The purpose of this assignment is to analyze a health care risk management program.

Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 1,000‐1,250-word paper, provide an analysis of the risk management plan that includes the following:

1. Summary of the type of risk management plan you selected (new employee, specific audience, community‐focused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.
2. Description of the standard administrative steps and processes in a typical health care organization’s risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)
3. Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.
4. Evaluation of your selected risk management plan’s compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.
5. Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peer‐reviewed references.

No PlagiarismAPA Format

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Mayeni Yansaneh

Risk Management Analysis_Yansaneh x

Summary

 1300 Words  

Running Head: PART 1 1

RISK MANAGEMENT AND ANALYSIS PART 1 2

Risk Management and Analysis Part 1

Within any healthcare organization, there are different prevalent risks to the community,

the patient, the staff, and the healthcare organization at large. This means that risk management in

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Risk Management and Analysis Part 1

Mayeni Yansaneh

Grand Canyon University

March 10, 2021

any healthcare organization is of great significance to ensure there is proper development,

assessment, close monitoring and implementation of the potential risks to totally prevent or

minimize the exposure of risks (Allen‐Duck et al., 2017). In this paper we are going to carry out

an examination of a risk management program with a safe care and patient environment, with the

main focus being on the community. The management program selected is the fall prevention

strategy used in a community setting.

The Risk Management Plan and Rationale

The risk management plan is the reduction and prevention program. This program mainly

targets the geriatric population that is within the community. The main focus of the program is on

ensuring the identification of different people in the community who are at risk of falls and

ensuring that there is proper implementation and provision of the evidence-based interventions. In

addressing the fall reduction, prevention is the main step (Haddad et al., 2019). The rationale for

choosing the fall prevention and the reduction program as the significant type of risk management

plan is due to the fact that falls have a major risk to both the health and independence of the

geriatric population. Note that falls are the leading cause of injuries and death among the geriatric

population. Moreover, they have effects in terms of healthcare costs and health of the individuals.

It is important to come to a realization that falls can be prevented. The program gives a clear picture

of how falls can be prevented in a community setting, and thus geriatric population able to

successfully maintain their health and independence.

RISK MANAGEMENT AND ANALYSIS PART 1 3

The Standard Administrative Processes and Steps

The process of risk management in a healthcare organization involves carefully identifying

the context, the process of risk analysis, risk evaluation, and risk management. Identifying the

context involved include identifying the different areas that are of high priority which need risk

management when it comes to the care that patients receive. Another step that can be of great

significance is identification of risks by making sure that you are aware of different risks that are

within the healthcare services and primary environment (Simsekler et al., 2018). After risk

analysis, there is the comprehension of the already identified risks. This is done through analyzing

the primary causes, the intensity of already identified risks, and the actions of control that are

available against the risks identified. Carrying an evaluation of the already identified risks is of

great significance toward prioritizing based on the how severe the risk. This is done using the risk

analysis score. Risk management is the last step, where different appropriate measures are

successfully implemented for the purpose of preventing and ensuring minimization of risk

occurrence (Moncada & Mire, 2017) .

The healthcare sector has a great impact on individuals, and thus the quality of care is a

significant marker in terms of competition in the health market. There is need to have an integration

of an effective risk management procedure in healthcare organizations. For better outcomes in the

healthcare department, there is need to have the Total Quality Management programs. Through

this program patients experience low payment costs; customer the

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satisfaction is improved by
organization and different risks that the organization is going through can be easily managed

(Mahoney et al., 2017). A culture that embraces risk management using the evidence-based

evidence and guidelines helps in successfully achieving risk management programs.

RISK MANAGEMENT AND ANALYSIS PART 1 4

In the community of choice, the elderly individuals were reporting high rates of falls and thus

identified as the high priority area. There was the implementation of fall prevention and reduction

program in the community as a result of the high rates of falls.

The Key Organizations and Agencies

Some of the agencies that are responsible of regulating the provision of quality care

include: The Joint Commission on Accreditation of Health Care Organizations (JCAHO); the

Agency for Healthcare Research and Quality (AHRQ); the Joint Commission and Healthcare

Quality Promotion (DHQP) and the National Committee for Quality Assurance (NCQA). AHRQ

is mainly aimed at performing research to ensure improvement in the quality of care provided to

patients, and their safety too. JCAHO is aimed at making sure that all the healthcare institutions

are able to provide quality care to patients (Jiménez-Rodríguez et al., 2018). DHQP is in charge of

offering protection to patients, the different healthcare providers and also ensures the promotion

of quality care. NCQA works toward making sure that different care plans meet the required

quality standards. The joint commission works toward ensuring that different healthcare

organization are able to enhance the quality of care they provide; ensure the safety of different

patients and lower the chances of medical errors in healthcare institutions.

The Process of Evaluation and Compliance

The chosen risk management program aligns with the outlined requirements of the joint

commission that works toward ensuring the safety of patients and offering of quality care. The

DHQP requirements are also met through the improvement of the safety of patients. The joint

commission plays a significant role in ensuring that different healthcare institutions are able to

prevent falls and different injuries associated to them (Lam et al., 2018). The fall prevention

RISK MANAGEMENT AND ANALYSIS PART 1 5

program makes all individuals aware through education on the significance of preventing falls.

Safety information is communicated effectively to the community and different healthcare

providers. It is important to note that the prevention of falls is everyone’s responsibility.

The Recommendations

There is a need to integrate patient education on the risk of falls in the chosen program.

The Joint Commission is in charge of offering support to raise awareness about the risk of falls.

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Different stakeholders are educated on the relevant prevention strategies of falls. There is a need

for the fall prevention program to adopt the interprofessional approach. The Joint Commission

through the interprofessional team is to be established to come up with a whole approach in dealing

with reduction and prevention of falls. There is a need to make use of standardized and validated

tools in identifying different risk factors for falls in the community. To inform improvement

efforts, there is a need to perform Post-Fall management, and reevaluation of individuals who have

successfully sustained falls.

RISK MANAGEMENT AND ANALYSIS PART 1 6

References

Allen‐Duck, A., Robinson, J. C., & Stewart, M. W. (2017, October). Healthcare quality: a

concept analysis. In Nursing forum (Vol. 52, No. 4, pp. 377-386). Retrieved from

https://onlinelibrary.wiley.com/doi/abs/10.1111/nuf.12207?casa_token=h4sri-

l7sp0AAAAA:GZtRIqX22OJJaqeClXZOUEqbh9TuAoac3w1kAClY5EQMm3VkSQDH

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Haddad, Y. K., Bergen, G., & Florence, C. (2019). Estimating the economic burden related to

older adult falls by state. Journal of public health management and practice:

JPHMP, 25(2), E17. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc6314899/

Jiménez-Rodríguez, E., Feria-Domínguez, J. M., & Sebastián-Lacave, A. (2018). Assessing the

Health-Care Risk: The Clinical-VaR, a Key Indicator for Sound

Management. International journal of environmental research and public health, 15(4),

639. Retrieved from https://www.mdpi.com/1660-4601/15/4/639

Lam, M. B., Figueroa, J. F., Feyman, Y., Reimold, K. E., Orav, E. J., & Jha, A. K. (2018).

Association between patient outcomes and accreditation in US hospitals: observational

study. bmj, 363. Retrieved from https://www.bmj.com/content/363/bmj.k4011

Mahoney, J. E., Clemson, L., Schlotthauer, A., Mack, K. A., Shea, T., Gobel, V., & Cech, S.

(2017). Modified Delphi consensus to suggest key elements of stepping on falls

prevention program. Frontiers in public health, 5, 21. Retrieved from

https://www.frontiersin.org/articles/10.3389/fpubh.2017.00021/full

Moncada, L. V. V., & Mire, L. G. (2017). Preventing falls in older persons. American family

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physician, 96(4), 240-247. Retrieved from

https://www.aafp.org/afp/2017/0815/p240.html

Simsekler, M. E., Ward, J. R., & Clarkson, P. J. (2018). Design for patient safety: a systems-

based risk identification framework. Ergonomics, 61(8), 1046-1064. Retrieved from

https://www.tandfonline.com/doi/abs/10.1080/00140139.2018.1437224?casa_token=kknl

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