Assume that the example risk management program you analyzed in Topic 1 was developed by and is now currently implemented by your health care employer/organization. Further assume that your supervisor has asked you to present a high-level summary brief of this new risk management program to a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

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This assignment builds on the Risk Management Program Analysis Part One assignment you completed in Topic 1 of this course.

Assume that the example risk management program you analyzed in Topic 1 was developed by and is now currently implemented by your health care employer/organization. Further assume that your supervisor has asked you to present a high-level summary brief of this new risk management program to a group of administrative personnel from a newly created community health organization in your state who has enlisted your organization’s assistance in developing their own risk management policies and procedures.

Compose a 1,250-1,500 word summary brief that expands upon the elements you addressed in the Risk Management Program Analysis Part One assignment. In addition, analyze the following:

1. Explain the Joint Commission’s role in the evaluation of an organization’s quality management processes.
2. Describe the roles that different levels of administrative personnel play in establishing or sustaining operational policies that are focused on employer-employee organizational risk management policies.
3. Explain the relationship of risk management programs and compliance with ethical standards.

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

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Risk Management Program Analysis Part Two

1 Unsatisfactory 0.00%	2 Less than Satisfactory 65.00%	3 Satisfactory 75.00%	4 Good 85.00%	5 Excellent 100.00%
70.0 %Content
25.0 % Explanation of the Role of The Joint Commission in the Evaluation of the Quality Management Processes of an Organization	Not included.	An explanation of the role of The Joint Commission in the evaluation of the quality management processes an organization is somewhat incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.	An explanation of the role of The Joint Commission in the evaluation of the quality management processes an organization is incorporated, but minimal detail or support is provided for one or more components.	An explanation of the role of The Joint Commission in the evaluation of the quality management processes an organization is present and incorporated in full. The submission encompasses essential details and provides appropriate support.	An explanation of the role of The Joint Commission in the evaluation of the quality management processes an organization is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
25.0 % Description of Administrative Personnel Roles Relevant to Operational Policies Focused on Employer-Employee Organizational Risk Management Policies	Not included.	A description of administrative personnel roles relevant to operational policies focused on employer-employee organizational risk management policies is somewhat incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.	A description of administrative personnel roles relevant to operational policies focused on employer-employee organizational risk management policies incorporated, but minimal detail or support is provided for one or more components.	A description of administrative personnel roles relevant to operational policies focused on employer-employee organizational risk management policies is present and incorporated in full. The submission encompasses essential details and provides appropriate support.	A description of administrative personnel roles relevant to operational policies focused on employer-employee organizational risk management policies is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
20.0 % Discussion Expands Upon Elements Profiled in the Topic 1 Risk Management Program Analysis Part One Assignment.	Discussion expanding upon the Topic 1 Risk Management Program Analysis Part One assignment elements is not provided.	Expansion discussion of elements from the Topic 1 Risk Management Program Analysis Part One assignment is somewhat present, but the information provided is incomplete, inaccurate, or otherwise deficient.	Expansion discussion of elements from the Topic 1 Risk Management Program Analysis Part One assignment is present, but minimal detail or support is provided for one or more components.	Expansion discussion of elements from the Topic 1 Risk Management Program Analysis Part One assignment is present and incorporated in full. The submission encompasses essential details and provides appropriate support.	Expansion discussion of elements from the Topic 1 Risk Management Program Analysis Part One assignment is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.
20.0 %Organization and Effectiveness
7.0 % Thesis Development and Purpose	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.	Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.	Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 % Paper Format (use of appropriate style for the major and assignment)	Template is not used appropriately, or documentation format is rarely followed correctly.	Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.	Appropriate template is used. Formatting is correct, although some minor errors may be present.	Appropriate template is fully used. There are virtually no errors in formatting style.	All format elements are correct.
5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 % Total Weightage

Running Head: HEALTH RISK MANAGEMENT PROGRAM

HEALTH RISK MANAGEMENT PROGRAM

HEALTH RISK MANAGEMENT PROGRAM

Samantha Howard

Grand Canyon University: HLT-308V (HLT-308V-O500)

February 10, 2019

1. Summary Description

Risk management is one of the most appropriate tools in scientific governance and approaches necessity to perform comprehensive analyses with the intention to uncover causes of adverse events (Cagliano, A. C., Grimaldi. S., Rafele C. 2011). According to Kavaler & Spiegel (2003), health risk management includes the assessment of risks and the definition of mitigation strategies for these risks. The risk assessment includes both the identification and evaluation of the risk`s impact while risk mitigation minimizes the impact of the risks. Therefore, a healthcare organization should have qualified risk managers for the assessment, development, implementation, and monitoring of risk management plans. My risk management program will focus on new employees. This will seek to foster the utilization of risk assessment and risk management tools in new fields of application including policy making and provision of a platform between the insurance communities.

1. Risk management plan to the new employees

The process of risk management in a healthcare organization basically has five steps which include the context establishment, risks identification, risks analysis, and risk evaluation and management (Kavaler, F., & Spiegel, A. D. (2003). Since the healthcare industry is an essential sector that impact every living individual, the offered services in this industry is very significant to the world`s health market competition. Therefore, for a successful risk management program, a person should be aware and knowledgeable of the risk involved.

New employee will be required to go through the organization structure and understand leader within the organization, the different position function in the risk management program and how-to communication and escalation policies. They will gain knowledge of risk exposure and the available polices that are in place to reduce them. All these are prerequisite to new workers in the understanding of the healthcare organization`s risk management plan.

Secondly, the risk management program will be explained to the new workers regarding program analysis and what steps the organization has in place for identification, management, mitigation and transfer of risks.

This program of risk management will entail four categories. These include total avoidance of risks by the organization which can be implemented by putting policies that are geared towards preventing the chances of losses. Secondly risk mitigation which will aim at reducing the impact of the risks of the organization. This will be done by setting out a plan on how to deal with the risk in case it occurs. Thirdly risk acceptance will aim at the effect that the organization will incur through insurance and policies for budgeting. Lastly, the risk transfer part will seek to transfer the liability in case of a risk event occurring. The employees will be made aware through discussion of their functions and roles in the four categories in relation to the task they will need to do in the organization`s risk management program. A thorough understanding of this risk management plan by the employees will help them take up their positions in the organization effectively.

2. Agencies and organizations for safe healthcare administration

The responsibility of risk manager in healthcare administration is to develop policies in conjunction with other stakeholders. He/she is also responsible for risk prevention and reduction (Longest, B. B., Rakich, J. S., & Darr, K. (2000). Administrative issues regarding patient safety, compliance of the organization, communicating with stakeholders in developing policies, financing, proper accreditation and regulatory is handled by risk manager in alignment with the plan of risk management

In the health organization environment, the risk manager guides how medical healthcare professional’s behavior by mitigating any risk that may come up from such. They also indirectly support patients to ensure their safety. In case of a risk occurrence, the risk manager is responsible for events, he/she would explains what steps the organization would take for such an occurrence. The risk manager also handles claims made against the institution and ensures the claims are true (Longest et al, 2000)

In the management of a healthcare facility, the directors play a role in the development of policies. Since medical staff and other employees interact directly with the patients in providing them with patient care, they are also involved in the process of administration of risk management. These individuals should be well appraised of the administrative rules to be adhered to in case of a risk occurrence since they are the most exposed individuals.

There are two major categories of risks in the healthcare institution namely quality of care and research. The quality of care is the topmost considered priority item in risk investigation, evaluation, and enforcement. This can be done ensuring that hospitals implementing quality assessment and performance program to identify safety concerns for patients and aide in the reduction of medical errors.

In terms of research, tools, services, items, as well as the routine costs of qualified clinical trials, are covered by Medicare. It also covers services of diagnosing and treating complications that are as a result of participation in clinical trials. Submission of claims of patients who participate in clinical trials should be reviewed by the hospitals. The clinical investors must also collect legally informed consent in an appropriate way from the subject before the initiation of a clinical trial. Other risk areas in research activities include researcher misconduct, proper cost allocation, effort and time reporting.

3. Compliance with the American Society of Healthcare Risk Management

The risk management plan complies with the requirements of the American Society of Healthcare Risk management (ASHRM). Its laws and rules are in accordance with the proposals that are set out. Second, it has human resources which make sure that there is well management of risks in the organization (American Society for Healthcare Risk Management, 2009). Patient safety is the cornerstone of risk management which complies with the American Society of Healthcare Risk Management proposal. Efforts by the organization for identifying and transfer of risks to limited exposure and take up insurance covers has been made. Trained risk manager provide periodic training to ensure that staff members are savvy on new policies concerning the organization`s program of risk management.

4. Recommendations for Inclusion in the Program

The process of claims` resolution against the organization needs to be advanced. More financial and human resources need to be allocated to the risk manager`s department for a fast resolution of claims as a way of keeping the reputation of the health organization. It is important to have a healthcare workforce actuary to evaluate the organization`s risk exposure in the best way which will ensure optimal protection of the organization`s resources

References

American Society for Healthcare Risk Management. (2009). Risk management handbook for health care organizations (Vol. 30). John Wiley & Sons.

Kavaler, F., & Spiegel, A. D. (2003). Risk management in health care institutions: a strategic approach. Jones & Bartlett Learning.

Longest, B. B., Rakich, J. S., & Darr, K. (2000). Managing health services organizations and systems (pp. 150-177). Baltimore, MD: Health Professions Press.

Cagliano, A. C., Grimaldi. S., Rafele C. (2011). A systemic methodology for risk management in healthcare sector. Elsevier India Pvt Ltd.

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