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Hand Book of Risk Management

Hand Book of Risk Management

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risk management
risk management

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Published by: veerraju on Oct 27, 2009
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YNHH Risk Management Handbook-Contents file:///Pippin/Desktop%20Folder/risk/handbook/ rmh_handbook.htmlPage: 1
Handbook Contents Page | Risk Managment Home Page 
RISK MANAGEMENT HANDBOOK
YALE-NEW HAVEN HOSPITALYALE SCHOOL OF MEDICINE
Major Topics
Introduction What Is Risk Management ? Risk Management at Yale-New Haven Hospital Insurance Program at Yale Medical Center Overview of the Legal System Medical Record Documentation Incident Reporting The Physician - Patient Relationship Informed Consent Infectious Disease Control Confidentiality Patients' Rights January, 1997.Copyright 1997, Yale-New Haven Hospital and Yale University. All rights reserved.
Detailed Table of Contents
Introduction What Is Risk Management ? Risk Management at Yale-New Haven Hospital Insurance Program at Yale Medical Center Reporting Potential Claims/Lawsuits Overview of the Legal System The Civil Court System The Statute of Limitation The Summons and Complaint The Discovery Process Depositions and Interrogatories The Trial Federal and State Governmental Agencies Potential Legal Action Or Governmental Investigation Reporting professional Misconduct Medical Record Documentation Proper Documentation of the Medical Record What to Avoid in the Medical Record Docunmentation of Incidents and Unanticipated Patient Outcomes Frequently Asked Questions Regarding Medical Records Incident Reporting Quality Assurance Review and Analysis of Incident Reports The Physician - Patient Relationship Recommendations for a Healthy Physician - Patient Relationship Frequently Asked Questions Regarding The Physician - Patient Relationship 
 
YNHH Risk Management Handbook-Contents file:///Pippin/Desktop%20Folder/risk/handbook/ rmh_handbook.htmlPage: 2
Informed Consent What Is Informed Consent? What Information Should Be Discussed With The Patient During The InformedConsent Process? How Should The Informed Consent Process Be Documented In The MedicalRecord? The Consent Form Entries In The Medical Record When Is Informed Consent Not Required? Patient Advanced Directive Policies Do Not Resuscitate Orders Frequently Asked Questions Regarding Informed Consent Infectious Disease Control What goes in Red Bags ? What goes in Clear Bags ? What goes in a Sharps Container? Confidentiality Patients' Rights The Patient RepresentativeHandbook Contents Page | Risk Managment Home Page 
Introduction
Yale-New Haven Hospital and Yale School of Medicine comprise one of the preeminent medical centers in thenation. The institutions undertake to train medical professionals, advance medical science and improve thedelivery of health care. In addition, the hospital is committed to providing the best quality of care possible, aswell as the continuous assessment and improvement of the quality of care and services rendered to ourpatients. The risk management program at the hospital plays a crucial role in fulfilling these commitments.The goals of the overall risk management program are to identify areas of actual or potential risk, prevent, asmuch as possible, injuries to patients, visitors and employees, and to prevent or limit financial loss to thehospital and its staff. Financial loss can occur in a number of ways. From a risk management perspective, theprimary concerns are those financial losses associated with the inherent risks that exist in providing health careservices, which can result in a patient instituting a medical malpractice claim or lawsuit against the hospitaland/or a health care provider. The key element in the success of the risk management program in preventingand reducing these particular claims and associated financial losses, is the participation of physicians, nurses,other health care providers and hospital employees in implementing effective risk management strategies. Eachindividual must be committed to reducing risks.The purpose of this handbook is two-fold: 1) to provide information that addresses a number of themedical-legal and risk management issues encountered by physicians and other health care providers; and 2) toserve as an easily referenced resource for such information, supplementing additional information alsocontained in some of the hospital's administrative policy and procedure manuals. The intent in highlightingthese issues is to make all health care providers more aware of important opportunities they have to reduce therisks of injury to patients and others, reduce the risks of financial loss to the hospital and staff, and improvethe quality of care. Since these issues and related procedures may change over time, the hospital intends toperiodically update this handbook.
 
YNHH Risk Management Handbook-Contents file:///Pippin/Desktop%20Folder/risk/handbook/ rmh_handbook.htmlPage: 3
Handbook Contents Page | Risk Managment Home Page 
What is Risk Management ?
Risk management is a planned and systematic process to reduce and/or eliminate the probability that losses willoccur in a specific setting. It consists of three distinct, yet interrelated areas: 1) risk identification and lossprevention; 2) loss reduction; and 3) risk financing. To be most effective in the hospital setting, risk management involves a multidisciplinary and proactive approach.The first component involves those activities related to risk identification and loss prevention. Generally, theseactivities include the identification and correction of situations or problems which may give rise to events orincidents of potential liability for the hospital, its employees, physicians and other health care providers. Theseactivities are vital to successful risk management since in most cases, the cost of preventing a liability claim isfar less than the cost of resolving the claim after it occurs. Loss prevention activities also consist of theplanning and presentation of regular educational programs to clinical and administrative departments whichincludes:1.orientation of new employees including medical staff, residents and nurses;2.continuing education in the form of in-service programs regarding medical-legal and risk managementrelated subjects; and3.special seminars or conferences for target audiences in response to particular risk managementproblems.The second component involves loss reduction activities. Loss reduction includes those steps which are takenafter an event or incident occurs that are aimed at minimizing the adverse impact, financial or otherwise, of such an event or incident on the patient, the hospital and its staff. These loss reduction activities aremultifaceted and, depending on the facts and circumstances of the particular occurrence, include involvementand input from a number of the medical and administrative staff throughout the hospital. The foundation of aneffective loss reduction program includes procedures that identify and respond as soon as reasonably possibleto incidents which occur. In this way any adverse impact potentially resulting from the incident can be bestminimized. These activities include the hospital's management of professional and general liability claimsreported under its insurance program.The third component is risk financing, which involves the mechanisms utilized to ensure that there are adequatefinancial resources available to cover any potential liability situations, and includes the procurement of adequateliability insurance coverage at reasonable premiums to cover such losses. To respond to this need, the medicalcenter has developed a professional and general liability insurance program which provides coverage for"medical malpractice" and other types of negligence claims. Risk financing also involves the effectivenegotiation and use of indemnity provisions in hospital contracts to transfer liability risks to other partieswhenever possible.The hospital's risk management program primarily is administered by the Office of Legal Affairs in the areas of loss reduction and loss prevention. However, risk management at the hospital is a coordinated effortintegrating many administrative and clinical departments throughout the hospital. In particular, the hospital'sPatient Relations and its Quality Assurance Departments work closely with the Office of Legal Affairs in thehospital's overall risk management effort.

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