Homework
Risk Management Strategic
Planning for a Changed
Health Care Delivery System
Chapter 4
FIGURE
4–1
Strategic
Planning
Model
Terms
Important to understand the following terms:
-Critical success factor
-Goals
-Objectives
-Strategic initiatives
Identification of Core
Strengths and Values • Analysis of Departmental Strengths and
Weaknesses
– Risk manager should carefully and honestly evaluate
the current strengths and weaknesses of the department
and the individuals working to support the risk
management program in the organization
– Determine if and where other safety-oriented functions
are occurring & how RM can work collaboratively to
maximize the effectiveness of all patient safety efforts
FIGURE 4–2 Risk Management Department—Analysis of
Strengths, Weaknesses, Opportunities, and Threats
Identification of Core
Strengths and Values
Risk Assessment- comprises abilities:
1. To assess particular environments and situations that pose a threat of risk to patients, health care providers, or the
organization
2. To understand the root-cause-analysis process in order to
identify the true systemic components contributing to risk
3. To use data to estimate the economic value to the risks
assessed, and to minimize existing risks
Identification of Core
Strengths and Values
Risk Finance – comprises abilities: • To evaluate a variety of commercial insurance products to
determine which is most appropriate for the risks assessed
• To analyze the capability of the organization to assume some
of the financial risk and transfer the rest in a manner that
allows for the most sound financial portfolio for the
organization
Identification of Core
Strengths and Values
Risk Control- comprises abilities:
• To design unique and creative approaches to minimizing the
risks that are identified
• To relate to multiple persons through education to ensure that
all who contribute to the organization understand key risk
management and patient safety concepts
• To understand the legal process and to assist in achieving the
most favorable resolution of a claim or incident
Key Success Factors for
Risk Management Goal 1- Develop comprehensive methodology for identifying
& managing the multiple systemic factors that cause or contribute to risks associated with managing patient care across the continuum
Goal 2- Be positioned to accept appropriate levels of financial risk and become less reliant on the turbulent financial and insurance markets
Goal 3- Achieve a leadership position within the health care delivery system through development of creative and comprehensive risk management programs and services that focus on system support and provider accountability
Key Success Factors for
Risk Management
Goal 4- Foster systemic mindfulness by creating a
non-punitive accountable culture where
information about errors is shared to enhance
learning and drive change
Goal 5- Promote a process that supports and
monitors rational, ethical, and safe practices, as
well as the appropriate use of technology
Risk Management Strategic
Initiatives and Tactics
• First Strategic Initiative- develop and implement a set of services that will support the organization’s ability to manage the risks of patients across the continuum
• Second Strategic Initiative- assist the organization in its ability to collect, analyze, and report information that will enable it to identify, analyze, quantify, and control risk, and to advance a culture of safety
Risk Management Strategic
Initiatives and Tactics
• Third Strategic Initiative- assist the organization in identifying the appropriate markets and products that can be used to transfer the risks associated with the health care organization’s business to a third-party partner
• Fourth Strategic Initiative- expand programs and services that help to identify new areas of risk created by all aspects of the health-care-system’s operation
Risk Management Strategic
Initiatives and Tactics
• Fifth Strategic Initiative- develop and
implement a set of services that assist
members of the healthcare organization to
manage clinical and financial risk