Risk management quality assurance

What is quality assurance?

defining, designing, assessing, monitoring and improving the quality of healthcare

What is a risk management program?

A well articulated and managed process that protects the best interests of your organization. Deals with safety and well

What does the risk management plan require?

a process with a clear purpose, reliable inputs and has well designed activities and value-added outputs

What does quality assurance programs use?

a quantities approach to gathering and generating statistics used to determine Areas of progress and deficiency

How is quality assurance performed (what is done to ensure quality assurance)?

accreditation, supervision, and others

What are quality assurance programs designed to do?

analyze health care requirements, ensure protocols are followed, audit systems, institute performance improvement plans for deficits

What step 4 - evaluate risk

based on priority risks identified management decides on appropriate risk response to avoid, accept, reduce, or share.

what is breach?

break of the dut, breach causes injury

what is step 5 - mitigate risk

depending on the risk response selected: identifies any gaps in risk management capabilities, improves those capabilities as necessary to implement the risk response, over time the efectiveness of risk mitigation activities should be monitored

How does quality assurance use a quantitative approach?

develop policy and procedure manuals, each compliance point in then associated with performance standard, performance improvement projects to bring the area into compliance

step 6- monitor risk

fixing the problems that you are having, come up with ways to fix the problem, aggregate information about risks and data is a dashboard or scorecard

What are the core principles of Quality Assurance?

focus on the client focus of systems and processes focus on measurement focus on teamwork

Management strategies

forms ( incident reports, repaid logs) checklists ( equipment safety and vehicle inspection) policies and procedures documentation strategies risk management tips safety questionnaires for each of the sports/activites

Focus on the system and processes means what?

how are services delivered and what are the key processes used? what is not permitted under these rules?

What is focusing on measurement?

how do we measure problems, quantitatively how do we look at programs and services.

The risk management process typically includes what steps?

identification sourcing measurement evaluation mitigation monitoring of risk

What are the parts of the risk management plan?

identify, evaluate, treat, monitor and continue cycle

What is step 3 - measure risk?

if you cant measure risk you cant manage it measurements methodologies may be simple and basic inability to measure risk does not make the problem go away.

What is malpractice?

illegal or immoral conduct disregarding rules or principles knowledge or skill unreasonable lack of skill in your profession

What is injury?

injury causes damages

What are some management tools?

law, insurance, sport functions, assessment, control, financing legal principles ( contract, statues, negligence) insurance claims/litigation processes local, state and industry regulations and restriction

The HEDIS tool does what?

measures performance on important dimensions of care and service looks at the rules, regulations, and standards to measure the care a person is getting

Focus on the client means what?

meet all expectations of the client

what is duty?

obligated to do something for the person

What happens during step 2 - source risk

once priority risks are identified they are traced to their root causes if management understands the drivers of risk it is easier to design risk metrics and proactive risk responses at the source.

Who is the quality assurance programs overseen by?

organization's medical director, and are run out of a dedicated department

Quality assurance definition

proactive response (care) makes sure that patients receive highest care possible

Risk Definition

probability or predictability that something will happen ( usually negative)

Risk Managment Definition

program that we put into place to identify and evaluate the risks ( general liability such are fire, theft, fraud)

What is negligence?

proper directions, inspection of area and equipment failure to do something that a resonable and prudent person would do

Why is there risk management?

reduce risk or performance variability to and acceptable level and prevent unwated surprises

What happens during step one ( Identifying Risk)

risk assessment process formulation effective risk responses risk assessment spans the entire organization identify impact, likelihood, velocity and persistence