© 2002, Ethical Leadership Group. The Role of Ethics in Compliance A blessing, not a curse Steve Priest.

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Presentation transcript:

© 2002, Ethical Leadership Group. The Role of Ethics in Compliance A blessing, not a curse Steve Priest

© 2002, Ethical Leadership Group. Three kinds of: People s Saints s Criminals s The Rest of Us Organizations s Most admired s Sub-Dilbert s The Rest of Us

© 2002, Ethical Leadership Group. “The Rest of Us” is Us

© 2002, Ethical Leadership Group. In today’s health care environment s Compliance is critical  Government scrutiny, fines, integrity agreements  Payor scrutiny, audits  Plaintiff’s attorneys.... s Compliance is challenging  Comprehensive  Complex  Changing s Compliance is not enough

© 2002, Ethical Leadership Group. What do you stand for? s Adhere to laws and regulations. s Do the right thing. (For patients, employees, shareholders, sponsoring institutions, the public.)

© 2002, Ethical Leadership Group. Who do you admire? s Think of the person you most admire. s Why?

© 2002, Ethical Leadership Group. The difference between ethics and compliance Compliance s Adhere to laws, regulations Ethics s Honest s Respectful s Fair s Committed, steadfast s Law abiding

© 2002, Ethical Leadership Group. Ethics is not s Only medical ethics or clinical ethics s Philosophical or s Optional

© 2002, Ethical Leadership Group. Ethics v. compliance A self diagnostic s Driving behavior

© 2002, Ethical Leadership Group. Ethics v. compliance A case history s Defense Industry launched compliance programs in 1980s. s Moderately successful—several notable problems s By late 1990s, almost every major defense contractor had values based ethics and compliance programs.

© 2002, Ethical Leadership Group. Health care compliance Of the past s Billing, coding s Reimbursements s Kickbacks Of the future s Privacy s Research s Quality of patient care

© 2002, Ethical Leadership Group. The good news s Ethics makes your compliance job easier, not harder s Employees relate more to ethics and integrity than compliance s Ethics allows compliance program to be more integrated with organizational mission, values, strategies

© 2002, Ethical Leadership Group. So what to do with ethics? s Compliance program based in institutional and personal values s Review the language of the program policies, communications, training to incorporate ethics & values s Remember that culture wins

© 2002, Ethical Leadership Group. Changing a culture s Leadership words—and actions s Performance appraisals—and compensation

© 2002, Ethical Leadership Group. Leadership words and actions s Decency/respect s Balance messages: numbers and integrity s Open door/don’t shoot the messenger s Role model for dealing with conflicts of interest, e.g., appropriate entertainment s Consistency in applying standards s Under promise and over deliver

© 2002, Ethical Leadership Group. Performance appraisals and compensation Values “Performance”

© 2002, Ethical Leadership Group. Ethics in health care One primary rule: The patient comes first

© 2002, Ethical Leadership Group. Ethics is personal s Which organization would you rather be a patient in? s Which organization would you rather be a customer of? s Which organization would you rather work for? s Which organization would you rather invest in? s What kind of person would you rather work with? Who do you trust?

© 2002, Ethical Leadership Group. Steve Priest Ethical Leadership Group 1935 Schiller Avenue Wilmette, IL USA (847) This presentation represents intellectual property of ELG. Please seek permission from ELG before reproducing any element of this presentation or modifying this protected work. Thank you.