HLT 308V Grand Canyon University Risk Management Program Discussion

HLT 308V Grand Canyon University Risk Management Program Discussion

HLT 308V Grand Canyon University Risk Management Program Discussion

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

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You will create an outline for a “inservice”style educational risk management program for employees of a specific health care organization in this assignment. Choose one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example as your topic for this educational session. PLEASE CHOOSE A TOPIC FROM THE DOCUMENT I ATTACHED.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

  1. Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
  2. Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
  3. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
  4. Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
  5. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
  6. Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
  7. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to support your statements with a minimum of SIX citations from appropriate credible sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Risk Management Plan Sample Paper

A risk management program serves one primary purpose in a healthcare organization, which is to protect the patients, staff, new employees, and visitors from safety risks that may result in inadvertent injuries (Carroll, 2019). Also, a risk management program protects the healthcare organization in terms of its assets, maintaining organization reputation, and people’s perception of the community. Under the leadership of the risk manager, the program provides the policies, guidelines, and protocols that help address foreseen events that may make the organization or organization’s staff liable. In this case, the risk management plan should help in assessment and identification risks, investigation, and response to safety issues, as well as other compensable events that may occur. Objectives of a risk management program are to promote quality patient care leading to patient satisfaction, reducing or preventing the occurrence of adverse events, and creating a culture that promotes awareness to help staff identify risky situations and report them.

Summary of the Risk Management Plan

The risk management plan acts as a tool for the effective implementation of the risk management program. This is because it acts as a guide for the business processes that ensure patient safety and quality care of patients (Carroll, 2019). The plan provides an ongoing and systematic approach for reducing an organization’s exposure to patient safety risks. Baylor College of Medicine is based in Houston, Texas, and the organization is aware that risks are inherent. In this case, the institution recognizes the need for risk management to ensure that it fulfills its legal and ethical obligations on patient and worker health and safety. Through its risk management program, the facility provides students, residents, hospital staff, and patients with a safe environment by identifying and eliminating eminent risks. In this case, the risk management department in the organization focuses on enhancing the safety of its patients and staff and relies on reports from the institution stakeholders. HLT 308V Grand Canyon University Risk Management Program Discussion

In this case, the risk management program chosen for analysis deals with the reduction of unsafe practices that increase the risk of patient falls, especially among elderly patients. In this case, the program ensures that patients at high risk of falling and injuries are identified, and intervention procedure is documented. According to Carroll (2019), prevention of falls is crucial in ensuring the safety of patients in a hospital setting. This is because data shows that over 45% of patient falls in the U.S resulting in serious injuries and harm, which in turn results in a cost of approximately $15,000. In this case, reducing maintaining patient safety by reducing falls will help healthcare provider institutions reduce harm and ensure they receive maximum reimbursement from insurers.

Standard Steps and Processes in a Risk Management Program

The administrative process refers to the policies that a hospital has put in place to mitigate risks. In a hospital setting, the first step in risk management is to ensure the organization has a qualified risk manager, who carries all the risk management administrative activities, including risk financing, procurement of insurance coverage. He/she is also responsible for conducting risk management training and education and also managing litigation claims, among others (Carroll, 2019). Also, the risk manager develops organization policies associated with risk in collaboration with other stakeholders, as well as ensuring that the policies and operations are compliant to the safety accreditation bodies. 

In addition, the management of the healthcare facility is crucial in the administrative process since it is the directors of the organization that the risk manager report to. Also, the medical staff and other workers must be involved in risk management since they are the ones who interact directly with patients. Also, the staff and patients are the most exposed to safety risks and must be appraised on the communication and other administrative protocols to be followed in case of an occurrence of a risky situation. In most healthcare organizations, the risk management process follows five steps, which involve the establishment of the context, risks identification, risk analysis, evaluation, and management of the risk (Farokhzadian, 2015). Reporting risks is also a crucial part of risk management and should be integrated with the electronic medical record systems to ensure real time reporting and reviewing of medical mistakes.

In the selected risk management plan, the standard process in a risk management program starts with the identification of the persons or assets that need protection (Alam, 2016). In this case, this is the elderly patients who are prone to falls. The other step involves the identification of threats that these people face, in terms of the impact of the risk and likelihood of the risky situation happening. This is the risk assessment stage. The other step involves the management of the risks by applying controls in a layered manner to ensure the probability of the risk is reduced (Alam, 2016). In this case, the intervention should ensure that tasks do not overlap and ensure attention to detail since the health and safety of the people should not be compromised. The other step involves testing the effectiveness of the process by carrying out an evaluation. Lastly, transfer of liability is a crucial step that ensures that the risks are transferred to a third party, probably through an insurance program. In addition, new employees should be made aware of the risk management program to ensure they understand their roles and ensure they apply the guidelines in their daily activities.

Agencies Involved in Administration of care

The Centers for Medicare AND Medicaid (CMS) is a crucial agency in risk management since they oversee the policies and regulations that guide healthcare organizations. The CMS has strict guidelines that organizations must comply with to receive reimbursement. Also, the Food and Drug Administration is an important agency that regulates and approves drugs, as well as the medical equipment used in patient and animal care (Alam, 2016). In this case, the medical equipment is categorized in classes that determine the regulatory requirements that apply to them, as well as the level of risk they pose to patients (Alam, 2016). The CDC is also a key agency that ensures the prevention of diseases, disability, and injuries that threaten the safety of patients. The agency also warns in case of an event that threatens people’s health and safety. The agency for healthcare research and quality (AHRQ) is an agency under the HHS and helps improve quality, efficiency, and effectiveness of care to ensure patient safety. The agency supports innovations and research to help healthcare providers offer evidence-based and better care.

Compliance of the Risk Management Plan with MIPPA-Approved Accrediting Body: American Society of Healthcare Risk Management (ASHRM)

Established in 1980, ASHRM is a member of the American Hospital Association, where members address issues of patient safety, risk management, finance, law, and insurance. ASHRM is important to the risk management plan since it promotes efficiency and innovativeness in the development and implementation of risk management strategies (ASHRM, 2020). This is because the initiatives developed by the program aim to ensure the implementation of practices that ensure safe care and working environments.

The risk management program of the organization complies with the ASHRM guidelines. The organization has implemented policies that align with ASHRM requirements and ensures it has adequate staff to ensure risks are managed effectively. Also, the organization’s risk management plan focuses mainly on patient safety. It has also made efforts to transfer some risks to third party companies by taking insurance covers to avoid liability that could hinder its productivity. Additionally, the institution has employed a risk manager who is well trained in the field and also ensures other staff are trained regularly to keep up to date with the risk management program of the organization in case of changes. Some of the interventions that the organization undertakes to comply with ASHRM include ensuring they perform injury and fall risk assessment during and after patient admission, identifying daily changes in patient outcomes, implementing patient-specific interventions to injuries. Also, the organization maintains effective communication and reporting of identified safety risks and develops post-injury/fall interventions that aim to prevent future injuries.

Recommendation for Changes

According to Carroll, 2019 the time and work that a risk manager do can influence the quality, safety, and clinical outcomes significantly. In this case, I would recommend that more resources should be allocated to the department of risk management. In this case, adding more financial and human resources to the office of the risk manager will ensure that claims are solved faster, and risk management strategies get implemented effectively, resulting in better and quality care. Also, delayed handling of safety claims can create reputation problems for the organization.

The other recommendation is that there is a need to institute change in how evaluation of risks is handled. Although the risk manager is responsible for this, it is crucial to involve actuaries in the evaluation of risk exposure to ensure the data is accurate. This will help the organization use resources efficiently and ensure crucial assets are protected from adverse risks. Also, conducting regular audits on the frequency of falls and other safety-related risks is crucial in ensuring interventions are put in place to protect patients from injuries. Lastly, a more effective monitoring and evaluation program should be developed to ensure the risk management program works as needed, and the objectives of the program are achieved.

References

  • Alam, A. Y. (2016) Steps in the Process of Risk Management in Healthcare. Journal of Epidemiology Preventive Medicine, 2(2): 118.
  • ASHRM. (2020). About the American Society for Health Care Risk Management. American Hospital Association. Retrieved from https://www.ashrm.org/about-1
  • Carroll, R. (2019). Risk Management Handbook for Health Care Organizations (5th Ed). Jossey-Bass.
  • Farokhzadian, J., Dehghan Nayeri, N., & Borhani, F. (2015). Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement. Global journal of health science, 7(5), 294–303. https://doi.org/10.5539/gjhs.v7n5p294

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