Features
According to PIAA closed claims data for the years 2005 through 2007, the surgical sub-specialties combined comprised 41% of all claims and 45% of all claims paid. This doesn’t even include anesthesiology. The average indemnity of some of the surgical sub-specialties are as follows: general surgery claims at $288,455, $310,942 for Urosurgery, $417,118 for Obstetrics/Gynecology surgery, and $458,194 for Neurosurgery. For the same years, average indemnity for all Anesthesia claims is $370,032. RM&PSI’s customized risk reduction program plan will assist your organization’s understanding of the significance of perioperative 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 retention of staff.
The RM&PSI evaluation of claims has identified frequent contributing factors and effective prevention measures. The RM&PSI offers four levels of assessments. All of these evaluations can be tailored to meet the specific needs of a facility.
Four Levels of Assessments
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. 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 processes 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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