Healthcare Risk Management Program Analysis: A Detailed Report

This report analyzes a healthcare risk management program, specifically focusing on the U.S. Department of Health and Human Services (HHS) program. It begins with an introduction to healthcare risk management and its importance, followed by a summary of the HHS program's objectives and the role of the Office of Inspector General. The report compares standard healthcare risk management steps (context establishment, risk identification, analysis, evaluation, and mitigation) with those of the HHS program. It then analyzes key agencies like the Administration for Children and Families and the Centers for Disease Control and Prevention, evaluating the program's compliance with the Medicare Improvement for Patients and Providers Act (MIPPA). The analysis identifies challenges like inadequate training and resources, proposing recommendations for improved risk management practices, staff training, and financial allocation. The report concludes by emphasizing the importance of risk management in healthcare and suggesting measures for program improvement.

Running head: RISK MANAGEMENT PROGRAM ANALYSIS
RISK MANAGEMENT PROGRAM ANALYSIS
Name of the Student:
Name of the University:
Author’s Note:

1RISK MANAGEMENT PROGRAM ANALYSIS
Table of Contents
Introduction................................................................................................................................3
Summary of Risk Management Plan..........................................................................................3
Comparison of standard and chosen risk management plan......................................................3
Analysis of the key agencies and organizations of the program,...............................................7
Evaluation of risk management plan's compliance with the standards of its corresponding
MIPPA........................................................................................................................................7
Recommendations......................................................................................................................8
Conclusion..................................................................................................................................8
References..................................................................................................................................9

2RISK MANAGEMENT PROGRAM ANALYSIS
Introduction
Healthcare risk management is an integration of systems and processes reveal,
mitigate and preclude any risks within the healthcare setting. Thus, understanding the
elements, purpose and role of risk manager is important (Shen et al., 2017). The aim of the
assignment is to analyze a healthcare risk management program, the U.S. Department of
Health and Human Service programs that will help in understanding the steps and agencies
regulated by the administration of safe health care. Moreover, recommendations will be
proposed for improving the compliance standards.
Summary of Risk Management Plan
The aim of the Office of Inspector General as per the Public Law 95-452 is to protect
the uprightness of the Department of Health and Human Service (HHS) Program and the
health welfare beneficiaries associated with these programs (Oig.hhs.gov, 2005). The US
Department of HHS is a governmental agency that is focused on improving the health status
of the American and offering essential services to them. The Health Resources and Services
Administration (HRSA) is responsible for awarding various grants centers in order to
improve the health and well-being of the underserved population of the US.
Comparison of standard and chosen risk management plan
The risk management within the healthcare entities is stated to be an organized work for
identifying, evaluation and minimizing the risks when appropriate among patients, visitors,
healthcare staffs and assets in the organization. Simsekler (2019) opined that it is the most
appropriate form that is used for using in a pro-active manner in order to control the risks. In
case of an incident as well as handling the situation, the event need to be assessed and

3RISK MANAGEMENT PROGRAM ANALYSIS
analyzed using risk management principles. The standard administrative steps and process
followed by a typical healthcare organization risk management plan are:
 Establishment of the context: The context is one of the critical element in risk
management. The contextually or high priority area in the patient care unit includes
Intensive Care Unit, Emergency Room, Coronary Care Unit, Operation Room,
services related to blood transfusion and medication management (Alam, 2016).
 Identification of risks: The process of risk identification involve a comprehensive
effort by the healthcare professionals and employees with the use of Risk
Management Tools such as Risk Register.
Figure 1: Risk Register
Source: (Amon, 2019)
 Analysis of risks: The analysis involve development of an understanding of the
identified risks such as level, the causes and control measures. The existing controls
involves policies, protocols, procedures and guidelines, code team, effective training,
alarms and others. Another important analysis procedure is Root Cause Analysis.

4RISK MANAGEMENT PROGRAM ANALYSIS
Figure 2: Root cause analysis example
Source: (Alam, 2016)
 Evaluation of risk: This involve prioritization of the risk factors based on score of
risk analysis and deciding upon the measures of treatment.

5RISK MANAGEMENT PROGRAM ANALYSIS
Figure 3: Risk evaluation
Source: (Liu et al., 2019)
 Mitigation of risk: The last step is to make decision of risk treatment in aligned with
service goals and objectives.
In case of HHS Program, the steps and processes undertaken are based on the
objectives and include:
 Improvement programs
 Use of clinical protocols
 Communication with stakeholders such as patient, providers
 Documentation
 Mechanism of patient grievance
 Incident reporting system
 Patient tracking system
 Risk assessment and management
 Updation of policies and procedures
Analysis of the key agencies and organizations of the program,
Various grant programs include:
 Administration for Children and Families: It promote social and economic well-
being of families, children and communities.
 Centers for Disease Control and Prevention (CDC) It awards with respect to
acquisition and assistance actions in order to achieve the mission of CDC in effective
allocation.

6RISK MANAGEMENT PROGRAM ANALYSIS
 Agency for Healthcare Research and Quality: Its mission is to produce evidence
for safer and high quality health, which is more accessible, affordable and equitable in
nature.
 Food and Drug Administration: It offer various competitive grants and is related to
cooperative agreement programs for safety of food and issues related to human health.
 National Institutes of Health: It offer financial services to enhance health of the
population.
Evaluation of risk management plan's compliance with the standards of its
corresponding MIPPA
The compliance of HSS risk management plan is in collaboration with the standards
of the Medicare Improvement for Patients and Providers Act (MIPPA). Williams (2018)
stated it is a multi-elemental legislation that include various provisions for changing the
Medicare programs. The HSS program is directed to improve the health of people thus,
includes the provision of Medicare as the cost of treatment is increasing of an annual basis.
Recommendations
From the analysis, it can be seen that the issue with HSS programs are it had
implemented three difficult risk management practices, inadequate training, financial
resources and staffing that challenge the process of risk management. The first
recommendation involve evaluation and implementation of appropriate risk management
practice that help in patient tracking and peer review for enhancing the health status of the
population. The second recommendation involve improvement in training of staffs and
financial allocation that promise an innovative risk management approach by HRSA.

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Conclusion
From the assignment, it can be conclude that risk management program at health
centers are important. The purpose of HSS program is to l offering health and human
services. After assessment, it was found that there are several issues in the program that
required mitigation from the government. Thus, recommendations have been proposed to
address the issues.

8RISK MANAGEMENT PROGRAM ANALYSIS
References
Alam, A. Y. (2016). Steps in the process of risk management in healthcare. J Epid Prev
Med, 2(2), 118.
Amon, E. (2019). Risk Management Plan and Risk Register for Design Low-Power Wave
Energy Converter for Non-Grid Applications (No. 312). Marine and Hydrokinetic
Data Repository (MHKDR); Columbia Power Technologies, Inc.
Liu, H. C., Zhang, L. J., Ping, Y. J., & Wang, L. (2019). Failure mode and effects analysis for
proactive healthcare risk evaluation: A systematic literature review. Journal of
Evaluation in Clinical Practice.
Oig.hhs.gov (2005). RISK MANAGEMENT AT HEALTH CENTERS. Retrieved 24 January
2020, from https://oig.hhs.gov/oei/reports/oei-01-03-00050.pdf
Shen, W. K., Sheldon, R. S., Benditt, D. G., Cohen, M. I., Forman, D. E., Goldberger, Z.
D., ... & Olshansky, B. (2017). 2017 ACC/AHA/HRS guideline for the evaluation and
management of patients with syncope: a report of the American College of
Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
and the Heart Rhythm Society. Journal of the American College of Cardiology, 70(5),
e39-e110.
Simsekler, M. C. E. (2019). The link between healthcare risk identification and patient safety
culture. International journal of health care quality assurance.
Williams, C. (2018). Establishing an Effective Enterprise Risk Management in PublicHealth
Programs: A Case Study in PublicHealthcare Program Fraud (Doctoral dissertation,
Utica College).