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www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Certified Professional in Healthcare Risk Management
Study & Review Course
CME Accredited
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Logistics Overview:
Logistics for Consultations and Development located in Egypt, Cairo, A55 AlNakheel Street, Al Mohandssen, and Saudi Arabia, Jeddah, Al Foad Plaza, Palestine street,
Logistics for Consultations and Development was established in 2007 to provide Training and Consultation to health care professions. It expands to cover Egypt, Saudi Arabia and the Gulf Region. Logistics activities varies from professional development training Programs, conferences and workshops and Healthcare accreditation readiness consultation,
Logistics for Consultations and Development affiliates with number of reputable academic partners as Management Center at the American University in Cairo AUC, Quality unit in Faculty of Medicine - Ain- Shams University and Quality Center in Faculty of Medicine-Alexandria University
Logistics for Consultations and Development provides training in different models extending from long programs as post graduate Diplomas, workshops and short training courses; our programs granted from our academic partners also accredited as CME from Saudi Commission for Healthcare Specialties SCFHS and Technical & Vocational Training Corporation
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected] Introduction
The Healthcare Risk Management Professional’s primary duties include the prevention, reduction, and control of loss to the healthcare organization, its patients, visitors, volunteers, physicians, other healthcare professionals and employees. Regardless of the healthcare delivery system in which the individual works, the Healthcare Risk Management Professional interfaces with a number of healthcare professionals in the accomplishment of these objectives. Duties may include incident investigation and analysis, tracking, trending and evaluation, risk financing and claims management. Logistics for Consultations & Development has organized a training workshop called 'Review and Study Course for the Healthcare Risk Management AHA-CC Certification Board Exam'
A Certified Professional in Healthcare Risk Management (CPHRM) is
Designed to test a well-defined body of knowledge representative of professional practice in the discipline. Successful completion of a certification examination verifies broad-based knowledge in the discipline being tested. Certification examinations conducted by the AHA-CC are independent of each other. Each leads to a certification credential in a healthcare discipline. Content on each examination was defined by a body of experts. Content of each examination was defined by a national role delineation study. The study involved surveying practitioners in the field to identify tasks that are performed routinely and considered important to competent practice.
How to apply for CPHRM Exam
Examination is offered online throughout the year, Exam costs 425 USD. To Apply for the exam and schedule your Examination and choose your location
visit http://www.goamp.com
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Outline of CPHRM Preparation Course Learning Objectives
By the end of the course participants will be able to
Describe the history and purpose of health care risk management & to identify the key components of developing a risk management program, including the risk management professional’s responsibilities.
know includes the methods and processes used by organizations to manage risks and seize opportunities related to the achievement of their objectives
Understand the need for Risk Management and Loss Prevention / reduction
Examine components of the risk management process including, but not limited to, risk identification, risk analysis and risk control.
Understand how to plan to foresee risks, to estimate the effectiveness, and to create response plans to mitigate them
Describe the Need for Effective Communication Runs as a loss prevention
Introduce participants to the main legal terms in Healthcare Risk Management
Understand the climate in healthcare today, the emphasis on patient safety and outside organizations that influence internal operations.
Discuss the claims process from occurrence through resolution and to review the basic components of risk financing and contracts management.
Know the different tools for Risk Management (FMEA, RCA,…..)
Understand the application of risk management tools in clinical Settings
Indentify common risk exposure in the different levels of the healthcare setting
Discuss the claims process from occurrence through resolution and to review the basic components of risk financing and contracts management.
Understand the policies and procedures to Regulatory Accreditation compliance
Discuss the Ethics Codes in Risk Management
Know the essentially conforms to the six-domain format of the CPHRM examination.
Know the ASHRM resources and other suggestions for additional study.
Provides a list of common acronyms and a collection of additional practice questions encompassing all CPHRM domains
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Who Should Attend
This course is intended as a review for healthcare Risk Management professionals who are preparing for the CPHRM examination or who want to sharpen their existing Risk management skills. And who are interested in Healthcare Risk Management & Patient Safety, Include: - Healthcare Quality Professionals - Healthcare Risk Managers - Healthcare Executives -Healthcare Insurance Reviewers & Claims Processors -Physicians, Nurses & Healthcare professionals - Quality & Accreditations Consultants
This course is a supplement to CPHRM examination preparation activities. Attendance to this course provides no guarantee of successful completion of the CPHRM examination
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Educational Topics
1- Loss Prevention/Reduction
A. Develop statistical and qualitative risk management reports. B. Develop and maintain communications and relationships with key departments and
functions C. Assess the current state of patient safety and staff awareness within the organization. D. Collaborate on proactive patient safety initiatives E. Design, implement, and maintain risk management data collection and analysis systems F. Ensure that a product recall program exists. G. Ensure that appropriate policies, procedures, and mechanisms exist to reflect current
practice and are routinely updated to reflect relevant legislation and regulations. H. Design, implement, and maintain educational programs on risk management and patient
safety I. Implement a program for control of contractual risk by recommending/implementing J. Modifications to address identified risks. K. Communicate with key committees, including the governing body. L. Ensure that a program exists in the organization to require non-employed staff members,
vendors or contractors to maintain adequate insurance to cover the organization’s exposures.
M. Collaborate with public relations in the preparation of responses to the media/external inquiries regarding incidents/occurrences.
N. Promote appropriate procedures for retention, access, and destruction of medical records and other key business records.
O. Promote a culture of patient safety through education, policy development, and standardization of processes.
P. Oversee the investigation of accidents or circumstances that could lead to financial loss (e.g , professional, institutional, and general liability, product liability).
Q. Participate in due diligence assessment for new services or delivery models, acquisitions, or construction.
R. Educate providers, staff, employees, patients and families on the role of patients and families in improving patient safety and reducing risk.
S. Coach physicians, leaders, managers, and staff on appropriate disclosure methods and processes.
T. Participate in critical incident debriefing. U. Participate in the development of corrective action plans for problems uncovered by risk
assessments, audits and investigations (e.g., sentinel events, reported events/incidents, FMEA and Root Cause Analysis).
V. Supervise follow-up to recommend improvements stemming from risk assessments, audits and
W. Investigations (e.g., sentinel events, reported events/incidents, FMEA and Root Cause Analysis).
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
2- Claims Management
A. Notify carriers of potential or actual claims. B. Direct claims management strategies and activities C. Ensure that administration is kept informed of high exposure cases and aggregate claims
experience, including its impact on the risk financing program. D. Secure and evaluate all pertinent medical, billing, and other records related to individual
liability claims E. Assess liability and probability of legal action for notification of insurance carriers. F. Ensure chain-of-custody for all potential evidence related to individual liability claims. G. Analyze professional liability historical loss experience. H. Ensure legal case files are maintained in such a way to protect discoverability. I. Communicate results of claims data analysis and risk management opportunities for
inclusion in setting organizational priorities. J. Manage the response to service of process and notify appropriate parties of such service.
3- Risk Financing
A. Maintain and coordinate exposure data for organization. B. Complete insurance applications and renewals. C. Develop comprehensive risk financing strategies to address the organization's areas of
exposure Conduct ongoing monitoring/evaluation of risk financing program.
D. Respond to risk management concerns about insurance coverage from organization personnel and staff members.
4- Regulatory/Accreditation Compliance
A. Promote compliance with state agencies governing the reporting of specific events through policy development, guidance, or education.
B. Promote compliance with state-specific legislation through policy development, guidance, or education.
C. Promote compliance with federal and state laws and regulations governing patient confidentiality through policy development, guidance, or education including protected health information (PHI).
D. Promote compliance with state reporting requirements through policy development, guidance, or education.
E. Promote compliance with state reporting requirements governing violence in the workplace through policy development, guidance, or education
F. Educate staff on regulatory issues related to risk management. G. Promote compliance with state regulations regarding the investigation and resolution of
patient complaints or grievances through policy development, guidance, or education. H. Collaborate with other departments by preparing and conducting quality and/or risk
assessments to maintain a constant state of accreditation readiness.
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
I. Promote compliance with regulations governing involuntary detention of patients through
policy development, guidance, or education. J. Provide ongoing consultation to other departments to promote compliance with
accreditation standards. K. Collaborate in the development of the organization's regulatory compliance plan. L. Promote compliance with The Joint Commission (TJC) Sentinel Event reporting
requirements. M. Promote compliance with private accrediting/certification organizations. N. Assure compliance with The Joint Commission (TJC) Patient Safety Standards. O. Develop responses to inquiries from regulatory and licensing agencies. P. Develop and implement policies in response to regulatory mandates from The Joint
Commission. Q. Maintain awareness of patient safety activities occurring locally and nationally R. Advice on questions related to patient self-determination and advance directives. S. Ensure HIPAA compliant business partner agreements are in place and current for all
insurers, Attorneys and others involved in the claims process that will have access to PHI. T. Ensure that processes are in place for compliance with federal and state community
initiatives for Emergency preparedness including natural, man-made, and biologic disaster readiness.
U. Ensure processes are in place to monitor and report emerging public health trends.
5- Operations
A. Supervise risk management staff. B. Develop/maintain department policies and procedures and modify as required. C. Prepare risk management department budgets. D. Develop risk management philosophy including the organizational response to errors. E. Coordinate risk management committees. F. Develop annual goals for risk management department. G. Train risk management staff. H. Develop risk management plan. I. Evaluate the effectiveness of risk management activities. J. Develop policies and procedures for acceptance of legal documents (e.g., summons,
complaints, subpoenas, court orders). K. Support patient safety committee meetings by collecting and formulating relevant
information to facilitate decision-making process. L. Participate in professional association activities. M. Annually assess risk management plan for effectiveness.
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
6. Bioethics
A. Provide risk management consultation for specific ethical dilemmas (cases). B. Provide education/in-service for staff, patients, families,
communities on patient's rights e.g. of life decisions). C. Ensure organizational compliance with disclosure of unanticipated outcomes D. Ensure programs that address provider and staff
behavioral issues are culturally, legally and psychologically sound and non-discriminatory
Course Schedule
Day 1st Session
2nd Session
3rd Session
Day 1
overview of historical background of healthcare risk management
Pre-Course Test
ERM Enterprise Risk Management
Loss prevention /
reduction
Risk Management process
(Identification, Analysis, Control)
Day 2 Risk Management
Plan / Program
Communication as a loss prevention tool
Legal terms
Day 3
Employment practices and organizational
liability
Patient safety
Claims management and risk financing
Day 4
Risk Management Tools (FMEA, RCA, )
Application of Risk management tools in
clinical settings
Insurance & contracts
Day 5
Monitoring / evaluation of risk
management program
Regulatory / Accreditation compliance
Bioethics
Day 6 CPHRM Exam
Preparation Guide
bre
ak
CPHRM exam hints
bre
ak
Open discussion
CPHRM Mock Exam
www.logisticsconsultations.com
Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 – Fax: +966 2 6746843 Makkah – Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 – Fax: +966 2 5603738
Egypt Cairo – 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 – Fax:+20 2 33352830
E-Mail: [email protected]
Teaching Methods The instructors will use a variety of adult learning methods to ensure that participants are capturing the basic concepts and the knowledge in a way that takes into consideration the variations in back- ground. The purpose is to review and wrap up all the content outline of the CPHRM Exam, Including the application aspects. Methods include but not limited to:
Power point presentations and discussions Small group work Case studies Reviewing Questions and Answers Sample test
Evaluation Methods
Pre Test Post Course Mock exam
Granted Certificate Attendance Certificate CME Accredited
Reference Materials Risk Management Handbooks for Healthcare Organizations 6th Edition:
Volume 1: The Essentials Volume 2: Business Risks Volume 3: Clinical Risks
CPHRM Exam Preparation Guide
