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Overview

The Compliance Tracking module helps your organization monitor regulatory compliance, track evidence of compliance, and address non-compliance issues. This guide covers how to view compliance status, understand requirements, and participate in compliance activities.

Getting Started

Accessing the Compliance Dashboard

  1. Navigate to GR → Compliance from the main menu
  2. The Compliance Dashboard shows overall compliance metrics
  3. View status breakdowns by regulatory body, category, and priority

What You’ll See


Understanding Compliance Status

Status Types

Priority Levels


Viewing Regulatory Requirements

Requirements Library

  1. Navigate to GR → Compliance → Requirements
  2. Browse all regulatory requirements for your organization
  3. Use filters to narrow by regulatory body, category, or status

Requirement Details

Click on any requirement to see:
  • Description: What the requirement covers
  • Regulatory Body: Which agency/standard requires it (e.g., CARF, State, OSHA)
  • Category: Grouping (Clinical, Safety, HR, etc.)
  • Check Frequency: How often compliance is verified
  • Current Status: Latest compliance check result
  • Evidence: Documents, policies, or training linked as proof

Evidence of Compliance

What Counts as Evidence?

Evidence proves that your organization meets a requirement:
  1. Compliance officers link evidence to requirements
  2. Each piece of evidence shows when it was added and who added it
  3. Evidence may have expiration dates (e.g., certifications)
  4. When evidence expires, the requirement may move to “At Risk”

Your Role in Compliance

For All Employees

  • Complete assigned training on time to maintain compliance
  • Acknowledge required policies before due dates
  • Follow procedures outlined in organizational policies
  • Report concerns to your supervisor or compliance officer

Site-Specific Requirements

Some requirements apply only to specific sites:
  • Your site’s compliance officer manages these
  • You may see site-specific training or policies assigned to you
  • Different sites may have different regulatory requirements

Compliance Notifications

Types of Notifications

Staying Informed

  1. Check your notifications regularly (bell icon in header)
  2. Click notifications to go directly to related items
  3. Complete any assigned tasks before due dates

Understanding Remediations

What is a Remediation?

When a compliance check finds a gap:
  1. A remediation is created to track fixing the issue
  2. Someone is assigned to address it
  3. A due date is set for resolution
  4. Progress is tracked until resolved

Remediation Status


FAQ

Why is my site showing “At Risk” status?

This usually means:
  • A compliance check is due soon
  • Evidence is expiring soon
  • A remediation is still in progress
Contact your compliance officer for details.

I completed training but compliance still shows a gap

  • Allow time for the system to update
  • Ensure the training is properly recorded as complete
  • The training must be linked as evidence to the specific requirement
  • Contact your compliance officer if the issue persists

Who do I contact about compliance concerns?

Reach out to your:
  1. Direct supervisor
  2. Site compliance officer
  3. Organization compliance administrator

How often is compliance checked?

It depends on the requirement:
  • Critical requirements: Monthly or quarterly
  • Standard requirements: Annually
  • Low priority: As needed
Check the requirement details for specific frequency.

Need Help? Contact your compliance officer or system administrator.