Risk Management Handbook for Health Care Organizations (J-B AHA Press)

971 Pages·2003·3.5 MB·English

by  Roberta Carroll

B u s i n e s s C u l i n a r y A r c h i t e c t u r e
C o m p u t e r G e n e r a l I n t e r e s t
C h i l d r e n L i f e S c i e n c e s B i o g r a p h y
A c c o u n t i n g F i n a n c e M a t h e m a t i c s
H i s t o r y S e l f - I m p r o v e m e n t H e a l t h
E n g i n e e r i n g G r a p h i c D e s i g n
A p p l i e d S c i e n c e s P s y c h o l o g y
I n t e r i o r D e s i g n B i o l o g y C h e m i s t r y
e
WILEY
B O O K
WILEY
JOSSEY-BASS
PFEIFFER
J.K.LASSER
CAPSTONE
WILEY-LISS
WILEY-VCH
WILEY-INTERSCIENCE
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The Jossey-Bass/AHA Press Series translates the latest ideas on health care
management into practical and actionable terms. Together, Jossey-Bass and the
American Hospital Association offer these essential resources for the health care
leaders of today and tomorrow.
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Risk
Management
Handbook
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American Society Healthcare Risk
for
Management
Roberta Carroll, Editor
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Risk
Management
Handbook
FOR HEALTH CARE ORGANIZATIONS
Third Edition
Health Forum, Inc.
An American Hospital Association Company
CHICAGO
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Library of Congress Cataloging-in-Publication Data
Risk management handbook for health care organizations /
American Society for Healthcare Risk Management:
Roberta Carroll, editor. —3rd ed.
p. cm.
Includes bibliographical references and index.
ISBN 0–7879–5553–1
1. Health facilities—Risk management. I. Carroll, Roberta.
II. American Society for Healthcare Risk Management.
[DNLM: 1. Health Facilities—economics. 2. Health Facilities—
organization & administration. 3. Risk Management.
WX 157 R59533 2000]
RA971.38.R58 2000
362.1'1'068—dc21
00–055479
THIRDEDITION
HB Printing 10 9 8 7 6 5 4 3 2 1
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Contents
List of Exhibits, Figures, Tables, and Appendixes. . . . . . . . . . . . . . . . . . xi
About the Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxix
About This Book. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxi
PART I. FRAMEWORK FOR HEALTH CARE RISK MANAGEMENT. . . . 1
Chapter 1 The Health Care Risk Management Professional. . . . . . . . 3
Jeannie Sedwick and Grena G. Porto
Chapter 2 Development of a Risk Management Program. . . . . . . . . 41
Jane M. Bryant and Sheila Hagg-Rickert
Chapter 3 The Health Care Organization Governing Board . . . . . . . 63
James E. Orlikoff
Chapter 4 Statutes, Standards, and Regulations . . . . . . . . . . . . . . . 75
Mark Cohen
Chapter 5 Data Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Kirk S. Davis and Jane C. McConnell
Chapter 6 Creative Staffing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Dorothy Bazan and Lillian P. Karson
Chapter 7 Enterprise Risk Management: Emerging Concepts
and Applications in Health Care. . . . . . . . . . . . . . . . . . . 159
Ward R. H. Ching
PART II HEALTH CARE EXPOSURES. . . . . . . . . . . . . . . . . . . . . . 169
Chapter 8 Systems for Risk Identification. . . . . . . . . . . . . . . . . . . . 171
William J. McDonough
Chapter 9 Occupational and Environmental Risk Exposures
for Health Care Facilities . . . . . . . . . . . . . . . . . . . . . . . . 191
John C. West
vii
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viii Contents
Chapter 10 Physician and Allied Health Professional
Credentialing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Mark A. Kadzielski and Michael G. Hercz
Chapter 11 A Contract Review Primer for Risk Managers . . . . . . . . 259
Peggy L. B. Nakamura
Chapter 12 Mergers, Acquisitions, and Divestitures. . . . . . . . . . . . . 277
Karen E. Bedford, Corbette S. Doyle,
and John F. Roskopf
Chapter 13 Emerging Liabilities in Partnerships, Joint Ventures,
and Collaborative Relationships. . . . . . . . . . . . . . . . . . . 299
Rebecca A. Havlisch
Chapter 14 Health Care Legal Liability Exposures in Different
Organizational Settings . . . . . . . . . . . . . . . . . . . . . . . . . 325
William B. Reisbick and Rando W. H. Wick
Chapter 15 High-Risk Clinical Areas. . . . . . . . . . . . . . . . . . . . . . . . . 345
Sylvia M. Brown
Chapter 16 Information Technologies and Risk Management. . . . . . 369
Ronni P. Solomon
Chapter 17 Evolving Risk in Cyberspace and Telemedicine. . . . . . . 385
Kathryn T. Allen and Pamela J. Para
Chapter 18 Documentation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411
Sandra K. Johnson
Chapter 19 Advertising Liability—A Growing Risk
Management Concern . . . . . . . . . . . . . . . . . . . . . . . . . . 423
Grena G. Porto and Benjamin A. Post
Chapter 20 Corporate Compliance—A Risk Management
Framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431
Jeffrey F. Driver and Glenn T. Troyer
Chapter 21 Risk Mapping—A Visual Experience. . . . . . . . . . . . . . . . 451
M. Michael Zuckerman
PART III. PROVIDERS AND MANAGED CARE. . . . . . . . . . . . . . . . 463
Chapter 22 Providers and Managed Care. . . . . . . . . . . . . . . . . . . . . 465
Berni H. Bussell
PART IV. RISK MANAGEMENT TREATMENTS. . . . . . . . . . . . . . . . 515
AND TECHNIQUES
Chapter 23 Informed Consent as a Loss Control Process . . . . . . . . 517
Fay A. Rozovsky
Chapter 24 Safety and Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535
Leilani Kicklighter
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Contents ix
Chapter 25 Workers’ Compensation: A Risk or a Benefit?. . . . . . . . 565
Leilani Kicklighter
Chapter 26 Claims and Litigation Management . . . . . . . . . . . . . . . . 589
Ellen L. Barton
Chapter 27 The Risk Manager and Biomedical Technology . . . . . . . 637
Sally T. Trombly
Chapter 28 Ethics and Patient Care . . . . . . . . . . . . . . . . . . . . . . . . . 643
Sheila Cohen Zimmet
Chapter 29 Human Resources Issues. . . . . . . . . . . . . . . . . . . . . . . . 711
Michael P. Warnick
PART V. RISK FINANCING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 733
Chapter 30 Introduction to Risk Financing . . . . . . . . . . . . . . . . . . . . 735
Dominic A. Colaizzo
Chapter 31 Insurance Practices and Principles . . . . . . . . . . . . . . . . 745
Kimberly Willis and Judy M. Hart
Chapter 32 Risk Financing Techniques. . . . . . . . . . . . . . . . . . . . . . . 771
Brad R. Norrick, Thomas M. Jones,
and Thomas M. Hermes
PART VI. MONITORING AND EVALUATING. . . . . . . . . . . . . . . . . . 799
Chapter 33 Risk Management’s Role in
Performance Improvement. . . . . . . . . . . . . . . . . . . . . . . 801
Peggy Berry Martin and Robert J. Marder
Chapter 34 Benchmarking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 811
Kathleen M. Roman
Chapter 35 Risk Management Program Evaluation. . . . . . . . . . . . . . 837
Christopher Cassirer
Chapter 36 Client and Customer Satisfaction. . . . . . . . . . . . . . . . . . 861
Frances Kurdwanowski and Maria D. Lain
Chapter 37 Accreditation, Licensure, Certification, and
Surveying Bodies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 871
Kathleen Stillwell
Chapter 38 Request for Proposals . . . . . . . . . . . . . . . . . . . . . . . . . . 891
Roberta Carroll
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 919