Risk management in health care institutions : a strategic approach /
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| Author / Creator: | Kavaler, Florence. |
|---|---|
| Imprint: | Sudbury, Mass. : Jones and Bartlett Publishers, c1997. |
| Description: | xxvi, 370 p. : ill. ; 25 cm. |
| Language: | English |
| Subject: | |
| Format: | E-Resource Print Book |
| URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/2626753 |
Table of Contents:
- About the Authors
- Contributors
- Introduction to Second Edition--Risk Management
- Section 1. Introduction to Risk Management Strategy
- Chapter 1. Risk Management Dynamics
- Risk Management Defined
- Progressive Steps in the Risk Management Process
- Risk Management Activities
- Classification of Risk Liabilities
- Risk Red Flags
- Risk Management Tools
- Risk and Quality of Care
- Risk Management/Quality Assurance Functions and Activities
- Administration of Risk Management Programs
- Specific Risk Management Functions
- Toward the Future
- Chapter 2. Regulatory Environment: Standards and Risk Management
- A Standards Primer
- Promulgation and Implementation of Standards
- Legal Standards
- Federal Mandates
- State Legislation and Regulations
- State-Mandated Risk Management Legislation
- Local City and County Legislation Controls
- Reimbursement Requirements
- False Claims
- Practice Guidelines
- Ignorance of the Law Is No Excuse
- Chapter 3. Identifying and Controlling Risks as an Employer
- Wrongful Dismissal or Discharge
- Discrimination Law
- Affirmative Action
- Sexual Harassment
- AIDS and the Health Care Workplace
- Workers' Compensation
- Employee Assistance Programs
- Americans with Disabilities Act
- Telecommuting
- Downsizing
- Retaliation and Whistleblowing
- Co-Employment
- Violence in the Workplace: Background Checks
- Mandatory Arbitration
- Enhancing Employee Satisfaction
- Chapter 4. Patient/Consumer Communications to Reduce Risk
- A New Age in Health Care
- Why Do Patients/Customers Sue?
- Observe, Listen, and Communicate
- Consent, Informed or Otherwise
- Traditional Patient Education
- Satisfying the Patient Stops the Suits
- Patient Expectations and Patient Satisfaction
- Grading Health Care: Consumer Report Cards
- Information Technology
- Strategic Caveat
- Chapter 5. Financing of Risk and Insurance
- Options in Implementing a Plan
- Insurance Options Based on Premium Size
- Considerations in Choosing an Alternative Insurance Program
- Choosing a Third-Party Administrator
- Structure of Risk Exposure Management
- Protection for a Rainy Day
- Section 2. General Risk Management Strategies
- Chapter 6. Total Quality Management, Continuous Quality/Process Improvement, and Evaluation of the Risk Management Program
- Medical Injuries Are Neither New Nor Uncommon
- Injuries and Lawsuits
- An Ounce of Prevention
- The Challenge of Prediction
- Statistical Predictive Models
- Effectiveness of Risk Management
- Risk Management Process
- Quality Management
- Total Quality Management
- Barriers to Quality Management Initiatives
- Continuous Quality/Process Improvement
- Tools for Evaluation: Root Cause Analysis and Failure Mode, Effect, and Criticality Analysis
- A Focus on the Customer Is Vital
- The Patient Was Right!
- A Sampling of Potential Risk Management CQI Projects
- QIT Risk Management Examples
- CQI and Labor Relations
- Benchmarking Comparisons
- Medical Error Reduction
- Program Evaluation Issues and Methods
- External Evaluation
- Risk Management Self-Assessment Manual
- Depositions
- Evaluation Is an Appraisal
- Chapter 7. Ethical Issues for Risk Managers
- Ethical Guidelines for Risk Managers
- Ethical Standards
- Code of Ethics
- Confidentiality and Ethics
- Informed Consent
- Decisional Capacity to Weigh Risks
- Clinical Applications of Ethics
- Research on Human Subjects
- Ethics Committees
- Ethics Are Not Just Values
- Chapter 8. Assuring Safety and Security in Health Care Institutions
- Infection Control
- Indoor Air Pollution
- Employee Health Intervention Strategies
- Emergency Situations
- Fire Prevention
- Emergency Preparedness and Disaster Planning
- Safe Environment
- Violence on the Job
- Protecting Patient Valuables
- Criminal Behavior
- Securing Information Systems
- Proactive Security Departments
- Technology Enhanced Security
- Safety and Security in Ounces and Pounds
- Section 3. Specific Strategies for Specific Risk Areas
- Chapter 9. A Primer on Medical Malpractice
- A Science of Mistakes
- Medical Malpractice Law--In Brief
- Negligence
- Medical Malpractice
- Physician-Patient Relationship
- Duty to Perform Professionally
- Additional Theories of Liability
- Hospital Liability for Medical Malpractice
- Hospital Liability Regarding Staff Privileges
- Liability Theories Apart from Medical Negligence
- Types of Damages
- Statutes of Limitation
- The Most Common and Most Expensive Malpractice Allegations
- Obstetricians Under Fire
- Risk Management Issues in Professional Liability Litigation
- Chapter 10. Strategies to Reduce Liability: Managing Physicians and Litigation Alternatives
- Professional Practice Acts
- Federation of State Medical Boards
- National Practitioner Data Bank
- Clinical Practice Guidelines
- Peer Review
- Liability Alternatives: Tort Reform and Nonjudicial Proposals
- Removing Malpractice Litigation from Judicial Systems
- No-Fault Proposals
- To Tort or Not to Tort
- Proactive Liability Reduction
- Chapter 11. Risk Management in Psychiatry
- Informed Consent
- Right to Treatment
- Right to Refuse Treatment
- Clinical Risks in Psychiatry
- Confidentiality and Stigma
- High-Risk Incidents
- Fraud and Abuse
- Psychiatric Concerns Are Everywhere
- Chapter 12. Identifying and Controlling Risks in Long Term Care: Nursing Homes and Home Health Care
- Demographics of Long Term Care
- Long Term Care Providers
- Long Term Care Regulations
- Management of Residents
- A Portrait of Physiological Aging
- Elder Abuse and Violence
- Employee Risks
- Subacute Care
- Home Health Care
- Regulation of Home Health Care
- Who Receives Home Health Care?
- Patient Management
- Home Health Care Employees
- Hospice Care
- Growing Industry, Growing Risks
- Chapter 13. Risk Management in Selected High Risk Hospital Departments
- Emergency Medicine
- Obstetrics and Neonatology
- Surgery and Anesthesia
- Chapter 14. Risk Management in Managed Care Organizations
- Introduction
- Pressures on MCOs
- Public Perception of MCOs and Litigation
- MCO Structure and Liability
- Models of MCOs
- Statutes and Administrative Regulations
- Theories of MCO Liability Other than Negligence
- Statutory Liability
- Corporate Negligence
- Vicarious Liability
- MCO Defense
- MCO Crystal Ball Gazing
- Chapter 15. Integrated Health Care Delivery Systems
- Overview of Integrated Networks
- Risk Management Issues, Challenges, and Solutions
- Legal Issues
- Areas of Liability Exposure
- Additional Legal Issues
- Afloat in Uncharted Waters
- Index
