Efnisyfirlit

• CONTENTS
• EXHIBITS, FIGURES, TABLES, AND, PHOTOS
• THE CONTRIBUTORS
• PREFACE
• ABOUT THIS BOOK
• CHAPTER 1: DEVELOPMENT OF A RISK MANAGEMENT PROGRAM
• LEARNING OBJECTIVES
• RISK MANAGEMENT PROGRAM DEVELOPMENT
• KEY STRUCTURAL ELEMENTS OF THE RISK MANAGEMENT PROGRAM
• SCOPE OF THE RISK MANAGEMENT PROGRAM
• THE RISK MANAGEMENT PROCESS
• EVOLUTION OF THE RISK MANAGEMENT PROGRAM
• SELECTING AN APPROPRIATE RISK MANAGEMENT PROGRAM STRUCTURE
• ASSESSING AREAS OF THE ORGANIZATION THAT NEED RISK MANAGEMENT
• KEY COMPONENTS FOR GETTING STARTED
• WRITING A RISK MANAGEMENT PROGRAM PLAN
• ACHIEVING PROGRAM ACCEPTANCE
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• CHAPTER 2: THE HEALTH CARE RISK MANAGEMENT PROFESSIONAL
• LEARNING OBJECTIVES
• THE RISK MANAGER’S JOB: FUNCTIONAL AREAS OF RESPONSIBILITY
• HEALTH CARE RISK MANAGEMENT ACROSS A SPECTRUM OF SETTINGS
• REQUIRED SKILLS FOR THE SUCCESSFUL HEALTH CARE RISK MANAGEMENT PROFESSIONAL
• RISK MANAGEMENT ETHICS
• A PROFILE OF THE HEALTH CARE RISK MANAGEMENT PROFESSIONAL
• EDUCATION AND PROFESSIONAL RECOGNITION PROGRAMS
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• CHAPTER 3: PATIENT SAFETY AND THE RISK MANAGEMENT PROFESSIONAL
• LEARNING OBJECTIVES
• THE SCOPE OF MEDICAL ERRORS
• SEEKING SOLUTIONS: WHAT ARE THE CAUSES OF MEDICAL ERRORS?
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READINGS
• CHAPTER 4: HEALTH CARE LEGAL CONCEPTS
• LEARNING OBJECTIVES
• LEGAL ISSUES COMMON TO ALL HEALTH CARE PROVIDERS
• LEGAL ISSUES RELATED TO SPECIFIC HEALTH CARE PROVIDERS
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• CHAPTER 5: GOVERNANCE OF THE HEALTH CARE ORGANIZATION
• LEARNING OBJECTIVES
• ESSENTIAL RESPONSIBILITIES OF THE HOSPITAL BOARD
• BASIC LEGAL DUTIES OF HEALTH CARE TRUSTEES
• LESSONS FROM THE PANEL ON THE NONPROFIT SECTOR
• FEDERAL SENTENCING GUIDELINES FOR ORGANIZATIONS
• THE SARBANES-OXLEY ACT OF 2002
• THE VOLUNTEER PROTECTION ACT OF 1997
• RISK MANAGEMENT AND THE BOARD
• THE MEDICAL STAFF, RISK MANAGEMENT, AND THE BOARD
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• CHAPTER 6: EARLY WARNING SYSTEMS FOR THE IDENTIFICATION OF ORGANIZATIONAL RISKS
• LEARNING OBJECTIVES
• EARLY IDENTIFICATION OF EXPOSURE TO LOSS
• FOOD AND DRUG ADMINISTRATION
• INSTITUTE FOR SAFE MEDICATION PRACTICES, UNITED STATES PHARMACOPEIA, AND NATIONAL COORDINATING COUNC
• MEDICAL EVENT REPORTING SYSTEM—TRANSFUSION MEDICINE
• INTENSIVE CARE UNIT SAFETY REPORTING SYSTEM
• PITTSBURGH REGIONAL HEALTHCARE INITIATIVE
• OTHER VOLUNTARY PROGRAMS
• STANDARDIZING A PATIENT SAFETY TAXONOMY: THE NATIONAL QUALITY FORUM
• PROTECTING SENSITIVE INFORMATION
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• CHAPTER 7: THE RISK MANAGEMENT PROFESSIONAL AND MEDICATION SAFETY
• LEARNING OBJECTIVES
• LATENT AND ACTIVE FAILURES
• SYSTEMS THINKING
• RISK MANAGEMENT: A PRIORITIZING APPROACH
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• CHAPTER 8: ETHICS IN PATIENT CARE
• LEARNING OBJECTIVES
• ETHICAL PRINCIPLES AND MORAL OBLIGATIONS
• RESEARCH
• INSTITUTIONAL REVIEW BOARDS
• PATIENT SELF-DETERMINATION ACT
• “DO NOT RESUSCITATE”: WITHHOLDING OR WITHDRAWING TREATMENT
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING AND RECOMMENDED WEB SITES
• CHAPTER 9: DOCUMENTATION AND THE MEDICAL RECORD
• LEARNING OBJECTIVES
• DOCUMENTATION
• RECORD RETENTION
• RELEASE OF RECORDS
• OWNERSHIP OF MEDICAL RECORDS
• MEDICAL RECORD AUDITS
• DOCUMENTATION AND RISK MANAGEMENT
• EMERGING RISK EXPOSURES
• THE RISK MANAGEMENT PROFESSIONAL’S ROLE
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING AND RECOMMENDED WEB SITES
• CHAPTER 10: STATUTES, STANDARDS, AND REGULATIONS
• LEARNING OBJECTIVES
• PATIENT CARE
• MEDICARE MODERNIZATION ACT
• MEDICAL STAFF
• LIFE SAFETY CODE
• FEDERAL HEALTH INSURANCE LAWS AND REGULATIONS
• TORT REFORM
• POLICY AND PROCEDURE MANUALS
• CASE LAW
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• CHAPTER 11: BASIC CLAIMS ADMINISTRATION
• LEARNING OBJECTIVES
• THE CLAIMS ENVIRONMENT
• THE CLAIMS PROCESS
• THE RISK MANAGEMENT PROFESSIONAL’S RESPONSIBILITIES
• REGULATORY REPORTING OF CLAIMS
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• CHAPTER 12: INTRODUCTION TO RISK FINANCING
• LEARNING OBJECTIVES
• RISK FINANCING IN THE CONTEXT OF THE RISK MANAGEMENT PROCESS
• RISK RETENTION
• SUMMARY
• KEY TERMS
• ACRONYMS
• SUGGESTED READING
• CHAPTER 13: INSURANCE: BASIC PRINCIPLES AND COVERAGES
• LEARNING OBJECTIVES
• DEFINITION OF INSURANCE
• SPECIFIC TYPES OF INSURANCE FOR THE HEALTH CARE INDUSTRY
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTE
• SUGGESTED READING
• CHAPTER 14: INFORMATION TECHNOLOGIES AND RISK MANAGEMENT
• LEARNING OBJECTIVES
• RISK MANAGEMENT INFORMATION NEEDS
• RISK MANAGEMENT INFORMATION SYSTEMS
• USING INFORMATION SYSTEMS TO GENERATE REPORTS
• INTEGRATING RISK MANAGEMENT, QUALITY ASSURANCE, AND PATIENT SAFETY
• ELECTRONIC MAIL
• INTERNET- AND WEB-BASED TECHNOLOGY
• PERSONAL HEALTH RECORD
• ELECTRONIC HEALTH RECORDS AND SYSTEMS
• CLINICAL INFORMATION SYSTEMS AND “SMART” TECHNOLOGIES
• INFRASTRUCTURE TECHNOLOGY
• POINT-OF-CARE TECHNOLOGY
• TELEMEDICINE
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• APPENDIX 14.1 IT GLOSSARY FOR RISK MANAGERS
• CHAPTER 15: RISK MANAGEMENT METRICS
• LEARNING OBJECTIVES
• BENCHMARKING DEFINED
• CLAIMS
• MEASURING CHANGE
• DEVELOPING NEW METRICS
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• CHAPTER 16: ACCREDITATION, LICENSURE, CERTIFICATION, AND SURVEYING BODIES
• LEARNING OBJECTIVES
• THE CONSUMER ERA OF HEALTH CARE
• WHAT THE HEALTH CARE RISK MANAGEMENT PROFESSIONAL NEEDS TO KNOW
• MANDATORY SURVEYING BODIES
• VOLUNTARY SURVEYING BODIES
• URAC
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• SUGGESTED READING
• APPENDIX 16.1 ACCREDITATION AND LICENSURE ORGANIZATIONS, SURVEYING BODIES, AND GOVERNMENT AGENCIES
• CHAPTER 17: EMERGENCY MANAGEMENT
• LEARNING OBJECTIVES
• THE STEPS OF EMERGENCY MANAGEMENT
• PREVENTION
• PLANNING AND PREPARATION
• IMPLEMENTATION AND RESPONSE
• RECOVERY
• SUMMARY
• ACRONYMS
• KEY TERMS
• NOTES
• RECOMMENDED WEB SITES
• CHAPTER 18: OCCUPATIONAL SAFETY, HEALTH, AND ENVIRONMENTAL IMPAIRMENT
• LEARNING OBJECTIVES
• ADMINISTRATIVE PROCEDURE ACT
• ADMINISTRATIVE ENFORCEMENT
• SPECIFIC OCCUPATIONAL SAFETY AND HEALTH ISSUES
• SUMMARY
• KEY TERMS
• ACRONYMS
• NOTES
• APPENDIX A: A RISK MANAGEMENT PROGRAM (EXAMPLE)
• POLICY
• PURPOSE
• AUTHORITY
• SCOPE
• PROGRAM ELEMENTS
• OBJECTIVES
• PROGRAM PLAN
• INTEGRATION WITH KEY ASPECTS OF OPERATIONS
• CONFIDENTIALITY
• EVALUATION OF THE RISK MANAGEMENT PROGRAM
• APPENDIX B: REQUEST FOR RECORDS FORM (EXAMPLE)
• APPENDIX C: A GUIDE TO MEDICAL TERMINOLOGY
• LEARNING OBJECTIVES
• HISTORY
• STRUCTURE OF MEDICAL TERMS
• SUFFIXES
• PREFIXES
• ROOT WORDS
• SINGULAR AND PLURAL FORMS
• ABBREVIATIONS AND ACRONYMS
• CONCLUSION
• GLOSSARY
• INDEX