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H H S Department of Health and Human Services
Health Resources and Services Administration
Health Resources and Services Administration

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Peer-to-Peer Program Webinars

340B Compliance Improvement Model

A series of webinars and open office sessions on 340B integrity and compliance, named the 340B Compliance Improvement Webinar Series, was developed to provide guidance to covered entities in establishing organizational infrastructure. To complement this webinar series, a 340B Compliance Improvement Guide was developed by the same faculty and experts drawn from high-performing 340B covered entities in the HRSA Peer-to-Peer Program. The guide helps covered entities improve compliance in various stages and is organized into four strategic aims that follow the four topics in the webinar series:

  • Leadership Commitment,
  • Education and Training,
  • Integrated 340B Systems, and
  • Measurable Improvement.

The guide includes 10 self-assessment tools, two of which enable organizations to quickly evaluate their cultural readiness to improve compliance and to identify potential areas of compliance risk. These assessments are not mandatory but we encourage completion.

The links to the quick self-assessments are:

Appendix A
Appendix B

The guide that includes all 10 self-assessments. (PDF - 1.18 MB)

In addition, participants are encouraged to watch the introductory video, which describes the structure and purpose of the 340B Compliance Improvement Model along with details on the webinar series and 340B Compliance Improvement Guide. Watch the introductory video now!

Recorded Peer-to-Peer Webinars

340B Peer-to-Peer webinars usually held on the second and fourth Wednesdays of each month, feature 340B subject matter experts and Peer Mentors from recognized Leading Practice Sites. Speakers present on timely topics in an interactive format. All 340B stakeholders are encouraged to participate.

Self-Auditing Your Covered Entity's Compliance with 340B Program Requirements (Grantees)

Open Office: Self-Audit Series: Self Auditing Your Covered Entity's Compliance with 340B Program Requirements (7/27/2016)

Self-Audit Series: Self Auditing Your Covered Entity's Compliance with 340B Program Requirements - Hospitals (7/13/2016)

Open Office: Self-Audit Series: Contract Pharmacy (6/22/2016)

Self-Audit Series Contract Pharmacy (6/8/2016)

Open Office: Self-Audit Series: 340B Inventory Tracking Systems (5/25/2016)

Self-Audit Series: 340B Inventory Tracking Systems (5/11/2016)

Open Office: Self-Audit Series: Defining your 340B Drug Operations Environment in Required Policies and Procedures (4/27/2016)

Self-Audit Series: Defining your 340B Operations Environment in Required Policies and Procedures (4/13/2016)

Open Office: 340B Compliance Improvement Webinar Series: Measurable Improvement (3/23/2016)

340B Compliance Improvement Webinar Series: Measurable Improvement (3/09/2016)

Open Office: 340B Compliance Improvement Webinar Series: Integrated 340B Systems (2/24/2016)

340B Compliance Improvement Webinar Series: Integrated 340B Systems (2/10/2016)

Open Office: 340B Compliance Improvement Webinar Series: Education and Training (1/27/2016)

340B Compliance Improvement Webinar Series: Education and Training (1/13/2016)

Open Office: 340B Compliance Improvement Series: Leadership Commitment to 340B Compliance (12/09/2015)

340B Compliance Improvement Series: Leadership Commitment to 340B Compliance (11/18/2015)

Open Office: Identifying Roles, Responsibility and Elements of 340B Risk Management (10/28/2015)

Identifying Roles, Responsibility and Elements of 340B Risk Management (10/14/2015)

Open Office: From Paper to Practice: Operationalizing 340B Policies and Procedures for Auditable (9/23/2015)

From Paper to Practice: Operationalizing 340B Policies and Procedures for Auditable Records (9/9/2015)

Open Office - 340B Audit Readiness Series: Corrective Action Plans (CAPs) from HRSA's 340B Program Audits (7/22/2015)

340B Audit Readiness Series: Corrective Action Plans (CAPs) from HRSA's 340B Program Audits (7/8/2015)

Open Office - 340B Audit Readiness Series: Developing and Maintaining Auditable Records to Demonstrate 340B Compliance (6/24/2015)

340B Audit Readiness Series: Developing and Maintaining Auditable Records to Demonstrate 340B Compliance (6/10/2015)

Open Office Managing 340B Inventory and Associated Data Vulnerabilities in a Physical System (5/27/2015)

Managing 340B Inventory and Associated Data Vulnerabilities in a Physical System (5/13/2015)

Open Office - Managing 340B Inventory and Associated Data Vulnerabilities in a Virtual System (4/22/2015)

Managing 340B Inventory and Associated Data Vulnerabilities in a Virtual System (4/8/2015)

Open Office - 340B Audit Readiness Series: Contract Pharmacy Arrangements (3/25/2015)

340B Audit Readiness Series: Contract Pharmacy Arrangements (3/11/2015)

Open Office - 340B Audit Readiness Series: Patient Eligibility - Hospitals (02/25/2015)

340B Audit Readiness Series: Patient Eligibility - Hospitals (2/11/2015)

Open Office - 340B Audit Readiness Webinar Series:  Patient Eligibility - Clinic & Multi Grantee (1/28/2015)

340B Audit Readiness Webinar Series: Patient Eligibility (Clinic and Multi Grantee) (1/14/2015)

340B Patient Definition and Referral Relationships (12/17/2014)

Open Office - 340B Audit Preparedness Webinar Series: Confirming and Documenting Eligibility (11/12/2014)

340B Audit Preparedness Webinar Series: Confirming and Documenting Eligibility (10/29/14)