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You Don't Need a "Speak Up Culture", You Need a "Speak With Culture"!

Hot take - I disagree with the notion that the goal of a life science compliance program should be to build a “speak up culture.”


A compliance program that is effective doesn’t have a “speak-up” culture – 𝗜𝘁 𝗵𝗮𝘀 𝗮 “𝘀𝗽𝗲𝗮𝗸-𝘄𝗶𝘁𝗵” 𝗰𝘂𝗹𝘁𝘂𝗿𝗲. Here’s why:


The phrase “speak-up” conveys that obvious bad conduct could take place and the issue is that employees will ignore it. But this isn’t how most serious compliance issues arise in the life science industry.


Most compliance issues that turn into government investigations and eventually settlements typically involve one of two “gray area” scenarios:


The first is standard business conduct that is being abused, like speaker programs, consultant payments, grants, patient assistance or HCP services. We’ve seen numerous cases like this over the years involving alleged abuses of speaker and consultant payments.


The second scenario is when companies think they’ve found a “loophole” to a legal or compliance rule. Many of the recent DOJ settlements involving patient assistance grants involved what I would call “loophole” conduct. But anti-kickback laws are not the tax code.


The conduct under these most common scenarios is not obviously a problem. It’s gray area conduct that needs probing to understand whether it is appropriate and complies with the intent of legal and compliance rules.


That is why effective compliance programs have a “speak with” culture.


What this looks like:

  • Compliance is integrated into the business and seen as a business partner to solve problems in an appropriate manner

  • Compliance has built a trust relationship with field teams

  • The field team knows who to contact with compliance questions and field managers know to consult compliance when questions are raised to them

  • Employees feel comfortable that management will support them when they ask questions to compliance or ask compliance type questions

  • There is a dialogue about key risks, why they are problematic, what to avoid, and proper purposes

  • Employees feel concerns will be investigated and treated seriously


If you are a legal or compliance professional, how are you encouraging a speak-with culture? How are you testing or assessing your speak-with culture?


#effectivecompliance#healthcarecompliance

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