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NHS
Human Services Compliance Policies
Our
Commitment to Ethical Leadership
NHS Human Services supports an ethical culture. Every
NHS employee is committed to know and comply with all laws, regulations,
requirements and policies governing service delivery and care. NHS
is committed to do what is proper and ethical and promises to provide
quality care, respect for one another, and to do the right thing
in the right way.
The
mission of NHS Human Services is to provide innovative solutions to support the unique needs of the individuals we serve by striving to create a caring and responsive environment that promotes the highest standards of integrity and quaility.
What
is the Compliance Program?
The
Compliance Program is the collective name for all of the formal
and informal activities that NHS undertakes to support and foster
adherence to sound ethical and business practices. The program is
directed through the Compliance Office, but compliance and ethical
practices are everyone's job. The Compliance Program is one component of NHS' ethical culture.
How
does the Compliance Program work?
Every
NHS employee must do the right thing by practicing sound ethics and following all applicable
laws and regulations in everything we do. The Compliance Office
supports this effort by establishing consistent standards, thorough
training, and assessment of best practices. Employees can help by
understanding the Compliance Program, knowing the legal requirements
of their job, and seeking help whenever they are unsure of what
or how to do something. The most important action any of us can take is to do the right thing and ensure that everyone else does as well.
Everyone
must report suspected non-compliance and unethical behaviors. The Compliance Helpline
( 1-888-439-0100) has been established to make that easy to do and to protect anonymity.
How
does NHS' Ethical Leadership affect me?
If
you are a consumer of NHS services, NHS' commitment to ethics helps
to assure that you are receiving the best care and that it is being
delivered in the best possible way. If you are a payor or government
representative, it ensures that NHS is following
all requirements to provide and bill for services.
NHS
recognizes that individuals seeking services are trusting that NHS
will do the right thing. Our goal is to earn that trust. By completing
their responsibilities in accordance with NHS standards and regulatory
requirements, employees gain the confidence of consumers, regulators
and payors. The Compliance Program is one avenue that NHS uses to ensure that our culture of ethics is maintained.
What
if I have questions about suspected non-compliance?
You
can contact compliance by calling the NHS Compliance (bilingual)
Helpline at 1-888-439-0100, by e-mail at compliance@nhsonline.org,
or by facsimile at (610) 260-9635.
Can
anyone call the Helpline?
The
NHS Helpline is specifically established for you to report, discuss
or ask questions related to issues of NHS's compliance with law,
regulation, policy or other requirements. It is not a complaint
line. Within that restriction, everyone is encouraged to call the
Helpline, if they suspect a problem or have a compliance question.
Other issues should be directed to the appropriate NHS Regional
Office or the Human Resources Department.
What
else should I know?
A
Compliance Program is beneficial to everyone. It enhances employee
morale, productivity and effectiveness. It also improves the quality
of care. Our goal is to integrate compliance into daily operations
in order to create a better work place and to ensure quality care.
Remember:
- If you know it's wrong, don' t do it!
- If you are not sure, ask.
Global Monitoring
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The newest component of NHS' culture of ethics and compliance is the Global Monitoring Process. GMP builds upon the foundation of ethics and compliance by integrating compliance monitoring into every aspect of performance with the goals of improving quality performance and preventing compliance violations. The Global Monitoring Process engineers quality and compliance into business and service delivery systems on the front end to reduce compliance violations on the back end and to establish documented best practices.
GMP is a "self-governance" process for service areas and administrative functions across NHS. It enables problem identification and resolution and it makes it possible to measure performance at specific points in time, over time and across geography.
The
Do's and Don'ts of Compliance
Do
call the Compliance Helpline at 1-888-439-0100 if you are:
- Aware
of or suspect non-compliance
- Unsure
of laws, regulations, or payor requirements
Do
take the time to learn and understand:
- Regulations,
laws, and licensing requirements
- Payor
requirements NHS polices and standards
- Sound
business practices that pertain to your job
Do
document all activities in accordance with the applicable standards
and regulations
Do
embody the NHS mission and values
Do
abide by the NHS code of conduct
Do
support and promote compliance and strong ethics among your co-workers, staff and
others
Do
not sign for others or falsify documents of any kind
Do
not talk about treatment issues pertaining to specific consumers
or families in public
Do
not violate any of the requirements for the service that
you provide
Always
do the right thing in the right way!
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