Risk Mangement

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Running Head: HEALTH RISK MANAGEMENT PROGRAM

HEALTH RISK MANAGEMENT PROGRAM

Samantha Howard

Grand Canyon University: HLT-308V (HLT-308V-O500)

February 10, 2019

1. Summary Description

Risk management is one of the most appropriate tools in scientific governance and approaches necessity to perform comprehensive analyses with the intention to uncover causes of adverse events (Cagliano, A. C., Grimaldi. S., Rafele C. 2011). According to Kavaler & Spiegel (2003), health risk management includes the assessment of risks and the definition of mitigation strategies for these risks. The risk assessment includes both the identification and evaluation of the risk`s impact while risk mitigation minimizes the impact of the risks. Therefore, a healthcare organization should have qualified risk managers for the assessment, development, implementation, and monitoring of risk management plans. My risk management program will focus on new employees. This will seek to foster the utilization of risk assessment and risk management tools in new fields of application including policy making and provision of a platform between the insurance communities.

1. Risk management plan to the new employees

The process of risk management in a healthcare organization basically has five steps which include the context establishment, risks identification, risks analysis, and risk evaluation and management (Kavaler, F., & Spiegel, A. D. (2003). Since the healthcare industry is an essential sector that impact every living individual, the offered services in this industry is very significant to the world`s health market competition. Therefore, for a successful risk management program, a person should be aware and knowledgeable of the risk involved.

New employee will be required to go through the organization structure and understand leader within the organization, the different position function in the risk management program and how-to communication and escalation policies. They will gain knowledge of risk exposure and the available polices that are in place to reduce them. All these are prerequisite to new workers in the understanding of the healthcare organization`s risk management plan.

Secondly, the risk management program will be explained to the new workers regarding program analysis and what steps the organization has in place for identification, management, mitigation and transfer of risks.

This program of risk management will entail four categories. These include total avoidance of risks by the organization which can be implemented by putting policies that are geared towards preventing the chances of losses. Secondly risk mitigation which will aim at reducing the impact of the risks of the organization. This will be done by setting out a plan on how to deal with the risk in case it occurs. Thirdly risk acceptance will aim at the effect that the organization will incur through insurance and policies for budgeting. Lastly, the risk transfer part will seek to transfer the liability in case of a risk event occurring. The employees will be made aware through discussion of their functions and roles in the four categories in relation to the task they will need to do in the organization`s risk management program. A thorough understanding of this risk management plan by the employees will help them take up their positions in the organization effectively.

2. Agencies and organizations for safe healthcare administration

The responsibility of risk manager in healthcare administration is to develop policies in conjunction with other stakeholders. He/she is also responsible for risk prevention and reduction (Longest, B. B., Rakich, J. S., & Darr, K. (2000). Administrative issues regarding patient safety, compliance of the organization, communicating with stakeholders in developing policies, financing, proper accreditation and regulatory is handled by risk manager in alignment with the plan of risk management

In the health organization environment, the risk manager guides how medical healthcare professional’s behavior by mitigating any risk that may come up from such. They also indirectly support patients to ensure their safety. In case of a risk occurrence, the risk manager is responsible for events, he/she would explains what steps the organization would take for such an occurrence. The risk manager also handles claims made against the institution and ensures the claims are true (Longest et al, 2000)

In the management of a healthcare facility, the directors play a role in the development of policies. Since medical staff and other employees interact directly with the patients in providing them with patient care, they are also involved in the process of administration of risk management. These individuals should be well appraised of the administrative rules to be adhered to in case of a risk occurrence since they are the most exposed individuals.

There are two major categories of risks in the healthcare institution namely quality of care and research. The quality of care is the topmost considered priority item in risk investigation, evaluation, and enforcement. This can be done ensuring that hospitals implementing quality assessment and performance program to identify safety concerns for patients and aide in the reduction of medical errors.

In terms of research, tools, services, items, as well as the routine costs of qualified clinical trials, are covered by Medicare. It also covers services of diagnosing and treating complications that are as a result of participation in clinical trials. Submission of claims of patients who participate in clinical trials should be reviewed by the hospitals. The clinical investors must also collect legally informed consent in an appropriate way from the subject before the initiation of a clinical trial. Other risk areas in research activities include researcher misconduct, proper cost allocation, effort and time reporting.

3. Compliance with the American Society of Healthcare Risk Management

The risk management plan complies with the requirements of the American Society of Healthcare Risk management (ASHRM). Its laws and rules are in accordance with the proposals that are set out. Second, it has human resources which make sure that there is well management of risks in the organization (American Society for Healthcare Risk Management, 2009). Patient safety is the cornerstone of risk management which complies with the American Society of Healthcare Risk Management proposal. Efforts by the organization for identifying and transfer of risks to limited exposure and take up insurance covers has been made. Trained risk manager provide periodic training to ensure that staff members are savvy on new policies concerning the organization`s program of risk management.

4. Recommendations for Inclusion in the Program

The process of claims` resolution against the organization needs to be advanced. More financial and human resources need to be allocated to the risk manager`s department for a fast resolution of claims as a way of keeping the reputation of the health organization. It is important to have a healthcare workforce actuary to evaluate the organization`s risk exposure in the best way which will ensure optimal protection of the organization`s resources

References

American Society for Healthcare Risk Management. (2009). Risk management handbook for health care organizations (Vol. 30). John Wiley & Sons.

Kavaler, F., & Spiegel, A. D. (2003). Risk management in health care institutions: a strategic approach. Jones & Bartlett Learning.

Longest, B. B., Rakich, J. S., & Darr, K. (2000). Managing health services organizations and systems (pp. 150-177). Baltimore, MD: Health Professions Press.

Cagliano, A. C., Grimaldi. S., Rafele C. (2011). A systemic methodology for risk management in healthcare sector. Elsevier India Pvt Ltd.