WHEREAS, the Health Commission is committed to the provision of the highest quality health care in the most appropriate, effective, and efficient manner; and,

WHEREAS, the Health Commission is determined the Department of Public Health shall comply with all applicable federal, state and local laws and regulations, and all program requirements of federal, state, and private health care programs; and,

WHEREAS, the most effective way to ensure that the Department of Public Health complies with all applicable requirements it to develop and implement a departmentwide effective compliance program; now, therefore, be it

RESOLVED, that the Department of Public Health is hereby directed to develop and implement an effective compliance program for Central Administration, Population Health and Prevention, and the Community Health Network that includes, at a minimum, the following elements:

1. The hiring of a Compliance Officer
2. The development and distribution of a written code of conduct and written compliance policies and procedures, which promote commitment to compliance and address specific areas of potential concern;
3. The development and implementation of education and training programs for appropriate employees and contractors on compliance issues;
4. The enforcement of standards through performance objectives and disciplinary guidelines;
5. The establishment of effective lines of communication, including the creation and maintenance of a hotline or other communication mechanism designed to receive anonymous complaints;
6. The development and maintenance of a system for the prompt and effective investigation and resolution of identified problems; and
7. The performance of regular audits/evaluations to monitor compliance and determine the effectiveness of the resolution of identified problems;

and, be it

FURTHER RESOLVED, that the Director of Health shall report periodically to the Commission on the implementation of the compliance program and its effectiveness.

I hereby certify that the foregoing resolution was adopted by the Health Commission at its meeting of June 6, 2000.