Principles Of Risk Management And Patient Safety

Principles Of Risk Management And Patient Safety

Barbara J. Youngberg

Language: English

Pages: 504

ISBN: 0763774057

Format: PDF / Kindle (mobi) / ePub

Principles of Risk Management and Patient Safety identifies changes in the industry and describes how these changes have influenced the functions of risk management in all aspects of healthcare. The book is divided into four sections. The first section describes the current state of the healthcare industry and looks at the importance of risk management and the emergence of patient safety. It also explores the importance of working with other sectors of the health care industry such as the pharmaceutical and device manufacturers. The last three sections focus on the three main components of the risk manager’s responsibility: claims management, risk financing and proactive loss control. The final section touches on solutions for seamless integration between risk management and patient safety functions. Using an integrative approach Principles of Risk Management and Patient Safety offers a comprehensive review of the current issues which formulate the basis of a risk management program and provide the knowledge that a risk manager would be expected to have. Accompanied by a complete package of instructor resources including Instructor's Manual, TestBank, and PowerPoints.

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it is earned and reported appropriately on the financial statements. IDENTIFYING SPECIFIC COSTS The next step in implementing a risk financing program for medical liability is to decide what specific costs to allocate. The three dominant cost categories are: • The cost of excess insurance premiums • The cost of funding retained losses (selfinsured retentions) and associated expenses • The cost of administrative overhead for operating the insurance program(s), including risk management program

or external. The value of each form of benchmarking is different, but so are, in the minds of some people, the risks. INTERNAL BENCHMARKING When risk managers use internal benchmarking, they collect only data elements from within their own organization. The data can be analyzed after the first data collection to identify best performers at the unit or department levels. After multiple datacollection cycles, the risk manager can also begin to see trends within the organization indicative of either

result in higher payment based on the presence of a secondary diagnosis code described in clause (iv). (ii) A discharge described in this clause is a discharge which meets the following requirements: (I) The discharge includes a condition identified by a diagnosis code selected under clause (iv) as a secondary diagnosis. (II) But for clause (i), the discharge would have been classified to a diagnosis-related group that results in a higher payment based on the presence of a secondary diagnosis

been the progress in safety that risk management has not yet been able to reach. Patient safety is designed to create an environment whereby everyone operates from the same set of principles and the organizational design conforms with what Weick and Sutcliffe refer to as the seven properties of sense making.7,8 Think of the questions that address the seven principles relative to the time-out process with universal protocol in the operating suite: • Social context: Does the process encourage

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