Training and Education - Resources & Support



BUSINESS INTEGRITY PROGRAM

Policy Manual

APPROVED: May 14, 1998

by BOARD OF DIRECTORS

WASHINGTON COUNTY HEALTH SYSTEM

formerly titled “Legal Compliance Program”

Revised 5/2002

25. Training and Education

New Employee Orientation Policy

All new employees will complete the mandatory in-service on business integrity as part of their initial orientation session. At the time of their probationary evaluation, their manager will remind them to schedule their attendance at the introductory business integrity training session to be completed by their first employment anniversary date.

This training program for new employees will include, but is not limited to, a review of the Health System's Business Integrity policies and procedures. Business Integrity training shall encompass laws and regulations, specific responsibilities for each department, methods to report violations, disciplinary measures for violating the Company's policies and procedures, and proper response to third party requests to interview employees and review information.

This introduction to business integrity will be supplemented by specific training geared toward the employee's responsibilities. Selecting and scheduling training related to specific responsibilities is the responsibility of the employee’s manager, and resources are available by contacting the Human Resource Development Department or Director of Business Integrity.

The Human Resource Development Department and the Director of Business Integrity shall oversee the monitoring, evaluation, and auditing of the compliance training program. This includes taking steps to ensure educational videos and materials are current, attendance records are kept, new employees complete training by a specific time, and new employees acknowledge in writing that adherence to the company's compliance policies and procedures is a condition of employment. In addition, the Human Resource Development Department will retain a sample of the training material, as well as a brief description of the subject matter of the education.

In addition, the Human Resource Development Department and Director of Business Integrity shall oversee the review of training procedures, including feedback from employees and trainers. The Director of Business Integrity and Compliance MAC Education Subcommittee shall review on an annual basis the training program to ensure content is applicable to current policies and law.

Continuing Education

The Human Resource Development Department and Director of Business Integrity shall monitor the continuing education of employees and staff of the Health System. The employee's responsibilities in the organization will dictate the content of continuing education, as well as the minimum hours of education per year that will be received. This shall include additional training for employees or professional staff who fail to demonstrate the requisite knowledge to perform his/her tasks and training as required to educate employees and staff on changes in federal or state regulations and the Health System's business integrity policies and procedures.

Each manager shall be responsible for utilizing the monthly business integrity training curriculum materials provided for use during staff meetings. These materials will include articles, discussion materials and computer-based courses that are pertinent to Health System operations and its business integrity program. Each manager is responsible for maintaining a log of this training, including a list of attendees, time spent, and topic covered. Sample materials or references to their location should be readily available.

The Director of Business Integrity shall also be responsible for disseminating updates of laws or the Health System's policies and procedures to employees and professional staff via periodic newsletters, memos and/or e-mail.

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