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4) PT Admin > 12) Risk Management > Flashcards

12) Risk Management Flashcards

1
Q

What is the key for successful risk management?

A

Thinking beyond the obvious

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2
Q

What should you do when you suspect a professional litigator?

A
  • Keep them under your radar
  • Keep meticulous documentation of their behaviors, subjective comments, etc
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3
Q

Malpractice

A

The liability of the PT for pt injury caused by professional negligence, breach of contratual promise regarding tx, or dangerously defective tx products/modalities

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4
Q

What does practicing defensive medicine do?

A

Incr your risk of malpractice

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5
Q

What is not good about non-disclosure?

A

It provides vague or deliberately misleading info

  • Doing this is inconsistant w/the PT-pt relationship and the truth that pt’s expect as well as paternalistic
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6
Q

What skills should you demonstrate to avoid/decr litigations?

A
  • Good communication skills
  • Knowledge
  • Technical (hands-on) abilities
  • Attitudes that engender respect
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7
Q

What do pt’s typically use to make a decision to sue?

A
  • Poor communication
  • Poor PT-pt relationship
  • Insensitive handling
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8
Q

Sorry Works Initiative

A

Truthfulness if something goes wrong

  • Encompasses veracity
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9
Q

Why does the field of PT tend to have low malpractice rates?

A
  • Good relationships/communication w/pt’s
  • Direct supervision
  • Truthfulness
  • Deeper pockets to go after
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10
Q

When determining the best way to protect yourself from malpractice, what should you analyze?

A
  • # of claims
  • Cost of idemnity and fees
  • Your geography
  • Primary clinical reasons for litigations
  • Primary/supervisory reasons
  • Most severe claims
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11
Q

What setting gets the highest litigation payouts?

A

Nursing homes

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12
Q

What are the qualities of claims with the highest paid idemnity?

A
  • Failure to report the pt’s condition to their PCP
  • Failure to follow established policy
  • Failure to complete a proper pt assessment
  • Failure to refer out
  • Working out of scope
  • Improper positioning
  • Injury
  • Retained foreign body
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13
Q

What is included in risk management?

A
  • Quality improvement
  • Personnel effectiveness
  • Infection control
  • Pt and staff safety
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14
Q

Risk Management

A

The process of identifying liability risks and taking steps to decr potential risks

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15
Q

What does every malpractice case begin with?

A

A personal issue

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16
Q

What should you do to decr risk of a lawsuit?

A
  • Do ongoing training programs
    • Have knowledge of state practice act
    • Staff orientation → Negligence if you don’t
    • Documentation
    • Professional Association Membership
  • Follow policies and procedures
    • Access to them
    • Staff performance evals
      • Plan for individual devo
      • Remediate weaknesses
      • Have organized systems for quality improvement
  • Proficiencies and competancies
    • Regular demonstration of basic essential skills
    • CE
17
Q

Application Process

A

Submitting a complete application regardless of the position

  • References checked and documented
  • Background check
  • Verify that the person is qualified
18
Q

What are some administrative challenges?

A
  • Demonstrating ongoing devo of staff and programs
    • Infection control procedures
    • Pt/Staff safety programs
    • Encourage EBP
    • Monitor quality of care
    • Implement a quality improvement protocol
19
Q

What is the acronym for dealing with administrative challenges?

A

FADE

  • FOCUS ID what needs to be improved
  • ANALYZE Analyze info and establish baselines/solutions
  • DEVO Devo action plans
  • EXECUTE Do the plan
20
Q

What are some quality improvement models?

A
  • Plan, Do, Study, ACT (PDSA)
  • Define, Measure, Analyze, Improve, Control (DMAIC)
  • Define, Measure, Analyze, Design, Verify (DMADV)
  • Continuous Quality Improvement (CQI)
  • Total Quality Management (TQM)
21
Q

How can you ensure a safe environment for pt’s and staff?

A
  • Make sure employees are qualified
  • Have accessible space that is free of obstructions
  • Eliminate infection
  • Make sure equipment is safe and fxnl and do regular safety checks
22
Q

What are some areas of clinical risk?

A
  • Burns
  • Fx
  • Failure to supervise tx/procedures
  • Perception of inappropriate behavior by PT
  • Collaborative and Referral Relationships
23
Q

What are the rules for informed consent?

A
  • Comply w/state laws
  • Ensure pt’s awareness of the PT dx and clinical findings as they relate to the POC
  • Discuss risk/benefits to the proposed POC
  • Discuss harm associated w/pt not following the POC
  • Get pt’s signature after they’ve had their questions answered
  • Adhere to standards when pt is involved w/research
  • Maintain copies of all consent
24
Q

What supports you in litigations?

A

Documentation

25
Q

True or False: If you’re documenting w/a standardized form and you leave something blank, it looks shady?

A

True

26
Q

What are some guidelines for pt communication?

A
  • Use interview and listening skills to get info about pt
  • Explain POC to pt and ensure their understanding
  • Devo pt-stated goals and document them
  • Document results of discussions
27
Q

What are some guidelines for reimbursement?

A
  • Discuss and document costs/fees of PT w/pt
  • Make sure pt knows that insurance doesn’t always cover everything
  • Make sure pt knows they’re responsible for things that insurance doesn’t cover
28
Q

Alternate Dispute of Resolution

A

Govt entity that deals w/billing disputes

29
Q

What are some guidelines for release of info?

A
  • Release info only w/appropriate authorization
  • Follow HIPPA, state regs, and FERPA
  • Designate one individual to review records prior to release
  • The day a pt turns 18, get their consent! (Otherwise tx is illegal)
30
Q

Who should you notify if you’re anticipating a litigation?

A

Your Insurance Broker

31
Q

How long should you hang on to copies of documentation?

A

At least the statute of limitations or 5yrs from d/c date

32
Q

How long should you hang on to documentation for the tx of a minor?

A

Until 3yrs after they reach the age of majority

4) PT Admin (23 decks)

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