Compliance Governance Oversight
Compliance Governance and Oversight
As stated in our Institutional Compliance Plan, "Pursuant to HSC OP 52.01, TTUHSC has designated the Compliance Committees identified below to assist in the development and oversight of the TTUHSC Institutional Compliance Plan. The Institutional Compliance Officer (ICO), working with these Committees is responsible for implementing and monitoring a continuous, collaborative and proactive culture of compliance at TTUHSC."
The TTUHSC President's Executive Council (PEC) serves as the Institutional Compliance Committee (ICC). The members of the PEC consist of the President, Executive Vice Presidents and Vice Presidents. The PEC has been designated as a medical committee pursuant to Texas Health and Safety Code §161.031(a) in its role as the ICC.
The Institutional Compliance Working Committee (ICWC) members are appointed by the ICC. The ICWC is responsible for identifying compliance risks and providing guidance for TTUHSC to conduct its activities in compliance with applicable laws, regulations and policies. The ICWC is also designated as a medical committee under Texas Health and Safety Code §161.031(a).
The President has established the Institutional HIPAA Privacy and Security Committee to oversee issues and concerns related to the privacy and security of Protected Health Information (PHI) and electronic PHI. It will provide oversight of TTUHSC's compliance with HIPAA and applicable state laws governing the use, storage and disclosure of PHI. In further support of the regulations issued through the HITECH act, the HIPAA Committee, in conjunction with the Institutional Privacy and Security Officers will develop and maintain a Breach Notification Process to be used in the event of an unauthorized disclosure of Electronic Protected Health Information (EPHI). This committee is considered a "medical committee" as defined under Texas Health and Safety Code §161.031(a) and/or other applicable state and federal statutes.
There are Regional Billing Compliance Committees at each respective campus and BCAC members may vary between campuses. Each Regional Billing Compliance Director shall chair their own BCAC meeting. Each BCAC is responsible for oversight of the billing compliance plan at its regional campus. The BCAC shall each be considered a "medical committee" as defined under Texas Health and Safety Code § 161.031(a). The BCAC is further outlined in HSC OP 52.07.
This Committee consists of representatives appointed by the President from relevant areas across the Institution, such as faculty, legal, finance, administration, or compliance. COICC serves as a resource on individual conflict of interest or commitment matters not otherwise addressed by the Institution’s Research Conflict of Interest Committee or other established review procedures, conduct a thorough review of conflict of interest or commitment matters brought before it, and approve or deny the proposed activity and develop an appropriate management plan to address any conflicts. The COICC is also designated as a medical committee under Texas Health and Safety Code §161.031(a).