Compliance Employee Survey Questions

1.Yes or NoDoes Prowers Medical Center have an active compliance program?

2.Yes or NoDid Prowers Medical Center have an active compliance program in 2013?

3.The current Compliance Officer’s name is:

A.Kevin Goldberg

B.Kyle Henderson

C.Josh Kotter

D.Karl Nieschburg

4.True or FalseProwers Medical Center has a compliance hotline to allow for anonymous reporting of compliance issues.

5.What do you need to help you or your department to improve compliance?

______

6.True or FalseOne may be punished for reporting a sincere compliance issue.

7.I feel comfortable speaking with my supervisor about a compliance concern.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

8.I am comfortable approaching the Compliance Officer about a question or concern.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

9.I would fear retaliation if I were to speak out about a compliance concern.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

10.Prowers Medical Center’s senior managers are committed to compliance.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

11.The Prowers Medical Center’s Board of Directors is committed to compliance.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

12.I believe my supervisor is committed to compliance.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

13.Yes or NoI am aware of an unresolved compliance issue. (If yes, please describe.)______

14.I understand the policies and procedures applicable to my everyday job duties.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

15.I have had adequate training and education concerning the compliance risks of my job.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

16.I am comfortable calling the compliance hotline with a concern.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

17.Compliance concerns that are reported to management are thoroughly investigated and dealt with according to policy.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

18.Prowers Medical Center’s compliance program is headed in the right direction.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

19.Compliance is a bigger priority now at PMC, than it was in 2013.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

20.I think about compliance and how it affects my job more than I did in 2013.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

F.I wasn’t working at PMC in 2013

21.What needs to change at PMC to improve our degree of compliance?

______

22.What do we need to do to improve our compliance program?

______

23.It is easy to find what I am looking for in PMC’s policies and procedures.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree

24.PMC’s policies and procedures help me to do my job effectively.

A.I strongly agree

B.I agree

C.Neutral

D.I disagree

E.I strongly disagree