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Risk Management Assessment Summary

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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 located in Wichita, Kansas and was founded in 2001 by an industry pioneer named Tim Buchanan. The Legend Senior Living Center operates and owns 20 residences that represents over 1,000 units of Independent living, Assisted living, Memory care, and Nursing Residences that are located in Kansas, Florida, and Oklahoma. Legend Senior Living Facility is committed to providing the highest standards of quality service that is reflected in their management team and the individuals who serve the senior citizens each day. The management team at Legend consists of industry leaders with national experience that is dedicated to bringing the best service and innovative practices to enhance the lives of the elderly individuals. Risks analysis first begins with identifying all of the potential weaknesses. Weaknesses are internal. One example of a weakness can be a product or a service that does not meet the needs of the patient in a long term care facility. Other examples of weaknesses range from shortage in staffing, ineffective leadership, and unreliable employees. An external factor that can negatively affect long term care facilities are threats. There are many different ways to identify threats which include looking into parent companies, the long term care facility itself, and the industry. It's important for facilities to determine how vulnerable their facility is to an attack from their competitors. Other examples of external threats are natural disasters, disclosure, hackers, theft, errors in data entry, and changes that occur in the economy. Once the long term care facility have identified their threats and weaknesses they are then able to proceed to the next step which is determining how damaging the threats and weaknesses could be to their facility. The way for them to calculate the value of a specific risk, is to take the probability of the threat that is taking place and multiply it by the cost of fixing the damage that would be caused by the threat. Once a long term care facility knows the value of risks they must take the proper steps to manage the risk. Something that they want to keep in mind when it comes to managing risks is being cost-effective and try to spend as little money as possible when it comes to eliminating the risk. Long term care facilities should make a plan that will reduce the risk if and when it occurs. Long term care facilities should follow a five step method. The five steps are; identify the hazards, decide who might be harmed and how, evaluate the risks and decide on precaution, record your findings and implement them, and review your assessment and update it when necessary.
One risk in long term care is falls with the elderly patients'. Elderly adults have the highest risk of falls due to several different reasons like chronic medical conditions, certain medications that they take, and their eyesight. In long term care facilities one half of their patients' (residents) fall every year. When elderly individuals' fall it can have serious impacts on their health ranging from serious injuries, fractures, and even death. Certified Nursing Assistants (CNAs) are at risk working in long term care facilities. Certified Nursing Assistants (CNAs) are at risk for contracting airborne illnesses as well as blood borne diseases. CNAs are also at increased risks for injuries inflicted on themselves when they are dealing with patients who are wheelchair bound or dealing with patients who are bed bound. CNAs can also be at risk with elderly patients who have certain illnesses where they can become violent and unruly. Lastly another risk that can take place in long term care facilities are to physical therapists. Physical therapists are at an increased risk in workplace injuries. Injuries that could occur within the workplace are falling, broken bones, and muscle pulls. These injuries can occur when the physical therapist is assisting a patient with physical therapy. If a patient is injured during a physical therapy session then the physical therapist can be at risk for legal issues or a lawsuit. Ways that would help long term care facilities mitigate risk is to ensure that their employees have the proper education and training. It is important for the staff to be aware of the warning signs and treatment of potential mental illnesses, conditions, and problems facing the elderly. One major area of study is how to be able to properly identify the early signs of Alzheimer's Disease and how to effectively deal with it. The staff should also be properly educated on common preventable injuries, risks, and how to minimize the risks. Lastly staff should be properly trained and educated on how to deal with patients who are high fall risks because this is something that happens frequently in long term care facilities due to patients' having physical conditions and muscular degeneration. When the staff is properly trained and educated they are able to identify patients who are high fall risks which then allows them to reevaluate their way of doing things in order to help prevent fall risks.

References Carroll, R. L. (2009). Risk management handbook for health care organizations San Francisco, CA: Jossey-Bass.

Kehinde, J. (2009, Fall). Instruments for Measuring Fall Risk in Older Adults Living in Long-Term Care Facilities. Journal of Gerontological Nursing, 35(10), p46-55. Abstracts in Social Gerontology.

Legend Senior Living. (n.d.). Retrieved from http://www.greentreess.com/

Sollecito, W.A., & Johnson, J.K. (2013). McLaughlin and Kaluzny's Continuous Quality Improvement In Health Care, 4e (4th ed.). Retrieved from The University of Phoenix eBook Collection database.

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