www.marsh.sk health risk management 29 october 2008, sofia louis coomans, ceo eastern europe
TRANSCRIPT
www.marsh.sk
Health Risk Management
29 October 2008, Sofia
Louis Coomans, CEO Eastern Europe
2Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals
5. Medical event IT reporting system
6. Marsh expertise
AGENDA
3Marsh
11.. Basic terms Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals
5. Medical event IT reporting system
6. Marsh expertise
4Marsh
Changing Perception
April 17th, 1906
...glad I've found at least some work at
the construction site. Times are tough and
it's one of the few safe jobs you can get
nowadays.
5Marsh
Basic Terms
Risk
The combination of the probability of an appearance of a certain event and its consequences.
Risk management
The process through which an organisation continuously and methodically studies the risks of its activities in order to achieve a steady positive effect
The process of analyzing exposure to risk and determining how to best handle such exposure.
6Marsh
1
10
100
1,000
10,000
100,000
1 10 100 1,000 10,000 100,000 1,000,000 10,000,000
Number of encounters per fatality
To
tal
liv
es
lo
st
pe
r y
ea
r
REGULATEDDANGEROUS ULTRA-SAFE
Healthcare
Mountain Climbing
Bungee Jumping
Driving
Chemical Manufacturing
Chartered Flights
ScheduledAirlines
European Railroads
Nuclear Power
Source: University of Miami Centre for Patient Safety 2005
How hazardous is healthcare?
7Marsh
How does an incident come about?
8Marsh
The Process of Risk management
Risk identification
Risk analysis
Risk quantification
Risk management
Risk transfer
Insurance Contractual
Risk reduction
Risk acceptance
Risk elimination
9Marsh
The Process of Risk management
10Marsh
Levels of Risk Management
EU, EC– Directives, recommendations (Recommendation (2006)7 of the Committee
of Ministers towards Member States for control of the patient safety and of prevention of adverse events in healthcare services
State- political– Laws, legislations, codes and acts
Regional – Municipality level– projects, programs
Company / Hospital – ?
11Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals
5. Medical event IT reporting system
6. Marsh expertise
12Marsh
Council of Europe
Recommendation Rec(2006)7 of the Committee of Ministers to member states on management of patient safety and prevention of adverse events in health care
Recognizing the need to promote open co-ordination of national and international regulations concerning research on patient safety, Council of Europe recommends that governments of member states, according to their competencies:
i. ensure that patient safety is the cornerstone of all relevant health policies, in particular policies to improve quality;
ii. develop a coherent and comprehensive patient-safety policy framework which makes patient safety a leadership and management priority;
13Marsh
Council of Europe
iii. promote the development of a reporting system for patient-safety incidents in order to enhance patient safety by learning from such incidents; this system should include:
а) the proactive design of safe health-care systems ;
b) the reporting of patient-safety incidents, and learning from the incidents and from the reporting;
c) methods to standardise health-care processes ;
d) methods of risk identification and management ;
e) the development of standardised patient-safety indicators f) the content of training programmes and methods to implement a safety culture;
Risk management in healthcare organizations should be
compulsory and controlled.
14Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority3. Patient safety - European Commission priority
4. Risk management in hospitals
5. Medical event IT reporting system
6. Marsh expertise
15Marsh
Patient safety – European Commission priority
Content missing?
16Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals4. Risk management in hospitals
5. Medical event IT reporting system
6. Marsh expertise
17Marsh
Risk Management in Hospitals
Governance of Healthcare organizations. Healthcare Risk and Quality management.
Patient Safety and Clinical Risk Management
Service Continuity Management
Blood and Blood Products Supply Chain and Product Liability
Absence and Stress Management. Health and Safety
Clinical Trails and Medical Devices
Education and Training on Risk, Quality, Regulatory and Governance Issues
Professional liability for doctors, medical personnel. Professional liability for directors and management
Public, Private, Partnership Programmes for finance of new build. Construction Risk Advice and Audit
Financial Modeling and Design
Actuarial claims prediction and analysis
Property Management
18Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals
5. 5. Medical event IT reporting systemMedical event IT reporting system
6. Marsh expertise
19Marsh
Medical event IT reporting system
Internet / intranet reporting
Consolidated incident, near miss, adverse events &
claims database
Analyse trends, patterns, themes
Implement change recommendations
Improve patient safety / quality of care
Bedside, ward,(home)
Centraladministration
Management &clinicalgovernance
Easy to use
Local input by hospital staff
Risk management reports
Anonymous data
20Marsh
Medical event IT reporting systemsNational and regional systems
United KingdomUnited Kingdom – National Reporting & Learning System, Datex, STARS, Vanguard, etc
IrelandIreland – Clinical Indemnity Scheme
NetherlandsNetherlands – ‘Sneller Beter’ Safety Management System (VMS)
DenmarkDenmark – Incident Reporting System
United StatesUnited States – STARS, Doctor Quality, etc
Australia / TasmaniaAustralia / Tasmania – STARS
ItalyItaly – STARS
Sweden, Switzerland, Czech RepublicSweden, Switzerland, Czech Republic, etc*.
*Source: Council of Europe
21Marsh
Installed medical event IT reportingBenefits – process
Supports evidence-based risk management framework and process
Process for prevention; i.e. root cause analysis / system failures
Monitor risk management recommendations
Can reduce rate of claims
Helps manage litigation costs
Supports accreditation and achievement of quality standards
22Marsh
1. Basic terms
2. Council of Europe recommendations for patient safety
3. Patient safety - European Commission priority
4. Risk management in hospitals
5. Medical event IT reporting system
6. 6. Marsh expertiseMarsh expertise
23Marsh
Marsh expertise
Largest Healthcare Risk and Insurance Advisor in the world
Dedicated Healthcare Practice with 600 colleagues globally
Clients served in more than 100 countries
US$1,000,000,000 in healthcare premiums annually
Serving +2,300 diverse healthcare clients worldwide
Providing risk management programmes to:
Providing insurance and risk management programmes to:– France - UK – Ireland (country) - Spain (region)– Australia - Italy (region)– US states, associations ) - Hong Kong (region)
Thank you for your attention!
&
Be healthy!
Marsh Ltd is authorised and regulated by the Financial Services Authority
© Copyright 2008. Marsh Ltd. All rights reserved.
www.marsh.sk