Risk management in health care institutions : a strategic approach /
Florence Kavaler, Allen D. Spiegel.
2nd ed.
Boston : Jones and Bartlett Publishers, c2003.
xxviii, 444 p. : ill. ; 23 cm.
0763723142, 9780763723149
More Details
added author
Boston : Jones and Bartlett Publishers, c2003.
catalogue key
Includes bibliographical references and index.
A Look Inside
This item was reviewed in:
SciTech Book News, June 2003
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Main Description
Risk management for health care institutions involves the protection of the assets of the organizations, agencies, and individual providers from liability. A strategic approach can result in significant cost savings. Risk Management in Health Care Institutions: A Strategic Approach offers governing boards, chief executive officers, administrators, and health profession students the opportunity to organize and devise a successful risk management program. Experts in risk management have contributed comprehensive, up-to-date syntheses of relevant topics to assist with practical risk management strategies.
Table of Contents
About the Authorsp. xix
Contributorsp. xxi
Introduction to Second Edition--Risk Managementp. xxv
Introduction to Risk Management Strategy
Risk Management Dynamicsp. 3
Risk Management Definedp. 3
Progressive Steps in the Risk Management Processp. 4
Risk Management Activitiesp. 8
Classification of Risk Liabilitiesp. 9
Risk Red Flagsp. 10
Risk Management Toolsp. 11
Risk and Quality of Carep. 13
Risk Management/Quality Assurance Functions and Activitiesp. 14
Administration of Risk Management Programsp. 14
Specific Risk Management Functionsp. 18
Toward the Futurep. 26
Regulatory Environment: Standards and Risk Managementp. 29
A Standards Primerp. 29
Promulgation and Implementation of Standardsp. 30
Legal Standardsp. 30
Federal Mandatesp. 30
State Legislation and Regulationsp. 42
State-Mandated Risk Management Legislationp. 43
Local City and County Legislation Controlsp. 47
Reimbursement Requirementsp. 48
False Claimsp. 49
Practice Guidelinesp. 50
Ignorance of the Law Is No Excusep. 52
Identifying and Controlling Risks as an Employerp. 57
Wrongful Dismissal or Dischargep. 57
Discrimination Lawp. 60
Affirmative Actionp. 63
Sexual Harassmentp. 64
AIDS and the Health Care Workplacep. 67
Workers' Compensationp. 69
Employee Assistance Programsp. 73
Americans with Disabilities Actp. 74
Telecommutingp. 78
Downsizingp. 78
Retaliation and Whistleblowingp. 79
Co-Employmentp. 79
Violence in the Workplace: Background Checksp. 80
Mandatory Arbitrationp. 81
Enhancing Employee Satisfactionp. 82
Patient/Consumer Communications to Reduce Riskp. 91
A New Age in Health Carep. 91
Why Do Patients/Customers Sue?p. 92
Observe, Listen, and Communicatep. 93
Consent, Informed or Otherwisep. 96
Traditional Patient Educationp. 99
Satisfying the Patient Stops the Suitsp. 101
Patient Expectations and Patient Satisfactionp. 102
Grading Health Care: Consumer Report Cardsp. 105
Information Technologyp. 107
Strategic Caveatp. 108
Financing of Risk and Insurancep. 113
Options in Implementing a Planp. 117
Insurance Options Based on Premium Sizep. 118
Considerations in Choosing an Alternative Insurance Programp. 120
Choosing a Third-Party Administratorp. 120
Structure of Risk Exposure Managementp. 121
Protection for a Rainy Dayp. 130
General Risk Management Strategies
Total Quality Management, Continuous Quality/Process Improvement, and Evaluation of the Risk Management Programp. 133
Medical Injuries Are Neither New Nor Uncommonp. 133
Injuries and Lawsuitsp. 134
An Ounce of Preventionp. 134
The Challenge of Predictionp. 134
Statistical Predictive Modelsp. 135
Effectiveness of Risk Managementp. 136
Risk Management Processp. 136
Quality Managementp. 137
Total Quality Managementp. 138
Barriers to Quality Management Initiativesp. 138
Continuous Quality/Process Improvementp. 139
Tools for Evaluation: Root Cause Analysis and Failure Mode, Effect, and Criticality Analysisp. 139
A Focus on the Customer Is Vitalp. 141
The Patient Was Right!p. 144
A Sampling of Potential Risk Management CQI Projectsp. 144
QIT Risk Management Examplesp. 145
CQI and Labor Relationsp. 145
Benchmarking Comparisonsp. 147
Medical Error Reductionp. 147
Program Evaluation Issues and Methodsp. 148
External Evaluationp. 149
Risk Management Self-Assessment Manualp. 154
Depositionsp. 154
Evaluation Is an Appraisalp. 155
Ethical Issues for Risk Managersp. 161
Ethical Guidelines for Risk Managersp. 161
Ethical Standardsp. 163
Code of Ethicsp. 164
Confidentiality and Ethicsp. 164
Informed Consentp. 165
Decisional Capacity to Weigh Risksp. 166
Clinical Applications of Ethicsp. 167
Research on Human Subjectsp. 176
Ethics Committeesp. 180
Ethics Are Not Just Valuesp. 182
Assuring Safety and Security in Health Care Institutionsp. 187
Infection Controlp. 189
Indoor Air Pollutionp. 190
Employee Health Intervention Strategiesp. 192
Emergency Situationsp. 192
Fire Preventionp. 192
Emergency Preparedness and Disaster Planningp. 194
Safe Environmentp. 195
Violence on the Jobp. 198
Protecting Patient Valuablesp. 202
Criminal Behaviorp. 203
Securing Information Systemsp. 206
Proactive Security Departmentsp. 208
Technology Enhanced Securityp. 210
Safety and Security in Ounces and Poundsp. 211
Specific Strategies for Specific Risk Areas
A Primer on Medical Malpracticep. 215
A Science of Mistakesp. 215
Medical Malpractice Law--In Briefp. 217
Negligencep. 217
Medical Malpracticep. 219
Physician-Patient Relationshipp. 220
Duty to Perform Professionallyp. 220
Additional Theories of Liabilityp. 222
Hospital Liability for Medical Malpracticep. 223
Hospital Liability Regarding Staff Privilegesp. 226
Liability Theories Apart from Medical Negligencep. 227
Types of Damagesp. 228
Statutes of Limitationp. 228
The Most Common and Most Expensive Malpractice Allegationsp. 229
Obstetricians Under Firep. 234
Risk Management Issues in Professional Liability Litigationp. 235
Strategies to Reduce Liability: Managing Physicians and Litigation Alternativesp. 241
Professional Practice Actsp. 241
Federation of State Medical Boardsp. 245
National Practitioner Data Bankp. 246
Clinical Practice Guidelinesp. 248
Peer Reviewp. 254
Liability Alternatives: Tort Reform and Nonjudicial Proposalsp. 258
Removing Malpractice Litigation from Judicial Systemsp. 261
No-Fault Proposalsp. 262
To Tort or Not to Tortp. 264
Proactive Liability Reductionp. 265
Risk Management in Psychiatryp. 269
Informed Consentp. 269
Right to Treatmentp. 271
Right to Refuse Treatmentp. 274
Clinical Risks in Psychiatryp. 275
Confidentiality and Stigmap. 283
High-Risk Incidentsp. 285
Fraud and Abusep. 290
Psychiatric Concerns Are Everywherep. 291
Identifying and Controlling Risks in Long Term Care: Nursing Homes and Home Health Carep. 297
Demographics of Long Term Carep. 298
Long Term Care Providersp. 299
Long Term Care Regulationsp. 299
Management of Residentsp. 300
A Portrait of Physiological Agingp. 301
Elder Abuse and Violencep. 309
Employee Risksp. 310
Subacute Carep. 311
Home Health Carep. 312
Regulation of Home Health Carep. 313
Who Receives Home Health Care?p. 314
Patient Managementp. 314
Home Health Care Employeesp. 318
Hospice Carep. 320
Growing Industry, Growing Risksp. 320
Risk Management in Selected High Risk Hospital Departmentsp. 325
Emergency Medicinep. 326
Obstetrics and Neonatologyp. 333
Surgery and Anesthesiap. 350
Risk Management in Managed Care Organizationsp. 365
Introductionp. 365
Pressures on MCOsp. 365
Public Perception of MCOs and Litigationp. 366
MCO Structure and Liabilityp. 366
Models of MCOsp. 367
Statutes and Administrative Regulationsp. 369
Theories of MCO Liability Other than Negligencep. 372
Statutory Liabilityp. 376
Corporate Negligencep. 380
Vicarious Liabilityp. 388
MCO Defensep. 392
MCO Crystal Ball Gazingp. 398
Integrated Health Care Delivery Systemsp. 403
Overview of Integrated Networksp. 403
Risk Management Issues, Challenges, and Solutionsp. 405
Legal Issuesp. 411
Areas of Liability Exposurep. 411
Additional Legal Issuesp. 413
Afloat in Uncharted Watersp. 416
Indexp. 419
Table of Contents provided by Rittenhouse. All Rights Reserved.

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