Risk Management Program Analysis
Risk Management Program Analysis
Risk management is an important aspect of all healthcare organizations (Alam, 2016). The possibility of future uncertainty from expected results is high in healthcare facilities because of the diversity of its services. The healthcare industry is an important and essential industry in any community and should be well managed to be able to provide its services to the public. Risks affect the financial status of organizations and that is why it is important to incorporate risk management programs in organizations (Alam, 2016).
Risk management is important in healthcare organizations in planning for their future objectives. Some of the risks in healthcare organizations include risks associated with patients, healthcare staff, and the healthcare facility (Alam, 2016). Healthcare organizations should invest in qualified and experienced risk managers to minimize the associated risks. The healthcare risk manager’s roles are to assess, come up with programs and strategies on how to address exposure to certain risks, implement the plan, and provide oversight and monitoring services of the risk management plan (Alam, 2016).
Total Quality Management
Total Quality Management is a risk management system, which involves all staff members of an organization in maintaining high working standards in all areas of the organization (Kiran, 2016). Total Quality Management is one of the risk management programs, which can guarantee better and improved outcomes in a healthcare organization. This is important especially in achieving an organization’s long-term plans and management of any associated risks (Kiran, 2016). When each staff member performs his/her duties and responsibilities at a satisfactory level, all processes will be improved leading to improved healthcare service delivery (Kiran, 2016).
An organization’s performance is a result of all members’ performance and through Total Quality Management, which involves all members of an organization, it will lead to an organization’s success (Kiran, 2016). Through total quality risk management, errors related to healthcare professionals will be identified and addressed and will not be able to affect the patients. TQM programs will help detect potential risks that a healthcare organization is likely to encounter and provide early interventions before the risks have negatively affected the organization (Kiran, 2016).
Description of the Recommended Administrative Steps and Processes in a Typical Health Care Organization Risk Management Program Contrasted With the Administrative Steps and Processes You Can Identify In Total Quality Management
Healthcare facilities consist of many diverse units, which include the outpatient department, intensive care unit, and emergency departments. The high-risk departments should be identified. Any risks in any department can affect the overall goals and objectives of the health facility. Establishing which areas are likely to be exposed to risks will enable early detection and strategies can be implemented to prevent such risks from spreading to other departments and cause more harm (Kiritharan, 2013).
This is the process of identifying the possible risks associated with the high-risk departments (Kiritharan, 2013). Healthcare staff members are also informed of the identified risks. Identification of risks can be done through engagements with healthcare professionals in the specific departments or through patients who have undergone certain healthcare processes. These patients will have experience on any health risk that they have encountered and since the provision of quality healthcare services to patients is the main goal of healthcare facilities, it is important that patients share their views and experiences to the management to help determine any risk factors identified (Kiritharan, 2013). Reports from external agencies can also be used to identify associated risks.
Risk analysis and evaluation
Risk analysis involves a process of determining different aspects of the associated risk, which include the level of the risk in the healthcare organization, the causes of the risk, and the available control measures (Kiran, 2016). Integrated TQM programs can be used to minimize the impact of the risk. Qualified and experienced personnel through the risk analysis can detect the possibility of the risk reoccurring in the future. This will be based on the effectiveness of the TQM system if implemented and monitored. Risk evaluation is done to determine what risks are of high importance and how to mitigate the risks depending on their severity (Kiran, 2016).
These include mitigation processes of the risks. The risks can be either completely addressed or reduced (Kiran, 2016). Risk treatment requires resources from the organization, implemented strategies, and a timeframe. TQM is one of the best mitigation strategies of risks as this system is incorporated in the organization’s system and every staff member is involved in the process (Kiran, 2016). TQM provides prevention mechanisms of risks by preventing mistakes from occurring, as every member is involved in the process. Mistakes are detected early before they proceed to the next stage and affect the total outcome (Kiran, 2016).
Key Agencies and Organizations That Regulate the Administration of Safe Health Care and the Roles Each Play In the Risk Management Oversight Process
Centers for Medicare and Medicaid (CMS)
Centers for Medicare and Medicaid is a federal agency responsible for overseeing most of the health care regulations by providing government subsidized medical coverage through health programs for the elderly, low-income families, and insurance to young children under the age of nineteen (Obicci, 2017). The Centers for Medicare and Medicaid agency work with state governments in the United States in ensuring quality standards of healthcare across America. Centers for Medicare and Medicaid conduct surveys and provides healthcare improvements to be implemented in all health facilities which is a risk management oversight process. Centers for Medicare and Medicaid also play an important role in ensuring that healthcare facilities comply with the healthcare insurance and accountability act, which aims at reduction of medical costs to patients and improving the quality of healthcare services (Obicci, 2017).
The Agency for Healthcare Research and Quality (AHRQ)
The Agency for Healthcare Research and Quality is also a government agency and its major role is improving the quality of health care, ensuring that patients are safe, and a reduction of healthcare organizations’ medical errors, which may affect patient outcomes (Obicci, 2017). The Agency for Healthcare Research and Quality also ensures that health care is affordable and more accessible to the citizens of America. Through these key implementations, risk factors will be reduced and health care service delivery system improved (Obicci, 2017).
Evaluation of the TQM Plan Regarding Compliance with the American Society of Healthcare Risk Management (ASHRM) Standards Relevant To Privacy, Health Care Worker Safety, and Patient Safety
American Society of Healthcare Risk Management main agenda is advancing safe and trusted healthcare through risk management programs (Yeomans, 2016). These programs aim at ensuring patient safety, reduce uncertainty, and maximize value through the management of risk factors across the healthcare organization (Yeomans, 2016). Total quality risk management aims at changing the whole organization to increase patient safety, reduce uncertainty, and maximize positive patient outcomes (Yeomans, 2016). Through the improvement of processes and services of each staff member, the health worker safety will also improve leading to a better performance of roles and duties.
Proposed Recommendations or Changes You Would Make To Your Selected Risk Management Program Example to Enhance, Improve, Or To Secure Compliance Standards
Changes that can be implemented on Total Quality Risk Management to improve its effectiveness and compliance standards include good leadership in the implementation process (Kiran, 2016). Any risk management process requires good leadership and commitment to ensure that objectives are achieved. This can be provided by experts and qualified personnel to direct its implementation. The monitoring and control systems should also be improved to avoid reoccurrence of certain risks. Monitoring provides a good analysis of the effectiveness of a strategy and any failures can be detected and proper measures taken (Kiran, 2016).
Risk management is important in any healthcare organization to detect any associated risks early in advance and carry out mitigation strategies to address the risks before they spread to other departments and cause more harm (Kiran, 2016). Healthcare facilities play an important role in the provision of healthcare services to the public and should focus on strategies to provide quality healthcare services and risk management is one method to ensure quality provision of healthcare services. Due to the diverse healthcare services, measures to address any risks in the diverse departments should be implemented to ensure smooth service operations (Kiran, 2016).
Alam, A. Y. (2016). Steps in the Process of Risk Management in Healthcare. Journal of Epidemiology Preventive Medicine 2(2), 118-126.
Kiran, D. R. (2016). Total Quality Management: Key Concepts and Case Studies. Kidlington, Oxford: Elsevier Ltd.
Kiritharan, G. (2013). Total Quality Management A System to Implement. New Delhi, India: UBS Publishers’ Distributors.
Obicci, P. A. (2017). Risk management strategies in public-private partnerships. Hershey, PA: IGI Global.
Yeomans, D. (2016). Passing the risk management professional (PMI-RMP) certification exam the first time! second edition. S.l.: Dog Ear Publishing.