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Innovation in Compliance

Innovation in Compliance: Unpacking Healthcare Compliance with Maria Villanueva

Innovation comes in many forms, and compliance professionals must be ready for and embrace it. Join Tom Fox, the Voice of Compliance, as he visits with top innovative minds, thinkers, and creators in the award-winning Innovation in Compliance podcast. In this episode, Tom welcomes compliance aficionado Maria Villanueva to dive deeply into healthcare compliance.

In this episode, Tom and Maria discuss her diverse career trajectory from accounting to healthcare compliance and delve into the complexities of ethical selling, aggregate spending challenges, and the growing role of AI in the compliance industry. Drawing on her extensive experience, she offers valuable insights on balancing roles in compliance and HR, the impact of data analytics, and the future landscape of healthcare compliance.

Key Highlights

  • Passion for Healthcare
  • Challenges in Healthcare Compliance
  • Balancing Compliance and HR Roles
  • The Role of Data Analytics and AI in Compliance
  • Future of Healthcare Compliance

Resources:

Maria Villanueva on LinkedIn 

Tom Fox

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SBR - Authors' Podcast

SBR Authors Podcast: Jay Anstine on Navigating Healthcare Compliance

Welcome to the Sunday Book Review, the Authors Podcast! Don’t miss out on this episode of SBR – Author’s Podcast, where Tom sits down with Jay Anstine on his book Navigating the Politics of Healthcare.

Jay Anstine is a seasoned professional in the healthcare industry, with over two decades of experience in healthcare law, practice, and compliance. Anstine’s perspective on the future of healthcare compliance is shaped by his extensive background and understanding of the political landscape within healthcare organizations. He believes that the industry will continue to grow, with an increasing emphasis on regulations and job security. Anstine predicts a future where payment and reimbursement are closely tied to the quality of care and where transparency, particularly in pricing, becomes a major focus for healthcare organizations. Join Tom Fox and Jay Anstine as they delve deeper into these insights and predictions on the next episode of the SBR-Author’s Podcast.

Key Highlights Include:

  • Gaining Leadership Support for Champions Network
  • Building a Strong Compliance and Ethics Culture
  • Establishing a Risk-Based Champions Network
  • Selecting Enthusiastic and Motivated Champions
  • Engaging and Influential Champions Training Program
  • The Value of Champions Networks in Compliance

Resources:

Jay Anstine on Linkedin

Bluebird Health Law Group

Navigating the Politics of Healthcare: A Compliance Officer’s Guide to Communication, Relationships, and Gaining Buy-in

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Compliance Into the Weeds

Compliance into the Weeds: OIG Says CCO Should be Independent

The award-winning, Compliance into the Weeds is the only weekly podcast that takes a deep dive into a compliance-related topic, literally going into the weeds to explore a subject more fully. Looking for some hard-hitting insights on sanctions compliance? Look no further than Compliance into the Weeds! In this episode, Tom and Matt take a deep dive into the recent OIG guidance for healthcare compliance professionals and healthcare compliance programs which notes that CCOs should be independent from the General Counsel’s Office.

The Office of Inspector General (OIG) has recently released guidelines that underscore the importance of independence for compliance officers in the healthcare sector. These guidelines, seen as a significant development in the field, stipulate that compliance should be separate from legal and finance departments, and outline the responsibilities of healthcare compliance officers.

Tom views this as a clear call for compliance officers to be independent and report directly to the CEO and the board. He suggests that this trend towards independence may extend beyond healthcare. Matt echoes this sentiment, highlighting the OIG’s strong endorsement of the independence of compliance officers. He believes this aligns with the emphasis on independence and autonomy that leading voices in the regulatory world have been advocating for. Join Tom Fox and Matt Kelly as they delve deeper into this topic in this episode of the Compliance into the Weeds podcast. 

Key Highlights:

  • The Importance of CCO Independence in Compliance Programs
  • The role of a healthcare CCO
  • Do you need a Law Degree to be a CCO in Healthcare Compliance
  • The Growing Significance of CCO Independence

Resources:

Matt’s blog post in Radical Compliance

Tom 

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Innovation in Compliance

Compliance as a Service with Avi Singer


 
Avi Singer is the founder and CEO of Showd.me, a company that is helping organizations provide remote and on-demand compliance training solutions, specifically in the healthcare space. Tom Fox welcomes him to this week’s show to talk about how Showd.me helps its clients and compliance as a service.  
 

 
The Commercialization of Compliance
Avi tells Tom that the name Showd.me came from a common experience: when you ask someone how they learned to do something they would usually reply, “Somebody showed me”. Showd.me began as a platform that was designed for companies to implement social and peer-to-peer learning. This means that it allows new employees to learn and train from more experienced employees across the organization, via an easy-to-use learning management platform. They grasped the opportunity to break into the healthcare compliance industry, where they aid in hiring, developing, retaining, and certifying the organization’s employees. 
 
Compliance as a Service
Tom asks Avi to define compliance as a service and how the concept resonates for him in the marketplace. Compliance as a service is providing a platform where compliance training can be readily accessible for those who require it, Avi responds. “In the compliance marketplace the platform is important, the technology, the learning management platform is important, and accessibility is important, and whether people can use it is important,” Avi explains. He adds that making it in the compliance as a service industry, means tailoring the content and the training for their audience, in order to achieve the organization’s goal. 
 
Talent Acquisition and Retention 
In a response to Tom’s question, Avi explains how Showd.me helps an organization with setting up their new hires for success. He says that there are two concepts that they take into consideration during the application and hiring process. They are hiring for a while and hiring for now. When hiring for a while, you should focus on selling your organization as the ideal work environment, where future employees can see themselves thriving. Showd.me helps their clients by doing the paperwork and remote training for the prospective “hired for a while” employees. Additionally, they provide support for every step of the new journey for the new employees. 
 
When hiring for now, clients are encouraged to ensure that the application, interview, and hiring process happens as quickly as possible by utilizing an online platform. Tom then asks how they would alter their training in the future to maintain talent acquisition and retention. Avi replies that fervent data analysis is the answer: they can identify which training techniques work and which ones have stopped working. 
 
Looking Ahead
Tom asks Avi how technological advancements would affect the process of compliance going into 2025. Avi explains that whenever a company implements a new compliance requirement, it is in addition to the previous requirements, which may get confusing. Therefore, you must have systems with processes in place to combat the changing times as efficiently as possible. 
 
Resources
Avi Singer | LinkedIn | Twitter 
showd.me 
 

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Great Women in Compliance

Donna Schneider on Healthcare Compliance


Welcome to the Great Women in Compliance Podcast, co-hosted by Lisa Fine and Mary Shirley.
We’re pleased to introduce our latest two part series on Great Women in Compliance this week – a focus on Healthcare Compliance!  In part one we speak with Donna Schneider Lifespan Vice President, Corporate Compliance and Internal Audit.  In an unconventional start for GWIC, we begin the episode by level setting on the topic of what Healthcare Compliance is compared with similar industry areas and some of the unique topics that fall under Healthcare Compliance, both in the US and internationally before launching into Donna’s fascinating background as a healthcare provider herself initially, before joining the Compliance realm.
Donna shares her subject matter expertise by commenting on pressing issues of the day for Healthcare Chief Compliance Officers. For anyone looking to transition into Healthcare Compliance, you’ll want to tune into this episode as Donna shares her tips for those job hunting and in particular hoping to be a Healthcare Compliance professional.
Donna and Mary also ruminate about the benefits of Compliance certifications and volunteering – they could just set you a apart as a shining candidate in a job search.
We seek Donna’s advice for Compliance Officers seeking zen and balance after your temper has been tested at work.  Tune in for tips from someone who has seen and done a lot in her career and unsurprisingly has some sound tips to take away to keep a sense of calm in even the most stressful of moments.
Mary wraps up the episode with the first of a two pronged speak up campaign – the first prong focuses on the deterrent that staff believe that speaking up is futile.  Tune in to our second episode in the Healthcare Compliance series to hear from Mel Sponholz and the second step in Mary’s speak up campaign.
We like to share advice and tips on the podcast via our learned guests but some things don’t have immediate answers, including some aspects of what we’ve canvassed today.  If you’d like to share your thoughts on the issues raised, we invite you to connect with us at GWICpod@gmail.com.
The Great Women in Compliance Podcast is proudly featured on the Compliance Podcast Network and sponsored by Corporate Compliance Insights.  If you enjoyed this episode please subscribe to the podcast and rate it on your podcast player to help other compliance professionals find it.  Want to hear more from us?  We have a book, “Sending the Elevator Back Down: What We’ve Learned from Great Women in Compliance” (CCI Press, 2020) which is available on Amazon.com and Book Depository.
If you’ve already read the booked and liked it, will you help out other women to make the decision to leverage off the tips and advice given by rating the book and giving it a glowing review on Amazon?
As always, we are so grateful for all of your support and if you have any feedback or suggestions for our 2021 line up or would just like to reach out and say hello, we always welcome hearing from our listeners.
You can subscribe to the Great Women in Compliance podcast on any podcast player by searching for it and we welcome new subscribers to our podcast.
Join the Great Women in Compliance community on LinkedIn here.

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Great Women in Compliance

Great Women in Compliance: Life or Death Compliance with Virginia MacSuibhne

In healthcare, compliance isn’t just about following the rules — how do you manage when it’s a matter of life and death? Joining us on this episode is Virginia MacSuibhne, Vice President and Chief Compliance Officer of Roche Molecular Solutions, talking about holding themselves to higher standards, operating on values, and the power of diversity.

Compliance and healthcare
Healthcare is a highly regulated industry that essentially boils down to having a comprehensive quality management system. Tests that detect things such as cancer, or HPV, or the Zika Virus need to work and deliver consistent and accurate results.
So there is no need to explain why compliance is important. The whole company gets it. These are test results that people rely on — it could be you, a parent, a sibling, or a grandparent, waiting to ensure that the test result they get is right. So the people working on this hold themselves to a higher standard and are making sure they cross all the t’s and dot all the i’s because it’s important. There’s a patient — a real person — on the other end of it.
Global values
Having products that need to be delivered all over the world means having to deal with wildly inconsistent regulations, and that’s where Roche values, leadership commitments, and cultural beliefs come into play. Much of their growth also comes from acquisitions, which means the merging of very different workplace cultures. But at the end of the day, everybody is in the healthcare space, and people understand that it’s about doing the right thing.
Diversity of women in compliance
Thirteen out of the fourteen people in Virginia’s team are women, and they have a diverse background of life experiences and skill sets, represent almost every race on the spectrum, speak different languages, married, divorced, single parents, single with no kids, some people with disabilities, and with ages ranging from their 20s to their 60s. Sometimes we think about diversity in pretty narrow terms, but it’s this diversity that brings richness and perspectives into the mix.
Virginia believes that the reason women are more prevalent in the field is because it’s new — there’s no need to start by breaking the glass ceiling, which is empowering.
The future of compliance
Compliance is only becoming more institutionalized. Her advice is to go to the conferences and begin to network. Start thinking about how you can write, speak, present, and share ideas. The best things this community has come up with has come from collaborating with people who share different perspectives and can take our ideas one step further.
In terms of looking forward, social media is changing the compliance landscape, and very rapidly! When a case has media coverage, you don’t have three weeks to prepare a press release. You have five minutes, if that. People are asking for opinions minutes after new laws are released. It’s going to affect our data, information, governance, and privacy.
Resources
Virginia MacSuibhne