training during the time of their annual performance appraisal. In addition, employees may receive specific training based on their job role and responsibility. Vendor training is also available.
General Compliance and Ethics TrainingAuditing and Monitoring
Broward Health audits and monitors its Compliance activities by conducting an annual risk assessment and developing an annual Work Plan based on identified risks and conducting audits. These audits include reviews of arrangements with physicians, coding compliance audits, and privacy/security reviews as well as audits of the hospitals and specialty units.
Responding to Detected Offenses/Corrective Actions
All reported/identified issues are investigated and the appropriate corrective actions are taken which may include external reporting to regulatory agencies, returning/recouping identified overpayments and developing additional internal controls. In addition the following elements may be included in each corrective action plan:
- Identification of the issue;
- Revisions to policies and procedures, if necessary;
- Training on those policies and procedures, or retraining on established policies and procedures;
- Monitoring to ensure compliance; and
- Appropriate disciplinary action in the event of non-compliance.
The Joint Commission Public Notice
The Joint Commission has an unannounced survey process for hospital accreditation. The purpose of the survey is to evaluate the organization's compliance with nationally established Joint Commission standards. The Joint Commission standards focus on patient safety and quality of care.
If you would like to contact the Joint Commission to express concerns regarding quality and patient safety, you may contact them at:
Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Phone: 800-994-6610
Fax: 630-792-5636
Online Complaint Form: complaint@jointcommission.org