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Handouts - 2017 - Regional - Hawaii

Hawaii Regional Conference
October 12–13, 2017
Honolulu, HI

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Compliance Program Effectiveness

Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, Managing Director, Aegis Compliance & Ethics Center LLP

  • An overview of the OIG’s published document on measuring effectiveness
  • Provide an overview of measureable elements of a compliance program
  • Attendees will understand how to measure the effectiveness a compliance program

Presentation (2 slides/page)
Presentation (3 slides/page)

Design and Implement an Effective Research Compliance Program

Dwight Claustre, CHC-F, CHPC, CHRC, Director, Aegis Compliance & Ethics Center, LLP

  • Discuss the research compliance rules and regulations
  • Designing and Implementing an effective research compliance program
  • Deciding where research compliance fits in the organization.

Presentation (2 slides/page)
Presentation (3 slides/page)

How to Engage Board in Compliance/Culture of Integrity

Bill Musick, CHC, CHPC, Senior Associate & Project Manager, Corridor

  • Importance of engaging your board/Levels of Engagement
  • Tactics for engaging your board
    • Your reporting
    • Meeting agendas
    • Relationships
  • Tone at the Top: Culture of Integrity
  • Barriers to Engagement
  • Q&A

Presentation (2 slides/page)
Presentation (3 slides/page)

Compliance Audit Process

Lori Laubach, CHC, Partner Reg. Compliance Practice, Moss Adams

  • Identified a Risk – now what do we do to complete an audit
  • Audit plan and considerations
  • Case examples of unique audits.
  • Potential corrective action ideas and how to provide results without creating additional risk.

Presentation (2 slides/page)
Presentation (3 slides/page)

Compliance 101

Lynda Hilliard, CHC, CCEP, Healthcare Compliance Professional

  • List the key elements of an effective compliance program;
  • Outline the structures and processes required to build a program;
  • Understand the need for a collaborative approach to implementing a program.

Presentation (2 slides/page)
Presentation (3 slides/page)

Compliance Hot Topics Panel

Dwight Claustre, CHC-F, CHPC, CHRC, Director, Aegis Compliance & Ethics Center, LLP
Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, Managing Director, Aegis Compliance & Ethics Center LLP

  • Discussion of hot topics in compliance today

No presentation available


The Compliance Connection – Putting all the pieces together

Renee Shimabukuro, CHC, CHPC, CHRC, RHIA, Chief Compliance and Privacy Officer, The Queen’s Health Systems

  • Compliance in a comprehensive health system - putting the pieces together
  • Three keys to improving compliance - engagement, connections and collaboration
  • Building awareness through effective communication

Presentation (2 slides/page)
Presentation (3 slides/page)

Coding and CDI Compliance Programs – Avoiding Headaches

Diana Adams, RHIA, Independent Healthcare Auditor, RRA

  • Discovering who are the healthcare industry watchdogs for coding and CDI programs
  • Understand the history of Clinical Documentation Improvement (CDI) programs
  • Getting involved with the CDI and coding teams from the compliance standpoint
  • Ensuring the coding and CDI reflect an accurate picture of clinical care being given under compliance-audit and monitor

Presentation (2 slides/page)
Presentation (3 slides/page)

At the Crossroads of HIPAA and Language Access

Gino R. Merez, JD, MPH, HIPAA Privacy Officer, State of Hawaii Department of Health
Rebecca P. Gardner, JD, Legal Analyst, Office of Language Access, Hawaii State Department of Health

  • Language Access background and history through Supreme Court holding(s) and federal and State laws/regs. who are subject to Language Access laws.
  • Federal and Hawaii State requirements for compliance with Language Access (provision of interpreters/translators, 4 factor analysis for meaningful language access, notice/tagline and tagline posting, etc.).
  • What HIPAA requires for compliance with Language Access (Interpreters who work on behalf of CE who are not workforce -BAA), etc.; translation of “vital documents”, what are considered vital documents, Minimum Necessary requirements (not exposing interpreters to PHI of other clients at the facility, etc.).

Presentation (2 slides/page)
Presentation (3 slides/page)

Advanced Fair Market Value: Complex Hospital-Physician Compensation Arrangements

Robert Wade, Partner, Barnes & Thornburg LLP

  • Ensuring your hospital has a defensible fair market value analysis process;
  • Must organizations start to focus on commercial reasonableness when analyzing fair market value?
  • How will organizations address fair market value in the move from volume to value?

Presentation (2 slides/page)
Presentation (3 slides/page)

OCR Phase II HIPAA Audit Update/Findings

Yun-kyung Lee, Deputy Regional Manager, Office for Civil Rights, U.S. Department of Health & Human Services , Pacific Region (Formerly Regions IX & X)

  • Office for Civil Rights recent policy development, including access, cloud computer, cybersecurity and ransomware guidance
  • Breach Notification – Federal breach notification requirements, where breaches occur and how OCR investigates breaches
  • Recent OCR resolution agreements and lessons to learn from the agreements and a brief overview of the current HITECH Audits

Presentation (2 slides/page)
Presentation (3 slides/page)

The Importance of Coding in Population Health—Implications for Corporate Compliance

Emmanuel Kintu, Chief Executive Officer, Kalihi-Palama Health Center

  • How do we respond to the heightened focus on medical documentation and coding that are being brought on by the Health Care Transformation movement?
  • What do we need to do about the increased propensity to up-code, which ups the need to spruce-up coding practices which would call for additional training and an enhanced toolkit for providers and coders?
  • What does it mean for Health Care Coders and Compliance that stakeholders and regulators will be striving to make sure that bad actors are kept at bay?

Presentation (2 slides/page)
Presentation (3 slides/page)