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Before jumping right into the challenges posed by compliance, here is a list of a few regulations that the Healthcare industry should comply with:

  •    Office for Civil Rights (OCR)- in charge of HIPPA enforcement and auditing healthcare providers and their associates to chuck out noncompliance
  •    The Centers for Medicare and Medicaid Services (CMS)-Medicare reimbursement payments for meaningful use
  •    Office of the National Coordinator for Health IT (ONC)
  •    FDA- to ensure the standards of medicines and medical equipments.

Though the prime objective of any healthcare industry is patient care, no part of it carries as much importance as protecting a patient’s personal information from a breach of privacy, predefined and ethical charges for services and auditing the compliance of the practice or the facility for risk management.

Healthcare compliance is a general term describing compliance of conventions, guidelines, and state and federal laws. Practices, clinics, and facilities normally have a staff member dedicated to complying regulations that protect patients and staff information, assure privacy of personal information, and ensure that medical information is presented using standardized means. However, there is a high chance of human error and noncompliance.

When HIPPA was implemented the sheer need for compliance and risk management increased. There was a requirement for strategic path flow to handle the sensitivity of the personal and official data, additionally to match the standards of equipments and medicines. Besides this, importance to occupational safety and ethical health administration turns out to be necessary for risk and compliance management.

Compliance from patient’s point of view:

For a patient, compliance with requisite regulations by any organization related to healthcare industry, means the assurance that their information is not only protected and is not distributed with a third party but is also accessible in its original form as and when required for services again. The main focus is to make sure that the healthcare providers have the necessary information, accessible to staff and authorities, ensuring no breach of privacy.

Compliance in healthcare

Compliance Management in Healthcare Industry:

A compliance team in a healthcare institution has several responsibilities. It must assure the procedures are updated, the standards of equipment are outlined and practices are met, workforce complies with the responsibilities, availability of resources and medicines, meeting governance norms for serving patients and providing facilities, evaluating results of work function. Also, any compliance team must ensure the implementation of new government norms for and provision of standardized service level.

Due to high level of life risk involved in this sector and multitude of regulations to be met there is a sheer need for the healthcare institutes to adhere by the compliances to serve not only the patients well but also matching the standards specified by the government and legal bodies to ensure no disruptions.


Therefore, implementation of GRC platforms like VComply to monitor the governance and legal compliances to enable healthcare services and meet the day to day responsibilities for delivering desirable results is important. These platforms also manage the overall risk of the whole facility. Thus, a culture of accountability and governance with a standardized SaaS tool would solve the challenges posed by compliance in a healthcare industry.

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