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Healthcare Risk Management

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  • Top metrics to follow in risk management

    The metrics tracked in your risk management program will vary according to your own needs and concerns, but this list of commonly applicable and useful metrics comes from Alan Rosenstein, MD, medical director of Physician Wellness Services, a consulting company based in Minneapolis:
  • Be wary of legal issues related to metrics

    As good as metrics and dashboards can be for a risk management program, they can bring legal risks if not handled properly, cautions Ari Markenson, JD, MPH, an attorney with the law firm of Benesch Friedlander Coplan & Aronoff in White Plains, NY.
  • Court ruling limits demands for records

    The Appellate Division of New Jersey has delivered a resounding victory to the provider community, protecting them from endless and harassing requests for confidential business information while "investigating" whether providers should receive payment for services.
  • Court: Provider doesn't have to hand over records

    The ruling in Selective Insurance Company v Hudson East Pain Management, Docket No. A-0433-09T1, makes clear that health care providers can sometimes say no when insurers demand records.
  • RI fines hospital for alleged errors

    The Rhode Island Department of Health is fining Rhode Island Hospital in Providence $300,000 for what the state says is a pattern of significant surgical errors.
  • Alleged Failure to Recognize and Restrain Patient that Presented Elopement Risk Leads to $900,000 Settlement

    An 88-year-old woman was taken to a local hospital after being found sitting outside her son's home, apparently confused. She was then transferred to a nursing facility, where she was diagnosed with altered levels of consciousness and inability to perform activities of daily living. The woman was again admitted to the hospital and fitted with a vest-restraint system.
  • Alleged Negligence Causes Oxygen to Ignite: $1.2M Verdict

    A woman was admitted to the hospital after suffering a heart attack. The woman was a high fall risk and eventually fell and fractured her nose and cut her forehead. The woman was fitted with an oxygen mask. Shortly thereafter, the electrocautery combined with oxygen from the mask, sparking a fire and leaving the woman with first and second degree burns. A jury returned a verdict of $1,215,000 in Michigan.
  • Study behavioral issues with metrics

    Some topics are obvious when it comes to using metrics, but using metrics to study the behavior of employees and physicians doesn't get as much attention, notes David G. Danielson, JD, CPA, senior vice president for clinical risk management with Sanford Health, a health care network based in Sioux Falls, SD
  • ASHRM stands behind fired risk manager

    Retaliatory firing of a risk manager for reporting regulatory infractions is outrageous but not unheard of, says Dan Groszkruger, JD, MPH, CPHRM, DFASHRM, risk manager at Stanford (CA) University Medical Center and a board member of the American Society for Healthcare Risk Management (ASHRM) in Chicago.
  • ED violence vs. nurses remains high

    Every week, in the United States, between 8% and 13% of emergency department nurses are victims of physical violence, according to a new study released by the Emergency Nurses Association (ENA) in Des Plaines, IL.