Protect the privacy of your patients and the reputation of your facility.
Training that’s smarter, more effective, and cost efficient.
Automate the COI disclosure and management process.
HCCS recently surveyed 281 healthcare compliance leaders about their organizations’ COI programs. One of the survey’s goals was to establish an industry-wide picture of the commitment to COI management and examine it across multiple program variables.
Our survey of healthcare compliance leaders found that there’s room for standardization in the way healthcare organizations address COI compliance. Here are three findings relevant to the current fragmented ways many hospitals work to uncover and eliminate conflicts of interest.
HCCS—A HealthStream Company recently surveyed healthcare leaders about the COI compliance programs in their organizations. Here’s how these leaders thought their COI Management processes needed to be improved.
To establish a baseline for COI compliance programs, HCCS surveyed 281 U.S. healthcare compliance leaders about their programs. Using the results, here are three suggestions HCCS offers to improve COI Management effectiveness across the healthcare industry.
Compliance with government regulations and ethical concerns demand that healthcare institutions and researchers diligently disclose every conflict of interest (COI). Organizations must take steps develop a management and mitigation plan that prevents biased medical decision-making.
In order to maintain their reputations for integrity and impartiality, medical associations for all kinds of specialties have to be vigilant about avoiding and identifying conflicts of interest among their members.
Hospitals and other healthcare providers must monitor payments made to their affiliated physicians and mid-level providers. Using available technology, a query can be completed in just a few minutes.
With the annual publication every summer of the CMS open payments database, healthcare providers can manage risk to their financial health, tax-exempt status, and reputation by implementing a process to monitor payments made to their affiliated physicians.
While it is difficult to draw conclusions based on the year to year fluctuations in data from the Open Payments Database, we can begin to see trends by analyzing the data over three years.
As we wait to learn about the future of the Affordable Care Act (“Obamacare”), what’s not known at this time is the potential impact of proposed changes on the continued operation of the CMS “Open Payments” database.
Many individuals personally involved in the healthcare industry are familiar with the “Open Payments” database published each year by the Center for Medicare and Medicaid Services (CMS). This database, sometimes referred to as the Physician “Sunshine” database was created as a part of the Affordable Care Act in 2010 and requires that pharmaceutical companies and medical device manufacturers report payments made to physicians and teaching hospitals for services such as promotional talks, consulting, research, and royalty agreements.
With the publication in 2014 of the CMS “Open Payments” database, which makes all payments to physicians from Pharmaceutical and Medical Device companies available in a searchable database, conflicts of interest has become a hot-button issue in healthcare.
One of the challenges that governmental and institutional authorities face in evaluating the efficacy and cost effectiveness of therapeutics is determining who to rely on for technical and scientific support. On one hand, who better to explain the relative advantages of a new product than the inventor of a device, or the researcher who has overseen the development of a new and promising drug? On the other hand, who could be more invested in a favorable determination on safety and effectiveness?
Demonstrated Competency is a learning feature that provides significant benefits for learners and learning administrators. What is the biggest complaint from learners? “Training takes too much time!”
Over the last few months, the country was gripped by the story of a measles outbreak that started at Disneyland and spread to cities around the country. This outbreak was part of an upward trend. The CDC reported more than 600 cases of measles in 2014, and as of the end of February, 170 cases had been reported in just the first two months of 2015. Before 2014, the number of measles cases had exceeded 200 in only one year since 2001. Many in the medical community have pointed to the increase in the number of unvaccinated children as the main reason for this sudden increase in cases.
Now questions are being raised turning these concerns about conflicts of interest on their head. Some physicians are asking if incentive programs designed to improve quality and cost effectiveness, by promising increased revenue through “gainsharing” to physicians for attaining specific results, are creating conflicts of their own.
The data included remuneration and other exchanges of value from August to December, 2013 from pharmaceutical and medical device companies to physicians, medical schools and other providers. Those with the wherewithal to download and analyze the 150+ megabytes of data posted in seven distinct database files began to provide some analysis within a few days.
The Physician Payment Sunshine Act requires that all manufacturers of drugs, devices, and biological and medical supplies covered by federal health care programs report all financial relationships with physicians and teaching hospitals to the Centers for Medicare and Medicaid Services (CMS). The goal of the law is to enhance patient safety by increasing the transparency of financial relationships between health care providers and pharmaceutical manufacturers. CMS will then report the information publicly on a website scheduled to be launched on September 30, 2014.
As a healthcare administrator your responsibility is to "do the right thing" and to ensure that your staff acts with integrity at all times. Often, doing the right thing can be difficult and unpopular and you might feel as if you are swimming against the current. This list of famous quotations may help for those times when you need some extra motivation to do the right thing or to remember why it's critically important to maintain integrity! I hope you'll refer to this often.
As public access to this “Physician Payment Sunshine” database gets closer, many hospitals and physicians have started to seriously consider the impact of this data on public perceptions and institutional reputations. There is little doubt that local media outlets will be all over this data when it becomes available in September, looking for payments to physicians that they can portray as excessive and scandalous.