Compliance Policies Tia Branden Rasmussen College z Handwashing Procedures The hand hygiene compliance plan is essential in many ways. Employees are safe from any bacterial infections. Patients feel safe Forms better relations between medical team and patient z Handwashing Procedure Wet your hands Apply sufficient amount of soap to hands Rub hands together Spread over entire surface of hands and extend to lower part of forearms Rub palm to palm, between fingers, rub palms while fingers are interlaced. Rub back of fingers with opposite hand. Apply small amount of water to lather Rinse Hands Dry hands with clean towel Turn off water with clean towel Dry hands for 5 seconds Apply gloves Repeat for each patient interaction z Diabetes Management Education Inform Patient of program Patient meets specalists Initial physician’s visit Patient expectations Education provided Patient receives time to reflect and review Patient develops goal z Compliance Plan A Hand washing or hygiene includes two primary actions: a)  Washing the hands by using soap and water. It ensures limitation of colonization of transient flora accompanied by dirt, soil, and loose flora. b)  Rubbing hands with a fast-acting antiseptic agent known as the hand sanitizer. z Compliance Plan A Before patient contact: All the medical attendants to clean their hands before touching a patient when approaching him or her. The core reason for this is to protect the patient against any harmful germs carried along with the attendant’s hands. Before an aseptic task: Medical attendants to clean their hands immediately before application or use of any aseptic task. The reason for this is shielding the patients against any harmful germs, including germs from the patient. (Institute for Healthcare Improvement, 2016) After a body fluid exposure risk: The affected person should clean hands immediately after an exposure to such risk of body fluids, even after glove removal. The reason for this is it offers protection on the own body and the healthcare environment against any harmful germs or pathogens. After contact with patient surroundings: Hands should be cleaned after touching any object such as bending or furniture in the patient’s immediate surroundings. The reason is to protect yourself and the healthcare environment against any harmful patient germs. (Hamilton, 2014) After patient contact: Hands should be cleaned after touching a patient and his or her immediate surroundings. The reason for this is to protect you against any germs and pathogens from the environment. z Compliance Plan B Policies should show structured recordings of demographics, medications, problems, medication allergies, and the creation of a structured clinical are to be clearly shown for every patient suffering from diabetes. Records are to be shown in a summary. The records indicated must inform the care plan and also the ongoing clinical plan. Care management for chronic like diseases such as ...

1. Compliance Policies
Tia Branden
Rasmussen College
z
Handwashing Procedures
The hand hygiene compliance plan is essential in many ways.
Employees are safe from any bacterial infections.
Patients feel safe
Forms better relations between medical team and patient
z
Handwashing Procedure
Wet your hands
Apply sufficient amount of soap to hands
Rub hands together
Spread over entire surface of hands and extend to lower part of
forearms
Rub palm to palm, between fingers, rub palms while fingers are
interlaced. Rub back of fingers with opposite hand.
Apply small amount of water to lather
Rinse Hands
Dry hands with clean towel
Turn off water with clean towel
Dry hands for 5 seconds
Apply gloves
Repeat for each patient interaction
z

2. Diabetes Management Education
Inform Patient of program
Patient meets specalists
Initial physician’s visit
Patient expectations
Education provided
Patient receives time to reflect and review
Patient develops goal
z
Compliance Plan A
Hand washing or hygiene includes two primary actions:
a) Washing the hands by using soap and water. It ensures
limitation of colonization of transient flora accompanied by
dirt, soil, and loose flora.
b) Rubbing hands with a fast-acting antiseptic agent known as
the hand sanitizer.
z
Compliance Plan A
Before patient contact: All the medical attendants to clean their
hands before touching a patient when approaching him or her.
The core reason for this is to protect the patient against any
harmful germs carried along with the attendant’s hands.
Before an aseptic task: Medical attendants to clean their hands
immediately before application or use of any aseptic task. The
reason for this is shielding the patients against any harmful
germs, including germs from the patient. (Institute for
Healthcare Improvement, 2016)
After a body fluid exposure risk: The affected person should
clean hands immediately after an exposure to such risk of body
fluids, even after glove removal. The reason for this is it offers
protection on the own body and the healthcare environment

3. against any harmful germs or pathogens.
After contact with patient surroundings: Hands should be
cleaned after touching any object such as bending or furniture
in the patient’s immediate surroundings. The reason is to
protect yourself and the healthcare environment against any
harmful patient germs. (Hamilton, 2014)
After patient contact: Hands should be cleaned after touching a
patient and his or her immediate surroundings. The reason for
this is to protect you against any germs and pathogens from the
environment.
z
Compliance Plan B
Policies should show structured recordings of demographics,
medications, problems, medication allergies, and the creation of
a structured clinical are to be clearly shown for every patient
suffering from diabetes.
Records are to be shown in a summary. The records indicated
must inform the care plan and also the ongoing clinical plan.
Care management for chronic like diseases such as diabetes,
should ensure the timely receipt of all recommended preventive
care.
The medical attendant should provide the beneficiary with clear
written or electronic copy of the care plan. The plan must be
documented to offer provision in the medical electronic record.
Under the beneficiary consent, the recipient should be informed
that only one practitioner can furnish and therefore be paid for
the services administered during a calendar month.
Another policy in improving adherence is by identifying when
patients are not adhering to the drug regimen. Fighting to
achieve the desired blood glucose goals, the medical attendants
should distinguish poor glycemic control having a poor
adherence from a failure.
Patients should be identified with evidence of personal
obstacles before reassuring them or employing another strategy.

4. Medical attendants need to help the patient gain confidence
especially in giving information by demonstrating the insulin
use.
z
Overview
The first compliance plan incorporates the implementation of a
hand hygiene program which targets clinics, hospitals and other
sort of health centers where patients are treated accordingly.
The second compliance plan is involved with the
implementation of fraud prevention, detection and elimination
in conducting the daily monetary transactions.
z
References
AADE (2010).Diabetes management education service:
procedure for diabetes care practice.
Eramo, L. A. (2016). Stopping fraud: detecting and preventing
fraud in the e-health era. Retrieved from
http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU
Healthdirect Australia. (2014). Hand washing. Retrieved from
http://www.healthdirect.gov.au/hand-washing
Rotter M. (2009). Hand disinfection and Handwashing: hand
infection control procedure. 2nd ed. Philadelphia. Retrieved
from http://www.mtpinnacle.com/pdfs/handwashing-
disinfection-cont.pdf
Sharlene Emerson, (2006). Introducing the Diabetes
Management Education in health Care. Diabetes Spectrum 2006
Apr; 19(2): 79-83
American Association of Diabetes Educators. (2005). 7 self-
care behaviors goal sheet.
Retrieved from http://www.patienteducationupdate.com/2005-
05-01/article7.asp Hamilton, P.M., and Crane, L. R. (2014.)
Hand hygiene. Retrieved from

5. http://www.nursingceu.com/courses/467/index_nceu.html
Institute for Healthcare Improvement. (2016). the sound of two
hands washing: improving hand hygiene. Retrieved from
http://www.ihi.org/resources/Pages/ImprovementStories/Soundo
fTwoHandsWashing. aspx
McCraig, L. F., and Nawar, E. W. (2006) National Hospital
Ambulatory Medical Care Survey: 2004 Emergency Department
Summary. Advance Data. No.372. Retrieved from
http://www.cdc.gov/nchs/data/ad/ad372.pdf
Wagner, E.H., Austin, B.T., Davis, C., Hindmarsh, M.,
Schaefer, J., and Bonomi, A. (2001). Improving chronic illness
care: translating evidence into action.
Eramo, L. A. (2016). Stopping fraud: detecting and preventing
fraud in the e-health era.
Retrieved from
http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU
Healthdirect Australia. (2014). Hand washing. Retrieved from
http://www.healthdirect.gov.au/hand-washing
Mayo Clinic. (2016) Hand-washing: do’s and don’ts. Retrieved
from
http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-
depth/hand-washing/art- 20046253
z
1
Running Head: Compliance Plans
2
Compliance Plans

6. Compliance Policies
Tia Branden
Rasmussen College

7. Procedures for Compliance Plans
Hand washing procedure
The hand hygiene compliance plan is essential in many ways.
First, it will ensure that the employees are safe from any
bacterial infections. Which can result from coming in contact
with any surfaces that are contaminated. Following these safe
procedures can help ensure the patient that they are in a safe
environment and will receive the best possible care. The
employees will have better interactive relationship with their
patients in following the compliance plan which would
encourage the patients to offer more unbiased details without
any fear. (Healthdirect, 2014) Secondly, the products to be used
by the health care workers to clean their hands should not be in
direct conduct of any other party except medical attends. Before
providing patient care, the HCW should wet their hands, apply
sufficient amount of soap or any baseline detergent to cover
every hand surface and then the medical attendants rub their
hands against each other in a friction (Rotter, 2009). The
measured volume of the soap or detergent material being used
must be dispensed onto the attendant’s hands and should be
spread all over the hands and on to the lower part of their
forearms.
The hands are then rubbed palm to palm, the between fingers by
interlacing, and then rub the palms when fingers are interlaced.
Rub the back of the fingers with the left and right-hand palms
interlock (Rotter, 2009). The medical attend should rationally
rub the clasped left thumb on the right palm and vice versa, do
the same rubbing, forwards and backward parts of the hand with
the clasped fingers of the right hand on the left palm and do
vice versa. After the rubbing procedure, a small amount of
faucet water is run over the hands for rinsing, and the hands
must be lathered for 5 seconds, having covered all the hand
surfaces and the lower part of both forearms. Medical attends
the dry their hands using a clean towel then immerse them just
halfway to the metacarpals for utmost 5 seconds. The medical

8. attendant should then turn off the running water using the
cleaning towel, dry the hands for 5 seconds and put on the
gloves. The hands are safe to handle patients. The same
procedure is repeated for patients to avoid recontamination
(Rotter, 2009).
Procedure for diabetes management education
First and foremost, the patients should be informed about the
education program through the office staff, signs posted around
and providers in a healthcare facility (Sharlene, 2006). They
must also be informed that the CDE and RD are incorporated in
the Diabetes Management Education (DSME) instructional
health team and patients should freely see all be made eligible
to meet the specialists in all office meant for diabetes-related
education programs upon the physician's order (AADE, 2010).
An initial physician visit must start with a description and
introduction of the role of a nurse, the charges involved and the
dietitian educator (AADE, 2010). Then, the patients should be
asked what they hoped and expected to gain from the physician
visit, the patient’s health care knowledge, health history, and
behaviors are then assessed. The physician will then evaluate
the patients' utilization of the blood glucose meter, injection
technique, insulin preparation and other skills (Sharlene, 2006).
The education required are prioritized and identified and the
diabetes management education should be initiated at that first
visit.
After those activities, patients should be afforded some time to
reflect on what was learned and can be asked to give a behavior,
skill, goal or problem that they think they can work on. At the
end of the visit, the patients should be asked to write a patient
goal for behavior change in the worksheet being used in the
DME health systems (Sharlene, 2006).
References
AADE (2010).Diabetes management education service:
procedure for diabetes care practice.
Eramo, L. A. (2016). Stopping fraud: detecting and preventing
fraud in the e-health era. Retrieved from

9. http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU
Healthdirect Australia. (2014). Hand washing. Retrieved from
http://www.healthdirect.gov.au/hand-washing
Rotter M. (2009). Hand disinfection and Handwashing: hand
infection control procedure. 2nd ed. Philadelphia. Retrieved
from http://www.mtpinnacle.com/pdfs/handwashing-
disinfection-cont.pdf
Sharlene Emerson, (2006). Introducing the Diabetes
Management Education in health Care. Diabetes Spectrum 2006
Apr; 19(2): 79-83
Policies for Compliance Plans
Compliance Plan A: Clinical staff members are not washing
their hands between patients Introduction
Washing hands as part of good hygiene is one of the most
important initiatives health care workers should take to in the
process of minimizing the spread of infection and also protect
patients. Hand washing is the most efficient and at the same
time the least expensive means of preventing healthcare-
associated infections.
Hand washing or hygiene includes two primary actions:
1. a) Washing the hands by using soap and water. It ensures
limitation of colonization of
transient flora accompanied by dirt, soil, and loose flora.
2. b) Rubbing hands with a fast-acting antiseptic agent known
as the hand sanitizer.
The following are the policies for this compliance.
Before patient contact: All the medical attendants to clean their
hands before touching a patient when approaching him or her.

10. The core reason for this is to protect the patient against any
harmful germs carried along with the attendant’s hands.
Before an aseptic task: Medical attendants to clean their hands
immediately before application or use of any aseptic task. The
reason for this is shielding the patients against any harmful
germs, including germs from the patient. (Institute for
Healthcare Improvement, 2016)
After a body fluid exposure risk: The affected person should
clean hands immediately after an exposure to such risk of body
fluids, even after glove removal. The reason for this is it offers
protection on the own body and the healthcare environment
against any harmful germs or pathogens.
After contact with patient surroundings: Hands should be
cleaned after touching any object such as bending or furniture
in the patient’s immediate surroundings. The reason is to
protect yourself and the healthcare environment against any
harmful patient germs. (Hamilton, 2014)
After patient contact: Hands should be cleaned after touching a
patient and his or her immediate surroundings. The reason for
this is to protect you against any germs and pathogens from the
environment.
Compliance Plan B: Nurse charges for Diabetes Management
Education as a Physician Visit
The following is a list of policies to be adhered to this plan:
(American Association of Diabetes Educators: 7 Self Care
Behaviors Goal Sheet, 2005)
Policies should show structured recordings of demographics,
medications, problems, medication allergies, and the creation of
a structured clinical are to be clearly shown for every patient
suffering from diabetes. Records are to be shown in a summary.
The records indicated must inform the care plan and also the
ongoing clinical plan.
Care management for chronic like diseases such as diabetes,
should ensure the timely receipt of all recommended preventive
care.
The medical attendant should provide the beneficiary with clear

11. written or electronic copy of the care plan. The plan must be
documented to offer provision in the medical electronic record.
Under the beneficiary consent, the recipient should be informed
that only one practitioner can furnish and therefore be paid for
the services administered during a calendar month.
Another policy in improving adherence is by identifying when
patients are not adhering to the drug regimen. Fighting to
achieve the desired blood glucose goals, the medical attendants
should distinguish poor glycemic control having a poor
adherence from a failure.
Patients should be identified with evidence of personal
obstacles before reassuring them or employing another strategy.
One of the methods used could be the use of questions, to
collect more information. For example, “Can you tell me the
reason why taking insulin in most preferred?” the doctors
should give a brief and self-report questionnaire concerning the
insulin resistance. (McCraig, 2006)
Medical attendants need to help the patient gain confidence
especially in giving information by demonstrating the insulin
use. The patients should be allowed to practice before leaving
the clinic or the medical center. Self-regime should be limited
at the first place. (Wagner, 2001)
References
American Association of Diabetes Educators. (2005). 7 self-
care behaviors goal sheet.
Retrieved from http://www.patienteducationupdate.com/2005-
05-01/article7.asp Hamilton, P.M., and Crane, L. R. (2014.)
Hand hygiene. Retrieved from
http://www.nursingceu.com/courses/467/index_nceu.html
Institute for Healthcare Improvement. (2016). the sound of two

12. hands washing: improving hand hygiene. Retrieved from
http://www.ihi.org/resources/Pages/ImprovementStories/Soundo
fTwoHandsWashing. aspx
McCraig, L. F., and Nawar, E. W. (2006) National Hospital
Ambulatory Medical Care Survey: 2004 Emergency Department
Summary. Advance Data. No.372. Retrieved from
http://www.cdc.gov/nchs/data/ad/ad372.pdf
Wagner, E.H., Austin, B.T., Davis, C., Hindmarsh, M.,
Schaefer, J., and Bonomi, A. (2001). Improving chronic illness
care: translating evidence into action.
Overview of Compliance Plans
The first compliance plan incorporates the implementation of a
hand hygiene program which targets clinics, hospitals and other
sort of health centers where patients are treated accordingly.
This plan is meant to sensitize the clinical health practitioners
to always ensure that they wash their hands regularly and
effectually prior to handling any medicine and/or medical
equipment while handling patients. Moreover, it is aimed at
facilitating the improvement of hygienic standards in these
health centers. In order to effectively deploy the plan, there are
several prerequisites which must be put in place in every
facility so as to optimally execute the plan for maximal
productivity. For example, putting up of rub dispensers (alcohol
based) and antibacterial soaps just at the immediate exterior of
every room for the purpose of encouraging the patients as well
as health practitioners to wash hands regularly. (Mayo Clinic,
2016) Once this is successful, they would gain a hand washing
culture which will immensely perk up their hygienic standards
in conformation to the WHO guidelines.

13. The hand hygiene compliance plan is essential in many ways.
Firstly, it will ensure that the employees are well shielded from
bacterial infections which might result to coming into contact
with contaminated surfaces. These include medical equipment,
beddings and patients’ skin among others. An importance from
adhering to the response and prevention element of the
compliance plan is that the patients will have a smooth time
recovering from infections. This is because they will be treated
in an absolutely safe environment without further exposure to
infections. The employees will have better interactive
relationship with their patients in following the compliance plan
which would encourage the patients to offer more unbiased
details without any fear. (Healthdirect, 2014) Employees will
gain a more sense of personal responsibility which will benefit
the facility’s management in that it will have less stress in
monitoring the employees on whether they are professional and
hygienic. Consequently the employees will have a more
profound discipline in observing and adhering to the preset
objectives of the compliance plan. Adhering to this plan would
eventually instill wide educative knowledge on issues of how
best to improve the hygienic standards of the facility.
The second compliance plan is involved with the
implementation of fraud prevention, detection and elimination
in conducting the daily monetary transactions. This compliance
plan has been formulated due to the observation that there is
prevalent existence of fraudulent and deceitful health care
practitioners who tend to overcharge the patients on various
occasions. The reason behind this malicious action is greed and
selfishness to gain more wealth via unjust ways. I have studied
the main reasons as to why this is so common. These include the
fact that many employees tend to have low levels of job
satisfaction in their working places mainly because of low
payment and absence of adequate benefits. Unwavering
adherence to the compliance plan’s elements will greatly benefit
the health institution in that it will be able to respond quickly to
block fraudulent actions that might compromise the facility’s

14. quality of service.
Another importance of this compliance plan is that the
employees will be effectively monitored on a regular basis
which will lead to the improvement of personal discipline in
avoiding fraud intentions. The management will be able to
communicate with the employees more during the regular visits
and assessments. Additionally, the employees will gain essential
education on the penalties and punishments associated with
fraudulent acts. (Eramo, 2016) Once this is achieved, the
employees will be forced to uphold obedience and be highly
responsible in monitoring each other in the line of business. The
compliance plan will further benefit the health facility in that
the patients will be able to afford the services and feel
appreciated.
References
Eramo, L. A. (2016). Stopping fraud: detecting and preventing
fraud in the e-health era.
Retrieved from
http://library.ahima.org/doc?oid=103625#.Vydm4_krLIU
Healthdirect Australia. (2014). Hand washing. Retrieved from
http://www.healthdirect.gov.au/hand-washing
Mayo Clinic. (2016) Hand-washing: do’s and don’ts. Retrieved
from
http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-
depth/hand-washing/art- 20046253