Awards & Recognition

History of Award Winning Practices & Fellows of the Trust

Best Practice Awards, Certification Recognition & Fellows of the Trust

Best Practice Awards, as selected by the Health Ethics Trust’s Best Practice Committee, are presented annually to the winning organizations. In addition to Best Practice Awards, all compliance professionals who have achieved CCP, CCE certification or recertification during the calendar year will be recognized during the Forum. The Forum is also the venue where the Fellows of the Health Ethics Trust are announced.

Best Practice Award Winners

2016 Best Practice Award Winners

Baptist Health South Florida:  Risk Assessment Methodology

Blue Cross Blue Shield of Michigan:  Compliance Risk Assessment and Compliance Plan

Health Care Service Corporation:  Effective Collaboration in the Fight Against Health Care Fraud, Waste, and Abuse

HealthTexas Provider Network:  Becoming a Best Practice Compliance Program by Being Physician-Driven

Legacy Health: Compliance Education

Maxim Healthcare Services: Legal Billing Analysis

NHS Human Services, Inc.:  Quality and Compliance Organization

Northwell Health:  Professional Fee Coding and Billing Practices

Northwell Health:  Identity Theft Prevention Program

PGBA:  Utilizing Staff Creativity to Promote Compliance Awareness

UPMC Insurance Services Division:  Policy and Procedure Management Program

2015 Best Practice Award Winners
Blue Cross and Blue Shield of Alabama and Florida Blue
Peer-to-Peer Compliance Program Effectiveness Audits 

 

 

BlueCross BlueShield of Tennessee
Records & Information Management Compliance
Conflict of Interest & Training Efficiencies 

Community Medical Centers
340B Compliance Program 

Health Care Service Corporation
Privacy Awareness and Breach Prevention 

Maxim Healthcare Services
Auditing and Monitoring; 
Claims Testing; 
Issues Management 

North Shore-LIJ Health System
Facility Coding Controls 

PGBA
Reimagining Risk Assessment 

Royal Philips, N.V.
The Philips Legal Compliance App 

Wound Care Specialists
Compliance by Collaboration

2014 Best Practice Award Winners
Cahaba Government Benefit Administrators, LLC
Conflict of Interest Mitigation and Monitoring

 

CGS Administrators, LLC
Project Administrators Role

Community Medical Centers
Physician Compensation Arrangements Contracting Compliance

Covenant Health
Corrective Action Planning

Health Care Service Corporation
Computer-Based Training for Members of the Board

Houston Methodist
Effective Monitoring and Assessment Program

Maxim Healthcare Services
Ethics Education and Training Program

National Government Services
Conflict of Interest Monitoring

NHS Human Services
Prevention of Fraud, Waste and Abuse

North Shore-LIJ Health System
HIPAA Implementation

PGBA, LLC
Multi-Purposing Resources

UPMC Insurance Services Division
Corporate Compliance Records Management Program

Veterans Health Administration
Virtual Onboarding Training Plan for Compliance Officers

WellPoint, Inc.
Making the Most of OCR Audit Preparation
Regulatory Exam Monitoring Process
COI Process

2013 Best Practice Award Winners
Blue Cross Blue Shield of Michigan
Management of Patient Protection and Affordable Care Act

 

Cahaba Government Benefit Administrators, LLC
Integration of Quality in Compliance

CaroMont Health
Quarterly Provider Documentation and Coding Reviews

CGS Administrators, LLC
Conflict of Interest Process

DaVita
Compliance Training Program

Florida Blue
Internal Investigation of Improper Conduct and Corrective Action Procedures

Health Care Service Corporation
Code of Conduct Education Training

National Government Services
Innovative Online New Hire Training

NHS Human Services
Integrating Internal Controls and Quality of Care when Opening, Closing, or Modifying Revenue Systems

North Shore-LIJ Health System
Trustee Compliance Training, Education, and Governance

PGBA, LLC
Annual Compliance Survey and its Affects on Management Incentives

Veterans Health Administration, VISN 6
Vendor Relations with Compliance, Privacy, Information Security, and Records Management programs

WellPoint, Inc.
Risk Management Program
External Audit Process
First-Tier, Downstream, and Related Entities Oversight Program

2012 Best Practice Award Winners
Adventist Health
Physician Payment Audit Process

 

Baylor Health Care System
Conflict of Interests Management Program

Blue Cross and Blue Shield of Tennessee
Compliance Inquiry Management Program;
Education and Training

Bon Secours Health System
Compliance Education Program

Cahaba Government Benefit Administrators, LLC
Communication and Training Program

CaroMont Health
Corporate Responsibility Education and Awareness

Florida Blue
Compass Program, Code of Ethical Business Conduct

Health Care Service Corporation
Compliance By Design Program

National Government Services
Disclosure of PHI Reporting Procedure

NHS Human Services
Quality and Compliance

North Shore LIJ Health System
Compliance Risk Assessment

OSU Physicians, Inc.
Compliance Audit Program

UPMC Insurance Services Division
Corporate Compliance Training Program

2011 Best Practice Award Winners
Blue Cross and Blue Shield of Florida
Using Technology to Improve Compliance Program Performance

 

Cahaba Government Benefit Administrators, LLC
Compliance Training

CareFusion Corporation
Internal Reporting System

Covenant Health
Sanctions Checking Process

Health Care Service Corporation
Corporate Compliance Ambassador Program

Massachusetts General Hospital
Integrating Compliance, Quality & Patient Safety

National Government Services, Inc.
Associate Culture and Empowerment (ACE) Program

NHS Human Services
Assessing Compliance Risks;
Code of Conduct

North Shore LIJ Health System
Annual Training;
Vendor Relations Program

Palmetto GBA
Improper Access to PHI and PII Reporting Process

Premier Health Partners
Physician Compensation Management Process

SummaCare, Inc.
Code of Ethical Conduct

University of Connecticut
Governance, Oversight & Self-Assessment;

University of Connecticut Health Center
Monitoring Financial COI in Research

Veterans Health Administration
Compliance and Business Integrity Metrics Framework

Veterans Health Administration: VISN 16
Integrating Audit & Internal Controls with Ethics and Compliance

2010 Best Practice Award Winners
Bon Secours Health System
Conflict of Interest Process (COI)

 

CareFusion Corporation
Code of Conduct

Covenant Health
Dashboard, Investigation Tracking System

Health Care Service Corporation
Fraud, Waste and Abuse Program

National Government Services 
Compliance and an Established Partnership with Management;
Response to Internal Investigations of Improper Conduct & Corrective Action Process

NHS Human Services
Integrity Education Program;
Response to Internal Investigations of Improper Conduct & Corrective Action Process

Sharp HealthCare
Data Mining & Data Analytics for RAC Success

WellPoint Inc.
Code of Conduct Review;
HIPAA Implementation

2009 Best Practice Award Winners
BlueCross BlueShield of South Carolina
Compliance Common Newsletter

 

BlueCross BlueShield of Tennessee
Compliance Training Programs: A Consolidated Approach;
Reaching Compliance Inquiries: A Self Assessment of Program Effectiveness

Health Care Service Corporation
The HCSC Corporate Integrity Hotline and Incident Tracker

MedStar Health
Communication and Training

South Central Veterans Affair Health Care Network
Integrating Audit and Internal Controls with Ethics and Compliance

University of Connecticut Office of Audit, Compliance, and Ethics
Risk Assessment and Compliance Monitoring Plans

WellPoint, Inc.
Annual Training Enhancements;
Delegated Entity Oversight Program;
Priority Report Program

2008 Best Practice Award Winners
Health Care Service Corporation
Vendor Governance Program

 

National Government Services
Compliance Program Assessment;
Influencing Corporate Culture through Training & Communication;
Integrating Audit and Internal Controls with Ethics and Compliance

NHS Human Services, Inc.
Behavioral Health Compliance Program;
Quality Performance Review Process;
Response to Internal Investigations of Improper Conduct & Corrective Action Procedures

PGBA, LLC
Government Programs Compliance Department

The Methodist Hospital System
Education & Training

University of Connecticut Health Center
Clinical Research / Adverse Event Reporting

Veterans Health Administration: Mid-Atlantic Health Network (VISN 6)
Revenues Cycle Compliance Risk

WellPoint, Inc.
Response to Internal Investigations of Improper Conduct & Corrective Action Procedures

2007 Best Practice Award Winners
BlueCross BlueShield of Tennessee, Inc.
Integrating Audit and Internal Control with Ethics and Compliance;
Vendor Relationships

 

Covenant HomeCare
Integrating Technology and Focused Audits for Compliance and Quality

Health Care Service Corporation
Medicare Part D: Chapter 9 – Program to Control Fraud, Waste & Abuse

Highmark, Inc.
Identifying, Preventing and Reporting Part D Fraud, Waste and Abuse

MedStar Health
Focus Summaries

Sharp Healthcare
An Interventional Coding Compliance Inter-Disciplinary Team Approach

SummaCare, Inc.
Compliance Awareness, Communication and Training;
Fraud and Abuse Case Tracking Database

WellPoint, Inc.
Corporate Compliance Program Assessment;
Corporate Individual Rights Database;
Ethics and Compliance Training Program

West Penn Allegheny Health System
Compliance Program Assessment

2006 Best Practice Award Winners
Adventist Health System
Physician Contract Review Process

 

BlueCross BlueShield of Tennessee
Regulatory Reports Tracking

Central Connecticut Health Alliance
Compliance Program Quarterly Reporting

Covenant Health
Laboratory Employee Compliance Training;
Outpatient Rehab Compliance Training;
Research Compliance Program

Health Care Service Corporation
Regulatory Oversight Office

Intermountain Healthcare
HIPAA Security Regulations

Massachusetts General Hospital
HIPAA Breach Management Program

NHS Human Services, Inc.
Quality Call Back System

Palmetto GBA
Integrating Audit & Internal Controls with Ethics & Compliance

PGBA, LLC
Quest Quiz

Riverbend GBA, Inc.
Change Management Success;
Integrating Audit & Internal Controls with Ethics & Compliance

Veterans Affairs
CBI Qualitative Claims Analysis Program

Veterans Health Administration
CBI Annual Report Process

2005 Best Practice Award Winners
Health Care Service Corporation
Compliance Program Assessment

 

Northwestern Human Services
Integrating Audit/Internal Controls with Ethics and Compliance

TrailBlazer Health Enterprises, Inc.
Response to Internal Investigations and Corrective Action Procedures

United Government Services
HIPAA Implementation

Zimmer, Inc.
Vendor Relationships

2004 Best Practice Award Winners
Health Care Service Corporation
Management Compliance Certification Process – Core Values

 

Fresenius Medical Care North America
Decreasing Data Entry Errors Through Compliance Process Improvement; A MultiDisciplinary Approach

Catholic Health System
Integrating Audit and Internal Controls with Ethics and Compliance

Covenant Health
Conducting Internal Investigations

TrailBlazer Health Enterprises, L.L.C.
TrailBlazer Compliance Awareness & Communications Activities

North Broward Hospital District
HIPAA Auditing and Monitoring

2003 Best Practice Award Winners
West Penn Allegheny Health System
Integrating audit and internal controls with ethics and compliance

 

Palmetto Government Benefits Administrators
Management control review

Memorial Hermann Health System
Integrating audit and internal controls with ethics and compliance

Health Care Service Corporation
Internal controls: Ineligible parties screening program

Anthem, Inc.
Training and education: Web-based ethics and compliance training programs

2002 Best Practice Award Winners
OhioHealth
Documentation Program

 

VA Rocky Mountain Health Care Network
Internal Audit System for inpatient and outpatient nedical records

Heritage Behavioral Health Center, Inc.
Documentation Program

Health Care Service Corporation, BCBS of Illinois, Texas and New Mexico
Compliance Training Program

Anthem Insurance Companies, Inc.
Standards of Business Conduct

BlueCross BlueShield of Louisiana
Code of Business Conduct

Covenant Health
Report Line Data Management and Tracking System

2001 Best Practice Award Winners
BlueCross BlueShield of Illinois, Texas and New Mexico
Conducting Internal Compliance Investigations

 

Veterans Affairs New Jersey Health System
Billing, Coding and Documentation, Program Plan and Staff Education

Massachusetts General Physicians Operations
Billing, Coding and Documentation, Policy and Physician Education

2000 Best Practice Award Winners
Covenant Health
Criminal Background Checks Process

 

Danville Regional Medical Center
Government Investigations Process

North East Medical Center
Audit/Compliance Process

OhioHealth
Code of Conduct

Tenet Healthcare Corporation
Compliance Instructors’ Training

1999 Best Practice Award Winners
Arden Hill Senior Health System
Long Term Care

 

Sturdy Memorial
Small Community Hospital

Interim HealthCare, Inc.
Code of Conduct

Sisters of Providence Health System
Training Video

1997 Best Practice Award Winners
Holy Cross Health System
Organizational Culture

 

Tenet Healthcare Corporation 
Internal Reporting

Glaxo Wellcome, Inc. 
Code of Conduct

MedPartners 
Training and Communications

Fellows of the Trust

2016 Fellows of the Trust

Joel T. Allison
Chief Executive Officer
Baylor Scott & White Health

Tom Anderson
Vice President, Chief Legal and Compliance Officer
GuideWell Source

Robert Westervelt
Vice President, Operational Audit & Compliance
ACTS Retirement-Life Communities, Inc.

2015 Fellows of the Trust

Sandy Coston
President & CEO
GuideWell Source

Amy Griffin
VP & Compliance Officer
West Tennessee Healthcare

Greg Radinsky
VP & Chief Compliance Officer
North Shore-LIJ Healthcare

2014 Fellows of the Trust

Paul Belton
Chief Compliance Officer
Sharp HealthCare

Tim Joslin
President and CEO
Community Medical Centers

Steven B. Smith
President and COO
CGS Administrators, LLC

2013 Fellows of the Trust

Tom Lubben
Chief Ethics and Compliance Officer
Health Care Service Corporation

Emma DeVito
President and CEO
VillageCare

2012 Fellows of the Trust

Sherrie D. LeMier
President & COO
Cahaba GBA

Laura Macaluso
Executive Director
Southcoast Health System

Mike Barton
Executive Vice President
Eastern Region of NHS Human Services

2011 Fellows of the Trust

Cathy Burzik
Chief Executive Officer
of Kinetic Concepts, Inc.

Debra Muscio, CCE
Chief Audit and Compliance Officer
Community Medical Centers

Jim Neal, CCE
Director of Ethics and Compliance
CareFusion

2010 Fellows of the Trust

Caitlin O’Brien
Chief Compliance and Business Integrity Officer
Department of Veterans Affairs

Linda Greer
Board Member
Palomar Pomerado Health System

2009 Fellows of the Trust

Laurence Tanner
Chief Executive Officer
Central Connecticut Health Alliance

John Ciavardone
Senior Vice President for Compliance & Quality
NHS Human Services

Patricia “Tish” Breeding
Chief Compliance Officer
Covenant Health

2008 Fellows of the Trust

M. Joseph Rocks
Chief Executive Officer
NHS Human Services

Tara Dowd Gurber
Senior Vice President and Corporate Compliance Officer,
Audit, Compliance, and Security
Health Care Service Corporation

2007 Fellow of the Trust

Vicky Gregg
President & Chief Executive Officer
BlueCross BlueShield of Tennessee

2006 Fellow of the Trust

Michael H. Covert F.A.C.H.E
President & Chief Executive Officer
Palomar Pomerado Health

2005 Fellow of the Trust

Maryanne Spicer, CCP
Director of Compliance
Massachusetts General Hospital

2004 Fellow of the Trust

Anthony L. Spezia
President & Chief Executive Officer
Convenant Health

2003 Fellows of the Trust

Edward Gaines
Senior Vice President Compliance
Healthcare Business Resources, Inc.

Carl Josehart
Former Senior Vice President & CCO
Sinai Health System

2002 Fellow of the Trust

Jeffrey C. Oak, PhD
Former Associate CFO for Compliance and Business Integrity
Veterans Health Administration

2001 Fellow of the Trust

June Gibbs Brown
Former Inspector General
Department of Health and Human Services

2000 Fellow of the Trust

Neil Hadley
Retired Vice President of Ethics and Business Conduct
Tenent Health Care

1999 Fellow of the Trust

Fred Verinder
Former Vice President, Compliance Operations
Blue Cross Blue Shield of Illinois, Texas, & New Mexico

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