1. © 2002, Ethical Leadership Group. The Role of Ethics in Compliance A blessing, not a curse Steve Priest

2. © 2002, Ethical Leadership Group. Three kinds of: People s Saints s Criminals s The Rest of Us Organizations s Most admired s Sub-Dilbert s The Rest of Us

3. © 2002, Ethical Leadership Group. “The Rest of Us” is Us

4. © 2002, Ethical Leadership Group. In today’s health care environment s Compliance is critical  Government scrutiny, fines, integrity agreements  Payor scrutiny, audits  Plaintiff’s attorneys.... s Compliance is challenging  Comprehensive  Complex  Changing s Compliance is not enough

5. © 2002, Ethical Leadership Group. What do you stand for? s Adhere to laws and regulations. s Do the right thing. (For patients, employees, shareholders, sponsoring institutions, the public.)

6. © 2002, Ethical Leadership Group. Who do you admire? s Think of the person you most admire. s Why?

7. © 2002, Ethical Leadership Group. The difference between ethics and compliance Compliance s Adhere to laws, regulations Ethics s Honest s Respectful s Fair s Committed, steadfast s Law abiding

8. © 2002, Ethical Leadership Group. Ethics is not s Only medical ethics or clinical ethics s Philosophical or s Optional

9. © 2002, Ethical Leadership Group. Ethics v. compliance A self diagnostic s Driving behavior

10. © 2002, Ethical Leadership Group. Ethics v. compliance A case history s Defense Industry launched compliance programs in 1980s. s Moderately successful—several notable problems s By late 1990s, almost every major defense contractor had values based ethics and compliance programs.

11. © 2002, Ethical Leadership Group. Health care compliance Of the past s Billing, coding s Reimbursements s Kickbacks Of the future s Privacy s Research s Quality of patient care

12. © 2002, Ethical Leadership Group. The good news s Ethics makes your compliance job easier, not harder s Employees relate more to ethics and integrity than compliance s Ethics allows compliance program to be more integrated with organizational mission, values, strategies

13. © 2002, Ethical Leadership Group. So what to do with ethics? s Compliance program based in institutional and personal values s Review the language of the program policies, communications, training to incorporate ethics & values s Remember that culture wins

14. © 2002, Ethical Leadership Group. Changing a culture s Leadership words—and actions s Performance appraisals—and compensation

15. © 2002, Ethical Leadership Group. Leadership words and actions s Decency/respect s Balance messages: numbers and integrity s Open door/don’t shoot the messenger s Role model for dealing with conflicts of interest, e.g., appropriate entertainment s Consistency in applying standards s Under promise and over deliver

16. © 2002, Ethical Leadership Group. Performance appraisals and compensation Values “Performance” + + - -

17. © 2002, Ethical Leadership Group. Ethics in health care One primary rule: The patient comes first

18. © 2002, Ethical Leadership Group. Ethics is personal s Which organization would you rather be a patient in? s Which organization would you rather be a customer of? s Which organization would you rather work for? s Which organization would you rather invest in? s What kind of person would you rather work with? Who do you trust?

19. © 2002, Ethical Leadership Group. Steve Priest Ethical Leadership Group 1935 Schiller Avenue Wilmette, IL 60091 USA (847) 853-8467 ethical@aol.com www.ethicalleadershipgroup.com This presentation represents intellectual property of ELG. Please seek permission from ELG before reproducing any element of this presentation or modifying this protected work. Thank you.