| What committees does your organization have? |
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| How often does the Bioethics/Clinical Ethics Committee meet? |
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| How often does the Institutional Review Board (IRB) meet? |
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| How often does the Corporate Compliance Committee meet? |
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| Indicate the percentage of Bioethics (Clinical Ethics) Committee members who fall into the following categories: |
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| What percentage - if any - of the Bioethics Committee members also serve as members of the Corporate Compliance Committee? |
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| How many case consultations, if any, has the Bioethics (Clinical Ethics) Committee conducted in the last 2 years? |
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| Is your Bioethics (Clinical Ethics) Committee directly involved in any aspect of your Compliance (Integrity) program? |
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| To whom does your Bioethics (Clinical Ethics) Committee report? |
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| What percentage of your Bioethics (Clinical Ethics) Committee's time is devoted to the following? |
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| 22.7%
- Corporate Compliance Officer 22.7% - Director of Corporate Compliance 18.2% - Compliance Officer 4.5% - Corporate Ethics and Compliance Officer 4.5% - Corporate Integrity Officer 4.5% - Ethics Officer 4.5% - Integrity-Compliance Officer 4.5% - Officer of Compliance and Ethics 4.5% - Regional Compliance Officer 4.5% - System Integrity Officer 4.5% - Vice President, Corporate Compliance |
What is your compliance-related title? |
| Do you have any other job responsibilities besides Compliance Officer? | 14%
- Internal Audit and Corporate Compliance 9% - Director of Risk Management 9% - Tax Management Department 9% - New Business Development 9% - CFO 50% - No |
| Do you work in a hospital/healthcare facility, a healthcare system, an MCO, a supplier to healthcare providers such as a pharmaceutical or DME? | 4.5%
- Healthcare System 31.8% - Hospital 4.5% - Long Term Care Management Co. 4.5% - Medicare Contractor 4.5% - Pharmaceutical Company |
| How many beds does your hospital/healthcare facility have? | Average: 409 beds |
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400 SNFs, DME, Portable Radiology; 1 Hospices Hospital, Home Health, Physician Practices, Childcare Center for Associates, Retirement Home, Skilled Nursing Facility, Satellite Psychiatric Facilities, DME, Postsecondary R.N. School 6 Acute Care Hospitals, Psychiatric Hospital and Community Mental Health Center, 2 Ambulance Companies, Nursing Home, Comprehensive Rehabilitation Center, Cancer Treatment Center and Treatment Network, Outpatient Diagnostic and Treatment Network, Insurance Company, Physician Practice Management Company, Home Health Company, 6 Joint Venture Companies 13 Hospitals, HMO 3 Hospitals, O/P Rehab Facility, Ambulatory Surgery Center, Home Health Care Agency, Physician Practices 35 Hospital and Long Term Care Facilities Hospital, Rehab Hospital Unit, Home Care, Hospice, Home Infusion, Nursing Home, Ambulance Services, DME, 9 Retail Pharmacies, Ambulatory Surgery and Recovery Center, Retirement Center 2 Hospitals, Home Health, SNF, Nursing Home, Outreach Lab, Rural Health Center, 4 Hospital-Owned Physician Practices, CORF 8 Hospitals, Home Health, Hospice, Ambulatory Center 150+ SNFs and ALFs Home Health, Personal Care Home, Hospice, Nursing Home |
How many hospitals or other facilities/locations are in your healthcare system, and what type of facilities/locations? |
| 27.3%
- Compliance Office 22.7% - Corporate Compliance Department 9.5% - Internal Audit Department 4.5% - Compliance & Risk Management 4.5% - Compliance Department 4.5% - Corporate Compliance Office 4.5% - Corporate Ethics and Compliance Program 4.5% - Ethics and Compliance Office 4.5% - Ethics Office 4.5% - Integrity-Compliance Office 4.5% - Internal Audit and Corporate Integrity 4.5% - Risk Management |
What is the name of your department? |
| Is your department part of another department? | 13.6%
- Legal Department 9.3% - Administration Department 4.5% - Finance Department 4.5% - Operations Review Department 4.5% - President's Office 63.6% - No |
| Do you have a corporate/main office where the compliance/ethics office is located? | 54.5%
- Yes 27.3% - No 18.2% - No, located within the hospital |
| How many years have you held this compliance-related position? | Average: 2 years |
| How many people are on your staff (i.e., work for you in the compliance function?) | Average: 2.2 people |
| 18.2%
- President/CEO 13.6% - CEO 13.6% - General Counsel 13.6% - President, CEO and Board of Directors 9.5% - CEO, Board, and CFO 4.5% - CEO and Board of Directors 4.5% - CEO and Finance Committee 4.5% - Chief Compliance Officer of Parent Company 4.5% - CFO,COO and Board of Trustees 4.5% - COO and Audit 4.5% - President, CEO and Board of Trustees 4.5% - Senior Vice President/COO |
To whom do you report? |
| To whom does your supervisor report? | 50.0%
- Board of Directors 27.8% - CEO 11.1% - Board of Trustees 11.1% - President, CEO |
| 35.0%
- $81,000 to $95,000 25.0% - $66,000 to $80,000 20.0% - Over $110,000 10.0% - $51,000 to $65,000 10.0% - $96,000 to $110,000 |
What is your salary? |
| How long your code of conduct? | Average is 24 pages | |||
| How often is your code revised? | As needed
41.7% Annually 25% Just distributed, no revisions yet 33.3% |
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| In what format(s) is your code available to employees? | Paper
and intranet 50% Paper 25% Paper, in process of putting on intranet 25% |
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| How often is your code disseminated to employees? | Annually
25% Annually at compliance training and at new hire orientation 41.6% Annually at compliance training, at new hire orientation, and each time it is revised 16.7% At initial compliance training 16.7% |
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| Are employees required to sign an acknowledgment that they have received and read the code? | Yes
91.7% No 8.3% |
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| Is your code disseminated to vendors? | Yes
33.3% No 66.7% |
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| Are vendors required to sign an acknowledgment that they have received and read the code? | Yes
71.5% No 28.5% |
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| Does your organization test the reading level of its code? | Yes
16.7% No 83.3% (30% said that it was written at 8th grade level, but not tested.) |
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