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1. HLT 308V Grand Canyon University Risk Management Program Analysis
HLT 308V Grand Canyon University Risk Management Program AnalysisHLT 308V Grand
Canyon University Risk Management Program AnalysisThe purpose of this assignment is to
analyze how an organization’s quality and improvement processes contribute to its risk
management program.This assignment builds on the Risk Management Program Analysis –
Part One assignment you completed in Topic 1 of this course.Assume that the sample risk
management program you analyzed in Topic 1 was implemented and is now currently in
use by your health care employer/organization. Further assume that your supervisor has
asked you to create a high‐level summary brief of this new risk management program to
share with a group of administrative personnel from a newly created community health
organization in your state who has enlisted your organization’s assistance in developing
their own risk management policies and procedures.ORDER HERE FOR ORIGINAL,
PLAGIARISM-FREE PAPERSCompose a 1,250‐1,500 word summary brief that expands upon
the elements you first addressed in the Topic 1 assignment. In this summary brief, address
the following points regarding your health care organization and its risk management
program:Explain the role of your organization’s MIPPA-approved accreditation body (e.g.,
JC, ACR, IAC) in the evaluation of your institution’s quality improvement and risk
management processes.Describe the roles that different levels of administrative personnel
play in healthcare ethics and establishing or sustaining employer/employee-focused
organizational risk management strategies and operational policies.Illustrate how your
organization’s risk management and compliance programs support ethical standards,
patient consent, and patient rights and responsibilities.Explain the legal and ethical
responsibilities health care professionals face in upholding risk management policies and
administering safe health care at your organization.Relate how your organization’s quality
improvement processes support and contribute to its overall journey to excellence.In
addition to your textbook, you are required to support your analysis with a minimum of
three peer‐reviewed references.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 PaperA risk management program at a healthcare
business has one major purpose: to safeguard patients, staff, new employees, and visitors
from safety risks that could result in unintended injury (Carroll, 2019). A risk management
program also safeguards the healthcare organization’s assets, the organization’s reputation,
and people’s perceptions of the community. Under the direction of the risk manager, the
program develops rules, standards, and protocols to address anticipated situations that may

2. hold the firm or its employees accountable. In this situation, the risk management plan
should aid in the assessment and identification of risks, as well as the investigation and
reaction to safety issues and other compensable events that may arise. A risk management
program’s objectives are to promote excellent patient care that results in patient
satisfaction, to reduce or prevent the incidence of adverse events, and to create a culture
that encourages awareness to help staff recognize and report risky circumstances.Summary
of the Risk Management PlanThe 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.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.
HLT 308V Grand Canyon University Risk Management Program AnalysisStandard Steps and
Processes in a Risk Management ProgramThe 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

3. 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 careThe 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

4. 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
ChangesAccording 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.ReferencesAlam, 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-1Carroll, 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