Since our formation in 1997, Texas Health has embraced and integrated our Values of Respect, Integrity, Compassion and Excellence into our expectations for ethical conduct. By so doing, we earn and maintain the trust of those we employ and serve.
Our Business Ethics and Compliance Program is designed to meet and exceed regulatory, legal and accreditation requirements. It is overseen by our chief compliance officer, Executive Leadership Committee, the board’s Audit and Compliance Committee, our System Compliance Committee and the Business Ethics Council.
Annually, we provide mandatory ethics and compliance training for employees, volunteers, employed physicians, physician leaders and our board of trustees. Physicians agree to abide by medical staff bylaws and our Physician Code of Conduct, and we provide ethics and compliance materials at initial credentialing and at each re-credentialing. Our vendors and suppliers must also agree to observe our ethics and compliance policies.
Employees can anonymously report allegations of improprieties to supervisors, patient advocates, our chief compliance officer or CEO, or through a toll-free hotline without fear of retaliation. Per our policy, we investigate all incident reports and respond to verified improprieties with the appropriate disciplinary action, including termination, if warranted.
Confirmed violations are reported to senior leaders and the board of trustees. Physician violations are handled through disciplinary action under medical staff rules and regulations.
Texas Health operates in a complex legal and regulatory environment with numerous strict regulations and standards that are designed to ensure access to care, protect privacy, promote patient and workforce safety, and enforce public responsibility. Our Audit and Compliance Committee and senior leaders oversee compliance to avoid legal, financial, personal and reputational harm.