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INSURANCE CLAIMS CONSULTANTS 'S
HOSPITAL RISK MANAGEMENT
SEMINARS
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ICC SEMINARS
COMING YOUR WAY
Hospital Risk Management And Risk Management
in Health Care
There are 39 areas to cover in this course and the
seminar takes 5 days to cover all material: This course is designed for risk
managers in the health profession.
- Introduction to Risk Management.
- Risk management in managed care.
- The Risk manager's role in the integrated delivery system.
- Integrating Risk management, utilization management and quality
management: Maximizing benefits through integration.
- Incorporating quality improvement strategies and benchmarking into risk
management .
- Benchmarking in risk management.
- Risk management strategic planning for a changed health care delivery
system
- Developing tools to identify and manage the risk of managed care.
- Setting up a risk management department.
- Understanding the need for a corporate compliance program.
- Developing a risk management manual.
- Risk management program development
- The risk manager's responsibility for off- premises locations.
- Managing the data needs of managed care .
- Education as a valuable risk management tool .
- Consent issues in the medical environment.
- A basic insurance primer.
- Understanding provider excess and stop- loss insurance
- Self-Insurance for physicians/surgeons and how to protect hospital
interest allowing physician to become self-insured.
- Insurance products to minimize financial risk of managed care.
- Risk financing: an important risk management function.
- Risk financing issues facing medical providers.
- Guidelines for in- house claims management.
- Risk management issues associated with Anesthesia.
- Developing a comprehensive risk management program in obstetrics.
- Risk management issue in the emergency department.
- Risk management in the pediatric settling.
- Risk management in the psychiatric settling.
- Managing the risk associated with clinical research.
- Managing the risk associated with telemedicine.
- Managing the risk of home health care .
- Legal issues associated with the use and development of practice
guidelines.
- Managing the risk of workers compensation.
- Credentialing issues and managed care.
- The physician as Gatekeeper- what are the risks .
- Ethics, accreditation, and managed care: a guide for risk managers .
- Legislative and regulatory issues.
- Cobra risk and managed care .
- Managed care contracting.
- Negligence , Proximate Cause Defense To
Negligence Claims and Health Care Providers
41. Case Study Open for discussion
Hank Johnson had a right hip replaced at St. Marks Hospital in 2007.
Upon completion of his surgery, Hank Johnson was required to stay in the
hospital for one week.
Mr. Johnson frequently had to go the bathroom and was told by the nursing
staff that he was not to get out of bed without assistance.
Mr. Johnson acknowledged. The following day, Mr. Johnson called the
nursing station for assistance, but a nurse was not available to assist
Mr. Johnson at that moment.
Mr. Johnson took it upon himself to get out of bed to go to the bathroom
and in the process fell and this time broke his left hip.
Mr. Johnson is claiming negligence on the part of the hospital for failing
to assist him timely, which resulted in Mr. Johnson having to get out of bed to
go the bathroom unassisted..
Mr. Johnson does not have an attorney at this time and is asking the
Hospital to compensate him for his injury to his left hip injury .
