Running Head: HEALTH RISK MANAGEMENT PROGRAM
HEALTH RISK MANAGEMENT PROGRAM
HEALTH RISK MANAGEMENT PROGRAM
Samantha Howard
Grand Canyon University: HLT-308V (HLT-308V-O500)
February 10, 2019
1. Summary Description
Risk management is one of the most appropriate tools in scientific governance and approaches necessity to perform comprehensive analyses with the intention to uncover causes of adverse events (Cagliano, A. C., Grimaldi. S., Rafele C. 2011). According to Kavaler & Spiegel (2003), health risk management includes the assessment of risks and the definition of mitigation strategies for these risks. The risk assessment includes both the identification and evaluation of the risk`s impact while risk mitigation minimizes the impact of the risks. Therefore, a healthcare organization should have qualified risk managers for the assessment, development, implementation, and monitoring of risk management plans. My risk management program will focus on new employees. This will seek to foster the utilization of risk assessment and risk management tools in new fields of application including policy making and provision of a platform between the insurance communities.
1. Risk management plan to the new employees
The process of risk management in a healthcare organization basically has five steps which include the context establishment, risks identification, risks analysis, and risk evaluation and management (Kavaler, F., & Spiegel, A. D. (2003). Since the healthcare industry is an essential sector that impact every living individual, the offered services in this industry is very significant to the world`s health market competition. Therefore, for a successful risk management program, a person should be aware and knowledgeable of the risk involved.
New employee will be required to go through the organization structure and understand leader within the organization, the different position function in the risk management program and how-to communication and escalation policies. They will gain knowledge of risk exposure and the available polices that are in place to reduce them. All these are prerequisite to new workers in the understanding of the healthcare organization`s risk management plan.
Secondly, the risk management program will be explained to the new workers regarding program analysis and what steps the organization has in place for identification, management, mitigation and transfer of risks.
This program of risk management will entail four categories. These include total avoidance of risks by the organization which can be implemented by putting policies that are geared towards preventing the chances of losses. Secondly risk mitigation which will aim at reducing the impact of the risks of the organization. This will be done by setting out a plan on how to deal with the risk in case it occurs. Thirdly risk acceptance will aim at the effect that the organization will incur through insurance and policies for budgeting. Last.
Running Head HEALTH RISK MANAGEMENT PROGRAMHEALTH RISK MANAGE.docx
1. Running Head: HEALTH RISK MANAGEMENT PROGRAM
HEALTH RISK MANAGEMENT PROGRAM
HEALTH RISK MANAGEMENT PROGRAM
Samantha Howard
Grand Canyon University: HLT-308V (HLT-308V-O500)
February 10, 2019
1. Summary Description
Risk management is one of the most appropriate tools in
scientific governance and approaches necessity to perform
comprehensive analyses with the intention to uncover causes of
adverse events (Cagliano, A. C., Grimaldi. S., Rafele C. 2011).
According to Kavaler & Spiegel (2003), health risk management
2. includes the assessment of risks and the definition of mitigation
strategies for these risks. The risk assessment includes both the
identification and evaluation of the risk`s impact while risk
mitigation minimizes the impact of the risks. Therefore, a
healthcare organization should have qualified risk managers for
the assessment, development, implementation, and monitoring
of risk management plans. My risk management program will
focus on new employees. This will seek to foster the utilization
of risk assessment and risk management tools in new fields of
application including policy making and provision of a platform
between the insurance communities.
1. Risk management plan to the new employees
The process of risk management in a healthcare organization
basically has five steps which include the context establishment,
risks identification, risks analysis, and risk evaluation and
management (Kavaler, F., & Spiegel, A. D. (2003). Since the
healthcare industry is an essential sector that impact every
living individual, the offered services in this industry is very
significant to the world`s health market competition. Therefore,
for a successful risk management program, a person should be
aware and knowledgeable of the risk involved.
New employee will be required to go through the organization
structure and understand leader within the organization, the
different position function in the risk management program and
how-to communication and escalation policies. They will gain
knowledge of risk exposure and the available polices that are in
place to reduce them. All these are prerequisite to new workers
in the understanding of the healthcare organization`s risk
management plan.
Secondly, the risk management program will be explained to the
new workers regarding program analysis and what steps the
organization has in place for identification, management,
mitigation and transfer of risks.
This program of risk management will entail four categories.
These include total avoidance of risks by the organization which
can be implemented by putting policies that are geared towards
3. preventing the chances of losses. Secondly risk mitigation
which will aim at reducing the impact of the risks of the
organization. This will be done by setting out a plan on how to
deal with the risk in case it occurs. Thirdly risk acceptance will
aim at the effect that the organization will incur through
insurance and policies for budgeting. Lastly, the risk transfer
part will seek to transfer the liability in case of a risk event
occurring. The employees will be made aware through
discussion of their functions and roles in the four categories in
relation to the task they will need to do in the organization`s
risk management program. A thorough understanding of this
risk management plan by the employees will help them take up
their positions in the organization effectively.
2. Agencies and organizations for safe healthcare administration
The responsibility of risk manager in healthcare administration
is to develop policies in conjunction with other stakeholders.
He/she is also responsible for risk prevention and reduction
(Longest, B. B., Rakich, J. S., & Darr, K. (2000).
Administrative issues regarding patient safety, compliance of
the organization, communicating with stakeholders in
developing policies, financing, proper accreditation and
regulatory is handled by risk manager in alignment with the
plan of risk management
In the health organization environment, the risk manager guides
how medical healthcare professional’s behavior by mitigating
any risk that may come up from such. They also indirectly
support patients to ensure their safety. In case of a risk
occurrence, the risk manager is responsible for events, he/she
would explains what steps the organization would take for such
an occurrence. The risk manager also handles claims made
against the institution and ensures the claims are true (Longest
et al, 2000)
In the management of a healthcare facility, the directors play a
role in the development of policies. Since medical staff and
other employees interact directly with the patients in providing
them with patient care, they are also involved in the process of
4. administration of risk management. These individuals should be
well appraised of the administrative rules to be adhered to in
case of a risk occurrence since they are the most exposed
individuals.
There are two major categories of risks in the healthcare
institution namely quality of care and research. The quality of
care is the topmost considered priority item in risk
investigation, evaluation, and enforcement. This can be done
ensuring that hospitals implementing quality assessment and
performance program to identify safety concerns for patients
and aide in the reduction of medical errors.
In terms of research, tools, services, items, as well as the
routine costs of qualified clinical trials, are covered by
Medicare. It also covers services of diagnosing and treating
complications that are as a result of participation in clinical
trials. Submission of claims of patients who participate in
clinical trials should be reviewed by the hospitals. The clinical
investors must also collect legally informed consent in an
appropriate way from the subject before the initiation of a
clinical trial. Other risk areas in research activities include
researcher misconduct, proper cost allocation, effort and time
reporting.
3. Compliance with the American Society of Healthcare Risk
Management
The risk management plan complies with the requirements of
the American Society of Healthcare Risk management
(ASHRM). Its laws and rules are in accordance with the
proposals that are set out. Second, it has human resources which
make sure that there is well management of risks in the
organization (American Society for Healthcare Risk
Management, 2009). Patient safety is the cornerstone of risk
management which complies with the American Society of
Healthcare Risk Management proposal. Efforts by the
organization for identifying and transfer of risks to limited
exposure and take up insurance covers has been made. Trained
risk manager provide periodic training to ensure that staff
5. members are savvy on new policies concerning the
organization`s program of risk management.
4. Recommendations for Inclusion in the Program
The process of claims` resolution against the organization needs
to be advanced. More financial and human resources need to be
allocated to the risk manager`s department for a fast resolution
of claims as a way of keeping the reputation of the health
organization. It is important to have a healthcare workforce
actuary to evaluate the organization`s risk exposure in the best
way which will ensure optimal protection of the organization`s
resources
References
American Society for Healthcare Risk Management. (2009).
Risk management handbook for health care organizations (Vol.
30). John Wiley & Sons.
Kavaler, F., & Spiegel, A. D. (2003). Risk management in
health care institutions: a strategic approach. Jones & Bartlett
Learning.
Longest, B. B., Rakich, J. S., & Darr, K. (2000). Managing
health services organizations and systems (pp. 150-177).
Baltimore, MD: Health Professions Press.
Cagliano, A. C., Grimaldi. S., Rafele C. (2011). A systemic
methodology for risk management in healthcare sector. Elsevier
India Pvt Ltd.
5
Creative Historical Research
Some of the reading we’ve done recently has highlighted the
different roles that history and culture can play in creative
6. writing. The following writing exercise will invite you to
explore and share your own interests and connections to history
and culture.
First, conduct some research on a historical event that interests
you. The event you choose could be just about anything, from a
natural disaster to the invention of tube socks to the tearing
down of the Berlin Wall to the history of the spork. Try to use
reputable, authoritative resources as much as possible. The
purpose of your research is to explore and educate yourself on
the event, and discover things about it that you didn’t know
before, so as you research your event, follow your natural
curiosity and see where it takes you.
Second, develop 1-3 good questions about your historical event.
The questions should be things you’re curious to know, but that
your research doesn’t answer. For example, your questions
might about one of the people involved in your event, asking
what s/he thought, or why s/he acted the way s/he did. Or your
questions might ask about what-if scenarios and their impact on
history.
Third, write a brief summary of your historical event and your
questions. Describe:
1. the who, what, when, where, why, and how of your event,
2. the impact your event had on the people involved, or on the
people/places after the event, and
3. your questions about the event.
Historical Summary Example: The Battle of Tours
The Battle of Tours is a battle that was fought in the year 732.
The battle was fought between the Franks led by Charles Martel
and the Moors of the Umayyad Caliphate led by Rahman Al
Ghafiqi. At the time of the battle, the Moors owned the Iberian
Peninsula (Spain and Portugal) and wanted to expand their
territory and the religion of Islam. The area that followed the
Iberian Peninsula was the land owned by the Franks and then
independent Aquitaine. The exact location of the battle is
7. unknown due to the lack of primary sources on the topic but it
is believed to have been fought somewhere between the village
of Tours and the village of Poitiers in what today is central
France. The battle ended in a decisive and impressive victory by
the Franks as they defeated the estimated 80,000 Moors with
their estimated 30,000 troops, killed Rahman Al Ghafiqi, and
did all this without cavalry. The Frankish troops stood their
ground and did not break the line, thus defeating the Moorish
cavalry and ultimately the battle. The battle proved to be a
turning point in the history of Europe as it helped eliminate the
threat of Islam and it established a strong French presence in
Western Europe. The outcome of the battle allowed the Franks
to flourish as a nation, although the life of a peasant would not
have changed much had the Moors won. After the Battle,
Charles Martel secured the throne and established the
Carolingian dynasty, which includes Martel’s grandson
Charlemagne, while the Moors were driven out of Frankish
lands back to the Iberian Peninsula, which they eventually lost.
The Battle of Tours could have been a disaster for western
culture and civilization. Has the Franks not won, the Moors
could have easily conquered the rest of Europe. Christianity
would not have been the predominant religion. The crusades and
Christopher Columbus’ rediscovery of America would not have
happen. France would not be the nation it is today. The United
States could have not existed and W.W.I. and W.W.II. could
have not happened. These are just some possibilities to the
question of what could have been some outcomes had the moors
won the Battle of Tours.
Risk Management Program Analysis Part Two
1
Unsatisfactory
0.00%
2
8. Less than Satisfactory
65.00%
3
Satisfactory
75.00%
4
Good
85.00%
5
Excellent
100.00%
70.0 %Content
25.0 %Explanation of the Role of The Joint Commission in the
Evaluation of the Quality Management Processes of an
Organization
Not included.
An explanation of the role of The Joint Commission in the
evaluation of the quality management processes an organization
is somewhat incorporated, but the information provided is
incomplete, inaccurate, or otherwise deficient.
An explanation of the role of The Joint Commission in the
evaluation of the quality management processes an organization
is incorporated, but minimal detail or support is provided for
one or more components.
An explanation of the role of The Joint Commission in the
evaluation of the quality management processes an organization
is present and incorporated in full. The submission encompasses
essential details and provides appropriate support.
An explanation of the role of The Joint Commission in the
evaluation of the quality management processes an organization
is present and comprehensive. The submission further
incorporates analysis of supporting evidence insightfully and
provides specific examples with relevance. Level of detail is
appropriate.
9. 25.0 %Description of Administrative Personnel Roles Relevant
to Operational Policies Focused on Employer-Employee
Organizational Risk Management Policies
Not included.
A description of administrative personnel roles relevant to
operational policies focused on employer-employee
organizational risk management policies is somewhat
incorporated, but the information provided is incomplete,
inaccurate, or otherwise deficient.
A description of administrative personnel roles relevant to
operational policies focused on employer-employee
organizational risk management policies incorporated, but
minimal detail or support is provided for one or more
components.
A description of administrative personnel roles relevant to
operational policies focused on employer-employee
organizational risk management policies is present and
incorporated in full. The submission encompasses essential
details and provides appropriate support.
A description of administrative personnel roles relevant to
operational policies focused on employer-employee
organizational risk management policies is present and
comprehensive. The submission further incorporates analysis of
supporting evidence insightfully and provides specific examples
with relevance. Level of detail is appropriate.
20.0 %Discussion Expands Upon Elements Profiled in the Topic
1 Risk Management Program Analysis Part One Assignment.
Discussion expanding upon the Topic 1 Risk Management
Program Analysis Part One assignment elements is not
provided.
Expansion discussion of elements from the Topic 1 Risk
Management Program Analysis Part One assignment is
somewhat present, but the information provided is incomplete,
inaccurate, or otherwise deficient.
Expansion discussion of elements from the Topic 1 Risk
10. Management Program Analysis Part One assignment is present,
but minimal detail or support is provided for one or more
components.
Expansion discussion of elements from the Topic 1 Risk
Management Program Analysis Part One assignment is present
and incorporated in full. The submission encompasses essential
details and provides appropriate support.
Expansion discussion of elements from the Topic 1 Risk
Management Program Analysis Part One assignment is present
and comprehensive. The submission further incorporates
analysis of supporting evidence insightfully and provides
specific examples with relevance. Level of detail is appropriate.
20.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper.
Thesis statement makes the purpose of the paper clear.
8.0 %Argument Logic and Construction
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Argument is orderly, but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
11. used are credible. Introduction and conclusion bracket the
thesis.
Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Clear and convincing argument presents a persuasive claim in a
distinctive and compelling manner. All sources are
authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation,
grammar, language use)
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Frequent and repetitive mechanical errors distract the reader.
Inconsistencies in language choice (register) or word choice are
present. Sentence structure is correct but not varied.
Some mechanical errors or typos are present, but they are not
overly distracting to the reader. Correct and varied sentence
structure and audience-appropriate language are employed.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Writer is clearly in command of standard, written, academic
English.
10.0 %Format
5.0 %Paper Format (use of appropriate style for the major and
assignment)
Template is not used appropriately, or documentation format is
rarely followed correctly.
Appropriate template is used, but some elements are missing or
mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although
12. some minor errors may be present.
Appropriate template is fully used. There are virtually no errors
in formatting style.
All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to assignment and
style)
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous formatting
errors.
Sources are documented, as appropriate to assignment and style,
although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style,
and format is mostly correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of error.
100 %Total Weightage