Regulatory Compliance in Healthcare – An Overview

A large number of rules and regulations have been instated by the healthcare industry to improve the quality of care, reduce healthcare costs, protect the environment, and maintain adequate levels of medical care. There are a wide variety of rules that govern healthcare practices, such as quality care standards, patient care, and safety, billing, and many other areas. In order to stay within one of these regulations, it is necessary for healthcare providers to comply with the rules. However, there are often conflicts between these rules and what the providers want or expect. Some regulatory change management tool in the healthcare sectors are-

The right use of chemicals

For example, there are rules regarding the use of chemicals in healthcare. While it may be common practice to use such chemicals as preservatives and antibacterials, suppliers are often not directly required to use them. Providers have the ability to choose which chemicals they wish to use based on their own policies and business needs. However, if a supplier does not adhere to these rules and regulations, it can result in major fines. If they continue to ignore these regulations and continue to allow suppliers to use chemical products that do not meet the regulations, the healthcare industry could be severely affected.

Use of the right technology

Another example of this occurs when suppliers are asked to utilize certain technology or procedure without asking for permission. In other words, suppliers must ask for permission before installing and using any technology or procedure. As a result of this requirement, many providers either refuse to purchase or use technology or procedure, which is not consistent with the rules. In addition, many providers try to use technology or procedures that do not have the approval of the FDA and are violating regulations by distributing unsafe products and medications.

Changes of regulations

Implementing regulations has become a costly and complex process that affects providers all across the country. The Health Insurance Portability and Accountability Act (HIPAA) changed the rules in health care drastically, making many areas of patient care more difficult to regulate. These changes resulted in costs moving up for both medical and insurance companies. Even worse, the changes in regulations were retrofitted so that new regulations would have to be implemented if the original HIPAA regulations were ever made obsolete.

Unfortunately, we are living in a society where people want everything delivered quickly and cheaply. The result has been an increase in diagnoses that require unnecessary tests and procedures, which in turn pushes up costs for both healthcare providers and patients. As a result, many patients can’t afford healthcare, and providers have less revenue. Efforts are being made by governmental bodies and industry groups to change this trend, but in the meantime, we have to rely on regulations that protect us from unnecessary regulations that hurt our healthcare.