CPOM Module 15: Introduction to Regulatory Compliance & Policy Management
CPOM Certification Program

Module 15: Regulatory Compliance & Policy Management

Building the Unshakeable Foundation of a Lawful and Safe Pharmacy Practice.

From Rulebooks to Reality: Operationalizing Compliance

As a pharmacist, you have spent your entire career operating within a dense framework of laws and regulations. You are an expert in the practical application of the rules that govern the safe dispensing of medications. You understand the gravity of a DEA audit, the nuances of a state board inspection, and the critical importance of patient privacy under HIPAA.

This module is designed to elevate that foundational expertise from the level of individual practice to the level of organizational strategy. To be an effective operations manager, you must move beyond simply following the rules to architecting the systems that ensure the entire organization follows the rules, consistently and reliably. Compliance cannot be an afterthought or a matter of individual diligence; it must be woven into the very fabric of your policies, your training, and your daily operations.

We will explore the vast landscape of regulatory bodies, from federal agencies to accrediting organizations, and translate their complex requirements into actionable operational controls. You will learn to think not like a pharmacist being inspected, but like an inspector yourself—proactively identifying risks, building robust policies, and creating a culture of perpetual audit-readiness. This is the bedrock of pharmacy leadership. A flawlessly efficient pharmacy is irrelevant if it is not compliant; a cutting-edge clinical service is unsustainable if it rests on a weak regulatory foundation. Mastering this domain is what provides the ultimate assurance of safety and quality for your patients and your organization.

Your Guide to the Compliance Landscape

This module will provide the framework to build and lead a comprehensive, proactive, and resilient compliance program.

15.1 Overview of DEA, FDA, HIPAA, CMS, and State Board Requirements

A strategic overview of the key regulatory bodies governing pharmacy practice, focusing on their primary areas of jurisdiction, enforcement priorities, and the operational systems required to maintain compliance.

15.2 Accreditation Standards and Audit Preparedness

A deep dive into the standards set by accrediting bodies like The Joint Commission and URAC, with a practical focus on building a state of continuous survey readiness and leading your team through a successful audit.

15.3 Developing and Maintaining Policies and Procedures

A masterclass on the art and science of creating effective policies—transforming complex regulations into clear, actionable, and user-friendly guidance that staff can realistically follow in their daily work.

15.4 Compliance Training and Documentation Control

An exploration of best practices for adult learning and documentation management, focusing on how to design engaging compliance training, assess staff competency, and maintain impeccable records.

15.5 Continuous Monitoring and Corrective Action Systems

A guide to implementing proactive compliance systems, including how to conduct internal audits, analyze performance data, and use formal Corrective and Preventive Action (CAPA) plans to address deficiencies.