Health Care Compliance and Regulations (BS)

Health care ethics emphasizing analysis and ethical decision making at clinical and health policy levels for health care professionals.

Explores current concepts in health, exercise and wellness. Emphasizes personal health, theories, attitudes, beliefs and behaviors.

Introduces the historical, social, political, economic and interprofessional contexts in which health care professions and the United States health care system evolved.

Culminating course integrating all components of health care compliance core courses and demonstrating knowledge and competency in the field of health care compliance.

Health and safety movement, accident theories and effects, OSHA standards and liability, safeguarding, hazards, workers' compensation, ergonomics, and safety.

Legal theories, ethical issues, and regulatory climate affecting business policies and decisions.

Types of disclosures required by and investigations conducted by regulatory and accrediting agencies overseeing health care entities. Introduces oversight activities, enforcement and potential penalties incurred by health care entities.

Ongoing health care compliance evaluation process critical to a successful compliance program. Provides the knowledge to utilize monitoring and auditing systems to ensure health care operations conform to established standards or comply with federal, state or local rules and regulations.

Introduces applications of health and clinical informatics via history, current trends and applications as well as reviews of scientific research and data analysis. Topics include electronic health records, standards, clinical decision support, telemedicine, health care laws, bioinformatics and public health informatics.

Introduces health care compliance as an industry and a profession. Explores the complex federal and state laws that regulate the delivery and reimbursement practices of the U.S. health care system. Also explores federally legislated mandates for formal compliance programs, program elements, and the organizational steps for program implementation in specific health care settings.

Comprehensive study of the creation, management and evaluation of all aspects of a formal health care compliance program. Learners investigate and discuss roles of the compliance officer and compliance committee, risk analysis, recommendations for and implementation of corrective action.

Offers a comprehensive overview of the regulations that impact the health care delivery industry. These regulations include: protections against fraud and abuse, patient rights and privacy, protected health information (PHI) and electronic protected health information (ePHI) and occupational health and safety.

Examines various theoretical project management approaches as well as gives hands-on experience of project management tools and steps.

Provides an introduction to the biomedical and clinical research field and associated operational processes. Examines clinical trial development phases, regulatory protections for human subjects, clinical research team specializations, research organizations, good clinical practice, institutional review board functions, and research funding mechanisms. Explores specialized career positions for nursing and allied health professionals.

Introduces the complex process of medical coding and billing practices and related federal regulations and programs. Provides learners with a fundamental understanding of medical coding and billing processes including terminology, stakeholders and regulatory impact.

Introduces interprofessional practice, professional licensure, education and training, certification and scope of practice within the health care industry. Explores compliance standards and accreditation as they relate to the authority and scope of licensure boards, which are designed to safeguard the public health.

Risk management practices as they relate to the oversight of operations and processes within the health care industry. Utilizes various tools to predict, analyze and mitigate practices that may lead to industry noncompliance.

Focuses on administrative practices that ensure the security of computerized systems and the protection of health information. Topics include communication and reporting, as well as specific regulations and authorities such as the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Breach rules, and HIPAA Security and Meaningful Use Attestation.

Use of corrective and preventive actions (CAPA) in meeting the challenges of a compliant health care services operation. Covers design and implementation of CAPA to respond to deviations or errors in the health care environment. Identifies problems, implements corrective actions, evaluates consequences and employs preventive measures.

Explores the impact of the current U.S. health care system on the health of individuals, families and communities.

The leader's role in bringing about significant organizational and societal change with special attention to group and organizational behavior dynamics, establishing a vision, mobilizing and empowering individuals and groups, and assessing outcomes of the change process in a variety of settings.

Introduces understanding and developing leadership skills, including an examination of leadership theories and models from multidisciplinary and crosscultural points of view, an assessment of the student's leadership capabilities, and practical applications to improve individual leadership capabilities.