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HSM 542 Week 6 Youdecide Assignment: Risk Management Plan (graded)

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Read the You Decide scenario in Week 6. You … by the hospital’s board of directors to prepare a risk management plan that will help to develop a culture of safety throughout Little Falls Hospital. The plan should address the National Patient Safety Goals and strategies to … implemented throughout the organization. Prepare a 750-word summary of the important components of the plan, the resources that are required to … implemented, and strategies to overcome some of the hospital’s deficiencies. Your primary text and journal and/or website research must … used as a reference to support your analysis. Scenario Summary The Joint Commission has recently visited Little Falls Hospital for its accreditation visit. Overall, the survey went well except for the standards related to the 2010 National Patient Safety Goals. The Joint Commission surveyors indicated that the hospital has not devoted enough resources and staff into achieving these goals. As the new risk manager, you are aware of the following issues: There is no specific plan on how Little Falls Hospital will address and achieve these goals. This has been … on a department by department basis. Recently, there has been a significant plaintiff settlement paid by the hospital’s insurance carrier, which involved a patient death … to the incorrect medication being administered. The costs of the hospital’s professional liability insurance continue to escalate, and the policy is due to expire in 6 months. Little Falls Hospital has had the same health professional liability insurance policy for 10 years. The hospital is facing financial constraints and does not have a significant amount of cash on hand to invest in new technologies. Your Assignment You have been asked by the hospital’s board of director’s to prepare a risk management plan that will help to develop a culture of safety throughout Little Falls Hospital. The plan should address the National Patient Safety Goals and strategies to … implemented throughout the organization. Prepare a 750-word summary of the important components of the plan, the resources that are required to implement, and strategies to overcome some of the hospital’s deficiencies. Your primary text and journal and website research must … used as a reference to support your analysis. Key Players Overall, I believe that Little Falls Hospital provides good quality care to its patients. The hospital scored very high in many aspects of the survey, but it did not seem focused on the Joint Commission National Patient Safety standards. The knowledge and understanding of these goals was inconsistent among staff; however, some of the departments had little awareness on how these goals impact the operations. Communication is definitely a problem. I have attended several conferences in the last couple of years and these goals have always been an important topic of discussion.The radiology department has always prided itself in quality care, and we do everything we can to make sure our patient care is not only the highest quality but also the safest possible. e pharmacy department has always been one of the best departments in the hospital. I keep asking for the money to invest in technology but I always get … I think that our current systems are more effective than the latest technology. You invest all that money, but it is the same humans who are providing care and dispensing medicines. I think sometimes that computerized systems give staff a false sense of security, when they should be doing their jobs accurately anyway. Show Less

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Running Head: LITTLE FALLS HOSPITAL RISK MANAGEMENT PLAN 1




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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