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BuildingComplianceintheHealthSector
NationalAdvisoryCommittee:HealthSector
AdamTurteltaubVicePresident,StrategicInitiatives&InternationalPrograms,SocietyofCorporateComplianceandEthicsandHealthCareComplianceAssociation
WhoWeAre
• SocietyofCorporateComplianceandEthicsandHealthCareComplianceAssociation.– Twomembershipassociations,onelegalentity– Approximately18,000members– HCCA:Healthcare(especiallyproviders)andalmostsolelyUS
– SCCE:Cross-industryandglobal– Provideeducating,networkingandcertification
KeyMessage:YouCan’tDoItAlone
YourCompany
Suppliers SalesAgents Customers
Competitors YourGovernment
OtherGovernments
GlobalEnforcement
• Multi-Jurisdictionalprosecutionsofcorruptionarebecomingmuchmorecommon:SBMOffshore,NV– TwoformerexecutivespleadguiltyintheUS– USsettlementof$238millionannouncedon29November
– TwoexecutiveschargedintheUnitedKingdomon30November
– AnothermanwantedinMonaco– CompanyisDutch– BriberywasinIraq
GlobalEnforcement
• SixpharmaceuticalcompaniesrecentlyreportedhavingopenFCPAinvestigationsintheUSandsimultaneouslyinothergeographies:Brazil,China,Colombia,Japan,Russia,Turkey,andGreece
Source:FCPABlog
GovernmentExpectations
• Criticaltogiveguidanceforwhatisexpectedinacomplianceprogram
• Helpfulforglobalcompaniesthattherehasbeenconsistencyacrossmanyjurisdictions
ContinuousDialogue• USDepartmentofJusticeCriteriaforevaluatingcomplianceprograms– https://www.justice.gov/criminal-fraud/page/file/937501/download
• OfficeofInspectorGeneraloftheDepartmentofHealthandHumanServiceswiththeHCCAprogrameffectivenessdocument:– https://oig.hhs.gov/compliance/101/files/HCCA-OIG-Resource-Guide.pdf
• Ongoingwillingnessbygovernmentsgloballytospeaktocomplianceprofessionals
PeerLearning
• Industryassociationsaddressingcompliance– DefenseIndustryInitiative– AdvaMed andEucomed,PhRMACode
• Importanceoflearningfromotherindustries,notjustyourown
OngoingExperimentation
• USDepartmentofJusticebeganapilotprogramapproximately18monthsago.– Encouragedcompaniestoself-report(alreadyincentivesforself-reporting)
– Ledtoaneardoublingofself-reports– Nowbeingmadepermanent