Compliance for Me 2012. Objectives. After reviewing this training and successful passing of the quiz, you will be able to: Understand your responsibilities in maintaining a culture of compliance in the workplace
After reviewing this training and successful passing of the quiz, you will be able to:
responsibilities as an
Optima Health demonstrates compliance when our business is conducted legally and ethically, using the highest clinical and business ethics for our members and employees while complying with all the laws that govern our day-to-day operations.
Use the Code of Compliance as a guide to help you in your daily work.
A conflict of interest exists when there is a conflict between a person’s private or personal interests and his/her responsibility as an employee.
You must avoid entering into relationships or activities that could interfere or appear to interfere with your judgment in making sound business decisions for Optima Health.
Examples of conflict of interest:
Our success in the marketplace results from providing superior services at competitive prices. Our company does not seek to gain improper advantage by offering business courtesies, such as entertainment, meals, transportation, or lodging to our customers.
Use of company equipment such as stamp machines, long distance service, copier, video equipment, etc. is not permitted for personal use, except in emergencies or when extenuating circumstances warrant it.
Any improper financial gain to an employee through misconduct involving Optima Health property, including theft of property, embezzlement of money or the use of money belonging to Optima Health for anything other than an authorized purpose is a serious violation and may lead to prosecution.
Employees have a responsibility to not talk about internal company information, our members, employees and/or business associates to anyone outside the company.
This responsibility includes any nonpublic business plans, financial, personnel or technological information.
This confidentiality restriction applies even after employment ends.
Team spirit is defined as the spirit of a group that makes the members want the group to succeed.
You are part of the team and you can make a valuable contribution every day. Let’s keep the spirit going!
Policies reflect the rules governing the implementation of the company’s procedures and processes.
Optima has a “Policy Template” for all Departments to use for all policies and procedures.
The purpose of a standard template is to provide a consistent, logical framework, making it easy for regulators to identify which process is associated with a regulation and assist employees to do their jobs.
The policy and procedure format should be used during policy reviews and at the time new policies are developed. The template can be found on SAL, under the badge in the Compliance folder.
When seeking advice from the Compliance Department on regulations, issues, problems, etc:
1. Your question:
Be very specific when describing the situation, and provide details, which may affect the answer.
2. Compliance Response:
The Compliance Department gives conservative interpretations of regulations, not legal advice. Confidentiality is maintained as much as possible.
3. Your Responsibility:
The Business Owner and Senior Leadership must decide how to use the information to make the best business decisions. Decisions should be documented
for future reference.
Reporting concerns so they are properly addressed is everyone’s responsibility.
If a concern is identified but not reported, there is the potential for that concern to remain “undetected” and this can place employees, members and the organization at risk in any number of ways.
Compliance will carefully assess all facts without bias and evaluate the process or system to determine the necessary response, this ensures that the regulations and standards are handled consistently and fairly. This process assists in creating a safe reporting environment and a just and ethical culture.
If you feel there is a situation or problem that needs to be reported - ask yourself the following questions:
Report your concerns to your supervisor, your supervisor’s supervisor, HR, the Compliance Officer, a Compliance Committee Member, the two different Hotlines or the FWA email.
If you choose to utilize the Hotline for reporting your concern or problem, the Hotline:
Call: Sentara Integrity Hotline 1-800-981-6667
Optima FWA Hotline 1-86-826-5277 or Email: firstname.lastname@example.org
Contract Management for your Department/Unit is the responsibility of the Manager/Director/VP (Business Owner).