Risk & Quality Management
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How to Educate the Board on Quality and Safety as QAPI Expects
The Quality Assessment and Performance Improvement (QAPI) program from the Centers for Medicare & Medicaid Services specifies that hospital boards are responsible for oversight of the QAPI program and that hospital administrators are responsible for educating the board on quality and safety issues. But how does a risk manager educate and update the board on these issues?
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Risk Managers Valued in Compliance Program Guidance from OIG
The Department of Health and Human Services Office of Inspector General recently issued its new General Compliance Program Guidance, the first of a series of compliance guidelines expected from the OIG, providing guidance, tools, and references addressed to federal healthcare program providers and suppliers. OIG makes clear that risk managers are an integral part of the effort.
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‘Take Care of Maya’ Verdict Could Have Chilling Effect
A recent $261 million judgment against a hospital could have a chilling effect on hospitals trying to weigh the obligation to protect minor patients against the parents’ rights to see the child. The case received substantial media attention, which could influence the way clinicians and administrators handle such cases.
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OCR Updates HIPAA Assessment Tool
The Office for Civil Rights has updated a self-assessment tool that covered entities can use to determine how well they are complying with HIPAA, and the new version presents an opportunity to see how useful the resource can be.
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What to Expect After a HIPAA Violation
Discovering a HIPAA violation in your organization inevitably causes anxiety about what will follow and how bad the consequences can be. Understanding the process and what to expect can ease some of the worry and help you manage the process to the best possible resolution.
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Plaintiff’s Failure to Follow Expert Disclosure Deadlines Results in Judgment for Defendants
As an initial, medical point, surgeons who often ask physicians in training to close surgical wounds after the procedure should take care to confirm the skill of the trainee and the quality of the result. But if such a procedure (or any procedure) leads to a medical malpractice case, experts are essential.
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Appeals Court Clarifies Standard for Admissibility of Expert Opinion in Medical Malpractice Case
Cases involving expert opinions are sometimes referred to as “a battle of the experts” due to the degree of importance in medical malpractice cases and other matters involving technical, medical, and scientific issues. Judges are the gatekeepers of whether expert opinions are reliable enough to be admitted. As the Georgia Court of Appeals found, judges can sometimes get it wrong.
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EDs Can Make Discharges Against Medical Advice Safer
There is a lack of evidence in the literature regarding effective interventions to prevent discharge against medical advice, according to a review of studies from 1989-2022. Emergency care providers should discuss prescriptions, follow-up appointments, and red-flag signs that indicate patients should return to the ED — just as they would with any patient about to be discharged from the department.
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Perinatal Software Plays a Large Role in OB Safety
The clinical benefits of perinatal software are well known to those who work in labor and delivery, but the risk management potential can be underestimated.
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Pharmacy Claims Report Shows 100% Cost Increase
The cost of defending complaints against pharmacists accused of misconduct has increased more than 100% in the past 10 years, according to a recent report.