OIG Resource Guide for Measuring Compliance Program Effectiveness

PUBLISHED: Apr 13, 2017
Relevant to: Ambulatory Care, Behavioral Health, Clinical Lab, Home Health, Hospice, Hospitals, Long Term Care, Medical Office

The Office of Inspector General (OIG) recently released Measuring Compliance Program Effectiveness: A Resource Guide, a new resource to assist organizations with their compliance efforts.

The guide was developed by a group of compliance professionals and staff from the Department of Health and Human Services, Office of Inspector General. The resource guide is a compilation of ideas for measuring various elements of a compliance program. The guide lists several individual compliance program metrics. The intent of the list is to provide organizations with many ideas so that any type of organization can choose those metrics that best suit its need. OIG is clear that this is not intended to be a “checklist” and trying to use all of the metrics listed is impractical and not recommended.

The value of any metric is dependent on an organization’s individual needs. The frequency of use of any measurement should be based on the organization’s risk areas, size, resources, industry segment, etc. Each organization’s compliance program and effectiveness measurement process will be different.

What is most important is to have a compliance program and effectiveness measurement program that assists organizations in determining how their compliance program is working and what improvements can be implemented.

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