BHA 4004 CU Risk Management Policy and Procedure Questions

Part 1BHA4004: Risk Management Policy and Procedure
Introduction
Health care organizations have always searched for ways to identify and reduce risks. An
organization’s ability to identify and analyze its risk exposure is a determining factor in the
effectiveness of its risk management program (Hoarle, 2015). Early identification and
analysis are essential.
Current health care risk management practices developed in the mid-1970s as a result of a
surge in malpractice suits. These suits caused rapid increases in claims costs for the
industry, and later in insurance premiums. Today, health care delivery systems and
organizations realize the value of risk management and have developed formalized
programs (Hoarle, 2015). In addition, organizations have established mechanisms to
review potential incidents of risk and safety concerns (Pelletier & Beaudin, 2018). While
risk management programs are responsible for daily management and risk operations, all
health care stakeholders are responsible to participate in activities that will reduce
unnecessary risks and improve safety and quality (Hoarle, 2015).
This second assignment consists of two parts. You are to assume the role of a new risk
manager within your organization’s risk management department. According to your
director, employees lack awareness of the organization’s risk management program.
Likewise, departments inconsistently apply risk management principles. As a result of
these deficiencies, your director has given you your first assignment.
Part 1: Risk Management Policy and Procedure
Your director has asked you to write a formal risk management policy and procedure for
the organization.
Part 2: Application of Risk Management Principles to a Specific Incident
In addition to the policy and procedure, your director has asked you to apply your
knowledge of risk management principles to a specific organizational risk that has
occurred. You will build on the same scenario that you used in your Week 2 assignment
from the Vila Health: Patient Safety simulation.
Your director believes that the organization’s newly written risk management policy and
procedure, coupled with your analysis from a risk management standpoint of a recent,
specific incident that occurred, will help employees (and the organization) recognize how
the hospital’s risk management program contributes to the overall organization’s safety
and quality improvement efforts.
Preparation
To successfully complete this assignment, use the Risk Management Policy & Procedure
Template [DOC] Download Risk Management Policy & Procedure Template [DOC]to
address the following:
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For part 2 of this assignment, you will conduct an in-depth analysis of the
organizational risk you selected from the Vila Health: Patient Safety simulation.
Consult the readings provided in Week 3.
Review the Risk Management Policy & Procedure Template [DOC] Download
Risk Management Policy & Procedure Template [DOC], which you will use to
complete your assignment. This document is formatted and has space for
completing all components of the assignment.
Instructions
Part 1: Risk Management Policy and Procedure (3–4 pages)
As the new risk manager in your health care organization, your director has assigned you
responsibility for drafting the organization’s risk management policy and procedure. This
assignment stemmed from your director’s perception that employees lacked knowledge
and awareness of risk management’s contribution to furthering the organization’s safety
and quality improvement efforts. Likewise, your director also saw evidence that
departments within the organization were inconsistently applying risk management
principles to their daily work practices.
The guidance you have received from your director about writing this policy and procedure
is that it needs to include all of the following headings. It also needs to answer all of the
questions underneath each heading:
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•
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Purpose Statement:
o How can a risk management program help this organization advance
its strategic safety and quality goals?
Key Risk Management Terms:
o What is the definition for each of these risk management terms?
▪ Risk prevention.
▪ Risk reduction.
▪ Regulatory compliance.
▪ Patient safety.
▪ Adverse event.
▪ Near miss.
Risk Categories and Risk Identification Techniques:
o Discuss 3 of the 5 following healthcare risk categories as well as their
corresponding risk identification technique:
▪ Financial.
▪ Human capital.
▪ Clinical, strategic.
▪ Legal/ethical.
What risk management strategies will the organization use to identify
potential organizational risks? Be sure your narrative identifies and
describes such risk identification techniques as concurrent,
retrospective, incident reporting, and previous trends. Note: These
are only a few of the risk identification techniques to address in your
policy and procedure. Be sure to include other examples you are
aware of from your professional experience or from your readings.
o What are examples of risk categories and their appropriate
corresponding risk identification techniques? For example, coding
errors are a type of financial risk. Retrospective auditing is the risk
identification technique used to identify this risk type.
Risk Manager’s Role in Program Implementation and Compliance:
o What is the risk manager’s role in risk management program
implementation and compliance?
o How can a risk manager impact the effective management of the
organization’s risk management program?
o What is one example from the literature that shows how the risk
manager role can positively impact a health care organization’s
management of its risk management program?
o
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Part 2: Application of Risk Management Principles to a Specific Incident (3–4
pages)
To further help employees and the organization at large see risk management’s
contribution to helping the organization achieve its safety and quality goals, your director
has asked you to analyze and apply risk management principles to a recent incident that
occurred in the organization. Your director has asked you to include all of the following
headings in your analysis and to address all of the questions underneath each heading.
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•
•
Risk Description: Provide an overview of the risk including a description of the
risk, implications to patients and risk management strategies.
o Which potential risk to your organization from the Vila Health:
Patient Safety simulation are you analyzing? These included a patient
identification error, a medication error, and a HIPAA/privacy
violation.
Risk Implications: Propose evidence-based risk management strategies and
techniques to identify and eliminate or reduce a particular risk.
o What are the risks to the patients, employees, and organization if this
particular risk is not addressed? In other words, what could happen if
the organization chooses to do nothing?
Risk Reduction/Elimination: Propose evidence-based risk management best
practices or strategies to identify and eliminate or reduce a particular risk.
o What evidence-based risk management best practices or strategies
could the organization employ to eliminate or reduce the risk in the
future? For example, if you plan to identify the risk by analyzing
incident report data, would you conduct a drill down to determine
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what is causing the risk? What other best practices might you
employ? Consult your suggested resources for guidance on best
practices for eliminating and reducing risk.
o What steps would you take to implement your plan to eliminate or
reduce your selected risk?
Importance of a Risk Management Program: Explain the importance of a risk
management program to health care organizations.
o Why is a risk management program important to an organization?
o What are some important elements of a risk management program?
o What is the organizational impact of not having a risk management
program?
Please review the Risk Management Policy and Procedure Scoring Guide to ensure you
understand the grading requirements for this assignment.
Additional Requirements
Your assignment should also meet the following requirements:
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•
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Template: Use the Risk Management Policy & Procedure Template
[DOC] Download Risk Management Policy & Procedure Template [DOC]to
complete this assignment.
Length: 6–8 double-spaced pages, not including title and reference pages.
Font and font size: Times New Roman, 12 point.
APA format: Your submission, including the body, citations, and title and
references pages need to conform to current APA format and style guidelines. Do
make sure that it is clear, persuasive, organized, and well written, without
grammatical, punctuation, or spelling errors. You also must cite your sources
according to current APA guidelines.
References
Hoarle, K. (2015). Risk management poised to grow as healthcare evolves. Biomedical
Instrumentation & Technology, 49(6), 433–435.
Pelletier, L. R., & Beaudin, C. L. (2018). HQ solutions: Resource for the healthcare quality
professional (4th ed.). Wolters Kluwer.
Competencies Measured
By successfully completing this assignment, you will demonstrate your proficiency in the
following course competencies and scoring guide criteria:
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Competency 1: Analyze the quality and performance improvement activities
within the health care organization.
Provide an overview of the risk including a description of the risk,
implications to patients, employees, and organization if risk is not
addressed, and risk management strategies.
o Propose evidence-based risk management strategies and techniques
to identify and eliminate or reduce a particular risk.
Competency 2: Explain the risk management function in the health care
organization.
o Define key risk management terms.
o Describe the major risk categories in a health care organization, along
with their corresponding risk identification techniques.
o Analyze the risk manager’s role in effective management of the
organization’s risk management program.
o Explain the importance of a risk management program to health care
organizations.
Competency 5: Communicate in a manner that is scholarly, professional, and
respectful of the diversity, dignity, and integrity of others and is consistent with
the expectations for health care professionals.
o Use correct grammar, punctuation, and mechanics as expected of an
undergraduate learner.
o Writing adheres to APA formatting rules and APA writing style with
few or minor errors.
o
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View Rubric
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
Define key risk management terms.
view longer description
28 to >23.8 pts
Distinguished
Provides
comprehensive
definitions of key
risk management
terms. Includes
multiple examples,
specifics, and
references to the
professional
literature.
23.8 to >19.6 pts
Proficient
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
Defines key risk
management
terms.
19.6 to >0 pts
Basic
Attempts to define
key risk
management
terms; however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to define key risk
management
terms.
Describe the major risk categories in a health care organization, along with
their corresponding risk identification techniques.
view longer description
28 to >23.8 pts
Distinguished
Describes the
major risk
categories in a
health care
organization, along
with their
corresponding risk
identification
techniques.
Includes multiple
examples,
specifics, and
references to the
professional
literature.
23.8 to >19.6 pts
Proficient
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
Describes the
major risk
categories in a
health care
organization, along
with their
corresponding risk
identification
techniques.
19.6 to >0 pts
Basic
Attempts to
describe the major
risk categories in a
health care
organization, along
with their
corresponding risk
identification
techniques;
however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to describe the
major risk
categories in a
health care
organization, along
with their
corresponding risk
identification
techniques.
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
Analyze the risk manager’s role in effective management of the
organization’s risk management program.
view longer description
26 to >22.1 pts
Distinguished
Provides a
comprehensive,
accurate analysis
of the risk
manager’s role in
effective
management of the
organization’s risk
management
program. Includes
multiple examples,
specifics, and
references to the
professional
literature.
22.1 to >18.2 pts
Proficient
Analyzes the risk
manager’s role in
effective
management of the
organization’s risk
management
program.
18.2 to >0 pts
Basic
Attempts to
analyze the risk
manager’s role in
effective
management of the
organization’s risk
management
program; however,
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to analyze the risk
manager’s role in
effective
management of the
organization’s risk
management
program.
Provide an overview of the risk including a description of the risk,
implications to patients, employees, and organization if risk is not
addressed, and risk management strategies.
view longer description
26 to >22.1 pts
Distinguished
Provides a
comprehensive
overview of the
risk to include a
description of the
risk, implications
to patients,
employees, and
organization if risk
is not addressed,
and risk
management
strategies. Includes
multiple examples,
specifics, and
references to the
professional
literature.
22.1 to >18.2 pts
Proficient
Provides an
overview of the
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
risk to include a
description of the
risk, implications
to patients,
employees, and
organization if risk
is not addressed,
and risk
management
strategies.
18.2 to >0 pts
Basic
Provides an
incomplete
overview of the
risk missing one or
more of the
following: a
description of the
risk, implications
to patients,
employees, and
organization if risk
is not addressed,
and risk
management
strategies.
0 pts
Non-Performance
Does not provide
an overview of the
risk including a
description of the
risk, implications
to patients,
employees, and
organization if risk
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
is not addressed,
and risk
management
strategies.
Propose evidence-based risk management strategies and techniques to
identify and eliminate or reduce a particular risk.
view longer description
26 to >22.1 pts
Distinguished
Proposes multiple
evidence-based
risk management
strategies and
techniques to
identify and
eliminate or
reduce a particular
risk. Includes
multiple examples,
specifics, and
references to the
professional
literature.
22.1 to >18.2 pts
Proficient
Proposes
evidence-based
risk management
strategies and
techniques to
identify and
eliminate or
reduce a particular
risk.
18.2 to >0 pts
Basic
Attempts to
propose evidencebased risk
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
management
strategies and
techniques to
identify and
eliminate or
reduce a particular
risk, but
recommendations
are not always
evidence based or
appropriate for the
particular risk.
Omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to propose
evidence-based
risk management
strategies and
techniques to
identify and
eliminate or
reduce a particular
risk.
Explain the importance of a risk management program to health care
organizations.
view longer description
26 to >22.1 pts
Distinguished
Provides a
comprehensive
explanation of the
importance of a
risk management
program to health
care organizations.
Includes multiple
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
examples,
specifics, and
references to the
professional
literature.
22.1 to >18.2 pts
Proficient
Explains the
importance of a
risk management
program to health
care organizations.
18.2 to >0 pts
Basic
Attempts to
explain the
importance of a
risk management
program to health
care organizations;
however,
omissions and/or
errors exist.
0 pts
Non-Performance
Does not attempt
to explain the
importance of a
risk management
program to health
care organizations.
Use correct grammar, punctuation, and mechanics as expected of an
undergraduate learner.
view longer description
20 to >17 pts
Distinguished
Uses correct
grammar,
punctuation, and
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
mechanics beyond
what is expected of
an undergraduate
learner.
17 to >14 pts
Proficient
Uses correct
grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner.
14 to >0 pts
Basic
Uses correct
grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner, but with
some errors and
lapses.
0 pts
Non-Performance
Does not use
correct grammar,
punctuation, and
mechanics as
expected of an
undergraduate
learner.
Writing adheres to APA formatting rules and APA writing style with few or
minor errors.
view longer description
20 to >17 pts
Distinguished
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
[u04a1] Week 4 Assignment: Risk Management Policy and Procedure
Criteria
Ratings
Writing is
exemplary,
exhibiting strict
and nearly flawless
adherence to APA
formatting rules
and APA writing
style.
17 to >14 pts
Proficient
Writing adheres to
APA formatting
rules and APA
writing style with
few or minor
errors.
14 to >0 pts
Basic
Writing reflects
inconsistent use of
APA formatting
and APA writing
style.
0 pts
Non-Performance
Writing does not
adhere to APA
formatting and
APA writing style.
Total Points: 0