UT Southwestern Compliance Liaison Program Recap

Posted on Jan 3, 2025 in Other subjects

Compliance Liaison Program Meeting Recap & Tip Sheet Outline

Introduction to the Compliance Liaison Program

  • The Compliance Liaison Program is designed to enhance communication and foster a culture of compliance within UT Southwestern.
  • Liaisons act as the primary contact point for their respective departments, ensuring that compliance standards are understood and met.
  • This program plays a crucial role in promoting ethical practices and adherence to regulatory requirements across the institution.
  • Liaisons are responsible for disseminating compliance-related information within their departments and providing feedback to the Office of Institutional Compliance.
  • The program supports ongoing education and provides resources to assist liaisons in their role.

1. Annual Compliance Training FY 2024

  • Mandatory for All: Training is required for all employees, faculty members, and applicable contractors.
  • Training Period: Set from March 4, 2024, to April 17, 2024.
  • Consequences for Non-Completion: Failure to complete training may result in disciplinary actions, including termination and loss of email access.
  • Modules: Training includes two parts: Ethics, Compliance, & Our Organization’s Expectations of the Workforce, and HIPAA Privacy & Information Security Training.
  • Completion Verification: Ensure completion of both modules within the stipulated timeframe.

2. Youth Protection Program (YPP)

  • Purpose: To ensure a safe environment for minors visiting or participating in programs on campus.
  • Annual Background Checks: Required for all individuals working with minors.
  • Insurance Requirement: Programs involving minors must secure appropriate insurance coverage.
  • Training: Biennial training is mandatory for individuals involved in youth programs.
  • Staff-to-Minor Ratios: Must adhere to specified ratios to ensure adequate supervision.

3. Conflict of Interest, Commitment & Export Controls Updates

  • COI-Info Portal: A new tool for streamlined conflict of interest reporting.
  • Annual Disclosure: Covered individuals must submit their Statement of Financial Interest by March 1.
  • Reporting Obligations: Report all personal financial interests and outside activities.
  • Export Controls: Be aware of regulations affecting international collaborations and research.
  • Training & Guidance: Seek training and guidance for navigating COI and export control requirements.

4. Office for Access & Title IX Initiatives

  • Scope of Services: Includes discrimination/harassment investigations, ADA accommodations, and Title IX programs.
  • Pregnancy Accommodations: Support for pregnant employees and students as per the Pregnant Workers Fairness Act.
  • Reporting Mechanisms: Clear channels for reporting discrimination, harassment, and retaliation.
  • Training Opportunities: Availability of training sessions to foster an inclusive environment.
  • Confidentiality: Assurance of confidentiality in handling sensitive cases.

5. Medical Risk Management (MRM) 101

  • Role of MRM: Focuses on compliance with legal requirements, patient grievance resolution, and quality improvement.
  • Patient Grievances: Importance of timely and appropriate response to patient complaints.
  • Risk Identification: Proactive identification and management of risks associated with patient care.
  • Legal & Regulatory Compliance: Ensuring adherence to healthcare laws and regulations.
  • Support & Resources: MRM provides support and resources for addressing medical risk issues.

6. SAFE Program Introduction

  • Behavioral Intervention: Aims to address concerning behaviors within the UT Southwestern community.
  • Reporting Channels: Encourages reporting through the Compliance Hotline or SAFE email.
  • Goals: Focuses on early detection, safety enhancement, and compassionate intervention.
  • Confidentiality: Maintains confidentiality of reports to the extent possible.
  • Support & Resources: Offers guidance and support to individuals impacted by concerning behaviors.

7. Mail Codes Update

  • Importance of Accuracy: Accurate mail codes are crucial for efficient mail delivery.
  • Verification & Update: Regular verification and updating of mail codes in PeopleSoft.
  • Impact on Operations: Incorrect mail codes can delay the delivery of important documents.
  • Action Required: Departmental responsibility to ensure employees’ mail codes are current.
  • Process for Updating: Step-by-step guide available for updating mail codes in PeopleSoft.

Closing Note

The Compliance Liaison Program is essential for maintaining a culture of compliance and integrity at UT Southwestern. Your role as a liaison is invaluable in achieving these goals. Thank you for your commitment and dedication.

Contact Information

For further assistance or questions, please contact Compliance@UTSouthwestern.edu or visit UT Southwestern Compliance.

This outline provides a structured approach to creating a comprehensive tip sheet, ensuring that Compliance Liaison Program members have access to critical information in a clear and organized manner.