(Recorded Webinar) Compliance Program Policies and Procedures: Basics and Best Practices

This webinar is closed to new enrollments. For more health center trainings, click here.

Duration: 60 minutes
Recorded on: 10/28/2021

This webinar will identify the key compliance program policies and procedures that every health center should implement, including the rationale for both required and recommended policies and procedures.  The presenters will discuss instances in which the compliance program policies recommended by the Office of the Inspector General (OIG) intersect with requirements for health centers as federal grantees (Standards of Conduct, Conflict of Interest, etc.), as well as considerations for drafting and implementing such policies.

The presenters will also discuss the development and implementation of policies and procedures to mitigate identified compliance risks in the health center.  This section will cover who should develop and implement policies and procedures, monitoring and auditing for compliance with the policies and procedures, and developing training for managers and affected employees.

The presenters will also respond to the most frequently asked questions about policies and procedures, including:

  • What policies must the health center’s Board approve?
  • How frequently must the Board review those policies?
  • Should the Compliance Officer/our lawyer review all policies and/or procedures?
  •  Do we have to screen our Board members against the OIG, SAM and state exclusions lists and conduct background checks?

Target Audience

  • Compliance Officers
  • CEOs
  • COOs
  • Grants managers
  • Board members

Learning Objectives

After attending this webinar, attendees will be better able to:

  • Identify key compliance program policies and develop a strategy to develop/review such policies
  • Explain how regular screening Board members for exclusions and final adverse legal actions can help limit legal and financial risks
  • Delegate responsibility for policy and procedure development and implementation to the appropriate staff member
Course summary
Available credit: 
  • 1.00 Certificate of Attendance
Course opens: 
Course expires: 

Dianne K. Pledgie

As Partner and Compliance Counsel with the firm’s health law practice group, Dianne advises health centers on implementing effective compliance programs and on addressing top compliance risk areas. Dianne counsels health centers and other organizations on developing compliance programs that include the OIG’s seven elements, respond to identified compliance risk areas, and reflect the organization’s culture.  Dianne also advises health centers and other organizations on patient privacy and confidentiality, including the HIPAA Privacy Rule and 42 CFR Part 2.  She has experience responding to privacy and security incidents, including determining whether there has been a breach, notifying patients and the government, and creating corrective action plans. [Full Bio]

Molly Evans 

A Partner in the firm’s health law practice group, Molly advises health centers on the management of clinical, employment and workforce related risks, with a particular focus on professional liability, Federal Tort Claims Act, and HIPAA matters. From her experience as both a private attorney and in-house counsel, Molly knows the importance of managing liability and risk issues in mission-driven organizations. [Full Bio]



Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course. 

Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance. 

Read more about maintaining an attendance record in our FAQs.

Available Credit

  • 1.00 Certificate of Attendance


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This webinar is closed to new enrollments. For more health center trainings, click here.


Recorded webinars are available for 180 days after the date of purchase or date of the webinar. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.


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