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Understanding competing interests

Y-Comply, a service of the Health Care Compliance Association, is a compliance-related article delivered quarterly to subscribers via email.

Y-Comply is intended to help communicate the value and purpose of compliance and ethics to the general workforce. You are free to copy this article to your organization’s website or electronically distribute it to your workforce; no attribution to either HCCA or the article's original author is necessary.


Many of us have multiple roles, responsibilities, and interests. Some of us may have more than one job, have families and friends with their own businesses, or be involved in charities and volunteer work. The circumstances in which any one of us could encounter competing interests are endless.

A competing interest is generally referred to as a conflict of interest. This means we may have an interest that competes or interferes with our performing a responsibility in an unbiased way. Some situations, although they are not truly conflicts, may be perceived as conflicts by onlookers. Actual or perceived conflicts of interest have the potential to undermine our credibility and the trust of others—including our employers—if we don’t manage the situation correctly.

Conflicts of interest come in many forms and are often not about money or greed. People don’t always intend to do something wrong or be deceptive. Conflicts can be created because we want to help someone out, such as a family member, friend, colleague, or a contractor we like. The intention may have an appearance that we are doing the right thing, at least by that person or ourselves, but therein lies the conflict. The questions we must ask ourselves include: “Am I persuaded to make a decision to do the right thing for my employer, or am I considering the best outcome or benefits for others or myself? Does this “kindness of a favor” conflict with my ability to carry out my responsibilities to my employer in an unbiased way?

Disclosure is key to successfully managing a conflict of interest or eliminating the perception of one. If the situation is not a conflict of interest, the disclosure can help remove the potential perception of wrongdoing. An example of this would be a political interest. Perhaps you intend to help lobby a bill, and you hold a position with a company that has some clout with those you intend to meet with to discuss voting for the bill. It would only become a conflict if you intend to use your position and suggest that your employer supports the bill. The best way to eliminate the potential perception of wrongdoing is to disclose the activity to your employer ahead of time, and to inform them you have no intention of dropping the employer’s name or using your position to obtain votes. Anytime we hold a position and are in a situation where we can influence an outcome that may benefit either ourselves or someone else, rather than our employer, we need to disclose that—whether it involves money or not.

Disclosure provides an opportunity for others to assess and determine how the situation should be managed. Sometimes the situation may require that we not participate in a project at work, such as making contracting decisions. Other times the disclosure will provide guidance on the most appropriate way to manage the conflict or eliminate the perception. Don’t get hung up on deciding if it’s a conflict or not—just disclose it, because that’s the right thing to do for everyone involved. Having a conflict of interest isn’t wrong or bad, but not disclosing the situation for evaluation by others can create wrongdoing or the perception of wrongdoing.

 

Deann Baker

Deann M. Baker, CHC, CCEP, CHRC
Compliance Professional

Y-Comply

a compliance and ethics newsletter from the Health Care Compliance Association

ISSUE 26, August 2018 print

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HCCA offers members and registered guests access to an extensive library of articles. Information provided covers topics in corporate compliance and ethics in healthcare organizations. Contributing authors include attorneys, chief compliance officers, providers of auditing, monitoring, coding, billing and technology services, and other members of our compliance community.