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Streamlining the Risk Management Process in Healthcare to Improve Workflow and Increase Patient Safety

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Managing risk in a healthcare system is a tough job. And in this era of quality measures and reimbursement reform, the job of not just managing risk, but also proactively improving patient safety is critical. That’s because improving patient safety improves overall patient outcomes, a goal that’s being driven by declining reimbursements and a potential loss of reputation if organizations aren’t able to demonstrate compliance with the Affordable Care Act‘s mandates — two situations that could put a health system out of business. To reduce the current inefficiencies in the risk management process, two solutions are necessary: an EDW and a simple data entry application tool. These solutions will give risk managers — and everyone else involved in the process — an easy-to-use tool to review the risk event in near real time and in one location. This approach eliminates the current tedious process of using emails and meetings to collaborate on each event.

Published in: Healthcare

Streamlining the Risk Management Process in Healthcare to Improve Workflow and Increase Patient Safety

  1. 1. Streamlining the Risk Management Process in Healthcare to Improve Workflow and Increase Patient Safety - Anne Marie Bickmore
  2. 2. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Managing Risk in Healthcare Systems Hospital risk managers juggle many responsibilities to keep their organizations safe. They are responsible for identifying high-risk areas that could cause harm to patients, visitors, and employees. They must implement programs to avert risks and ensure adverse events are adequately reported.
  3. 3. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Why Improve Patient Safety Improving patient safety improves overall patient outcomes. There are additional incentives for avoiding adverse events. These include: 1. Declining Reimbursements 2. Reputation
  4. 4. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Why Improve Patient Safety? Declining Reimbursements The Hospital-Acquired Condition (HAC) Reduction Program under the ACA aims to reduce the occurrence of preventable conditions that occur after a patient enters a healthcare facility. Beginning in 2015, Medicare instituted a maximum one percent penalty for hospitals in the higher quartile for adverse events not present on patient admission.
  5. 5. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Why Improve Patient Safety? Reputation With the explosion of publically available information and patient reviews, the reputation of a healthcare system is paramount. With websites like Medicare’s Hospital Compare, it’s easy for consumers to see how hospitals rate in various areas of performance, clinical and operational.
  6. 6. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Need for Accuracy in Reporting Because reimbursements and reputation are crucial to a hospitals performance, accurate identification of adverse events is critical. All departments must be able to follow the event’s progress through the risk management workflow. Unfortunately, a lot of risk data isn’t captured in the EMR.
  7. 7. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Solution for Risk Managers A healthcare enterprise data warehouse (EDW) provides adverse event information, accessible from a central location where all departments can see it simultaneously. With the EDW platform in place, the health system can add a simple data entry application tool that runs on top of the system but stores the data in the EDW.
  8. 8. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Proactive Risk Management An EDW empowers risk managers to be more proactive. Risk management is, by nature, a reactionary process — an event occurs, and risk managers respond to it. In short, surveillance and analytics enable hospitals to identify their risk points and implement risk reduction measures.
  9. 9. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Risk Management in the Era of Accountable Care Managing risk is difficult, especially when risk managers don’t have the right tools for collaboration. An EDW provides a central data repository and offers a single source of truth that all collaborators can rely on for their assessment of each event.
  10. 10. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Understanding Risk Stratification, Comorbidities, and the Future of Healthcare Eric Just, VP of Technology Defining Patient Populations Using Analytical Tools Kathleen Merkley, VP of Engagement How Texas Children’s Hospital Reduced Their Healthcare Labor Costs Anne Marie Bickmore, VP of Engagement Reducing Waste in Asthma Healthcare: The Impact of Data Anne Marie Bickmore, VP of Engagement The Best Way to Track and Improve Cancer Patient Outcomes Anne Marie Bickmore, VP of Engagement Link to original article for a more in-depth discussion. Streamlining the Risk Management Process in Healthcare to Improve Workflow and Increase Patient Safety
  11. 11. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: Download Healthcare: A Better Way. The New Era of Opportunity “This is a knowledge source for clinical and operational leaders, as well as front-line caregivers, who are involved in improving processes, reducing harm, designing and implementing new care delivery models, and undertaking the difficult task of leading meaningful change on behalf of the patients they serve.” – John Haughom, MD, Senior Advisor, Health Catalyst
  12. 12. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Anne Mare Bickmore joined Health Catalyst in December 2012. Prior to coming to Catalyst, she worked for Lantana Consulting as the lead Project Manager (2011-2012), Director of Informatics at Swedish American Hospital Rockford, IL (2010-2011), and Intermountain Healthcare serving in multiple leadership roles both clinical and IT (1999- 2011). Anne Marie has dual Bachelor’s degrees in Psychology and Nursing from the University of Utah.

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