Risk Management in Health Care Institutions
What Is Risk Management - Answer: An organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff and organizational assets.
Designed to reduce the incidents of preventable accidents and injuries to minize the financial
loss to the institution should an injury or accident occur.
Four steps in risk process to protect assets:
1. risk identification
2. risk analysis
3. risk control/treatment
4. risk financing - Answer: Identifying exposure to loss
Examine alternative techniques to deal with events
Select best technique
Implement technique
Monitor results for effectiveness
3 Major Functions - Answer: Reduce risk of malpractice
Reduce probability of PCE (potentially compensable event)
Preserve assets once claim filed.
Risk Manager Skills - Answer: art of persuasion
keen listener
team builder
, Risk Management in Health Care Institutions
APO - Answer: Adverse Patient Outcome
Types of Risk - Answer: Property Risk- structural, vehicle, theft, etc.
Casualty/Liability Risks - PCE APO work comp, etc.
Employee Benefits Risk - cost of benefit plans, disability claims, etc.
Red Flag Areas - Answer: Treatment conditions - poor results, repeat problem, lack of f/u,
equipment malfunction.
Patient relations - dissatisfied pt, complaining relatives, ama, poor physician, poor staff.
Practice management -- poor records, lack of policy & procedures.
Conduct of staff - outside of training scope, lack of supervision, rude behavior, personaility
conflict.
Risk Tools
1. Incident Reporting
2. Occurrence Reporting
3. Occurrence Screening - Answer: Prompt identification of event needed. Systems to
accomplish identification: incident reporting (events), occurrence reporting (list of specific
occurrences i.e. sentiential events), occurrence screening (variations from normal procedure).
5 I's
investigate
inform
influence
interpret
integrate - Answer: examination and inquiry
present in material form
What Is Risk Management - Answer: An organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff and organizational assets.
Designed to reduce the incidents of preventable accidents and injuries to minize the financial
loss to the institution should an injury or accident occur.
Four steps in risk process to protect assets:
1. risk identification
2. risk analysis
3. risk control/treatment
4. risk financing - Answer: Identifying exposure to loss
Examine alternative techniques to deal with events
Select best technique
Implement technique
Monitor results for effectiveness
3 Major Functions - Answer: Reduce risk of malpractice
Reduce probability of PCE (potentially compensable event)
Preserve assets once claim filed.
Risk Manager Skills - Answer: art of persuasion
keen listener
team builder
, Risk Management in Health Care Institutions
APO - Answer: Adverse Patient Outcome
Types of Risk - Answer: Property Risk- structural, vehicle, theft, etc.
Casualty/Liability Risks - PCE APO work comp, etc.
Employee Benefits Risk - cost of benefit plans, disability claims, etc.
Red Flag Areas - Answer: Treatment conditions - poor results, repeat problem, lack of f/u,
equipment malfunction.
Patient relations - dissatisfied pt, complaining relatives, ama, poor physician, poor staff.
Practice management -- poor records, lack of policy & procedures.
Conduct of staff - outside of training scope, lack of supervision, rude behavior, personaility
conflict.
Risk Tools
1. Incident Reporting
2. Occurrence Reporting
3. Occurrence Screening - Answer: Prompt identification of event needed. Systems to
accomplish identification: incident reporting (events), occurrence reporting (list of specific
occurrences i.e. sentiential events), occurrence screening (variations from normal procedure).
5 I's
investigate
inform
influence
interpret
integrate - Answer: examination and inquiry
present in material form
