...RISK MANAGEMENT ASSESSMENT OF LYDIA BEVINS Risk management Assessment of Lydia Bevins Venkata Pulakanti HSM 542_W5_You Decide Keller Graduate School of Management Risk Management Assessment of Lydia Bevins Director of Risk Management- Felicia Larue, CEO for Little Falls Hospital Has brought the Case of Lydia Bevins to my attention to assess and ensure the rights of the patients and the risks that may be associated with Little Falls Hospital are minimal. Lydia Bevin is a 45 –year-old woman, has been on a ventilator for respiratory assistance for over six months because of an automobile accident. Lydia Bevins is paralyzed and is only able to communicate through head nods. It is uncertain as to whether Lydia Bevin is able and capable of making healthcare decisions on her own. She is married to Harry Bevins for four years. Mr. Bevins requested that the life sustain support keeping Lydia alive to be withdrawn. The Health Care Proxy Law of New York states that Harry Bevins has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker.” (Health Care Proxy, 2001). Mr. Bevins states that his decision is made because, he and his wife had discussed this prior to the accident and what she would want to happen. There is an advanced directive: however, Mr. Bevins does not know the whereabouts as Lydia has the advance d directives prior to their marriage. Eileen Redfield, Lydia’s mother wants to give her child every...
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...You Decide Week 6 Little Falls Hospital Risk Management HSM 542 Health Rights and Responsibilities Purpose A risk management plan is created so as to support Little Falls Hospitals mission and vision statements as it pertains to the clinical risk of the hospital, patients, visitors, volunteers, and employee safety, and any possible operational, business, and property risks. Culture Principles The Patient Safety and Risk Management program will support Little Falls Hospitals philosophy; everyone is responsible for patient safety and risk management. It is essential to have participation and teamwork among providers, management, staff and volunteers. The Patient Safety and Risk Management program will be implemented with the coordination of multiple organizational and department functions and activities. Little Falls Hospital will support the introduction of a just culture with emphasis on evidence based best practices, learning from errors, and providing feedback instead of punishment and blame. In a just culture any unsafe conditions or hazards will be identified quickly, medical or patient care errors will be reported and analysed, open discussions of mistakes and suggestions for improvements are welcome with patient safety and risk management practices. Individuals will still be held accountable for compliance. When evaluation and investigation into errors reveals there has been reckless behaviour or there has been wilful violation of policies then disciplinary...
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...Week 5 You Decide Little Falls Hospital Risk Manageme June 7, 2013 HSM 542 Health Rights and Responsibilities Professor Julie Dennis Problem In the case of Lydia Bevin and Little Falls Hospital I have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patients situation and alternative actions that could be taken by the hospital to ensure that the rights of the patient are preserved and the risks to the hospital are minimized (University, 2013). Summary and Recommendations Lydia Bevin is receiving support that is sustaining her life and has been receiving this support for over six-months after she was in an automobile accident. Lydia is paralyzed and unable to communicate due to the accident. It has not been confirmed whether Lydia is incapacitated, as she is unable to talk and can only nod her head. The hospital staff is not even sure that Lydia is capable of understanding information that will allow her to make health care decisions for herself. According to the New York Health Care Proxy Law, her husband has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker” (New York State, ). Mr Bevin has asked that life sustaining support be withdrawn per his wife’s wishes. Lydia's mother does not support the decision to withdraw active treatment because she believes that Lydia has a chance of recovering. Lydia had prepared an advance directive but at this time the advance directive...
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...School of Management April 6, 2012 Risk Management Plan for Little Falls Hospital Patient Safety and Risk Management Program 1. Purpose: The Risk Management Plan is designed to support the mission and vision of Little Falls Hospital as it pertains to clinical risk and patient safety as well as visitor, third party, volunteer, and employee safety and potential business, operational, and property risks 2. Culture Principles: The Patient Safety and Risk Management Program supports the Little Falls Hospital philosophy that patient safety and risk management is everyone’s responsibility. Teamwork and participation among management, providers, volunteers, and staff are essential for an efficient and effective patient safety and risk management program. The program will be implemented through the coordination of multiple organizational functions and the activities of multiple departments. Little Falls Hospital supports the introduction of a just culture that emphasizes implementing evidence-based best practices, learning from error analysis, and providing constructive feedback, rather than blame and punishment. In a just culture, unsafe conditions and hazards are readily and proactively identified and admitted, medical or patient care errors are reported and analyzed, mistakes are openly discussed, and suggestions for systemic improvements are welcomed. Individuals are still held accountable for compliance with patient safety and risk management practices...
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...Risk Management Health care institutions are the centers for different kind of healthcare services, so when patients and their families come for check-ups, surgeries, acute hospitalizations, tests, minor procedures, etc. they expect quality care and positive outcomes. Issues come up when patients’ expected outcomes are not realized due to one reason or another. Factors that may prevent positive outcomes in patient care may be quality management issues or risk management issues. Before a full introduction and analysis of risk management in my place, one has to understand quality management and risk management. In terms of quality management, they are issues that arise in the work place as a result of poor management and need to be improved on. They are more prevention oriented (Sullivan and Decker, 2009). In the case of risk management, it is about issues that are problematic throughout a health organization and may lead to poor patient outcomes. As described by Sullivan and Decker (2009), “risk management’s purpose is to identify, analyze, and evaluate risks and then to develop a plan for reducing the frequency and severity of accidents and injuries” (p. 84). Risk management is not about monthly, quarterly or yearly assessment and improvement of programs, but a daily assessment of issues that arise in the work place that may lead to bigger problems if not corrected. Current risk management issue at my work place. The main current risk management issue in my place of employment...
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...Management Plan Slips Trips and Falls The simplest way of preventing slips, trips and falls in the workplace is to develop a risk management plan which identifies, assesses and controls and monitors safety hazards and risks. Richards Transport provides the following assessment for our warehouse. The steps are; 1. Identify hazards Identifying hazards is the first step to determine exactly where slips, trips and falls can occur. This is done by consulting workers and supervisors, inspecting the premises, and reviewing incident and injury reports. 2. Assess the Risk Next step is to assess the slip or trip risk. Usually it is a combination of factors that create the risk. By using the Slips, Trips and Falls Risk Management Tool this can be done. Each section helps to determine on this chart the level of risk and possible controls of that risk. 3. Fix the problem We then need to look at the assessed risks and decide what needs to be done to eliminate or reduce the risks. There are six types of control strategies to eliminate or reduce these risks and listed below in order of effectiveness. Hierarchy of controls | Examples | Eliminate the Hazard | Remove slip and trip hazards at the design stage such as eliminating changes in floor levels; installing more power outlets through the floor and ceiling to avoid trailing cords | Substitution | Resurface floors | Isolation | Limit access to high risk areas | Minimise risk by redesign | Apply floor...
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...Running Head: Risk Management Assessment Summary Risk Management Assessment Summay HCS/451 Jodie Sapaugh August 6th, 2012 University of Phoenix Quality Management When it comes to quality management in health care it has changed and developed more over the years. Quality management is a continuous development that health care organizations use to distribute merchandise and services that will make sure to meet or exceed consumer expectations (McLaughlin, & Kaluzny, 2013). Quality management in health care has evolved over the year to address increased demands from consumers related to the quality care and services, as well as to address problems in patients' outcomes (McLaughlin, & Kaluzny, 2013). When it comes to risk management, it is a vital part in health care. The purpose of risk management is to enhance patients' safety, ensure compliance with the law, avoid legal exposure, and prevent accidents. In health care and long term care (LTC) you are dealing with patients' in life or death situations. Risk management in health care organizations helps physicians and nurses limit the risks that are associated with their jobs. By having risk management in long term care facilities this helps reduce potential risks because it ensures that the medical staff are following all of the safety protocols that are set in place as well as making wise medical decisions. Legend Senior Living is...
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...1. Identify Mrs Phillips risk factors for pressure injury and falling. Mrs Philips has many different risk factors for pressure injuries as well as falls, some of which include age may cause poor skin integrity, malnourishment, febrile causing perspiration and build up of moisture, polyuria which can result in dehydration, hypertension which may cause postural orthostatic hypotension, arthritis may cause her to feel weak resulting from the pain and her macular degeneration may cause her sight to become significantly bad. Mrs Philips also reported that she was feeling dizzy and feverish in the last couple of days, this may have contributed to her fall as well. The daughter also reported that her mother hasn’t been eating nor drinking enough, therefore this also may be a factor to consider. 2. Select 2 examples of evidence based approaches for the prevention of pressure injury highlighted in the guidelines that you would include in Mrs Phillips plan of care. Justify your choices. Use of the Waterlow assessment – The Waterlow...
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...A fall is an abrupt, unexpected, and unintentional event that results in a person’s coming to rest on the ground or at a lower level (Rao, Stevens, & Thurman, 2008). Falls are the main cause of accidental death and the seventh leading cause of death in persons aged over 65 years (Akyol, 2007). Despite numerous studies available, elderly fall injuries and preventions remain a challenge among health care providers. Injuries related to a fall among older people are a major health public issue with essential health care and economic outcomes. To reduce the risk of falls, there are many preventative information available to enable the elderly to be proactive to maintain dwelling in the community and avoid institutionalization and acute hospitalizations related to falls. The Vancouver Coastal Health Seniors Fall and Inquiry Prevention Initiate currently publishes a pamphlet whose layout appeal is attracting to the eye as it shows the elderly performing various activities that can lead to their loss of independence secondary to a fall. The color scheme was calm and catching to the eye and sparked the reader’s curiosity to read and review more of the information. The quality of the material in the pamphlet was clear, concise, and to the point with an explanation of the risk factors that predisposes the individual to a fall and preventative measures for health promotion. The content in the pamphlet clearly explains the causes of a fall with preventative measures. Predisposition to...
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...Services: Risk Assessment What is RISK? Risk is the probability of an undesirable event. The probability of that event and the assessment of the events predicted harm must be put into a believable outcome or scenario this will combine the set of risk, reward and regret probabilities into a predicted value for that outcome. Risk is defined as a function of three variables: 1. The probability that there is a threat. 2. The probability that there are vulnerabilities. 3. The potential impact. What is risk management? Risk management is the means of balancing the costs and benefits of any business decision. The risk management process involves identifying, analyzing, and taking steps to eliminate or reduce the loss faced by an organization or individual. Risk management utilizes many tools and techniques, including but not limited to insurance, to manage a wide variety of risks. All businesses encounter risks, some of which are predictable and controllable, and others which are unpredictable and uncontrollable. Risk Management is particularly vital for any business. Common types of losses—such as theft, fire, flood, legal liability, injury, or disability—can destroy in a few minutes what may have taken the company years to build. Such losses and liabilities can affect the day to day operations, reduce profits, and cause financial hardship. These hardships can be severe enough to cripple or bankrupt a company. Through proper Risk Management a company...
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...Risk management is to figure out potential risks in advance then take proactive steps to deal with these identified risks. There are four steps of risk management process which is identify the risks, evaluate the risks, control the risk and review and update. My TPP program the group activity that all members sit into a circle and pass the ball to other. The target group is osteoarthritis seniors. Risk 1: Identify the risks: Fall down that leg or arm might fracture. Evaluate the risks: incorrect sitting posture or too excited reaction, dizziness, low or high blood pressure will risk to fall down. Seniors who got the last fall history before that will lead to higher frequency of falls and the greater chance of falls again. Control the risk:...
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...As a risk analyst for Santa Clara, Calirfornia at the National football stadium, I came up with 7 risks. Each risk will be discussed and described carefully. Firstly, bomb threats are mostly defined as a threat, generally verbal or written, to explode an explosive or inflammable device to cause property damage, death, or injuries. When recording with a device on phone lines and receiving calls during events with such a threat, the individual receiving the call should take note of as much information as possible and keep caller on the line as long as possible. Bomb threats should always token seriously and a full visual search of the facility should be completed. Then the local law enforcement, fire department and facility management should...
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...Risk and Quality Management Assessment Summary The organization for this summary is a Skilled Nursing Facility. The facility, Park Regency Care Center is located in La Habra, California. The skilled nursing facility provides nursing care in services for speech therapy, wound care, IV therapy, nutritional support, and medication and disease management. As well as rehabilitation in services for occupational therapy. The primary customers they serve are men and women around 55 years and older in age. The organizations care focuses on their customers who are in need of 24 hour care in support in transferring back home at prior level functions. The "Park Regency Care Center" (2013) website at Park Regency Care Center, under a physician’s directed treatment plan, we work with our residents and their family members to develop comprehensive individualized care plans for our residents to promote their recovery with goal of achieving the medically optimal result. Risk and Quality Management The purpose of risk management and quality management in health care organizations in general are to reduce the risk and implement changes for improvement and standards of the organization. Risk management improves management the proper way. According to Parker, Smith & Feek, Inc (2015), “Risk management is typically a hybrid function bridging a number of disciplines to reduce the incidence of organizational loss” (para. 2). In quality management it works side by side with risk management in improving...
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...attributable to the project. Because they include incremental revenues the full NPV equation is used to accept (accept if NPV>0) If we are using the EBIT formulation for estimating FCF we have: FCF= (EBIT)(1-T) + T(CCA) + NWC + Capex The cash flow elements to be estimated are: • net operating cash flows after tax (a.k.a. NOPAT, net operating profit after tax)(EBIT)(1-T) • the tax shield on Capital Cost TCCA • Incremental net working capital requirements NWC • incremental long-term assets Capex. At the end of the study period we also have estimates of cash inflow from sale of residual assets (RV), or the present value of FCFs which extend beyond the study period called continuing value (CV) RSM 2301 Financial Management - Fall 2011 © Asher Drory All rights reserved 9- 3 Valuation Alternatives: NPV vs. APV Models Net Present Value (NPV) NPV Expansion Decisions 9- 4 t t 0 FCFt (1 k )t Where: k = WACC keu is unlevered equity return (i.e., the equity return of an equivalent unlevered firm) T is the corporate cash marginal tax rate Vd is the value of debt Note: NPV ≡ APV by definition Adjusted Present Value (APV) APV t FCFt TVd (1 keu )t t 0 The static NPV model discounts FCF by WACC • The analyst...
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...Risk and Quality Management Emmett Snider HCS/451 February 25, 2013 Wiechman Risk and Quality Management Hospitals most likely originated from temples, which were dedicated to Greek and Egyptian gods of healing. Sacrifices, prayers, and dream interpretations played the major role in the ancient physicians healing process, but they did occasionally set a broken bone, stitch up an open wound while using opium as a pain killer. Today in the early 21st century hospitals are much different. Hospitals can cover the full spectrum of health care from major surgery to minor injuries acquired in emergency situations. Physicians are highly trained and most of them specialize in some area of medicine that uses hi-tech equipment to help them. Nurses no longer just take vital signs and tell the patient that the doctor will be with you in a few minutes even though they know it will be more like a few hours. Nurses provide a number of preventive and primary health services, take care of minor injuries and illnesses, and prescribe medication. Hospitals have same day surgery where patients arrive in the morning have surgery and are back in their own home by night-fall. Basically hospitals are one or more large buildings where sick or injured people can receive medical or surgical care and most of the time as an inpatient. Everyone takes risk every day of his or her life and the chance of a negative impact is increased by the number of unintelligent choices they make. Risk can...
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