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You lead a multi-disciplinary team that deals with compliance issues for GoodHealth, Inc., a large healthcare provider that owns four hospitals. Your team did some investigating, including internal audits and confidential interviews, and they found that:
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Physician peer review for medical errors is not taking place in a consistent or timely manner.
Your team has concluded that it is in the best interest of GoodHealth, Inc. to self-report to the OIG.
Prepare a paper and presentation for the CEO. The CEO will submit the paper to the Board of Directors. Be creative. How should this be approached?
Start with these articles on Corporate Responsibility and Healthcare:
- https://oig.hhs.gov/fraud/docs/complianceguidance/Corporate%20Responsibility%20and%20Health%20Care%20Quality%206-29-07.pdf
- https://oig.hhs.gov/fraud/docs/complianceguidance/040203corpresprsceguide.pdf
Here are some suggestions for the team to consider.
- What sort of penalties can be imposed by the OIG to address ?
- Have the Directors breached any legal duty?
- Should the organization self-report?
