The document discusses key concepts related to nursing documentation and legal liability, including:
1) The purposes of medical records which include substantiating patient health conditions, communicating among providers, recording patient response to care, and resolving legal issues.
2) Key definitions like negligence, the standard of care, and elements of a negligence claim.
3) Common flaws in medical records that plaintiff's attorneys look for such as undocumented gaps, deviations from policies, and biased comments.
4) Strategies for strong documentation including objective assessments, timeliness, and avoiding personal opinions.
Denial management-integral-to-physicians-conquering-reimbursement-challenges-...Medical Billers and Coders
While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
Preparing for the Worst: Confronting Organizational Risk with Training Strategyrps_inkhouse_1
Organizational risks can pose a volatile threat to a firm’s operations, whether related to issues such as employee safety or cyber-security. What can we learn from how organizations that operate in high consequence environments (manufacturing, health care, aerospace, etc.) are managing both preventable and unexpected risks with training strategy? This session will report on recent research that explores different sources of risk, the types of training that organizations are using to safeguard their employees and assets, and how industries are utilizing best practices for setting training strategy to take charge of their risk portfolios.
This document provides an overview of healthcare risk management and the risk management process. It discusses key topics including:
- The objectives of risk management which are to prevent risks, control risks, finance risks, and analyze risks retrospectively and prospectively.
- The definition of risk management and the important role it plays in protecting healthcare organizations from financial losses.
- The five steps of the risk management process: identify risks, examine techniques to manage risks, select techniques, implement techniques, and monitor/improve the program.
- Methods for identifying risks such as incident reporting systems and occurrence screening to facilitate early risk identification and risk reduction.
This document discusses the differences between fully insured and self-funded health insurance options for employers. It introduces Premium Analysis, Inc., a company that provides risk analysis tools to help employers choose between funding options. Monte Carlo simulation software can analyze different scenarios and predict that self-funding has an 84.5% probability of equaling or improving costs compared to fully insured plans, by quantifying risks. The company's fee structure and compensation model are also outlined.
Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Communique is created by Anesthesia Business Consultants (ABC), the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
ABC serves several thousand anesthesiologists and CRNAs nationwide with anesthesia billing software solutions.
Please send your email address to info [at] anesthesiallc [dot] com if you would like to join the Communique mailing list!
Visit www.anesthesiallc.com for more information!
Presentation Makes the Case for Enterprise Risk ManagementPYA, P.C.
This document outlines a presentation on enterprise risk management (ERM) given to Massachusetts Continuing Legal Education, Inc. It discusses how ERM began with the Committee of Sponsoring Organizations of the Treadway Commission to help organizations assess internal controls. It describes how ERM was initially implemented in the financial sector but is now used more widely across industries. The presentation explains the traditional silo structure of risk management in healthcare and payers and how ERM provides a more holistic and strategic approach to managing enterprise-wide risks.
This presentation is designed to provide the information needed to understand self-funding, assist you in explaining the solution to clients and then determine whether it is right for their company by comparing and contrasting it to a fully insured solution.
The document discusses key concepts related to nursing documentation and legal liability, including:
1) The purposes of medical records which include substantiating patient health conditions, communicating among providers, recording patient response to care, and resolving legal issues.
2) Key definitions like negligence, the standard of care, and elements of a negligence claim.
3) Common flaws in medical records that plaintiff's attorneys look for such as undocumented gaps, deviations from policies, and biased comments.
4) Strategies for strong documentation including objective assessments, timeliness, and avoiding personal opinions.
Denial management-integral-to-physicians-conquering-reimbursement-challenges-...Medical Billers and Coders
While payers (whether Medicare, Medicaid or private health insurance companies) are justified in denying claims with inherent errors, it is physicians who are responsible for not pursuing with resubmission and intensified efforts. This is where Denial Management becomes significant.
Preparing for the Worst: Confronting Organizational Risk with Training Strategyrps_inkhouse_1
Organizational risks can pose a volatile threat to a firm’s operations, whether related to issues such as employee safety or cyber-security. What can we learn from how organizations that operate in high consequence environments (manufacturing, health care, aerospace, etc.) are managing both preventable and unexpected risks with training strategy? This session will report on recent research that explores different sources of risk, the types of training that organizations are using to safeguard their employees and assets, and how industries are utilizing best practices for setting training strategy to take charge of their risk portfolios.
This document provides an overview of healthcare risk management and the risk management process. It discusses key topics including:
- The objectives of risk management which are to prevent risks, control risks, finance risks, and analyze risks retrospectively and prospectively.
- The definition of risk management and the important role it plays in protecting healthcare organizations from financial losses.
- The five steps of the risk management process: identify risks, examine techniques to manage risks, select techniques, implement techniques, and monitor/improve the program.
- Methods for identifying risks such as incident reporting systems and occurrence screening to facilitate early risk identification and risk reduction.
This document discusses the differences between fully insured and self-funded health insurance options for employers. It introduces Premium Analysis, Inc., a company that provides risk analysis tools to help employers choose between funding options. Monte Carlo simulation software can analyze different scenarios and predict that self-funding has an 84.5% probability of equaling or improving costs compared to fully insured plans, by quantifying risks. The company's fee structure and compensation model are also outlined.
Communiqué features articles focusing on the latest hot topics for anesthesiologists, nurse anesthetists, pain management specialists and anesthesia practice administrators.
Communique is created by Anesthesia Business Consultants (ABC), the largest physician billing and practice management company specializing exclusively in the practice of anesthesia and pain management.
ABC serves several thousand anesthesiologists and CRNAs nationwide with anesthesia billing software solutions.
Please send your email address to info [at] anesthesiallc [dot] com if you would like to join the Communique mailing list!
Visit www.anesthesiallc.com for more information!
Presentation Makes the Case for Enterprise Risk ManagementPYA, P.C.
This document outlines a presentation on enterprise risk management (ERM) given to Massachusetts Continuing Legal Education, Inc. It discusses how ERM began with the Committee of Sponsoring Organizations of the Treadway Commission to help organizations assess internal controls. It describes how ERM was initially implemented in the financial sector but is now used more widely across industries. The presentation explains the traditional silo structure of risk management in healthcare and payers and how ERM provides a more holistic and strategic approach to managing enterprise-wide risks.
This presentation is designed to provide the information needed to understand self-funding, assist you in explaining the solution to clients and then determine whether it is right for their company by comparing and contrasting it to a fully insured solution.
The Pros and Cons of Self-Insured vs. Fully Insuredbenefitexpress
This webinar reviews which factors and employer should consider in self-insuring and full benefits. It will discuss the legal, administrative, and ee issues.
The document discusses health insurance and medical benefits for employees in India. It notes that while not legally required, many employers provide some level of healthcare for workers. Group medical insurance is presented as a comprehensive solution that outsources this non-core activity while providing benefits to both employers and employees. The future of health insurance in India is promising as awareness and demand are growing, though more widespread coverage is still needed as most people currently pay medical costs out-of-pocket.
Optimizing revenue in the healthcare acute care setting goes beyond traditional revenue cycle activities. Beyond revenue cycle emphasizes the focus on departmental operations of managing through put and acuity that can significantly impact revenue.
Mid-Year Election Changes Under Cafeteria Plansbenefitexpress
This document discusses rules for making mid-year election changes in cafeteria plans. It notes that 15 events are recognized by the IRS as permitting changes, including changes in status, cost changes, significant coverage changes, and FMLA leaves. Administrative requirements for implementing changes include obtaining substantiation and ensuring the change is allowed by regulations, plan documents, and insurance policies. The document provides details on each of the 15 events and consistency rules for relating the election change to the qualifying event.
This document discusses implementing a focus on preventing fatal and serious injuries (FSI) within an occupational health and safety management system. It recommends defining FSI as life-threatening, life-altering or life-ending injuries or near misses with such potential. Organizations should analyze past incidents for their FSI potential rather than just outcomes. Clear roles and responsibilities around transparent FSI reporting and control of high-risk activities are needed. Leaders must support this approach through training, metrics, and resources to improve safety beyond just reducing minor incidents.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
The document discusses risk assessment and management. It proposes assessing risk using a equation that considers the likelihood and impact of threats. It recommends establishing security policies, implementing countermeasures through a defense in depth strategy, and maintaining vigilance. Key terms like vulnerabilities, exploits and adversaries are also defined to understand risks.
1) Accounting plays both a passive role in counting and reporting safety metrics, as well as an active role in influencing work health and safety outcomes. However, traditional accounting concepts focused on maximizing shareholder returns can conflict with work health and safety goals.
2) Cost-benefit analyses are problematic for assessing work health and safety investments because the benefits of prevention are difficult to quantify financially, while the costs are more easily measured. Additionally, employers bear the costs of prevention but employees receive the benefits.
3) Lost time injury frequency rates (LTIFRs) are a limited and potentially misleading measure of work health and safety performance, as they do not capture all injuries, illnesses, or their full economic costs.
This document discusses maintaining compliance with PQRS and Meaningful Use audits. It provides an overview of PQRS and Meaningful Use reporting requirements, who is eligible, and how to report. It emphasizes the importance of being proactive and preparing thorough documentation for potential audits, including maintaining records for 6 years. Mock audits and detailed documentation of all systems, reports, security practices, and attestations are recommended to survive an audit.
This document summarizes the problem of rising medical malpractice insurance costs and discusses potential solutions like tort reform. It notes that malpractice premiums for general surgeons increased substantially in some areas from 1999-2002. This reduction in access to healthcare due to rising costs. Possible solutions discussed include caps on non-economic damages from malpractice lawsuits, though some states have found such caps unconstitutional. The document also discusses other potential tort reforms and their arguments for and against. It analyzes differences in outcomes between states that have implemented reforms like Texas versus those that have not, like New York.
This document provides a summary of employee benefits for 2012, including medical, dental, vision, life and disability insurance. It outlines the various plan options for medical coverage through Health Plus, including HMO, PPO, and high deductible plans. Details are provided on costs, networks, deductibles, and out-of-pocket maximums. Other benefits like dental through Assurant, vision through NVA, and life and disability through Mutual of Omaha are also summarized. Information is included on enrollment timelines and carriers' contact information.
Crowson Law Group is a law firm of renowned professionals who focus exclusively on personal injury matters. For legal advice and representation for a personal injury claim contact a Crowson Law Group car accident attorney in Wasilla
The document discusses what good managers do to sustain success. It provides tips on running a practice like a business by focusing on cash flow, productivity, capacity, staffing, patient satisfaction, monitoring and communication. It emphasizes the importance of strategic planning, utilizing benchmarks, and practice dashboards to monitor key metrics like collection ratios, denial rates, and days in accounts receivable. Implementing these best practices can result in less bad debt, faster collection of receivables, and higher patient satisfaction.
Presentation at 2007 Meeting of Indian Health Service in San DiegoNoel Eldridge
In 3 sentences:
The document discusses patient safety in the VA system and why focusing on patient safety is important. It provides statistics on the size of the VA system and notes that medical errors harm millions of people each year, costing billions of dollars. The document advocates using a systems approach and human factors engineering to improve patient safety, rather than just policies or individual blame, in order to have the biggest impact on preventing future harm.
The document discusses the benefits of establishing a group captive insurance program. It notes that previously the industry faced high pricing from insurers who did not recognize their focus on safety. By sharing loss information and forming a group captive, members saw premium rate reductions, more investment in safety programs, lower losses over time, and underwriting profits returned to the group. This led to expanded coverage options and a high member retention rate, providing a long-term, market-driven insurance solution for the industry.
VMC Network is made up of healthcare providers and hospitals that agree to have a percentage of their claim payments withheld to fund a shared savings model. The providers have 15% of their allowable payments set aside in a withhold. This withhold is retained by VMC and returned to the network annually depending on whether the total plan costs varied more than 15% from the medical expense target. Certain items like organ transplants, mental health, and prescriptions are carved out and not considered in the plan performance calculations.
Risk Management Process for Healthcare OrganizationsCalance
We know the healthcare environment where security in not optional. We know the common risks associated with healthcare; Emerging technology, Data and information , explosion , Wireless world, Care continuum, Patients expect , privacy, and Compliance fatigue. We address the three main components of Risk Management: People, Process and Tools. Our process ensure the compliance with HIPAA.
Workers play an important role in accident prevention. Their duties include not interfering with safety appliances, avoiding unsafe acts, and adhering to safety norms. Workers also have rights like obtaining safety information and training. Workers are expected to keep their workplaces clean and tidy, use safety appliances correctly, follow safety instructions, and actively participate in safety meetings and inspections. By understanding their safety responsibilities and involvement in accident prevention activities, workers can help build a strong safety culture.
The Pros and Cons of Self-Insured vs. Fully Insuredbenefitexpress
This webinar reviews which factors and employer should consider in self-insuring and full benefits. It will discuss the legal, administrative, and ee issues.
The document discusses health insurance and medical benefits for employees in India. It notes that while not legally required, many employers provide some level of healthcare for workers. Group medical insurance is presented as a comprehensive solution that outsources this non-core activity while providing benefits to both employers and employees. The future of health insurance in India is promising as awareness and demand are growing, though more widespread coverage is still needed as most people currently pay medical costs out-of-pocket.
Optimizing revenue in the healthcare acute care setting goes beyond traditional revenue cycle activities. Beyond revenue cycle emphasizes the focus on departmental operations of managing through put and acuity that can significantly impact revenue.
Mid-Year Election Changes Under Cafeteria Plansbenefitexpress
This document discusses rules for making mid-year election changes in cafeteria plans. It notes that 15 events are recognized by the IRS as permitting changes, including changes in status, cost changes, significant coverage changes, and FMLA leaves. Administrative requirements for implementing changes include obtaining substantiation and ensuring the change is allowed by regulations, plan documents, and insurance policies. The document provides details on each of the 15 events and consistency rules for relating the election change to the qualifying event.
This document discusses implementing a focus on preventing fatal and serious injuries (FSI) within an occupational health and safety management system. It recommends defining FSI as life-threatening, life-altering or life-ending injuries or near misses with such potential. Organizations should analyze past incidents for their FSI potential rather than just outcomes. Clear roles and responsibilities around transparent FSI reporting and control of high-risk activities are needed. Leaders must support this approach through training, metrics, and resources to improve safety beyond just reducing minor incidents.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
The document discusses risk assessment and management. It proposes assessing risk using a equation that considers the likelihood and impact of threats. It recommends establishing security policies, implementing countermeasures through a defense in depth strategy, and maintaining vigilance. Key terms like vulnerabilities, exploits and adversaries are also defined to understand risks.
1) Accounting plays both a passive role in counting and reporting safety metrics, as well as an active role in influencing work health and safety outcomes. However, traditional accounting concepts focused on maximizing shareholder returns can conflict with work health and safety goals.
2) Cost-benefit analyses are problematic for assessing work health and safety investments because the benefits of prevention are difficult to quantify financially, while the costs are more easily measured. Additionally, employers bear the costs of prevention but employees receive the benefits.
3) Lost time injury frequency rates (LTIFRs) are a limited and potentially misleading measure of work health and safety performance, as they do not capture all injuries, illnesses, or their full economic costs.
This document discusses maintaining compliance with PQRS and Meaningful Use audits. It provides an overview of PQRS and Meaningful Use reporting requirements, who is eligible, and how to report. It emphasizes the importance of being proactive and preparing thorough documentation for potential audits, including maintaining records for 6 years. Mock audits and detailed documentation of all systems, reports, security practices, and attestations are recommended to survive an audit.
This document summarizes the problem of rising medical malpractice insurance costs and discusses potential solutions like tort reform. It notes that malpractice premiums for general surgeons increased substantially in some areas from 1999-2002. This reduction in access to healthcare due to rising costs. Possible solutions discussed include caps on non-economic damages from malpractice lawsuits, though some states have found such caps unconstitutional. The document also discusses other potential tort reforms and their arguments for and against. It analyzes differences in outcomes between states that have implemented reforms like Texas versus those that have not, like New York.
This document provides a summary of employee benefits for 2012, including medical, dental, vision, life and disability insurance. It outlines the various plan options for medical coverage through Health Plus, including HMO, PPO, and high deductible plans. Details are provided on costs, networks, deductibles, and out-of-pocket maximums. Other benefits like dental through Assurant, vision through NVA, and life and disability through Mutual of Omaha are also summarized. Information is included on enrollment timelines and carriers' contact information.
Crowson Law Group is a law firm of renowned professionals who focus exclusively on personal injury matters. For legal advice and representation for a personal injury claim contact a Crowson Law Group car accident attorney in Wasilla
The document discusses what good managers do to sustain success. It provides tips on running a practice like a business by focusing on cash flow, productivity, capacity, staffing, patient satisfaction, monitoring and communication. It emphasizes the importance of strategic planning, utilizing benchmarks, and practice dashboards to monitor key metrics like collection ratios, denial rates, and days in accounts receivable. Implementing these best practices can result in less bad debt, faster collection of receivables, and higher patient satisfaction.
Presentation at 2007 Meeting of Indian Health Service in San DiegoNoel Eldridge
In 3 sentences:
The document discusses patient safety in the VA system and why focusing on patient safety is important. It provides statistics on the size of the VA system and notes that medical errors harm millions of people each year, costing billions of dollars. The document advocates using a systems approach and human factors engineering to improve patient safety, rather than just policies or individual blame, in order to have the biggest impact on preventing future harm.
The document discusses the benefits of establishing a group captive insurance program. It notes that previously the industry faced high pricing from insurers who did not recognize their focus on safety. By sharing loss information and forming a group captive, members saw premium rate reductions, more investment in safety programs, lower losses over time, and underwriting profits returned to the group. This led to expanded coverage options and a high member retention rate, providing a long-term, market-driven insurance solution for the industry.
VMC Network is made up of healthcare providers and hospitals that agree to have a percentage of their claim payments withheld to fund a shared savings model. The providers have 15% of their allowable payments set aside in a withhold. This withhold is retained by VMC and returned to the network annually depending on whether the total plan costs varied more than 15% from the medical expense target. Certain items like organ transplants, mental health, and prescriptions are carved out and not considered in the plan performance calculations.
Risk Management Process for Healthcare OrganizationsCalance
We know the healthcare environment where security in not optional. We know the common risks associated with healthcare; Emerging technology, Data and information , explosion , Wireless world, Care continuum, Patients expect , privacy, and Compliance fatigue. We address the three main components of Risk Management: People, Process and Tools. Our process ensure the compliance with HIPAA.
Workers play an important role in accident prevention. Their duties include not interfering with safety appliances, avoiding unsafe acts, and adhering to safety norms. Workers also have rights like obtaining safety information and training. Workers are expected to keep their workplaces clean and tidy, use safety appliances correctly, follow safety instructions, and actively participate in safety meetings and inspections. By understanding their safety responsibilities and involvement in accident prevention activities, workers can help build a strong safety culture.
Accidents are predictable and preventable events caused by unsafe conditions and practices related to human failure, technological issues, or management control failures. To prevent accidents, organizations should identify hazardous areas and activities, ensure all safety devices and systems are functioning properly, make safe work procedures available and provide training to all employees, conduct inspections regularly, record and analyze all accidents and incidents, disseminate the results of analyses, and conduct both internal and external safety audits based on documentary evidence.
The document discusses safety procedures for maintenance work in steel plant processes. It emphasizes establishing standardized maintenance practices, permit-to-work systems, and shutdown protocols to isolate equipment from energy sources. These controls are needed as maintenance introduces hazards and most accidents occur due to non-compliance with safety practices. Proper isolation, cleaning, testing for hazards, and control of large workforces are essential for safe maintenance of chemical equipment and preventing accidents like burns, asphyxiation or explosions.
The Safety agenda: Leading Safety Into The Future from National Safety CouncilMIELKE
We examined the issues in which NSC has proven expertise to make an impact. We looked at the actions other organizations are taking with these issues to understand those that are well-addressed and those that are not. We examined the cost-benefit analysis of the issues and effective interventions. Could NSC devote the resources necessary to make measurable impact? If so, how many injuries could be prevented?
How many lives could be saved?
The result of this analysis is an NSC strategy encompassing five core issues:
• Safety At Work: A Journey to Safety Excellence – A model to improve worker safety and enable any employer to advance toward workplace safety excellence
• Safe Communities: A Model for Community Prevention – A model for community engagement and leadership in injury prevention
• Prescription Drug Overdoses – A strategy to address injuries and fatalities caused by pain medications
• Distracted Driving – A strategy to reduce motor vehicle crashes, injuries and deaths associated with cell phone use while driving
• Teen Driving – A strategy to reduce the involvement of teens in motor vehicle crashes
The purpose of this Safety Agenda is to inform and move you to action on these issues. It is our hope that each reader may find in this Safety Agenda an opportunity to get involved in saving lives. We invite you to take action individually, with your employer and other organizations with whom you are involved or support, and alongside the National Safety Council we can save lives and prevent injuries.
Utilizing TCOR to identify important KPI's throughout the Enterprise Risk Management Program and mitigate the potential for financial leakage from the bottom line.
Loss Run Data Analysis-Executive Summary for Todd Loushine Safety 483BRYCE BUDLESKI
The document analyzes loss run data from a company over 9 years to identify injury trends and priorities. It finds that 13 claims were outliers, with the largest from overexertion lifting a chair for $220,799. The data shows increasing losses and claims reported over time under the current safety program. Analyzing the causes into categories identifies overexertion as the top priority, accounting for 30.78% of claims and 38.36% of losses. Focusing investment on overexertion, slip/trip/fall, and struck-by issues could yield a favorable return on investment.
The document provides 5 steps for conducting better risk assessments, including adopting a root-cause approach to risk identification, standardizing a 1-10 assessment scale and criteria, linking risks to controls and strategic goals, and embedding risk management into everyday activities. It explains how prioritizing risks based on their root causes and using a consistent 1-10 scale allows organizations to better understand their top risks and prioritize mitigation activities. Following these best practices can help risk assessments add more value to businesses by providing transparent and actionable risk information.
Predictive Analytics: It's The Intervention That MattersHealth Catalyst
In this two-part webinar, get the detailed knowledge you need to make informed decisions about adopting predictive analytics in healthcare so you can separate today's hype from reality. In part 1, you'll learn key learnings from Dale Sanders including 1) our fixation on predictive analytics in readmissions, 2) the common trap of predictions without interventions, 3) the common misconceptions of correlations verses causation, 4) examples of predictions without algorithms, and 5) the importance of putting the basics first.
In part 2, you'll hear from industry expert David Crockett, PhD in a "graduate level" crash course cover key concepts such as machine learning, algorithms, feature selection, classification, tools and more.
This document discusses how an enterprise data warehouse (EDW) can help healthcare organizations improve their bottom line by better analyzing revenue cycle and value-based purchasing data. An EDW aggregates data from across departments and systems into a centralized location that provides easy access through dashboards. This allows financial teams to more efficiently analyze key metrics in real time and make informed decisions. The document provides examples of metrics available through an EDW and how it can help organizations increase reimbursements, manage denials, improve collections, and meet value-based purchasing criteria.
The document discusses early warning systems (EWS), providing definitions and components of an effective EWS including risk awareness, monitoring and warning services, and response capability. It also outlines some potential obstacles to establishing an EWS, such as concerns over expenses, information silos within companies, and a lack of agreement on severity matrices. The SECure assessment tool is introduced as an innovative practice-oriented approach to identifying early warning indicators for small businesses.
This document provides a summary of key aspects of risk management for a company, including safety programming, employee health and wellness, claims management, education and communication, evaluation and monitoring, and benchmarking. It discusses the importance of these areas and offers recommendations. Specific topics covered include case studies of workplace incidents, indirect costs of incidents, workers' compensation insurance and experience modification rates, components of an effective safety plan, types of wellness programs, employee screening, and how to effectively benchmark performance.
This document discusses how integrating injury prevention into wellness programs can reduce healthcare costs and boost productivity. It provides two case studies of companies that successfully implemented injury prevention programs. The first company reduced musculoskeletal disorder costs from $2 million to $160k annually by establishing ergonomics processes and measuring risks. The second company coordinated benefits and saw a 40-45% drop in lost time claims through multidisciplinary teams and a phased approach. Overall, the document argues that risk-based, employee-engaged, and measurable injury prevention programs can significantly benefit organizations' costs and productivity when integrated with wellness.
The document discusses how state veteran's homes can use clinical informatics and predictive modeling software to improve resident care, quality management, and regulatory compliance. It highlights how the software (called EQUIP) analyzes MDS data to identify at-risk residents, target interventions, evaluate outcomes, and benchmark performance against appropriate peer facilities like other state veterans' homes. The software is presented as helping facilities improve quality of care while reducing costs through preventative, evidence-based approaches.
Traditional Investment Appraisal Techniques Can Not Cope...Tammy Lacy
The document discusses traditional investment appraisal techniques and their inability to cope with fast changing manufacturing environments. It defines investment and discusses several traditional techniques, including payback period, accounting rate of return, net present value, internal rate of return, and profitability index. It examines how technological evolution challenges the suitability of these traditional methods and their adaptability to today's fast-paced industry demands.
White Paper: Unique pricing model and management strategy decreases health in...Van Richards
Advantage Benefit Solutions offers a unique pricing model and management strategy that can decrease health insurance costs by up to 30%. Through cost indexing and other control methods, the company helped one client save over $1 million over two years by reducing premiums by 31%. Managing trends like increasing compliance requirements, unknown fiduciary liability, declining employee satisfaction, administrative waste, and rising health costs is key to reducing overall workforce costs and improving business valuation.
White paper pragmatic safety solutionsCraig Tappel
The document discusses pragmatic safety solutions for organizations without dedicated safety professionals. It provides an overview of key areas small to mid-sized firms should focus on, including employee health and safety, fleet safety, fire protection, and environmental exposures. It recommends conducting a gap assessment to identify priority areas and create a plan to address them. The document also gives examples of important components of an effective employee health and safety program, such as leadership commitment, policies, training, and accountability metrics.
The document discusses opportunities and challenges in optimizing hospital revenue cycles. It finds that while most hospitals believe their inpatient coding is optimized, only a third feel they have solved DRG optimization problems. Clinical documentation and coding are seen as high risk areas for lost revenue. Constant ICD-10 coding changes make training staff difficult and DRG accuracy scores are lower under ICD-10 than ICD-9. Implementing robust revenue integrity programs that address the entire revenue cycle can increase collections and compliance. Barriers include staffing shortages and departmental silos.
This document discusses how predictive analytics using SAS software can help improve outcomes for child safety and welfare. It begins by explaining how traditional actuarial risk assessment tools have limitations and how an operational analytics approach using SAS can integrate more timely dynamic data to more accurately assess risk. It then addresses some common misperceptions about predictive analytics, explaining how SAS analytics can actually reduce false positives, is not biased by race, provides a comprehensive view beyond just equations, and is more accurate than current static tools.
This document summarizes the results of a survey assessing safety in the Dutch workplace. Some key findings:
- Half of respondents reported high safety scores according to metrics, but only 30% were satisfied with safety.
- There were differences between industries and roles - oil/gas scored highest while agriculture was lowest.
- Processes like incident reporting scored lower for operational staff than management.
- Training and empowerment to stop unsafe work also scored lower for operational staff.
- While general scores were positive, responses to ambitions and challenges indicated a desire for rapid safety improvements, especially regarding culture, accountability and behaviors.
Overcoming obstacles like building collective responsibility and trust were seen as priorities to achieve goals.
Reprint of Healthcare Financial Management Association article discussing the importance of implementing enterprise risk management in a healthcare setting. 14 years later ERM in healthcare may now be critical to organizational survival.
It is now time for physician practices to get revenue cycles in order to improve financial performance. The entire process is complex in nature and often results in errors that negatively affect an organization’s profit margin.
Similar to Cost of accidents, by B C Das, bimal chandra das (20)
The document discusses various ways to improve employee participation in safety practices in organizations. It outlines 10 ways for employees to participate, such as working safely and following rules, reporting unsafe situations, and supporting management's safety efforts. It also describes 10 systematic methods an organization can use, like including safety in job requirements, providing safety training, and conducting safety inspections. Additional topics covered include the purpose of safety competitions, committees, and circles to maintain employee interest and involvement in safety. The role of trade unions is also discussed, emphasizing their responsibility to support management's safety regulations and programs.
This document provides safety guidelines for working with various types of construction machinery. It outlines requirements for siting machinery safely, fencing dangerous parts, providing safe access, and conducting maintenance and inspections. Specific guidelines are provided for earth moving, lifting, and hoisting machinery. Drivers and signalers must be trained and competent. Machinery must be tested regularly and thoroughly inspected for defects before each shift to ensure safe operation.
This document provides an introduction to safety. It defines safety as eliminating hazards to protect health and control harm. Accidents are often predictable if hazards are identified and controlled. Knowledge and experience can prevent injuries if applied properly through methods like conducting safety audits and implementing continuous improvement plans. Management must prioritize safety equally with production to achieve the benefits of increased productivity and profitability that come from preventing accidents.
The document is a checklist for auditing general safety, health, and emergency preparedness at an industrial organization. It contains 195 questions across various categories including health and safety policy, safety organization structure, accident reporting, safety inspections, training, hazard identification, fire protection, emergency preparedness, and more. Many questions are marked with an asterisk to indicate they require a yes or no answer. The extensive checklist aims to evaluate all aspects of the organization's safety management system and emergency response capabilities.
This document outlines the process and methodology for conducting a safety audit. It discusses pre-audit activities like developing an audit plan and collecting background information. Key on-site audit activities involve understanding management systems, assessing strengths and weaknesses, collecting evidence through record reviews, observations and interviews. Post-audit activities include evaluating evidence and reporting findings. The goal is to objectively evaluate safety performance and compliance to help safeguard assets and improve safety.
This document is the Indian Electricity Act of 1910. Some key points:
- It establishes the framework for licensing and regulating the supply of electricity across India.
- Licenses from the State Government are required for supplying electricity to the public or transmitting electricity between areas.
- It defines important terms like "consumer", "licensee", "electric supply line", and establishes rights and obligations of licensees and consumers.
- It covers issues like laying wires, breaking up streets, metering, charging for supply, discontinuing supply for non-payment, protection of infrastructure, and penalties for offenses.
This document contains the Indian Electricity Rules from 1956 that were amended up to 2000. It regulates the generation, transmission, supply and use of electrical energy in India.
The rules are divided into multiple chapters that cover topics such as preliminary definitions, inspectors and their roles, licensing requirements for supply, general safety requirements, supply conditions, overhead lines specifications, electric traction, additional precautions for mines and oilfields, and miscellaneous items. It provides detailed regulations and technical standards to govern the electric power sector in India.
The document summarizes key aspects of the Factories Act 1948 and West Bengal Factories Rules 1958. The objective of the acts is to regulate labor in factories and protect worker health and safety. A factory is defined as any premises with 10 or more power-driven workers or 20 or more non-power-driven workers. The acts establish rules around issues like health, safety, welfare, working hours, hazardous processes, and penalties for non-compliance. Duties of occupiers include ensuring worker health and safety, and workers have rights like safety training and representation regarding inadequate protections.
The document summarizes the Factories Act 1948 and Bihar Factories Rules 1950. It defines key terms like factory, worker, and manufacturing process. It outlines the objectives of regulating labor conditions, working hours, and ensuring workplace health and safety. It describes the duties of occupiers to guarantee workers' health, safety and welfare. Various chapters cover aspects like inspecting staff, health, safety, welfare, employment and penalties. Important sections specify requirements around machinery safety, dangerous substances, lighting, lifts and other facilities. The penalties for non-compliance are also specified.
This document outlines safety obligations for contractors and employers. It discusses:
1) The responsibilities of contractors which include providing a list of workers, ensuring safety training and certificates, obtaining permits, following safety practices, and reporting/treating any accidents.
2) The responsibilities of employers which include evaluating contractor safety performance, providing hazard information and training, maintaining injury logs, and ensuring contractors follow regulations.
3) Penalties for contractors who violate safety requirements, ranging from Rs. 1000 for the first violation to debarment for the third violation.
The document discusses safety committees, which were recommended in 1931 to encourage safe work practices. Safety committees are comprised of management and worker representatives tasked with creating and maintaining a safe work environment. Their objectives include providing a discussion platform on safety, promoting safety consciousness, and facilitating communication between workers and management. Committees can be centralized, corporate-level, departmental, or special purpose depending on a company's structure. Effective committees regularly meet with agendas, document meetings, and work to resolve issues, while ineffective ones are disorganized and fail to implement recommendations.
This document discusses lockout/tagout procedures for working on hazardous equipment. It covers who needs training in lockout/tagout, what hazardous energy is, the different types of lockout devices, tag requirements, and required lockout procedures. The procedures involve notifying affected employees, shutting down and isolating equipment, attaching lockout devices, releasing stored energy, and verifying isolation before starting maintenance. Examples of lockout devices include locks for electrical panels and plugs, blanks for pipes, and blocks for presses. Tags are only for information and don't provide the protection of lockout devices.
This document contains a checklist for inspecting an E.O.T. crane. The checklist is divided into 18 parameters to observe, including the cabin, long travel platform, limits, neutral interlock system, emergency door switch, crane trolley, crane landing platform, bus bar protection, lighting, collectors, walkways, railings, tracks, hooks, pulleys, and ropes. For each parameter, inspectors are to check various components and record any observations or remarks.
This document discusses the costs of workplace accidents. It notes that accidents result in direct costs like medical expenses, lost wages, and compensation, as well as indirect costs that are 5 times the direct costs, such as decreased productivity. Accidents cost more than their direct expenses alone due to ripple effects. The document advocates calculating total accident costs using a standard method to understand their full financial impact and take steps to reduce costs by preventing accidents.
This risk assessment record summarizes the potential hazards and control measures for dismantling a scaffold. It identifies 5 work activities: 1) isolating electrical power, 2) removing electrical installations, 3) starting dismantling from the top, 4) stacking materials at ground level, and 5) shifting scaffolding materials. For each activity, foreseeable risks are identified such as electrocution, falling, and ergonomic hazards. Control measures include proper supervision, permits, PPE use, signage, coordination meetings, and material handling training. Responsibilities are assigned for implementing controls to reduce risks during scaffold dismantling.
This document discusses ladder safety and fall protection. It describes different types of ladders, how ladders can be dangerous if used incorrectly or with defects, and safe practices for using ladders. Key safety tips include using the right ladder for the job, inspecting ladders for defects, setting ladders up at the proper angle, barricading work areas, and not overreaching while on a ladder. The document provides guidance on ladder ratings and weight limits according to ladder type.
This document contains two safety checklists for conveyor belts: one for when the belt is operating, and one for when the belt is shut down. The operating checklist includes 14 items related to safety features like emergency switches, guards, lighting, and personal protective equipment. The shut down checklist includes 8 items to check when the belt is off, such as obtaining a work permit, removing tools from the belt, and refitting guards before restarting.
This document discusses selecting and using personal protective equipment (PPE) to reduce safety risks at work. It emphasizes that PPE should be chosen based on known hazards, risks, and body parts exposed. Workers are expected to use required PPE properly, maintain safety appliances, and follow safety procedures to prevent accidents. The document also outlines workers' obligations to follow safety rules and their rights to safety information and training under Indian labor laws.
This document defines key terms related to risk assessment including hazard, risk, accident, and provides a framework for calculating risk level based on probability, exposure, and consequence of an event. It also outlines strategies for controlling risks, including elimination, substitution, engineering controls, administrative controls, and use of personal protective equipment.
The document discusses developing a safety education and training program. The key steps are:
1) Identifying the need for training by assessing differences between actual and desired safety performance. This involves discussions with management and employees.
2) Formulating the program aims and objectives, which can be either trainer-oriented or focused on changing learner behavior.
3) Detailing the course contents, which may include topics on management techniques, engineering approaches, and safe work practices.
4) Selecting an appropriate course method such as lectures, discussions, case studies, or demonstrations to suit the objectives and participant level. The goal is to improve safety knowledge, skills, and attitudes.
1. Cost of Accidents
Cost of Accident is a valuable tool to measure safety performance. Lord Kelvin had said
“When you can measure, what you are speaking about, and express it in numbers, you
know something about it ; when you cannot measure it, when you cannot measure it in
numbers, your knowledge is of a meagre and unsatisfactory kind . “ Having a standard
method of calculation helps in many ways. Even if the standard is not foolproof it equates all
performance on a common ground for comparison. In SAIL, SSO or SAIL Safety Organisation,
had taken the lead in developing a system of calculation of the cost of accidents. Based on a
joint study by OHS, BGH & SED the present system has been developed. If applied only to
individual cases there may be errors but if it is done for departments over a period of time like a
month, the result is a fair indicator of how much the accidents in a department are costing the
company.
Certain pitfalls are present in the system. One major one is the desire of departments to
suppress accident data. To avoid this the data is taken from SED’s record of >48 hrs cases
reported in OHS or BGH. It is also seen that in many cases persons “carry injuries” , that means
they either do not avail of injury leave or join before they are fully fit. This paints a rosy picture
but the actual situation is different, as persons are on duty and working below their full
potential. To some extent this covered in indirect costs.
The basic methodology involves two parts ie. Direct cost and Indirect cost. The Direct
costs have three factors
1. Medical costs
2. Man day wages lost costs
3. Compensation costs
Medical costs involves cost of treatment, medicines, investigations, in patient bed cost
etc. After studying data of 6 months it was simplified and standardised into three groups, First
aid (1 day), Minor (less than 20 days) and Serious (more than 20 days. The per day cost has
been worked out as Rs.90/- for First aid , Rs.240/- for minor cases and Rs.400/- for Serious or
Major cases. It is assumed that in First aid treatment is for one day only, for minor cases 11
days and 21 days for serious cases. This is based on actual statistical analysis and this system is
applied. The man days cost is based on the wages cost for the number of days a person is absent
on medical leave. The Compensation cost of course decided on fatal cases and partial or full
disability by a medical board.
Indirect costs involve a whole range of factors :
Break down maintenance
Production loss
Upstream/down stream production loss
Loss of property
Working hours lost (IR)
Accident investigation
Administrative cost
Drop in morale or momentum (apprehension, fear or psychological factors)
Earlier it had been believed that indirect cost is two or three times the direct costs.
However statistics show that it may range from 4 times to 9 times. At SAIL the factor is five
times. Some data have been showed during the session. The yearly, half-yearly and monthly
cost gives a wake up call to department senior managers to start serious efforts to control the
trend. It can also give an indication of the effectiveness of the present safety management
drives and coupled with other accident statistics, help in identifying areas or groups of people
needing special attention.