Corporate Governance and Compliance for Health Care: A Practical Guide

Corporate Governance and Compliance for Health Care: A Practical Guide keeps you completely current with compliance requirements and responsibilities for Boards of Directors at health care organizations.

Written by experts in the field, this manual is THE how-to resource covering in depth the key, day-to-day corporate responsibility issues most vital to health care professionals, including:

• Establishing the proper role for the Board of Directors in corporate governance
• Creating effective compliance programs
• Assessing Sarbanes-Oxley implications for health care organizations
• Anticipating and avoiding government investigations
• Identifying and eliminating false claims, self-referrals, and conflicts of interest
• Implementing effective risk-assessment tools

Corporate Governance and Compliance for Health Care includes all the practical forms and guidelines you need to establish effective guidelines and keep your Board of Directors aware of, and included in compliance program processes and issues. There are over 50 forms that guide boards through crucial responsibilities and requirements.

PLUS...All the forms are fully customizable on a BONUS CD-ROM. With Corporate Governance and Compliance for Health Care you have instant access to over 50 customizable forms, tools, and guidelines that you can immediately adapt for your organization. The CD-ROM includes:

• Model Policies, Forms and Procedures - including sample performance indicators, questions, checklists, standards, duties and responsibilities, and more!
• Risk Assessment and Compliance Tools - including logs, questions for the Board, reporting requirements, and more!

Corporate Governance and Compliance in Health Care has been updated to include:

• A discussion of the heightened need for strong corporate governance concerning boards of directors and corporate officers in establishing clear policies and procedures for health care as it pertains to:
  • Documenting charity care
  • Responding to the needs of the community
  • Enhanced access to health care services
  • Greater accountability
• Current thinking on how compliance with certain aspects of Sarbanes-Oxley can offer specific benefits such as:
  • Giving bond insurers and lenders a more definitive assurance of financial condition
  • Obtaining more favorable presentations by rating agencies and medical quality assurance programs
  • Facilitating good relationships with the state attorneys general
  • Gaining protection from class action plaintiffs and other adverse parties
• A discussion of the importance of transparency and accountability in corporate governance as it relates to the Dodd-Frank Wall Street Reform and Consumer Protection Act
• In-depth information on the voluntary self-referral disclosure protocol (SRDP) issued by the Centers for Medicare & Medicaid Services (CMS)

For author Frank Sheeder's views of various topics that arise in the areas of health care compliance and related litigation, visit The Healthcare Compliance Blog.

Corporate Governance: The Board of Directors

• The Current Governance Crisis
• Creating the Effective Board
• Responsibilities of the Board
• Fiduciary Duties
• Special Duties of Directors of Nonprofit Healthcare Organizations
• Audit Committee
• Compensation Committee
• Nominating/Governance Committee
• Regulatory and Compliance Committee
• Board Assessment
• U.S. Sentencing Commission Guidelines

Sarbanes-Oxley Act: Implications for Private and Nonprofit Health Organizations

• Corporate Accountability
• Certification of Periodic Reports
• Board's Duty of Oversight
• Disclosure and Control Procedures
• Audit Committee Oversight
• Auditor Independence
• Whistleblower Protection
• Attorney Privileges
• Corporate and Criminal Fraud Accountability
• Guarding Against Illegal Kickbacks
• Report from the Panel on the Nonprofit Sector
• State Nonprofit Developments

Government Investigations

• Government Investigators
• Internal Investigations
• Provider Self-Disclosures
• Privileges, Especially in the Context of Self-Disclosures
• Waiving Privileges: Part of the Government's Design
• Understanding Attorney-Client Privilege
• The Attorney-Client Privilege and Internal Investigations
• Waiver of the Attorney-Client Privilege
• The Common Interest Privilege
• The Work Product Doctrine
• The Doctrine of Selective Waiver
• Corporate Integrity Agreements

Establishing an Effective Compliance Program

• Governing Body and Senior Leadership Commitment
• Guidance
• Elements of an Effective Compliance Program
• Practical Efforts Aimed at Effectiveness
• Document Creation and Retention
• Measuring Program Effectiveness