The NYU Medical Center Boards of Trustees have directed the Medical Center to operate an integrity program that supports the institution's commitment to high standards of conduct, honesty and reliability in its business practices. The purpose of the Program is to make a sincere effort to prevent, detect, and correct any fraud, abuse, or waste in the Medical Center in connection with government funded health care programs and private health plans. In order to accomplish this goal, the Program strives to create a culture that promotes understanding of and adherence to applicable federal, state, and local laws and regulations.

The Boards have appointed a Medical Center Compliance Officer to lead this Program. The following Compliance Oversight Committees have been established to assist the Compliance Officer in promoting the effectiveness of the Program:

• Hospital Compliance Oversight Committee
• Faculty Group Practice Compliance Oversight Committee
• Research Compliance Oversight Committee

The Compliance Oversight Committee consists of members of NYU Hospitals Center Senior Management including:

COMMITTEE MEMBERS:

COMMITTEE CHAIR:

Bernard Birnbaum, M.D.
Senior Vice President and Vice Dean, Chief of Hospital Operations

MEMBERS:

Allison Bloom
Director of Medical Information

Susan Bowar-Ferres, R.N, Ph.D.
Senior Vice President and Chief Nursing Officer

David Dibner
Senior Vice President and Site Administrator, HJD

Lynn Lowy
Associate General Counsel for Legal and Regulatory Affiars

Irina Lutinger
Senior Administrative Director, Clinical Laboratories

Richard Miller
Chief Financial Officer

Pravene Nath
Chief Medical Information Officer

Robert Press, M.D.
Chief Medical Officer

Nancy Sanchez
Vice Dean & Senior Vice President for Human Resources

Maxine Simon
Chief Regulatory Officer

Wes Smith
Vice President for Patient Financial Services

COMPLIANCE STAFF:

Thomas M. Feuerstein
Vice President of Audit and Compliance

Sheila Furjanic
Director of Hospital Compliance

Keisha Lightbourne
Regulatory Information and Education Manager

DUTIES

The Steering Committees, each of which is focused on a major component of the Medical Center, promote effectiveness of the Compliance Program by performing the leadership functions identified below.

• Understanding the legal/compliance requirements of the Medical Center in order to identify and assess risks to prioritize Program initiatives;
• Recommending, developing and helping to implement policies, procedures and controls that reflect preferred practices to address and mitigate the identified risks;
• Indentifying and promoting training relevant to general compliance as well as training responsive to specific risk areas;
• Evaluating the performance of the Compliance Program including the systems for communicating, evaluating and responding to complaints and other compliance matters;
• Helping to identify potential instances of non-compliance and potentially of waste, fraud and abuse at the Medical Center;
• Assisting in adjudicating identified compliance issues and implementation of corrective action plans;
• Ensuring the ongoing enforcement of compliance policies and procedures and, if required, provide direction regarding disciplinary actions for repeated violations; and
• Encouraging a culture of compliance throughout the Medical Center.