Little Falls Hospital 2010 Accreditation Visit
HSM542: Health Rights & Responsibilities
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, LITTLE FALLS HOSPITAL RISK MANAGEMENT PLAN 2
As the new risk manager I would first form and implement a risk management
committee. This committee would consist of all levels of management and non-managerial staff.
The committee would be fully dedicated to creating and developing a risk management plan that
would consist of guidelines and procedures that would monitor and manage all aspects of the
clinical and administrative staff activities in order to identify potential risks to patients and staff
(Pozgar 2012.) This information needs to be communicated across all departments. In order to
collectively work towards a common goal everyone has to have a clear understanding of the
processes and procedures of the facility. And communication is key and has to be consisted
throughout the hospital staff. One thing that Mr. Howard, Joint Commissions Surveyor pointed
out in his accreditation review was the lack of awareness amongst staff on how the goals of the
facility impacts operations. This is contributed to the lack of communication. And the lack of
communication causes confusing and misunderstandings across departments.
Risk management is the responsibility of all staff members and is key to the success of
the facility and access to quality care for the patients. Everyone’s input is valuable because risk
management impacts everyone, consumers, visitors, patients, employees, property loss and or
damage to any other sources that can created a liability to the facility. An effective risk
management plan should include certain elements/goals.
Little Falls Hospital risk management plan would include the following elements:
• A complaint/grievance process designed to resolve patients’ grievances timely and
efficiently.
• Medical care evaluation process that would include an audit committee that will regularly
assess the quality of medical care that’s being provided.
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