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Objectives of a risk management program
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Executive Summary
This Plan can serve as a model to develop risk management program to meet the needs of Health Network, Inc (HNI). It is recommended that the Plan be approved by the senior management and disseminated to staff. The following risk management plan is designed to support the vision and mission of HNI and also adheres to the compliance guidelines of the various compliance laws and meets the standards proposed by those laws.
Introduction
Health Network, Inc. (HNI), is a health services organization headquartered in Minneapolis, Minnesota. HNI has over 600 employees throughout the organization and generates $500 million USD in annual revenue. The company has two additional locations in Portland, Oregon and Arlington, Virginia, which
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Because of the importance of risk management to the organization, senior management is committed to and supportive of the project to develop a new plan. This Plan can serve as a model to develop risk management program to meet the needs of HNI.
Scope
HNI’s Risk Management Program interfaces with many operational departments and services throughout the organization. Health Network has three main products: HNetExchange, HNetPay, and HNetConnect. The risk management program provides for collaboration among all departments and services within HNI, and provides policies, procedures and protocols to address events which may create various business-related liabilities to HNI. This plan will influence the leaders of the following departments to achieve quality and protect HNI’s resources:
1. Senior Management
2. Administration.
3. Financial
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According to Pritchard (2015), risks should be assessed from time to time to check if there are any untreated risks in the system and proper control measures has to be applied to reduce or eliminate the risk.
Roles and Responsibilities
Senior Management: Ultimate responsibility for ensuring appropriate risk management processes are applied rests with the senior management. The senior management personnel like the CEO, CFO CTO and CCO should be involved in the risk management team. This will help in faster decision making and reduce delays in getting necessary clearances from senior management in treating the potential or ongoing risks.
Project Manager: A project Manager should be assigned the responsibility of development and implementation of the risk management plan.
Project team: A must be formed who will be responsible for assisting the Project Manager in the risk management process.
Also, all the employees should be educated on risks and encouraged to report risks they encounter to the risk management team. This is because risk management is a collaborative process and this would help in bringing in notice any risks that must have been overlooked by the Risk Management
To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must modify its network strategies accordingly to remain competitive in the rapidly changing healthcare industry. Coventry Health Care, Inc and its affiliated companies recognize the importance of developing and managing an adequate network of qualified providers to serve the need of customers and enrolled members (Coventry Health Care Intranet, Creasy and Spath, http://cvtynet/ ). "A central goal of managed care is containing the costs of delivering care, but the wide variety of organizations typically lumped together under the umbrella of managed care pursue this goal using combination of numerous strategies that vary from market to market and from organization to organization" (Baker , 2000, p.2).
It is imperative that Health Care Professionals learn to manage risk. There are many factors to think about including environment, assessment, identification and prioritising when managing risk. Being able to strategically implement preventative measures will help in managing risk. Risk management works hand in hand with all enablers set out by chapelhow.
While health outcomes could increase with the implementation of HIE and RHIOs, implementing such programs are not easy. The financial burden to take on such a task may be more than some organizations want to take on, however, with healthcare reform it is inevitable that all organizations must increase health outcomes and reduce costs. A well planned HIE and RHIO just may be the way to population
There are a variety of health settings that provide patient health services. With the use of health services there has to be some type of health information exchange or system that will enable users to exchange data. Today there are networks that do this. Some of these networks are Community health information network (CHIN), Regional health information network (RHINO), National Health Information Network (NHIN) and Health Information technology for economic and clinical health act (HITECH Act). The purpose of this paper is to identify these networks, discuss the relationship among each other and lastly, explain their relationship to formation of a patient-centered management system and electronic health records (EHRs).
While HIE has been more than twenty years in the making, it has only recently gained the majority of its support. This is because, until the recent years, HIE success has been marginal when compared to its failures and shortcomings. HIE generally started in 1990 when the Hartford Foundation began its CHMIS initiative. The was the "Community Health Management Information System" that got its start from grants to several states and cities. CHMIS provided a point of reference for data to be collected and maintained. This data provided information on demographics, clinical data, and information divided geographically. CHMIS targeted data for the stakeholders who were the primary consumers and benefactors of the data assessments. Another function of CHMIS was to facilitate billing and determine patient eligibility for cost reductions, making CHMIS a transaction system. (J Am Med Inform Assoc, 2010 )
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It is right of a patient to be safe at health care organization. Patient comes to the hospital for the treatment not to get another disease. Patient safety is the most important issue for health care organizations. Patient safety events cost of thousands of deaths and millions of dollars an-nually. Even though the awareness of patient safety is spreading worldwide but still we have to accomplish many things to achieve safe environment for patients in the hospitals. Proper admin-istrative changes are required to keep health care organization safe. We need organizational changes, effective leadership, strong health care policies and effective health care laws to make patients safer.
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Supply Chain Risk Management in Healthcare: Being from a Healthcare background, I want to explore, how the supply chain leaders are currently facing the challenges in healthcare in the real world with the Supply Chain Risk Management System. How in healthcare Supply Chain Risk Management Plays a key role in Decision Making: Here, I have been broadly focused in Healthcare. How the supply chain generally refers to the resources needed to deliver goods or services to a consumer. In healthcare, managing the supply chain is typically a very complex and fragmented process.
Some include risks at the enterprise level, managing risks in complex projects and dealing with turnarounds and large capital projects. Liu, Zou, & Gong (2013) explore how enterprise risk management (ERM) may influence the ability and performance of project management risk (PRM) by considering the features of the construction industry, its businesses and projects. Managing risks within projects such as these has become an important process to achieve project objectives in terms of the scope, time and cost. The results show that enterprise risk management can positively influence the implementation of project risk management. This can be achieved through implementing a risk focused culture, setting up risk management departments and setting up risk procedures. This will help control the project risk and improve the performance of project risk management. Communicating the concerns with other team members can help identify the risks earlier on rather than later in the development of the project. If the Stakeholders and managers involved are satisfied then the project outline becomes a
Five steps are there which are taken in the process of risk management that are risk recognition, risk analysis, risk treatment, execution, and monitoring the results. With the help of this risk, the potential risks are determined in relation to accidental loss along with analysing and executing the techniques of risk management that are best (Flin, Burns and Mearns). The risk management is the appropriate manner to maintain the health and safety of staff and clients. Moreover, quality management in the risk management assists in protecting the staff and client (Gershon, Karkashian and Grosch). Quality risk management assists the facility in determining the red flags among client care, which must be enhanced.
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Introduction Health service plan is a balancing of the health and health care needs of a community. This needs are assessed with resource availability such as human resources by indices of mortality, morbidity and disability (Health service planning,2010). Planning is a completely organized process in which resources are allocated effectively to meet the specific goals (Thomas, 2003). The significant purpose of the health service planning is to strengthen health service delivery and/or system performance to totally meet the health needs of a population. It is the process of bringing together the delivery of existing health services to meet the changing patterns of need and use of services.
Risk Management allows us to identify the problems which are unknown during the start of the project but may occurs later. Implementing an efficient risk management plan will ensure the better outcome of the project in terms of cost and time.