Audit Solutions – Health Care Establishment


Compliance and reporting make huge demands on time and focus functions today. How do you reduce compliance risk and inefficiencies?

Today, change is coming faster than ever before – and there is more of it. Organizations must identify, assess and address emerging compliance risks without losing sight of their existing business and control environment.
Audit Solutions for Health Care Establishment can help clients strategically assess, remediate and improve control issues identified, while also elevating the compliance status and in identifying and addressing complex emerging risk areas.

Additionally, our ability to bring innovative ideas and advisory support, in complex areas allows us to help clients gain significantly enhanced value from Audit Solutions for Health Care Establishment and across other important priority areas of the organization.

Relevant topics:
• Health Care Establishments/Providers and Law (1, 2)
• Compliance (3,4)
• Audit (5,6,7)
• Audit Solutions (8,9)

1. Relation between Health Care Establishments/Providers and Law.

A. There are several laws that are applicable to Health Care Establishments / Providers. There are different laws applicable to Doctors and paramedical staff, which assign different duties and responsibilities on them.

2. What do these laws want from the Health Care Establishments / Providers?

A. Every law is enacted with an objective and in order to fulfill it most of the times one finds the following compliance requirements:
• Equipment of particular standard and specification
• Qualification of personnel functioning
• Approvals and Licenses from Authorities
• Certifications from agencies
• Maintenance of records and registers in particular formats
• Reporting requirements
o One time
o Periodic
o Continuous
o Event based
o Annual Reporting

3. What is compliance and its importance?

A. Compliance means acting in accordance with the rule.
In case of legal compliances it is beneficial to be compliant for these reasons:
• Assurance of actions being within the four corners of law.
• Strong defense in case of litigation.
• Stronger internal control systems
• Efficient Standard Operating Protocols
• Minimal chances of regulatory fines
• Good public image

4. What is Compliance risk?

A. It is the risk associated with the losses that the organization may suffer on account of failure to comply with certain legal requirements. These are some of the possible outcomes of non-compliance:
• Law suits
• Inspection and audit by Government authorities
• Revocation of licenses and approvals
• Penalties and fines

5. What is Audit?

A. An audit is an objective examination and evaluation of compliance status of an organization to make sure that the records are a fair and accurate representation of the activities they claim to represent.

6. Why Audit by an outside party?

A. Audits preformed by outside parties help provide with a sense of accuracy when regarding the state of the subject being audited and can help enable them to make better, more informed decisions regarding the subject being audited. When audits are performed by third parties, the opinion on whatever is being audited can be candid and honest without it effecting daily work relationships.

7. What are the benefits of Audit?

A. For an Health Care Institution/Provider audit can help in these ways:
• Ascertaining if all applicable laws are being complied with.
• Balanced and fair view due to the independence of auditor.
• Addressing the small problems before they become serious.
• An effective compliance risk mitigation tool
• Double check to the internal control systems

8. How will Audit Solutions for Health Care Establishment be helpful?

A. Audit Solutions for Health Care Establishment has been craftily designed to achieve:
• To present an independent and clear picture of the compliance status of the HCI
• To keep the Health Care Establishment ready for inspection by the concerned government authorities
• Quarterly reporting ensures that no material non compliance goes unnoticed for long
• To mitigate compliance risk

9. How concrete is the structure of Audit Solutions for Health Care Establishment?

A. The strength of the Audit Solutions for Health Care Establishment lies in its methodology that features:
• Assessment of internal control systems of the Health Care Establishment/Provider
• Training of the staff of Health Care Establishment/Provider
• Identification of the shortfalls
• Corrective measures
• Ensuring the implementation of the corrective measures
• A focus on higher-risk issues
• Governance and execution protocols with the rigor to drive change
• An emphasis on flexible risk assessment and on continuous communication
• Key performance indicators that drive accountability and performance