Mission, Values, & Goals
It's by the input, ideas, and feedback from our team members that we have created these vision and mission statements as a guide to UVA Health's future.
Transforming health and inspiring hope for all Virginians and beyond.
To be the nation’s leading public academic health system and best place to work — while transforming patient care, research, education, and engagement with the diverse communities we serve.
Our Values: ASPIRE
At UVA Health, we put the patient at the center of everything we do. We ASPIRE to create a culture of excellence, engagement, and trust through our values:
Accountability: Acknowledging and assuming responsibility for where we have succeeded and failed in terms of our actions, decisions, policies, and results
Stewardship: Responsibly and carefully managing our resources and commitment to continual improvement and learning while acknowledging shortcomings or problems in our quest
Professionalism: Approaching all that we do in a collaborative way, delivering excellent care through the lens of helpfulness, positivity, kindness, and competency
Integrity: Being honest, open, and fair through our behaviors, attitude, and treatment of others
Respect: Valuing everyone through our compassionate and caring ways
Equity, Diversity, and Inclusion: Fostering an environment of belonging that promotes justice, equity, diversity, inclusion, and unity throughout the organization and within the communities we serve
Our Guiding Principles
- Putting the patient first in everything we do
- Remaining unwavering in our commitment to excellence in all missions
- Strengthening the well-being of our workforce through collaboration, inclusiveness, and teamwork
- Making decisions in a transparent, proactive, nimble, and data-driven way
- Eliminating duplication and unnecessary variation
- Maintaining financial discipline, rigor, and accountability
- Deepening ties to the community
Legal and Regulatory Compliance
- Fully comply with the laws and regulations that apply to our business
- Support our Compliance Code of Conduct
- Do not provide or accept any gifts, favors, or kickbacks
- Maintain the privacy of health information
- Obey antitrust laws
- Avoid conflicts of interest
- Carefully negotiate and bid contracts
Promoting a Positive Environment for our Patients and Ourselves
- Provide compassionate, safe and efficient quality patient care
- Work safely
- Do not harass or discriminate
- Use assets wisely
- Do not contract with or employ ineligible persons
- Reporting suspected wrongful conduct as soon as possible
THE UVA COMMUNITY HEALTH COMPLIANCE CODE OF CONDUCT
UVA Community Health, Inc. ("UVA CH") is committed to providing safe, high quality care to our patients and conducting business in an ethical and honest manner and within the bounds of the law. The Code of Conduct (the "Code") applies to every UVA CH employee, physician, volunteer, contractor, vendor, governing board member as well as those with whom we conduct business, such as vendors, consultants and other third-parties.
The Code provides general guidelines that are detailed in UVA CH compliance policies and procedures. It is not intended to cover every situation concerning a compliance matter, but shows UVA CH's desire to follow applicable rules and regulations and provide quality services to our patients.
The Code serves several purposes:
- Informs those individuals employed by, or affiliated with, UVA CH about the basic policies and standards of workplace conduct.
- Emphasizes that individuals employed by, or affiliated with, UVA CH must follow applicable laws and regulations.
- Stresses UVA CH’s commitment to follow the highest standards of ethical, honest, and fair conduct.
should be familiar with, and follow, the Code and all compliance policies and
procedures. If any part of this Code is unclear to you, please contact the UVA
CH Compliance Office. If you think a law or policy is not being followed, you
must report it. There are several ways for you to report a compliance matter,
- Contacting your direct supervisor about your concern or problem.
- If you do not feel comfortable talking to your direct supervisor, you can voice your concern to the next supervisory level, or contact the UVA CH Compliance Office at 1-877-266-7632.
- You may also utilize the Compliance Hotline at
- Those not employed by UVA CH should contact the UVA CH Compliance Office at 1-877-266-7632.
You should be familiar with, and follow, the Code and all compliance policies and procedures. If any part of this Code is unclear to you, please contact the UVA CH Compliance Office. If you think a law or policy is not being followed, you must report it. There are several ways for you to report a compliance matter, such as:
Reports made to the Compliance Hotline cannot be traced and callers do not have to identify themselves; however, if they so choose, they may do so in order to be of assistance in giving further information about the situation. If a reporter chooses to identify himself or herself, his or her confidentiality will be protected to the extent permitted by law.
The failure to follow the Code could subject you to disciplinary action in accordance with UVA CH policies, to include, but not limited to, warnings, termination from employment or other association with UVA CH.
THE UVA CH COMPLIANCE PROGRAM
The UVA CH compliance program (the "Compliance Program") was created and exists to ensure that UVA CH follows all applicable laws and regulations that relate to its operations. The Compliance Program is administered under the direction of the Corporate Compliance Officer (the "CCO"), who oversees compliance throughout UVA CH and its affiliates. The CCO ensures that any reported compliance problems are investigated and resolved. The CCO acts under the general direction of the Chief Executive Officer of UVA Community Health, Inc, and the Quality Committee of the Unified Community Board.
The Compliance Office monitors UVA CH's business practices to ensure compliance with applicable laws and regulations. The Compliance Office is responsible for ensuring that reported compliance issues are promptly evaluated and resolved, and is also responsible for providing compliance education.
All of our officers, managers, administrators, and employees are expected to comply with our policies and procedures and with all Federal Health Care program requirements and other applicable laws.
We cooperate with and support our Compliance Code of Conduct by committing the necessary resources to ensure compliance.
- We educate ourselves so we know the laws and policies that apply to our performance.
- We report suspected wrongdoing and cooperate with investigations.
- We know internal corrective action will be taken if we do not follow laws and that unlawful activities must be reported.
- We know everyone is responsible for making sure we observe high standards of ethical behavior.
Maintain the privacy of health information
Our professions require that we gather a great deal of personal information about patients. Consistent with HIPAA and other applicable privacy laws, we carefully avoid unwarranted invasion of patient privacy by using or disclosing health information only as necessary to perform our respective job duties. We do not access, use, or disclose health information for any other purpose, including accessing health information out of curiosity. The inappropriate use or disclosure of patient information may be harmful to the patient and the University. The inappropriate use or disclosure of patient or employee personnel information may be subject to civil and criminal prosecution as well as disciplinary action.
We limit access to, and use and disclosure of patient information to the purposes necessary to perform job duties and obtain appropriate patient authorization for the use or disclosure of health information when required by applicable laws and consistent with UVA CH policies and procedures.
We have a responsibility to use our mobile devices and applications in accordance with the UVA CH social media policy. This means we do not use our personal devices to take pictures of patients or patient information. We never post patient information or photographs to a website, social media page, or public forum—even if the patient is not identifiable. We also never speak on behalf of UVA CH on social media unless specifically authorized.
Obey antitrust laws
As employees or agents of UVA CH, we do not share price or wage information with competitors.
Do not provide or accept any gifts, favors, or kickbacks
We follow UVA CH policies that prohibit providing or receiving gifts, favors, promotional materials, or kickbacks to or from physicians or other health care providers or vendors who supply us with goods and services. We do not offer, solicit, or accept any gifts or gratuities that may influence or appear to influence our objectivity in performing our duties at UVA CH.
Avoid conflicts of interest
As employees we understand we must avoid even the appearance of a conflict of interest by disclosing pertinent facts and exercising the best care and judgment for UVA CH, not for personal benefit or for the benefit of others at UVA CH's expense.
We avoid any situation in which our participation is, or may appear to be, in conflict with the Mission, Vision, and Values of UVA CH. We avoid any position or financial interest in any outside organization when such a relationship could improperly influence our professional objectivity or the performance of our duties on behalf of UVA CH. Should a potential conflict of interest arise, we immediately disclose the situation to our immediate supervisor, UVA CH leadership, and/or the UVA CH Compliance Office.
In our business relationships with third-party consultants, service providers, suppliers, vendors, and other contractors, we base all decisions on quality of services and products, competitive pricing, and organizational policy - not on personal relationships or personal benefit.
Carefully negotiate and bid contracts
We fairly and accurately bid and negotiate outside contracts at an arm's length and at fair market value.
Obey laws relating to government and donor contacts
We conduct all political activities and contacts with government officials according to law and requirements of a non-profit, tax exempt entity. This means we do not permit political fund-raising or lobbying activities by individuals acting in their official roles representing UVA CH.
UVA CH keeps medical and billing records safely and securely for the time period required by law or policy. We are responsible for accurately documenting all clinical activity and pertinent information in the electronic legal medical record, maintaining all paper and electronic data, including medical records and financial reports, in accordance with applicable Federal and Virginia laws, regulations, and policies. We ensure that only authorized individuals have access to medical and billing records. Medical and billing records may not be removed or destroyed except under a court order, or as otherwise required by law or pursuant to UVA CH's policies. We do not alter or falsify any record, contract or other document.
Coding and Billing
UVA CH strives to ensure that its coding and billing practices comply with all laws governing Federal and Virginia funded healthcare programs, and the requirements of third-party payors. We bill only for services that we actually provide and that are medically necessary. Medical records must be completed according to regulatory requirements and guidelines. Billing and coding inquiries and questions will be dealt with promptly. Inaccuracies in billing and coding will be fixed in a timely manner. Refunds will be made as required by applicable laws, policies and third-party payor contracts.
We fully comply with the law and cooperate with any appropriate request by a government agency for information. Any inquiry, civil investigative demand, subpoena, or request by another agency regarding UVA CH should be immediately reported to the UVA CH Risk Management Office or UVA CH administration. Such notification will ensure that the appropriate individuals, including UVA CH Counsel, are promptly made aware of the request and can respond, and that all patient privacy rights are maintained.
Quality of care and patient safety
We will provide our patients with high quality care, delivered in a safe, efficient, and compassionate way.
Everyone is responsible for following standard precautions in caring for patients and for helping others to do so. We will maintain a drug-free workplace and understand this means we may be subject to drug testing for cause. We report any environmental or safety hazards or concerns promptly and follow posted warnings and regulations.
Do not harass or discriminate
We are courteous and respectful to all. Harassment or discrimination of any kind is totally unacceptable and we will report it. This includes discrimination based on race, color, religion, gender identity, age, national origin, disability, sexual orientation, citizenship or veteran status.
Use assets wisely
We understand the community has entrusted us with assets to be used and protected for our patients' health. We safeguard, invest and use these assets to achieve our mission. Proper use of UVA CH property and equipment is everyone's responsibility, and we will not misappropriate UVA CH property or proprietary information. In addition, we avoid waste and try to find ways to cut costs without cutting quality. We are committed to obeying patent and copyright licenses and laws.
Do not contract with or employ ineligible persons
We do not contract with or employ individuals or entities who have been excluded from, or who are ineligible to participate in Federal Health Care Programs. We also do not contract with or employ individuals or entities that have been suspended or debarred from Federal government contracting.
Reporting suspected wrongful conduct as soon as possible
We report suspected wrongful conduct, including suspected violations of any Federal Health Care Program requirements or of our own policies and procedures, either by directly reporting such violations to the CCO or his/her designee or by utilizing the Compliance Hotline. The Compliance Hotline can be used anonymously to disclose any issues or questions associated with our policies, practices or procedures, including but not limited to those believed to be a potential violation of the Federal Health Care Program or criminal, civil or administrative law. We will not tolerate any threat of or actual retribution or retaliation for making a good faith report of suspected wrongful conduct.
All reports will be kept confidential, investigated if necessary, and all relevant information will be obtained from the disclosing individual and proper follow-up conducted. The CCO, or his or her designee, shall maintain a confidential disclosure log, which shall include a record and summary of each disclosure received, the state of the respective internal reviews, a summary of findings and any corrective action taken in response to the internal reviews.
Your reporting of suspected wrongful conduct in good faith as soon as you become aware is important. Employees who in good faith report suspected wrongful conduct will be protected from retaliation. Employees also may be protected under the "whistleblower" protections of both the Federal False Claims Act and the Virginia Fraud Against Taxpayers Act (see "Appendix - Facts About False Claims"). Individuals engaging in wrongful conduct, including the failure to comply with our policies and procedures and all Federal Health Care Program requirements or failure to report such non-compliance will be subject to sanctions which may lead to suspension, termination or other disciplinary action. UVA CH and individual employees of UVA CH who engage in improper conduct also are subject to various significant criminal and civil sanctions for non-compliance, including imprisonment, large money penalties, and exclusion from Federal Health Care Programs and all other Federal procurement and non-procurement programs. For example, under both the Federal False Claims Act and the Virginia Fraud Against Taxpayers Act, a person who makes, or causes to be made, false claims or false statements to a governmental program such as Medicare or Medicaid can be liable for significant penalties (see "Appendix - Facts About False Claims").
"Do the right thing, the right way, at the right time, every time!"
UVA CH expects all staff to:
- Live the UVA CH values.
- Read and understand the Compliance Code of Conduct.
- Think compliance.
- Act responsibly.
- Obey all applicable legal and regulatory requirements as well as UVA CH policies and procedures.
- Participate in training.
- Respect the rights of UVA CH patients, families, and team members.
- Maintain confidentiality.
- Report suspected violations of the law and the UVA CH Compliance Code of Conduct.
If you suspect our Code is not being honored or for any compliance related inquiries:
- Stop, Think and Clarify
- Report your concerns to your supervisor, or
- Call our Corporate Compliance and Privacy Officer, or
- Call the Corporate Compliance and Privacy Office: 1-877-266-7632, or
- Utilize our confidential Compliance Hotline:
Appendix - Facts about False Claims
The Federal False Claims Act (31 U.S.C. §§ 3729-3733)
- The Federal False Claims Act Defined The Federal False Claims Act was written by Congress to deter fraudulent conduct by persons against the United States government. Under the Act, any person who knowingly submits, or causes another person or entity to submit, a false or fraudulent claim for payment by the United States government is liable for three times the amount of each false or fraudulent claim and a penalty of $5,500 to $11,000 for each false claim submitted.
- "Knowingly" Defined. Under federal, state, and local laws, the state of mind of a person committing an act is important. Different rules apply if the person is acting intentionally, knowingly, recklessly, or innocently. The False Claims Act applies to people who act "knowingly." In order for a person to "knowingly submit" a fraudulent claim, that person must:
- have actual knowledge that the claim is false;
- act in deliberate ignorance of the falsity of the claim; or
- act in reckless disregard of the falsity of the claim
- "Claim" Defined. The Act defines a "claim" as any request or demand for the payment of money by the United States Government. UVA CH continually submits claims such as these to the Medicare and Medicaid programs.
- False Written Statements and Administrative Proceedings (31 U.S.C. §§ 3801-3812). Claims made by persons to the government that involve written statements which knowingly assert false facts or omit material facts also are punishable by two times the amount of the false claim and a penalty of up to $5,000. These amounts are in addition to any penalties assessed under the primary False Claims Act detailed above. The procedures under this statute occur administratively within the Department of Health and Human Services (as opposed to the primary False Claims Act which is enforced by the Department of Justice).
- The Virginia Fraud Against Taxpayers Act (Va. Code §§ 8.01-216.1-216.19) The Virginia Fraud Against Taxpayers Act is the Commonwealth of Virginia's equivalent to the Federal False Claims Act. Its language is nearly identical to that of the federal statute. It states that any person who knowingly presents, or causes another person to present, a false or fraudulent claim for payment or approval, or makes a false statement, is liable for three times the amount of the claim and a penalty of between $5,500 and $11,000.
Virginia uses the same definition of "knowingly" as the federal government.
Virginia uses substantially the same definition of "claim" as the federal government. UVA CH submits claims to the Medicaid program.
- Protections for "Whistleblowers" Both the Federal False Claims Act and the Virginia Fraud Against Taxpayers Act contain provisions encouraging people to report false claims. These individuals, known as "whistleblowers," must have direct knowledge of the false claim and be the first person to call the claim to the government's attention. The whistleblower can file a lawsuit in the government's name against the alleged false claimant. The government then may choose to join the lawsuit against the alleged false claimant. If the suit is successful, the whistleblower may receive from 15%-30% of the federal or Commonwealth claim.
A person who is discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated against in the terms and conditions of his or her employment by his or her employer because of participation in any way in a false claims act suit, shall be entitled to all relief necessary to make the employee whole. This includes reinstatement, two times the amount of back pay with interest, and any litigation costs, as well as reasonable attorneys' fees.