Ontario Hospital Association
Edward Nagel, Principal of nagel + associates inc. together with Tamara Gottlieb, CEO and Founder, The Listening Post are please to be co-presenting a webinar entitled, “Waiting for the Whistleblower to Whistle: Managing the Risks of Fraud in Health Care”.
According to the Association of Certified Fraud Examiners, in its Report to the Nations on Occupational Fraud and Abuse, the typical Canadian organization loses 5% of its annual revenues to fraud The Listening Post every year. It is vital for hospitals to engage a cost-effective system for fraud prevention and detection.
Fraud in health care continues to be a stay-awake issue for boards and management; in fact, it is widely understood to be a growth industry. Boards inherently expect that management has taken adequate steps to detect and deter fraud. But is this a reasonable assumption? After all, fraudsters are motivated and skilled at devising schemes to circumvent internal controls.
While management is focused on providing excellence in care under extraordinary budget pressures, fraudsters are testing internal controls to see which are lax or missing. The ramifications of fraud are significant; affecting every aspect of health care operations, including clinical and non-clinical functions and potentially affecting funding and patient confidence.
The session will cover:
- Who commits fraud and why
- Challenges of detecting and deterring fraud in a hospital environment
- The importance of tips or whistleblowing
- The challenges of eliciting and investigating tips
- Best practices in whistleblower systems
- Measuring the efficacy and accuracy of a whistleblower system
- Recommendations for cost-effective risk management solutions for hospitals