risk management process patricia kaczmarek, rn, bhsc., mshl health quality assurance bureau of field...

Risk Management Process

Patricia Kaczmarek, RN, BHSc., MSHL

Health Quality Assurance Bureau of Field Operations

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Risk Management Process

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Risk Management Process

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Risk Management Process

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Risk Management Process

2014- Changed Process

2015- Revised Tools

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Risk Management ProcessImportant Considerations

Hospital State Regulations

Patient Safety Organization

Patient Safety

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Risk Management ProcessImportant Considerations

Patient Safety Organization- (PSO)Which Entity and When

Patient Safety Work Product- (PSWP)

Policy and ProceduresPatient Safety Evaluation System-

(PSES)PSWP data under the PSES

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Risk Management Process

Pre-SurveyCommunication

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Risk Management Process

Entrance Entrance Checklist

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Risk Management Process

Information Gathering

Patient Safety Organization

Surveyor Do’s and Don’ts

Go To- References

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Risk Management Process

Information Gathering

Patient Safety Organization

http://www.pso.ahrq.gov/listed

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Risk Management Process

Information Gathering

Survey Do’s and Don’ts

Do:Verify Compliance

Respect Confidentiality

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Risk Management Process

Information Gathering

Survey Do’s and Don’ts

Do Not:Request protected information/documents

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Risk Management Process

Information Gathering

Go To- References

http://www.pso.ahrq.gov/listed

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**STATE GUIDANCE INFORMATION**

-Florida Statutes (F.S.) pursuant to s.395.0197 (13) and (15), F.S.

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Risk Management ProcessInformation Gathering

Effectiveness:Risk Management Process

Incident ReportingIntegration and Communication

QAPI

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Risk Management Process

Decision Making

Review Findings:

Determine Compliance

Gather Additional Information

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Risk Management Process

Exit Interview

Review Findings:Answer Questions

Explain Next Steps

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Risk Management ProcessPost Survey:

Complete Survey Documentation

Communicate:Team Members

Field Office Management

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QUESTIONS??

Contact Information

Patricia.Kaczmarek@ahca.myflorida.com

(239) 464-4671