Healthcare Risk Management Case Study

Risk managers are responsible for the oversight of the hospital’s quality assurance program, quality improvement initiatives, client care systems enhancements, medical staff peer reviews, and regulatory compliance. Also, risk managers coordinate with processes involved in handling general liability as well as risk exposures for the healthcare facility. Healthcare risk management professionals may have the following responsibilities: investigation on client complaints and medical malpractice claims; conduct risk-management training programs; review medical records for liability issues; observe financial records for fraud or theft; research and report medical and legal matters; and manage lawsuits and act as a liaison for liability claims.

Process FMEA analyzes the transactional processes and focuses on defects. System FMEA is used to analyze subsystems and systems for concepts and designs, but focues on the failure modes associated with the functions of the systems (Smith, n.d.). Design FMEA analyzes the design component, while the failures are derived from identified causes from the system FMEA. With these three types of process, the organization can assess the adequacy of the process and captures the relationships. How does the role of risk management suit into the current hospital operations? Risk management is a hybrid task joining several disciplines by reducing the occurrences of organizational damage. Health care FMEA is a technique used widely for assessing and identifying risks of client injury from possible system failures. The reason for using FMEA in health care is to ensure leaders are using a proactive approach by identifying the risk factors for patient safety, thus reducing medical

No improvements are required if using the FMEA approach for risk management. According to the Australian Council of Healthcare Standards (2013), the goals of risk management in health care is to: 1) minimize the possibility of events that can lead to consequences for consumers (clients), staff members and the organization; 2) reduction of the risk of injury, disease and/or death for clients, employees and others resulting from the services provided; 3) improve client results; 4) manage resources efficiently; 5) aid in legislative compliance and ensuring the health care organization viability and growth. The governing health care organization should validate the risk management procedures and create clear requirements for types of risk problems and level of risk should be