Survey & Regulatory

2018 AHCA/NCAL Annual Convention

SR-6 - Long Term Care Compliance 101: Compliance Responsibilities in the Requirements of Participation

Wednesday, October 10
10:30 AM - 12:00 PM
CE: NAB: 1.5 | Nurses 1.5

This session will provide attendees with an overview of the compliance responsibilities included in the Requirements of Participation, and how an organization can build an effective compliance program. The session will discuss the importance of compliance, and how a compliance program can mitigate risks and benefit the entity. The session will outline how to begin building a compliance program by using the seven elements of an effective compliance program as program building blocks. The seven elements of an effective compliance program are 1- Standards of conduct/policies and procedures, 2- Compliance officer, compliance committee, and entity leadership responsibilities, 3- Education, 4- Monitoring and Auditing, 5- Reporting and Investigation, 6- Enforcement and Discipline, and 7- Response and Prevention. Finally, the session will discuss how the attendee can work to secure future compliance program success through ongoing risk and effectiveness assessment, engagement with organizational leaders, and interaction with front-line staff.

Learning Objectives:

Sarah Couture, RN, CHC

Senior Associate
Ankura Consulting Group, LLC

Sarah Couture, RN, CHC, is a Senior Associate with Ankura Consulting Group. She is an experienced compliance professional with expertise across a wide array of healthcare venues. Sarah's competencies include compliance program review, risk assessment, auditing, and program development for compliance programs in multiple settings including adult and pediatric hospital, academic medical center, research, rehabilitation, long term care, and pharmacy.

Sarah is a regular speaker at regional and national compliance events, and recently co-wrote a chapter of the Health Care Compliance Professional's Manual. She also develops regular compliance education including material for a monthly regulatory webinar.

Sarah has been a registered nurse for 16 years, and has had clinical experience with both children and adults in multiple practice settings, including Skilled Nursing Facility, Federally Qualified Health Center and free clinic, outpatient primary care, and in the inpatient hospital setting. Before she entered the compliance field, she always gravitated to opportunities within the clinical setting that would enhance both care for the patient and functionality of the facility, such as quality and safety, monitoring and auditing, development of educational materials and plans, and effective clinical management.

She received a Bachelor’s of Science in Nursing from Cedarville University, and is a registered nurse in the state of Kentucky.


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John D. Dailey, NHA, CHC, SHRM SCP, SPHR

Management Advisors Inc

John D. Dailey, CHC, NHA, SHRM-SCP, SPHR, is the Healthcare Compliance Manager at Forcht Group in Lexington, Kentucky. John earned a Bachelor of Science in Health Administration from the University of Kentucky and has been a licensed nursing home administrator since 1999. John previously served as the Compliance Officer for PMD Corporation, a skilled nursing facility consulting company in Kentucky. With over 20 years of experience in long-term care, John also served as Vice President of Human Resources overseeing all HR functions for 1,600 nursing facility employees. He holds certifications as SHRM Senior Certified Professional (SHRM-SCP) and Senior Professional in Human Resources (SPHR). John is Certified in Healthcare Compliance (CHC). He is also very active with the Kentucky Association of Health Care Facilities (KAHCF). John is a past Executive Committee member serving as Board secretary and currently serves on the Board as Public Relations Chair for the Association. He has also been the Master of Ceremonies of the annual KAHCF Quality Awards Banquet for the past 7 years.


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SR-6 - Long Term Care Compliance 101: Compliance Responsibilities in the Requirements of Participation

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