Risk and Compliance Management: Body of Knowledge Review Edition 3.5 Volume 5

MGMA

Risk and compliance management is not a new concept in medical practices. However, there’s still a lot of uncertainty on the depth, breadth, and scope of work needed to maintain an effective compliance program. And while many of the same regulations and skills are required for managers in any organization, there are particular nuances specific to the delivery of healthcare in a clinic setting that differentiate the medical practice administrator from his or her peers in other business or healthcare delivery environments. The chapters in this volume follow the blueprint designed by practicing medical practice executives to describe the key competencies, knowledge, and skills required to develop and maintain effective operations in the medical practice. The major areas of competence in risk and compliance management, as identified by the certified and fellow members of the Medical Group Management Association, are to: + Create, implement, and maintain a risk management program to provide a safe environment; + Develop, implement, and maintain policies and procedures to prevent or minimize the impact of adverse events; + Develop, implement, and maintain a compliance program for federal and state laws and regulations; and + Comply with necessary accreditation and licensure requirements. Within each chapter of this volume, these major competencies are further delineated according to the key knowledge and skills required to demonstrate competency as a manager of risk and compliance. A few examples of these supporting skills are the ability to plan for disasters, mitigate and minimize the impact of legal events, provide a safe workplace, and remain in compliance with laws and licenses. These knowledge and skills and many others are explored in detail in the pages that follow.