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