OSF Compliance Program
The OSF Compliance Program enables us to demonstrate to our Mission Partners, patients and the communities we serve that OSF HealthCare is committed to integrity, quality and safety in the health care services we provide.
The OSF HealthCare Compliance Program is a system of policies and procedures developed to help board members, officers, managers, Mission Partners, volunteers, employed and affiliated physicians and other providers, third-party payers, subcontractors, independent contractors, vendors, consultants and affiliated entities understand and follow the federal and state laws that govern health care. It is also designed to help our Mission Partners meet the requirements of federal, state and private health care plans.
| Compliance Plans |
| OSF HealthCare Compliance Plan (PDF) |
| OSF MSSP ACO Compliance Plan (PDF) |
The OSF Compliance Program includes the OSF HealthCare Compliance Plan and the OSF Healthcare System Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) Compliance Plan. These detailed plans explain our strong commitment to maintain high ethical standards.
Another essential element of an effective Compliance Program is a comprehensive Compliance Audit Program. The Ministry Compliance Team develops a Compliance Audit Plan each year to make sure that our patient care, reimbursement and other processes and procedures comply with the federal and state laws and regulations.
The annual Compliance Audit Plan outlines the specific audits that will be completed by the Ministry Compliance Audit Team in the following areas –
- Hospitals
- OSF Medical Group, OSF PromptCare and OSF OnCall Urgent Care offices
- Home Health
- Hospice
- Home Medical Equipment
- Home Infusion Pharmacy
- Research
- Privacy
The quality and safety of the care we provide is greatly improved because our Mission Partners are expected to follow the policies, procedures, rules and guidelines included in the OSF Compliance Program.
The OSF Compliance Program helps our Mission Partners do the right thing which helps us provide exceptional quality care to our patients. It allows us to fulfill the OSF Mission to serve persons with the greatest care and love.
Report a Compliance Concern
The OSF Compliance Program is focused on preventing fraud, waste and abuse in the delivery of health care. You can help! Report compliance concerns confidentially through the OSF Integrity Line.