Term
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Definition
| process of ID'ing potential threats & taking action to avoid them |
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Term
| Categories of potential risk (5) |
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Definition
hazard
market
reputation
operations
human capital (HR) |
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Term
| Risk management professionals report to... |
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Definition
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Term
| Duties of risk managers (4) |
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Definition
control risks to minimize losses
create processes to avoid accidents
create processes to decr liability when accidents occur
reduce potential risks |
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Term
| Risk management axioms (9) |
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Definition
clean up, don't cover up
prevention rather than detection
inform before you perform
listen, listen, listen
no second chances
actions > words
golden rule
under promise, over deliver
follow-up & follow through |
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Term
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Definition
| natural disasters to property damage |
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Term
| Insurance for Hazard risks |
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Definition
commercial property and/or commercial general liability
(may need extra for hurricanes, fires, floods, etc) |
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Term
| Business interruption insurance (2) |
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Definition
covers losses while business is temporarily unable to operate (due to natural hazard)
may be available as rider to existing commercial property insurance |
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Term
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Definition
| changes/reductions in target market |
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Term
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Definition
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Term
| Insurance for Market risks |
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Definition
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Term
| Market Risks: possible revenue losses (5) |
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Definition
reduced insurer reimbursement
retirement/relocation of referring physician
population shift
community employers change health insurance
advances in medicine >> decr people needing rehab |
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Term
| Market Risks: Contingency plans (4) |
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Definition
diversification of services
collaborations c partnerships
participating c other healthcare providers
explore alternative sources of revenue |
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Term
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Definition
| stability of org's assets, resources, expenses |
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Term
| General financial principles to follow: (3) |
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Definition
use CPA firm
use sound accounting practices
teach staff to use clear policies for fee collection/bill payment |
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Term
| examples of Reputation risks (5) |
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Definition
poor pt outcomes
suspicious accounting practices
fraud
false advertising
unprofessional behavior |
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Term
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Definition
| risks relating to the way work is conducted; likely related to safety of workers/clients |
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Term
| Operation risks: categories (5) |
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Definition
clinical equipment
environmental safety
security & personal safety
pt care safety
documentation |
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Term
| Operational risks: clinical equipment (8) |
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Definition
regular maintenance
operation manuals conveniently available
use equipment as intended
NO temporary fixes
ergonomic analysis of work space
pre-use inspection of equipment
mental/physical fatigue
repetitive injuries |
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Term
| Operational risks: environmental safety bottom line |
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Definition
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Term
| Operational risks: environmental safety (6) |
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Definition
entryways/parking lots clear
floor coverings tightly adhered
immediate spill clean-up
stairways well-lit, non-slip
appropriate storage
fire alarms, extinguishers |
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Term
| Operational risks: Security & personal safety |
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Definition
building security (personal safety, belongings, inventory, property damage)
PROPERTY insurance |
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Term
| Operational risks: security & personal safety - ways to reduce risk (7) |
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Definition
have complete inventory
NO working alone
parking lots well-lit
keep staff alert to dangerous pts
have a plan to call for assistance
post emergency numbers
have first-aid kits |
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Term
| Operational risks: Pt care safety - areas in which to incr knowledge |
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Definition
meds
adverse side-effects
ID co-morbidities
CPR/AED certification |
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Term
| Operational Risks: Documentation = (3) |
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Definition
medical record
legal document
basis for planning pt care |
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Term
| Method of reinforcing good documentation principles |
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Definition
| implementation of peer-review program for auditing pt records |
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Term
| State/Fed regulates these aspects of records storage (2) |
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Definition
access
length of time to be stored |
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Term
| management of Human Capital Risks (7) |
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Definition
job descriptions
qualifications
duties
reporting relationships
quality performance
performance appraisals
back-up people |
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Term
| Human Capital Risks: categories (8) |
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Definition
work shortage
recruitment
hiring
at work
direction
pt rapport
professional development
termination of employment |
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Term
| T/F: Incident report is in the medical record |
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Definition
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Term
| Human Capital risks: risks associated c personnel = |
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Definition
| failure to perform professional duties (malpractice) |
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Term
| Malpractice covered by... |
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Definition
| professional liability insurance |
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Term
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Definition
| employers are responsible for actions of their employees |
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Term
| Harm that occurs during care that was delegated to others is the responsibility of... |
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Definition
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Term
| Factors in professional liability (2) |
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Definition
failure to perform professional duties (malpractice)
inappropriate direction/supervision of PTAs/supportive personnel |
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Term
| Most powerful risk management tool = |
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Definition
| establishing professional rapport c patients |
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Term
| Hints to establish patient rapport (3) |
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Definition
honesty
follow-up calls, and pt assurance that PT is available
explain that what pt is feeling is expected/normal |
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Term
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Definition
| unilat severance of a professional relationship |
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Term
| Professional development plans reduce human capital risk by... |
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Definition
| addressing specific goals/needs of each employee |
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Term
| Risk-identifying reviews should be performed at least every... |
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Definition
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Term
| Risk-identifying reviews: should include these steps (3) |
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Definition
documented
actions recommended
policies implemented |
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Term
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Definition
| death or serious injury has occurred |
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Term
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Definition
| anything not consistent c routine care or normal operations |
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Term
| Identification of sentinel event threats is dependent on... |
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Definition
| people reporting them ("whistle-blowers") |
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Term
| Who should complete incident report? |
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Definition
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Term
| Incident report submitted to... |
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Definition
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Term
| Most states protect incident report as part of _______ so people can use them s fear repercussions |
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Definition
| organization's quality assurance process |
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Term
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Definition
analyze data about risks >> arrive at root cause
determine alternatives and actions selected
find reliable info to support cause/effect relationships of risks ID'd & actions chosen |
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