GRADED A+ NEWEST 25/26 UPDATED
Ethical situations - ---Answers----•informed consent
Benefits/outcomes
•end of life
•beginning of life
•treatment or withholding of treatment based on beliefs
Safety vs. Security - ---Answers----•safety can be a broad
category with standard policies and procedures throughout a
facility or system.
•security is more site specific.
Process - ---Answers----1. Determine the problem
2. Determine the casusal relationship-
Risk assessment for underlying cause
3. Identify effective solutions-
Stack holders
4. Implement and track and correct actions
Techniques for managing safety and security - ---Answers----
•risk assessment estimate
•failure modes and effects analysis (fmea)
•root-cause analysis (rca)
•fishbone diagram
•pra
•others
^sigma or lean
,Potential security concerns - ---Answers----•theft of patient
valuables/employee theft
•violence in the workplace
•overt or covert
•infant abduction
•gangs
Information systems - ---Answers----•with increasing use of
information management systems, healthcare facilities must
insure that the system itself is secure.
•unauthorized use
•education on use
•create redundancy
•infrastructure
Lack of accountability; reluctant to chrge patients
Fire safety - ---Answers----•health facilities must comply with
nfpa standards for fire suppression systems, fire barriers,
smoke compartments, detectors and alarms, and emergency
exits and lighting.
•nfpa 101
•life safety codes
•fire response - race
Other types of threats - ---Answers----•environmental
•internal
•structural
•utility
•external
•weather
•terroristic
•infrastructure
,•mcis
Considerations for finance risk - ---Answers----•medical errors
•hospital acquired
•mistakes
•equipment-fail/wrong
•lawsuits - civil or criminal
•contractual
•defense
•opportunity loss costs
•investment return
Poorly=poor financing fro projects
+expenses; spent on defense instead of service/projects for
hospital
•legal and statutory
•emergency medical treatment and labor act (emtala)
Federal law that requires anyone coming to almost any
emergency department to be stabilized and treated, regardless
of their insurance status or ability to pay.
•safe medical devices act
•epa
•technology- upgrades, internet
•loss of revenue- reimbursement +/-
•value-based purchasing; change frequently; reimbursement
rates
•pay-for-performance
•d&o liability- +insurance based on poor judgement
Insurance protects the personal assets of corporate directors
and officers, and their spouses, in the event they are personally
sued
, Retain or transfer financial responsibility - ---Answers----
retain-easoer but need + reserves
Transference= transfer of responsibilty
•risk exists for a healthcare organization is there is an event or
action that can have impact on its financial or operational
performance.
•healthcare organizations work to balance this by covering the
financial risk or transferring it.
•financing risk means to ensure that adequate funds are
available to cover costs related to unexpected events
•transferring risk is accomplished by purchasing insurance.
Management of risk is paramount to the healthcare organization
and should be tailored to the specific needs and structure.
The healthcare organization must determine what risk can and
should be internally financed versus what risk should be
transferred
The goal of risk management is to add value to the organization
by appropriately and wisely managing risk
Costs of adverse risk - ---Answers----self-funding= acceptance
of responsibility/losses; number of claims; employee/leadership
accetance
•defense costs
•settlement or judgment
•loss reduction
•employee morale
•opportunity costs