RISK MANAGEMENTIDENTIFYING THE OBSTACLES

Joan ReddenJR & Associates, LLC

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QUALITY ASSURANCE/ RISK MANAGEMENT

CQI PROCESS

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Does the StupidProcess Work?

Don’t Mess with It

Yes

Did you messWith it?

No

You Idiot!

Does Anyone Know?

Yes

Will you Catch#*@!^#?

No

You PoorFool

No ProblemO!

Hide it!

Throw it Away

Can you Blame Some one else?

OBSTACLES IDENTIFIED THAT MAY CAUSE RISK ISSUES IN

THE CENTER!• “How do you find the time to have CQI meetings;

Post falls, Weight loss, pressure ulcers!• “Physician “support! we aren’t the acute!”• “Survey issues; “strict liability”• “Trying to implement a new system in an already

packed day/week is impossible”• Documentation errors, omissions, self serving

comments….

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OBSTACLES IDENTIFIED IN THE FIELD

• I have given that in-service – it doesn’t work• It won’t work because we don’t have the staff• We don’t have enough licensed nurses; “we would

rather be at the bedside”.• The documentation process is too cumbersome to

complete

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“MISCONCEPTIONS”

• “It is gathering your data…DRIP”• It is another meeting• It just takes more time from our days• It is only another action plan• The surveyors don’t accept our findings or action

plans• The DON is already too busy, she is the only RN in

the building

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RISK MANAGEMENT—FACTS!

• CQI meetings maybe in place within the current programs you have scheduled

• Utilizes the data you have already collected• Helps to empower members of the care team• Validates current systems• Improves quality of care and decreases claims and

survey outcomes.

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LET’S TEST YOUR RISK MANAGEMENT PROGRAM

Reviewing the SurveyCan you identify:

• System issues• Process failure• Failure to communicate• Lack of understanding• Need for additional education

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CONTROL YOUR RISK!DON’T LET IT DUMP ON

YOU!

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RISK MANAGEMENT IS EVERYONE’S JOB!

IT’S PART OF EVERYTHING WE DO!

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