Other Health Care Related Regulation

Take home message: If you are working in the U-M Health System (UMHS), or in connection with the UMHS (even temporarily or as an observer) or one of the U-M Health Centers, you need to make sure you understand the laws related to the provision of health care that are relevant to your specific role.

U-M Policy and helpful links

  • The UMHS Compliance Office (viewable on U-M networks) oversees compliance with all laws and regulations in the U-M Health System, particularly those related to the provision of health care and clinical research. Many of these requirements are summarized under the UMHS Compliance Topics page.
  • Students, visiting physicians, non-physicians, health professionals and observers need to be properly credentialed, and trained in the relevant compliance areas that apply to their roles, even if they are only going to be present at UMHS for a short period of time. See the UMHS Compliance page on visitors for further guidance, including UMHS policies.
  • Credentialing and professional licensing – licensing for medical faculty and nurse practitioners is overseen by Medical Staff Services (internal UMHS site only), part of the U-M Medical School Office of Clinical Affairs. For all other health professionals, their credentialing is monitored by UMHS Human Resources. As well as needing to ensure that all professionals are properly licensed, and new employees or visitors have the requisite credentials to work in their assigned role, U-M has an obligation to report unprofessional conduct or disciplinary action against its licensed health professionals. For more information, see the UMHS Compliance page on credentialing.
  • Clinical research – the Michigan Clinical Research Unit (MCRU), a part of the Michigan Institute for Clinical & Health Research (MICHR), provides support to investigators conducting clinical or translational research from any school at U-M. For further guidance on research compliance in the medical context, see the UMHS Compliance page on research and the links maintained by the U-M Medical School Office of Research. See also this site’s Research Compliance Overview, or go straight to the pages on Human Subjects Research, Animal Subjects Research or Grants & Sponsored Research (or the financial aspects of grant administration).
  • Patient rights and patient safety – patient rights and responsibilities are outlined in the UMHS Patients and Visitors Guide. For information about U-M’s approach to patient safety, see the Quality and Safety page (with information for everyone), or the Patient Safety Toolkit (targeted more specifically to hospital clinicians and administrators).
  • Background checks – Michigan law requires U-M to perform criminal background checks, including fingerprinting, on all individuals within psychiatric facilities and home health agencies (such as Michigan Visiting Nurses) who have regular (routine), direct access to patients or their identifiable information. All employees who work in or in connection with these areas undergo periodic screening.
  • Exclusion lists – there are a number of exclusion lists that prohibit the UMHS from hiring or contracting with certain individuals and entities, based on our funding sources (such as Medicare and Medicaid). These lists include the General Services Administration (GSA) excluded parties list, and the Department of Health & Human Services Office of the Inspector General (HHS-OIG) exclusions program, which excludes certain parties from participating in federally funded health care programs. The UMHS screens its workforce and vendors to ensure compliance with the exclusion schemes: compliance is monitored by UMHS Human Resources and Medical Staff Services for the workforce, and by UMHS Contracts & Procurement for vendors.

Things to remember

  • For those working or interfacing with the U-M Health System (UMHS), the UMHS Code of Conduct (viewable on U-M networks only) summarizes many of the key obligations you need to be aware of and comply with.
  • Many of the U-M wide regulatory obligations are equally relevant to those working in health care as they are to the rest of the University, such as occupational safety, immigration, finance/tax and equity/diversity laws. Browse the Topics Library in this Compliance Resource Center for more topics that might be of relevance to you.
  • The UMHS Compliance Office maintains a comprehensive Compliance Topics library (viewable on U-M networks only), which summarizes many of the laws and regulations related to the provision of health care and clinical research – and links to the relevant UMHS policies and experts.

People to talk to

For general questions or concerns relating to health care compliance, contact the UMHS Compliance Office [if you are outside the U-M network, go to their external page] by calling (734) 615-4400 or emailing them.

For general legal assistance or advice relating to health care, contact the Health System Legal Office (a part of the Office of the General Counsel) by calling (734) 764-2178.

Established 3/4/11, last updated 3/7/17 – Contact us if you believe any information is incorrect or outdated