Risk Management Flashcards

1
Q

What is risk

A

Possibility of suffering loss or harm
A dangerous element or factor
Something or someone that creates a hazard - can be good too though

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2
Q

Risk management is what

A

Trying to avoid risk/harm
Identify, analyze/assess, and address potential risk or threats
Processes to avoid accidents, decrease liability when incidents occur and improve quality
Protects assets from loss

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3
Q

Goals of risk management

A

Meet requirements
Economic
Personal (your own safety and safety of everyone you serve)
Societal (provide quality care in safe manner)

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4
Q

Risk assessment - you are looking at

A

What can go wrong
What is the likelihood that it will go wrong
What are the consequences

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5
Q

Risk Assessment includes

A
Risk identification
Risk analysis 
Risk evaluation
Risk control - risk avoidance and control/manage risks
Constant monitoring 
Transfer risk
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6
Q

Risk Assessment includes - Risk identification

A

Identify possible risks that can happen - ways to identify:

Daily checks, pt surveys, audits

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7
Q

Risk Assessment includes - Risk analysis

A

Analyze each risk that you identified and determine how much risk is there
Look at all the processes you have in place - personnel, environment

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8
Q

Risk Assessment includes - Risk evaluation

A

Evaluate all the data and determine where you are at and where you need to be
Calculate the risk - compare the risk you identified to where you want to be

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9
Q

Risk Assessment includes - Risk Control

A

Avoidance - avoid that activity

Control/Manage - put something in place to prevent that risk from happening

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10
Q

Risk Assessment includes - Constant monitoring

A

Looking at policies and procedures and making sure that everyone understands them and that changes are being made as needed

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11
Q

Risk Assessment includes - Transfer the risk

A
Sharing the risk? 
Who shares in the risk of you treating somebody?
- Academic institution 
- Patient
- Physician
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12
Q

General and Medical Liability Insurance Carriers - includes what

A

Standards of care
Standards of practice
Performance improvement program
Risk management program

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13
Q

General and Medical Liability Insurance Carriers - Standards of care

A

Legal concept - are you doing what another prudent practitioner would be doing

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14
Q

General and Medical Liability Insurance Carriers - Standards of Practice

A

More of a regulatory concept - are you competent to provide those services

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15
Q

General and Medical Liability Insurance Carriers - Performance improvement program

A

Are you involved in any of these

Are you always trying to improve - con ed

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16
Q

General and Medical Liability Insurance Carriers - Risk management program

A

Do you have a risk management program in your clinic

Are you always trying to mitigate the risk

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17
Q

General and Medical Liability Insurance Carriers - Risk avoidance vs. Risk sharing

A
Avoidance = stay away from those activities 
Sharing = doing things to get rid of that risk (drivers ed, con ed)
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18
Q

General and Medical Liability Insurance Carriers - Two elements to identify potential issues

A

The things you do frequently or infrequently
The things that have high risk or low risk

Frequently tends to be a lower risk because you’ve been doing it longer and you learn from it each time

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19
Q

Areas of potential risk

A
Reputation
Human capital
Hazard
Market
Operations
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20
Q

Areas of potential risk - Reputation risks

A

Quality care
Communication
Personnel interactions
Confidentiality

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21
Q

Areas of potential risk - Reputation risks - Quality care

A

In PT practice your reputation could be tarnished providing quality care
Harder to come back from 1 bad pt experience than to build a new one

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22
Q

Areas of potential risk - Reputation risks - Communication

A

Communication with therapists and patient that gets back to the case manager for example

23
Q

Areas of potential risk - Reputation risks - Personnel interactions

A

Good repour with your patients - if something does go wrong, less likely to build up into anything

24
Q

Areas of potential risk - Reputation risks - Confidentiality

A

HIPPA - big reputation risk

If big enough can get into media

25
Q

Areas of potential risk - Human capital risks

A
Current job descriptions
Backup people for critical roles
Work force shortages
Hiring
Termination
Failure to perform - malpractice
26
Q

Areas of potential risk - Human capital risks - Current job descriptions

A

As a practitioner you need to ensure that you have current job descriptions
You are getting the right person for the job
Always have to keep it updated and will help with ADA too

27
Q

Areas of potential risk - Human capital risks - Backup people for critical roles

A

Especially with private practice - critical roles like billing and insurance
Need to have a back up to make sure that money comes into your practice if that person is out

28
Q

Areas of potential risk - Human capital risks - Work force shortages

A

You have 3 PTs out and lots and lots of pts
- PTs burn out, rushed will end up with dec quality care, pt outcomes not as good, unhappy employees - so what will you do for these kind of shortages

29
Q

Areas of potential risk - Human capital risks - Hiring

A

Need to check for accurate credentialing - background checks

30
Q

Areas of potential risk - Human capital risks - Termination

A

Lawsuit - unlawful termination - need to have policies and procedures in place and make sure you follow those consistently with everyone at termination

31
Q

Areas of potential risk - Human capital risks - Failure to perform - malpractice

A

As a practice owner, you have liability to what what your employees are doing

32
Q

Areas of potential risk - Hazard Risk

A

Dangers

Natural disasters (need to have plan in place)
Hazardous materials (identifying materials you and your employees are exposed to - mitigate the risk with education, material safety data sheet)
Handwashing - specific, maybe broader would just be infection control
33
Q

Areas of potential risk - Market Risk

A

Constituents you work with

Changes in target market - large employer charges insurance plan for rehab, change in referral base, population shift, technological advances
Cash flow

34
Q

Areas of potential risk - Operations

A

Operation day to day of your business

Clinical equipment/furnishings 
Environmental safety (ADA, liability)
Security and personal safety
Patient care safety 
Documentation (audits, medical records, other records)
35
Q

Malpractice

A

Type of negligence that pertains to professionals, specifically:
- failure to provide the degree of care required of a professional under the scope of license
- Resulting in injury, death or damage
Any health care professional can be sued

36
Q

How does a patient define malpractice

A

Their perception of wrong doing

Feel that something was done incorrectly or should have been done and wasn’t

37
Q

Elements of malpractice

A

Duty
Breach
Cause
Harm

38
Q

How can you prevent a pt feeling like some malpractice has gone on

A
Being upfront
Open communication
Tell the truth
Don't try to cover it up
Develop a good relationship
PT lawsuits are small % of healthcare lawsuits
39
Q

Incident reports - what is an incident

A

Any event that happens outside of the ordinary

40
Q

Incident reports - Report of an injury

A

Reporting on the event that happened

41
Q

Incident report is a report of

A

inappropriate action

Can be various types

42
Q

What is included on the report

A
The names of those involved, including witnesses
What occurred, When, and Where
Outcome of the occurrence
Action taken
Plan for follow up
43
Q

What is not included in the incident report

A

Interpretive information like the -
Cause of the occurrence
Corrective actions taken for the future

44
Q

Incident reports compliance

A

Incident reports depend on employees complying with the IR requirements (quality assurance program)

Not all actually report occurrences

45
Q

Types and causes of errors

A

Communication between providers
Education provided to pts, caregivers, other providers
Documentation of interventions
Supervision over pts, students, other providers
Tx providers
Inattentive blindness

46
Q

Types and causes of errors - Inattentive blindness

A

Capacity
Expectation
Mental workload

47
Q

Types and causes of errors - Inattentive blindness - Capacity

A

We have a certain capacity for how we practice - if it is hindered by lack of sleep, alcohol, or drugs - will set you up for attentiveness

48
Q

Types and causes of errors - Inattentive blindness - Expectation

A

If you are expecting something to happen

You took them up the stairs 4 times before and all was fine so you think this time will be too

49
Q

Types and causes of errors - Inattentive blindness - Mental workload

A

So much to do and you are multitasking and the pt gets injured

50
Q

Sentinel event

A

Incidences or occurrences that result in a death or serious physical or psychological injury
Event that occurs independently of a pt’s condition
Commonly reflects a hospital system and process deficiency, results in unnecessary outcome for patients

51
Q

Deposition

A

Testimony taken in writing under oath

52
Q

Risk management - things to remember

A

Remember the ounce of prevention adage
Be observant and pro active
Be aware of an always adhere to policies and procedures - 100% of the time
Accidents do happen
Respond swiftly and appropriately
Look upon accidents as opportunities to improve

53
Q

RM plan - potential components

A
Purpose
Authority and role of risk manager 
Scope - collaboration, P&P, liability exposures, influence 
Objectives
Components
54
Q

Practice risk management for your safe patient care

A

Be involved and proactive in your organizations quality initiatives

  • quality management
  • risk management
  • infection control
  • patient safety principles

Stay up to date
Be aware of the types and causes of errors