Responding to Risks in the Healthcare System

• Delineate the role and duties of the risk manager.
• Identify risks in the healthcare setting.
• Analyze the potential impact of identified risks.
• Recognize and apply laws, regulations, and standards of care affecting healthcare providers.
• Respond to Potentially Compensable Events to mitigate harms and minimize losses.
• Identify the key elements of an effective claims management program.
• Outline the pre-trial legal process and various methods of pre-trial discovery.
• Understand the phases of the trial and different legal theories.
• Evaluate the trial process and meet reporting obligations.

Developing a Proactive Risk Management Program

• Recognize the value of building a good relationship with local media and placing positive stories about your organization.
• Develop a plan of response to the media in the event of a crisis.
• Design a comprehensive program for healthcare risk management with an emphasis on implementation.
• Communicate effectively with staff and leadership to represent risk management.

Risk Financing

• Differentiate risk retention versus risk transfer and recognize liability exposures that should be transferred.
• Select and work with an agent or broker to purchase liability coverage.
• Describe how the risk manager can select and effectively collaborate with the insurance company.
• Distinguish claims-made versus occurrence policies.
• Recognize lines of coverage necessary to protect the organization.
• Interpret the elements of the insurance policy.
• Evaluate alternatives to traditional insurance coverage for the healthcare facility.