At Auburn Community Hospital (ACH), Corporate Compliance is more than just a program – it's a commitment to upholding the highest standards of integrity and accountability. Our compliance program ensures adherence to all federal, state, and local laws while fostering a culture of doing "the right thing." By preventing errors before they occur and ensuring sustained progress, we safeguard both our organization and the patients we serve.

How Do We Achieve Corporate Compliance?

• Education: Structured training on compliance procedures, including OMIG's seven required elements, available on the ACH Hub.
• Documentation: Tracking data and maintaining historical records for accountability.
• Audits: Internal and external assessments to identify and address potential issues.
• Enforcement: Disciplinary measures to ensure adherence to standards.
• Measuring Progress: Reassessing compliance efforts for sustained improvement.

This approach formalizes education on regulatory risk areas, enhances communication between administrators and clinicians, and reduces organizational risk in billing or coding errors.

Our Code of Conduct

The ACH Code of Conduct sets clear expectations for behavior and serves as the foundation of our compliance program. It applies to all employees, board members, contractors, volunteers, and trainees, ensuring trust, accountability, and excellence in patient care.

Commitment to Ethical Behavior

Our Code of Conduct emphasizes acting with integrity, professionalism, and compassion. Employees are expected to maintain respectful communication, uphold productivity, and avoid actions that could negatively impact ACH’s mission.

Core Principles

• Respect and Collaboration: Treat patients, colleagues, and visitors with dignity and professionalism.
• Accountability: Ensure compliance with all regulations and policies.
• Integrity: Demonstrate honesty and ethical behavior in all interactions.
• Patient Care Focus: Prioritize the needs, safety, and well-being of patients.

Read Our Code of Conduct

Reporting Compliance Concerns

ACH is committed to maintaining the highest ethical and legal standards. If you witness or suspect a violation, report it through one of the following channels:

• Supervisor or attending physician
• Corporate Compliance Officer: x7328
• Corporate Compliance Hotline: (315) 253-1719 or x1719 (internal)

Confidential & Anonymous Reporting

The Compliance Hotline allows employees to report concerns anonymously if preferred. ACH strictly prohibits retaliation against anyone who reports a concern in good faith.

What to Report

• Suspected wrongdoing by an employee, physician, or vendor.
• Concerns about a supervisor committing or ignoring misconduct.
• Any wrongdoing beyond a supervisor’s scope of authority.

Vendor Sign Off

Please read all of our corporate compliance policies before completing the Vendor Sign Off form.

Vendor Acknowledgement Form

Our Corporate Compliance Policies

• No.1 - ACH Compliance Committee-Officer Policy
• No.2 - Employee Compliance Training and Education
• No.3 - ACH Secure System and Application Testing Policy
• No.4 - AMH Compliance Reporting System
• No.5 - AMH-Employee Compliance Reports and Investigation
• No.6 - ACH CCP Non-Retaliation-Whistleblower Policy
• No.7 - ACH Overpayment Policy
• No.8 - AMH Auditing and Monitoring
• No.9 - ACH Breach Notification Policy
• No.10 - Prohibition Against Contracting With-Employing Sanctioned Individuals
• No.11 - ACH Gifts, Donations, Inducements, and Gratuities Policy
• No.12 - ACH Code of Conduct Policy
• No.13 - ACH Billing Services Policy
• No.14 - ACH Self Disclosure Policy

Need More Information? Contact Us

If you have any questions or concerns regarding the Auburn Community Hospital Compliance Program or would like to file a privacy grievance, please contact:

John Bagenski, Corporate Compliance Officer
Phone: (315) 255-7328
Email: jbagenski@auburnhospital.org

To remain anonymous, please call the Corporate Compliance Anonymous Hotline at (315) 253-1719.