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54 – Annual Tasks: Review legal compliance
12 Plays17 days ago
The ninth and final task that you should complete annually is reviewing legal compliance.
View the full report online: https://www.hstpathways.com/resources/surgery-center-industry-report/
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Transcript
Overview of Compliance Review Process
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The ninth and final task that you should complete annually is reviewing legal compliance. Between CMS, OSHA, and all the other state and federal governing bodies, a surgery center must adhere to a growing number of regulations.
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One of the best practices for achieving legal compliance and staying on top of changes is conducting regular audits. These audits help ensure that the center complies with all relevant laws and regulations. Another crucial step is regularly reviewing and updating policies to reflect current laws and best practices.
Engaging with Legal Experts
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It's also wise to maintain a relationship with legal experts, your state ASC association, and ASCA to stay informed about changes and regulations. Finally, keeping thorough records of compliance activities, audits, and corrective actions guarantees that everything is documented and easily accessible for review.
Developing a Compliance Plan
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Next, let's walk through the key process steps for this phase. Step 1. Determine the specific legal requirements applicable to the surgery center, including CMS's final rule, OSHA standards, employment laws, Stark law, state regulations, etc.
Training and Auditing Staff
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Step 2. Create a comprehensive compliance plan that outlines policies, procedures, and responsibilities. Step 3. Educate staff on relevant laws and compliance
Implementing and Monitoring Compliance Measures
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procedures.
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Step 4. Schedule and conduct an annual compliance audit to identify any issues. Step 5. Develop and implement corrective action plans for any identified compliance issues.
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Step 6. Continuously monitor compliance activities and report findings to leadership. The following key performance indicators will help you track your
Evaluating Compliance Success
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success. Audit completion rate, staff training completion rate, and incidence rate.