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Compliance programming for federal and state regulations is a critical healthcare industry enterprise across the delivery system spectrum—from hospitals to Medicare Advantage plans to Federally Qualified Health Centers. Because the stakes are so high for the healthcare sector, providers often seek out subcontractors and partners that can deliver on compliance expectations and help mitigate compliance risks. Community-based organizations (CBO) interested in creating sustainable relationships with the healthcare industry will need to strengthen their compliance program strategies. This imperative is especially true regarding compliance administration around patient privacy, data-sharing, and information technology regulations. The Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH) constitute the foundational legislation governing compliance in these critical areas, and understanding these laws is crucial for CBOs, so they can be better positioned for integrated care success.
This web seminar will provide participants with a high-level overview of these two privacy, security, and transaction standards; will detail the distinctions in the roles/responsibilities of Covered Entities versus Business Associates; and will offer CBOs recommendations for evaluating their organizations’ related compliance programs.
- Describe why it is critical for CBOs to understand and adhere to compliance requirements to achieve fruitful health care partnerships;
- Understand the key provisions of the HIPAA/HITECH acts that are relevant for CBO−healthcare partnerships; and
- List key compliance action steps that CBOs can embed in their healthcare engagement strategic plans.
Sharon Williams is the founder and CEO of Williams Jaxon, Consulting, LLC, a firm focused on delivering expertise for organizations and government agencies serving Medicare and Medicaid consumers. A results-oriented executive, Williams has a passion for the delivery of high-quality, culturally competent, integrated, and cost-effective healthcare, providing technical assistance and training to thousands of executives and staff in government agencies, health plans, and community-based organizations. Her work experience includes executive leadership in both the traditional healthcare and the community-based services arenas, including serving as CEO of CareSource Michigan, a top 100−ranked health plan with Medicaid and SNP product lines. Williams also has served as COO for a nationally recognized area agency on aging.