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Terms in this set (21)
The process of identifying potential threats that could severely damage or completely ruin an organization. Taking action to avoid those that are most likely to occur. Decrease liability when accidents do occur. Managers job is implementing plans for the protection of the area they manage.
Hazard, Market, Reputation, Operations, Human capital
Potential risks include:
Natural disasters beyond control of management. Insurance coverage - how to manage risks. Disaster plans in place in most organizations - P&P. Hazardous material - infection control, blood-borne pathogens, sharps, hand washing, MSDS manual. Follow OSHA guidelines.
Financial risk when the target market changes. Employers change insurance coverage. Insurers reduce reimbursement - Medicare fee reduction, changes in co-pay. Population shift. Technological advances - reduce the number of pts needing services; dentistry as example. Managers need to have contingency plans if markets change
I don't remember everything she said... follow OSHA regulations, obtain written consent, extend liability coverage, etc.
Dale Kincaid has become certified in dry needling and will begin practicing this intervention next month. What does Dale need to do to minimize risk for his clinic as it pertains to dry needling?
Carrie Winstead is the director of an outpatient clinic in a busy retirement community in central Florida. Medicare has announced that the deductible for Part B will be going up the beginning of 2020. What does Carrie need to do to minimize her risk pertaining to this Medicare change?
Developing good reputation takes time and effort. Hard to restore that good reputation once tarnished. Managers job to maintain reputation and avoid situations that are volatile. PTs are a company's best assets.
Talk about action, not person
Becky Taylor is the director for an outpatient clinic. Becky was reviewing her most recent set of discharge patient satisfaction surveys and read a few comments regarding the receptionist being rude. What does Becky need to do to minimize the risk?
Regular maintenance of equipment. Maintenance of facility and grounds. Operations manual up to date and easily accessible. Proper use of equipment and follow outlined procedure. Ergonomic analysis to reduce employee injury. Security and personal safety. Patient care safety - CPR, defibrillators. Documentation - the medical record can assist in protecting the patient, practitioner, and the organization. Clear and complete records can meet the legal challenge. Documentation by a PT is the single most important evidence of the PT's judgement, actions, skill, and decision making.
IDK what all she said... regular mtaintance, lifeguard on duty, proper equipment (life vests), etc.
Justin White has added a small therapy pool to the hospital-based outpatient clinic. Usage of the pool is scheduled for next week. What does Justin need to do to minimize potential risk for this new intervention?
Human Capital Risk
Thorough and accurate job descriptions and performance appraisals. Adequate staffing with contingency plans to avoid short staff. Quality assurance monitoring of services provided. Assuring qualified employees-check license and background checks; reduce likelihood of failure to perform professional duties correctly. Provide appropriate supervision to support personnel. Develop sound Policy and Procedures. Utilize consistent and fair disciplinary process.
IDK what all she said... Make sure his license will be valid in MS (is Nebraska in the compact or does he need to obtain a MS license), does he know the practice act? Etc.
Clay Boswell has hired a new therapist to join him in a small community hospital. The new therapist, Todd, has recently moved to the Mississippi from Nebraska. What risk might be associated with this new hire? What does Clay need to do to minimize this human capital risk?
Managing expenses versus income. Sound accounting practices. Use of CPA or accountants to help reduce risk of spending more than is coming in.
Corporate Compliance Programs
Formal program of risk management. Adhering to regulatory and legal aspects. Prevent violation of laws and regulations. Adhering to operational structure, policy, human resource. Effective identification and management of risks. Compliance Officer.
OIG recommendations for corporate compliance program.
Develop and distribute written policies, procedures, and standards to prevent and detect inappropriate conduct. Designate a compliance officer or contact person. Conduct effective compliance education and training programs. Develop open lines of communication, including a process to receive complaints (a "hotline"); adopting procedures to protect the anonymity of those reporting compliance concerns/issues; and implementing a nonretaliation policy for those reporting compliance issues and violations. Perform ongoing internal evaluation through monitoring and auditing processes. Enforce compliance standards through well-publicized disciplinary guidelines. Respond appropriately to detected and reported compliance issues/violations.
"The most powerful risk management tool is establishing a professional __________." If an injury or accident occurs, act immediately. Incident reports completed timely, accurately, truthfully. Awareness of patient consent. Avoid personal relationships with patients.
Documentation reviews, Clinical competencies, Quality assurance reports, Safety procedures, Peer reviews, Patient satisfactions surveys, Environmental scans
How to identify risks...
anything that is not consistent with routine care or normal operations
incidents that signals that a death or serious physical or psychological injury has occurred
Date and time of incident; Age, sex, diagnosis, physician; Description of the event; Name and contact information of witnesses; Witness's description of the event; Treatment offered or rendered; Name, title, position of person completing the report; Signature and date of person preparing the report; Include only the facts; avoid opinions or suppositions or personal judgments; An investigation should follow; Reports are treated as confidential information and should not be discussed among staff; Incident reports are not to be included in the medical record; they are internal reports
Basic content of an incident report includes...
Ask "why did it occur" five times. That will usually be sufficient to determine root cause. Root cause is factor that if eliminated, the incident or potential risk will not recur. Ask: What happened? Who?
When? Where? How? Why did this happen? (Process or activity? Human factors? Equipment? Environment? Uncontrollable factors?) How to analyze risks...
THIS SET IS OFTEN IN FOLDERS WITH...
Exam 1: Intro to Management
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