Top metrics to follow in risk management

The metrics tracked in your risk management program will vary according to your own needs and concerns, but this list of commonly applicable and useful metrics comes from Alan Rosenstein, MD, medical director of Physician Wellness Services, a consulting company based in Minneapolis:

• Core Financial/Legal

—For physicians, the denominator should be RVUs.

—For hospitals, the denominator should be beds.

—Claims

—Losses

—Premiums (Gross, but also per dollar of revenue and per FTE providers)

• Clinical

—For physicians, the denominator should be FTE providers.

—For hospitals, the denominator should be beds/units.

—Health care-acquired conditions

—Medication errors

—Objects left in surgery

—Hospital-acquired infections

—Occurrence of selected other adverse events such as falls or wrong-site surgery per month

—In-patient surgery issues

—Total number of incident reports (patient/ staff) per month

—Number of malpractice cases per month.