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

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Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Page 1: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

Risk Management Process

Patricia Kaczmarek, RN, BHSc., MSHL

Health Quality Assurance Bureau of Field Operations

Page 2: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management Process

Page 3: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management Process

Page 4: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management Process

Page 5: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management Process

2014- Changed Process

2015- Revised Tools

Page 6: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management ProcessImportant Considerations

Hospital State Regulations

Patient Safety Organization

Patient Safety

Page 7: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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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

Page 8: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management Process

Pre-SurveyCommunication

Page 9: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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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

Page 11: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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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

Page 13: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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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

•  

**STATE GUIDANCE INFORMATION**

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

Page 15: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management ProcessInformation Gathering

Effectiveness:Risk Management Process

Incident ReportingIntegration and Communication

QAPI

Page 16: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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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

Page 18: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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Risk Management ProcessPost Survey:

Complete Survey Documentation

Communicate:Team Members

Field Office Management

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Page 20: Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

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QUESTIONS??

Contact Information

[email protected]

(239) 464-4671