
Medical Center
Claxton-Hepburn Medical Center/Claxton Medical, P.C. ("CHMC")
recognizes the problem that fraud and other deliberate or accidental misconduct
in the healthcare industry pose to society. CHMC seeks to eliminate misconduct
through the Corporate Compliance Program. CHMC is committed to maintaining
an effective Corporate Compliance Program in accordance with applicable
law and guidance from state and federal healthcare authorities. The provisions
of this Compliance Plan have been developed to create an effective Corporate
Compliance Program. This Compliance Program is designed to prevent errors
or misconduct; to detect errors or misconduct if they occur; and to enhance
the reputation of CHMC and its employees as ethical providers of healthcare
services. Service in healthcare is the highest calling. Integrity and
trust are essential to our services. Our patients are entitled to rely
on that trust. They are to be treated at all times with respect and dignity.
The Corporate Compliance Program at CHMC is a mandatory, self-monitoring
program to ensure our compliance with all federal, state and local laws
applicable to healthcare.
Our program is required to:
Federal/State Government–Health & Human Health Services (HHS):
We deal with issues related to:
This plan applies to all members of the board of directors, administration,
employees, volunteers, medical staff, agents and vendors.
Any shortcomings are to be reported to a supervisor, the corporate compliance
officer or the chief executive officer so that they can be dealt with
appropriately. If you have a question or concern, please call the corporate
compliance officer at
315.713.5100 or email us at
compliance@chmed.org.
It is the policy of Claxton-Hepburn Medical Center/Claxton Medical, P.C.
("CHMC") to comply with all applicable federal, state and local
laws and regulations, both civil and criminal, as well as those pertaining
to CHMC as a tax-exempt, charitable institution.
In addition to complying with the law, it is also the policy of CHMC to
comply with the compliance code of conduct and applicable policies and
procedures addressing standards of conduct, which are adopted from time
to time by the board or a committee thereof, the chief executive officer
or the CORE Compliance Committee.
No employee, agent or medical staff appointee of CHMC has any authority
to act contrary to the provisions of the laws, the code of conduct or
applicable policies addressing standards of conduct or to authorize, direct
or condone violations by any other employee, agent or medical staff appointee.
Any employee, agent or medical staff appointee of CHMC who has knowledge
of activities that he or she believes may violate the law or CHMC's compliance
code of conduct and/or applicable policies has an obligation, promptly
after learning of such activities, to report the matter to his or her
immediate supervisor, the chief executive officer or to the corporate
compliance officer. Reports may be made anonymously and employees will
not be penalized for truthful reports. Failure to report known violations,
failure to detect violations due to negligence or reckless conduct, and
making false reports shall be grounds for disciplinary action, including
termination. Any reports of retaliation, harassment or other workplace-related
problems shall be referred to Human Resources.
CHMC communicates its standards and procedures to all employees and agents,
through mandatory training programs by dissemination of information that
explains, in a practical manner, what is required. This includes dissemination
of the compliance code of conduct as well as an Acknowledgment of Education
by each employee via the HealthStream electronic education module. Compliance
policies and procedures are also available on CHMC's intranet.
CHMC achieves compliance with its standards by utilizing monitoring and
auditing systems reasonably designed to detect errors or misconduct by
its employees and agents and by having in place and publicizing a reporting
system whereby employees, medical staff and other agents can report errors
or misconduct by themselves or others within the organization without
fear of retribution.
Employees, agents or medical staff appointees may report potential compliance
issues to the corporate compliance officer by phone, email, mail or face-to-face.
CHMC utilizes a hotline to report compliance issues for those who wish
to remain anonymous. The corporate compliance officer has an obligation
to act on all reported issues. Unresolved issues are taken to the highest
authority in the organization for resolution.
After a violation has been detected, CHMC will take all reasonable steps
to respond appropriately, timely and accordingly. Modifications to systems
and processes may be necessary to prevent and detect future violations.
This corporate compliance policy is intended to communicate current provisions
regarding compliance. The board reserves the right to change, modify or
waive all provisions herein. If any employee has a question concerning
a particular provision contained herein or concerning any practice not
addressed in this document, he or she should consult with the corporate
compliance officer.
Any shortcomings are to be reported to a supervisor, the corporate compliance
officer or the chief executive officer so that they can be dealt with
appropriately. If you have a question or concern, please call the corporate
compliance officer at
315.713.5104 or email us at
compliance@chmed.org
Related policies: Please contact our Corporate Compliance Office for these
or other compliance-related policies.