Perinatal Services Evaluation

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Perinatal Services Assessment

Assessment/Evaluation

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Product Code: YG090727_PN

(888) 466-4272

Description

PERINATAL SERVICES EVALUATION

Perinatal claims are consistently the costliest claims in the medical industry. By utilizing a comprehensive and proactive approach to understand each facility�s unique risk reduction opportunities, The RM&PSI has assisted many organizations to:

� Improve patient safety practices, thus minimizing the likelihood of medical errors.
� Implement evidenced-based practice protocols for high-risk clinical presentations.
� Improve process of communication between departments and care providers.
� Enhance the quality improvement process using metrics to sustain improvement.
� Strengthen the documentation in the medical record that better supports adequate claims defense.
� Decrease claims frequency and the associated indemnity and expenses.

According to PIAA closed claims data for the years 2005 through 2007, the average indemnity across all OB/GYN claims is $417,118, with well over one hundred claims that paid greater than $1 million. RM&PSI�s customized risk reduction program plan will assist your organization�s understanding of the significance of perinatal data trends and patterns. Implementation of The RM&PSI risk reduction strategies will assist in minimizing situations that lead to medical errors and untoward events and clearly could have a sizable financial impact on the organization. Additionally, The RM&PSI focuses on patient-centered approaches and the patient experience. As such, many organizations have reported improvement in patient satisfaction. Finally, The RM&PSI encourages (for many reasons) development of a patient safety culture. This positive environment often leads to improved employee satisfaction, reduced stress, and better staff retention.

The RM&PSI evaluation of claims has identified frequent contributing factors and effective prevention measures. To assist organizations serving perioperative services patients, The RM&PSI offers four levels of assessments. All of these evaluations can be tailored to meet the specific needs of a facility.

Features

1 Star
This focused clinical risk assessment conducted by a risk management consultant is a one to two-day assessment, based on facility size. This assessment focuses on high-risk area processes and outcomes. The assessment includes an onsite review of facility and department documents, interviews with staff to determine knowledge and compliance with facility policies/procedures and processes, and a limited review of medical record documentation processes. The evaluation and report will include rationale for all recommendations.

2 Star
This focused clinical risk assessment is conducted by a team of two consultants; a risk management expert and a clinical expert, and provides a deeper look at the clinically pertinent processes of the perioperative arena. It is a one to two-day assessment, based on facility size and focuses on high-risk area processes and outcomes. The assessment includes an onsite review of facility and department documents, interviews with staff to determine knowledge and compliance with facility policies/procedures and processes, and a more extensive review of medical record documentation processes. The evaluation and report will include rationale for all recommendations.

3 Star
This comprehensive clinical risk assessment is conducted by a team of two consultants; a risk management expert and a clinical expert. It is a one and a half to three-day review based on facility size and focuses on high-risk area processes and outcomes within the structure of the system as a whole. This review has an organizational approach to examine clinical care and inherent latent risks in the system. This evaluation focuses on processes and outcomes in high-risk areas; it includes staff interviews, medical record documentation practices and procedural review and observations for selected areas as well as an off-site policy and document review and an anonymous culture of patient safety survey and analysis This assessment offers a more extensive look at the organization�s processes and outcomes in comparison to standards, evidenced-based medicine and best practices. The evaluation and report will include rationale for all recommendations.

4 Star
This comprehensive clinical risk assessment is augmented and conducted by a full complement of experts including a risk management consultant, a physician expert and nurse expert. It is a multi-day assessment, based on facility size and focuses on high-risk area processes and outcomes within the structure of the system as a whole. This evaluation is the most extensive of all reviews. This evaluation focuses on processes and outcomes in high-risk areas; it includes extensive staff interviews, extensive medical record documentation practices and procedural review and observations for selected areas as well as an off-site policy and document review and an anonymous culture of patient safety survey and analysis. This assessment offers the most extensive look at the organization�s process and outcomes in comparison to standards, evidenced-based medicine and best practices. The evaluation and report will include rationale for all recommendations.

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