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It’s time to put your two compliance plans all together into one report. Be sure to implement your instructor feedback and proofread all your work one last time. In addition, check the requirements in the original assignment.

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Be sure to write a summary statement and insert it at the end of the project before the References Page. (See outline below.) In your summary statement, describe your own journey in working on this project. Explain how this project has strengthened your understanding of compliance rules and regulations.

Your final plan should include the following. Note the overview at the beginning and the summary statement at the end. Remember to check details to insure that your plans will be understood by all employees at a large medical facility where you are the Compliance Officer.

Cover Page
Overview of Compliance
First Compliance Plan

  • Policies
  • Procedures
  • Monitoring Tools

Second Compliance Plan

  • Policies
  • Procedures
  • Monitoring Tools

Summary Statement

  • How this project has strengthened your understanding of compliance rules and regulations.

References Page

  • At least twelve research references for both compliance plans.


Overview of Compliance Plans



Overview of Compliance Plans

A compliance plan is a medical system which identifies and balances through the reasonable efforts to identify the non-compliances issues according to the laws and the regulation and the trying to fix them and reducing the issue (Pascu 2016). In the simple terms, it finds an issue, fix it and then follow it to ensure it has been fixed. The compliance plan is a tool that is used by the healthcare’s everyday to ensure the compliance activities. In the context, we will discuss the privacy compliance plan and the research compliance plan together with their importance to the organization.

The research compliance plan is a plan with the main purpose of protecting the patients from the health issues. This is done by analyzing, planning and gathering the data that is important to the organization in order to improve safety, enhance protection and privacy, fairness and autonomy (Bedolla & Schlesinge 2016). The compliance is in cooperated to the healthcare mission, teaching, and the research itself in the different departments of the organization to benefit every individual in the organization by providing solutions to fix the health issues. By doing this, the whole medical center is given solutions to the problems and issues hence educating and benefiting the patients and the employees. This is done by the compliance plan as it analyzes and communicates the current research compliance standards to the research communities, leadership, and other departments that support the research compliance plan (Bedolla & Schlesinge 2016). Besides, it gives the oversights of the procedures and policies to ensure that the patients and other humans are protected. In addition, they also foster the collaboration of the healthcare with other institutions through HIPAA. Apart from these, the research compliance also provides assistance, coordination and leadership with the management of the agencies reviews, investigation and the audits. The main purpose of the research compliance is to find more of the solutions to the issues that are affecting the healthcare.

The privacy compliance plan plays the main purpose of protecting the personal information (personal health information) from the unauthorized access to the information (Johnston 2019). The plan makes sure that there is privacy in all the programs and the services. The privacy is performed to both the internal and the external environment related to the healthcare. The privacy compliance plan is associated with the programs, which supports the culture and the policies to ensure that the laws and the regulations are followed. In the current world, we are data driven and we ensure we are carrying out the ethical practices that are consistence to enable the protection of the individuals’ information. These privacy is done through the accountability of the organization in the monitoring of the data application regulations and the roles that are enforced both in the organization and at the country (Johnston 2019). Besides, they also facilitate and promote the understanding and the awareness of the rules, risks, and rights that are associated with the data processing and protection to the organization employees hence privacy. Also, they associate with the national data protection authorities for more efficiency and effectiveness together with the assessment of the data protection laws in order to fulfill the task of protecting the data. The main purpose of this plan to enhance privacy in the organization data both internally and externally.

The compliance plans are very important to the healthcare organizations. First, an effective compliance plan helps in protecting the organization practices from the abuse, fraud and waste among other liabilities. Secondly, it helps in the establishment of the organization culture which promotes the prevention, detection and the resolute the conducts which do not obey the laws, ethics and the policies of the organization (Bregman & Edell 2016). Lastly, it gives the commitment and the adherence to the laws and the ethics of the organization.




Bedolla, L. G., & Schlesinger, P. (2016). Research Compliance Advisory Committee Office of Environment, Health and Safety 317 University Hall,# 1150 Paul Alivisatos Vice Chancellor for Research. UNIVERSITY OF CALIFORNIA, BERKELEY.

Bregman, J. I., & Edell, R. D. (2016). Environmental compliance handbook. CRC Press.

Johnston, A. (2019). Prevention is better than the cure: Getting privacy compliance right is essential practice management. Australian Journal of General Practice, 48(1/2), 17.

Pascu, A. (2016). Corporate compliance in health care: An overview of effective compliance programs at three not-for-profit hospitals (Doctoral dissertation, Utica College).


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Compliance Plans 



Compliance Plans

Clinical staff members are not washing their hands between patients

Hand washing is one of the most important procedures for preventing infections. Health care workers hands are mostly contaminated after activities such as cleaning wounds, cleaning patient’s excrement and touching contaminated surfaces in patient’s rooms. Bacteria from these activities can cause infections to other patients being handled by the health worker, to the health workers and even death in postpartum women during child delivery. To prevent these hospital-associated infections improving hygiene in the patient’s rooms and practicing hand washing regularly after every encounter with a patient especially after being exposed to bodily fluids, before and after contact with a patient and their surrounding will go a long way. Hospitals should provide more hand rub dispensers and create awareness to make hand washing a hard-wired habit.

Employees are not knowledgeable in the use of fire extinguishers

Almost all buildings are fitted with fire extinguishers in case of fire incidents but unless the employees know how to use them they are on no use to them. As much as every building has a fire extinguisher very few people are trained or ever used a fire extinguisher. Only a handful of people can operate a fire extinguisher in the event of a fire breakout.  Employers should provide training sessions to their employees to make them familiar with the steps and principles of using fire extinguishers, they should also be conversant with the PASS acronym as a way to remember the steps in using a fire extinguisher and know where to find them. Fire engines might take time to arrive at fire incidents and having these skills will help reduce and prevent the spread and damage caused by the fire.




Kelly, J. W., Blackhurst, D., McAtee, W., & Steed, C. (2016). Electronic hand hygiene monitoring as a tool for reducing health care–associated methicillin-resistant Staphylococcus aureus infection. American journal of infection control, 44(8), 956-957.

Latif, A., Halim, M. S., & Pronovost, P. J. (2015). Eliminating infections in the ICU: CLABSI. Current infectious disease reports, 17(7), 35.

Schroll, R. C. (2016). Industrial fire protection handbook. CRC press.

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