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Handouts - 2018 - Regional - Hawaii

Hawaii Regional Conference
October 11–12, 2018
Honolulu, HI

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Effective Third Party Due Diligence for Compliance

Gerry Zack, CCEP, CFE, CIA, Incoming CEO, SCCE/HCCA

  • A framework for third (and fourth) party due diligence
  • Vicarious liability for third parties
  • Protecting the organization with well-drafted audit clauses

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

Corrective Actions: When it goes wrong—Root Cause

Dwight Claustre, CHC-F, CHPC, CHRC, Director, Ankura Consulting Group

  • Where do we start when it all goes wrong?
  • Who, What, Where, When, Why and How.
  • What do we do with the final answer?

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

Risk Assessment: The Next Generation. Using Data to Drive Your Compliance Risk Assessment Process

Steven W. Ortquist, JD, CHC-F, Senior Managing Director, Ankura Consulting Group

  • What is a Compliance Risk Assessment? What is the Role of Risk Assessment in the Overall Operation of a Compliance Program?
  • Risk Assessment Generation One: What We’ve Been Doing.
  • Data Based Risk Assessment: How to Conduct a Data Based Assessment. Why a Data Driven Approach May Make Your Program More Effective.

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

Branding Your Compliance Program — An Interactive Session

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

  • Discuss why marketing the compliance program is important.
  • Identify various avenues to market your compliance program.
  • Develop a brand for a fictional compliance program to enable this activity to be used in attendees organizations.

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

Implementing and Operating an Effective Physician Arrangements Compliance Program

Steven W. Ortquist, JD, CHC-F, Senior Managing Director, Ankura Consulting Group

  • What Do Stark and AKS Require?
  • What Causes Organizations Physician Arrangements Problems?
  • How to Implement and Operate an Effective Arrangements Compliance Program

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


Conflicts of Interest

Lea Fourkiller, CHC, Senior Director, Ankura Consulting Group

  • What are Conflicts of Interest?
  • What are Conflicts of Commitment?
  • Why should you be concerned?
  • Consequences if not handled properly.

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

What is regulated research and why do we care?

Caroline Miner, Research Compliance Manager, IRB Administrator, Kaiser Permanente Hawaii Region, Regional Compliance, KFH

  • Examine the ethical framework of research vs. clinical operations
  • Define the fine line between research and clinical operations in the regulations
  • Review Kaiser Permanente Hawaii Region’s process for making research vs clinical operations determinations

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


Doug Shackelford, Director IT/HIPAA Security, The Queen’s Health Systems

  • HIPAA Security Rule quick overview
  • Risk Assessments & Management
  • Security Challenges
  • Key Security Threats; Key Security Controls & Mitigants

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

Navigating Commercial Reasonableness/Fair Market Value Issues, Including Recent Cases/Settlements

Robert Wade, Partner, Barnes & Thornburg LLP

  • Types of physician financial arrangements that are being attacked under the Stark Law.
  • What does “based upon/varies with ‘volume or value’ of referrals’ really mean under the Stark Law?
  • Is “commercial reasonableness” overshadowing “fair market value”?
  • What should providers be doing from a legal/compliance perspective based upon recent settlements?

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

Compliance, Ethics and Irrational People (All of Us)

Adam Turteltaub, Vice President of Strategic Initiatives & International Programs, SCCE/HCCA

  • Learn how our brain makes decisions
  • Gain a better understanding of how strong the temptation to cheat is in people
  • Takeaway new techniques to encourage compliant, ethical behavior

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

Issues to Watch: Overview of Hot Topics in Health Care Compliance

Marie Wagner, CHC, CHRC, Sr. Corp Compliance Coordinator, The Queen’s Health Systems

  • New types of MAC reviews
  • Telemedicine and upcoming changes
  • Continued scrutiny of device credits
  • Provider-Based location challenges
  • 340B scrutiny
  • More appearances for Shared Decision Making

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