How To Understand The Corporate Compliance Program At Medica

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1 Tool: Sample Compliance Program Effectiveness Survey Medica uses the attached survey to gauge employee awareness of its corporate compliance program. Compliance leaders in hospitals and health systems might adapt this survey for their own organizations. Source: Cary Fitzpatrick, senior compliance and privacy analyst, Medica, Minnetonka, Minn.

2 Corporate Compliance wants to know how Medica perceives different elements of its Compliance Program. This survey will help Corporate Compliance focus its resources and become a more effective department at Medica. Thank you for your time. 1. I am familiar with the Medica Corporate Compliance Program. 2. I know where to view a copy of Medica's Standards of Conduct. 3. I am aware of the policies and procedures related to the Standards of Conduct. 4. I am aware of the policies and procedures related to my job. 5. I know where to locate Medica's policies and procedures.

3 6. I know the name of and how to contact Medica's VP of Compliance and Privacy. 7. I know that Medica has a MEDICARE Compliance Officer. 8. I know the name of and how to contact Medica's MEDICARE Compliance Officer. 9. My management team supports the goals and objectives of the Compliance Program and the Standards of Conduct. 10. Medica executives and management set a good example and encourage ethical behavior.

4 11. My peers at work encourage ethical behavior. 12. Have you encountered situations inviting misconduct? 13. As a Medica employee, have you felt pressure to compromise ethics to get the job done? to: 14. If a compliance concern comes to my attention, I would be comfortable reporting it My supervisor/manager Corporate Compliance Department Compliance Lead Medicare Compliance Officer IT Security Human Resources General Counsel Integrity Line 15. I know how to contact the Corporate Compliance department if I have a question.

5 16. I am aware of the Medica Integrity Hotline and how to access it. 17. I observed workplace behavior that I felt violated the Standards of Conduct, policy, or law. 18. If yes to the previous question, did you report it to anyone? NA 19. Fear of retaliation would prevent me from reporting a compliance problem. 20. I am confident that Corporate Compliance will ensure my compliance concern is addressed and resolved in a timely manner.

6 21. Chose one of the following that best represents your department. Network Management Finance Legal HRLF SPP CHA Commercial Customer Service Individual Business Operations Commercial Markets Marketing and Communications Sales and Underwriting Health Management IT Research 22. Are you Supervisory/Management? 23. Years with Medica. Less than 1 year 1 2 years 3 5 years 6 10 years 10 or more years 24. Please provide additional comments or suggestions you may have regarding Medica's Compliance Program.

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