Implementation Report Within 120 days after the Effective Date, KDMC shall submit a written report to OIG summarizing the status of its implementation of the requirements of this CIA (Implementation Report). The Implementation Report shall, at a minimum, include: 1. the name, address, phone number, and position description of the Compliance Officer required by Section III.A.1, and a summary of other noncompliance job responsibilities the Compliance Officer may have; 2. the names and positions of the members of the Compliance Committee required by Section III.A.2; 3. the names of the Board members who are responsible for satisfying the Board of Directors compliance obligations described in Section III.A.3; 4. the names, addresses, phone numbers, and position descriptions of the Physician Executive(s) required by Section III.A.6, and a summary of other job responsibilities that each Physician Executive may have; 5. the name, address, phone number, and position description of the Medical Director of the Cardiac Catheterization Laboratory required by Section III.A.7, and a summary of other job responsibilities the Medical Director may have; 6. a copy of KDMC’s Code of Conduct required by Section III.B.1; 7. the number of individuals required to complete the Code of Conduct certification required by Section III.B.1, the percentage of individuals who have completed such certification, and an explanation of any exceptions (the documentation supporting this information shall be made available to OIG upon request); 8. a summary of all Policies and Procedures required by Section III.B.2 (copies of the Policies and Procedures shall be made available to OIG upon request); 9. the following information regarding each type of training required by Section III.C: a. a description of such training, including a summary of the topics covered, the length of sessions, and a schedule of training sessions; and b. the number of individuals required to be trained, percentage of individuals actually trained, and an explanation of any exceptions. A copy of all training materials and the documentation supporting this information shall be made available to OIG upon request. 10. a description of (a) the Focus Arrangements Tracking System required by Section III.F.1.a, (b) the internal review and approval process required by Section III.F.1.e; and (c) the tracking and monitoring procedures and other Focus Arrangements Procedures required by Section III.F.1; 11. a description of the Disclosure Program required by Section III.G;
Implementation Plan The Authority shall cause to be prepared an Implementation Plan meeting the requirements of Public Utilities Code Section 366.2 and any applicable Public Utilities Commission regulations as soon after the Effective Date as reasonably practicable. The Implementation Plan shall not be filed with the Public Utilities Commission until it is approved by the Board in the manner provided by Section 4.9.