Are you nurturing a culture of compliance at your practice?
In an everchanging healthcare industry, policies, training, and communications around compliance don’t often draw the same attention as programs designed to improve outcomes, capitalize on reimbursement models, or simply help practices grow, but compliance is often the foundation of a provider’s continued success.
Greenway has deepened its focus on quality and compliance, and continues to put the right people, processes, and rigor in place to ensure we can provide customers with the quality and adherence to compliance they expect from a trusted adviser and health IT partner.
Greenway is committed, said Greenway’s Chief Compliance Officer Susan Kohler, to a culture of quality and compliance.
“It’s starts with each individual,” said Kohler, who joined Greenway Health in November 2018. “What we try to do as an organization is make sure their policies, procedures, and training are aligned with our efforts to ensure they understand the rules and requirements … and then, how to translate them into their everyday job.”
Kohler said it’s Greenway’s job to understand complex healthcare regulations and to ensure these regulations are explained, understood, and put into practice throughout our company. We know our customers depend on this for peace of mind.
Greenway continues to build and enhance its Compliance and Quality Assurance Program, bringing on board not only Kohler, but also Vice President of Quality Patrice Nedelec, who is responsible for quality and regulatory outcomes across the organization. Another key addition, Chief Information Security Officer Larry Whiteside Jr., leads our companywide focus on data security initiatives, an important leg of the program. We continue to put in place controls to manage and protect your data.
In such a heavily regulated industry, practices need to remain mindful and focused on compliance. Greenway can help.
Kohler suggests three key ways for providers can begin to establish a culture of compliance:
Let it be known that it’s OK to raise your hand: If a member of your team has questions, is confused, or isn’t sure if he or she is doing something the right way, that person should be comfortable to ask questions and seek answers to ensure everyone is on the right direction.
Clearly documented processes and procedures: Work with your team to ensure that processes and procedures are defined, and expectations are documented. If team members require additional training or education, be sure that individuals complete necessary requirements to ensure that policies and procedures are top-of-mind every day.
Relay messages to your team: Providers should keep an open line of communication to staff to discuss significant changes in regulations, policy, and/or procedures.
“Providers and their practices can work with our team and let us be your advisers,” Kohler said. “We can help you find answers so your staff isn’t assuming what they should be doing. We partner with you to ensure you have resources to support you and your staff.”
“We can help you find answers so your staff isn’t assuming what they should be doing. We partner with you to ensure you have resources to support you and your staff.”
Susan Kohler, chief compliance officer
For example, one of the emerging trends in 2019 will be Accountable Care Organizations and a reimbursement model based on quality, quality outcomes, and quality measures. Another trend providers can expect this year, Kohler said, is the continued shift to value-based reimbursement.
“With these trends come incentives in their reimbursement models with payers, so our providers need to be informed on how they measure, and then, how they can demonstrate quality to their payers so that they can receive those incentives,” Kohler said. “Greenway can be their partner as we develop products in our value-based measurements and analytics. It’s our goal to help providers support those future reimbursement models.”
Being active in healthcare organizations that review government guidance is another key to staying compliant. Partnering with a vendor such as Greenway Health gives you access to industry experts and support, including best-practice webinars, customer events, and other resources to help your practice stay ahead of changing regulatory requirements so can keep your eye on improving your practice.
For more information, click here to schedule a conversation with a Greenway representative.