WILLIAM OSLERHEALTHSYSTEM

Enterprise Risk ManagementAn Osler Perspective

Our vision is ‘to design health systems that serve the global community… driven by diversity’.

Rita vanOosterhout, Director Enterprise Risk & InsuranceSeptember 20, 2010

Background

Etobicoke General Hospital

• 269 beds• 2,607 births• 64,337 emergency visits

• 504 beds• 4,639 births• 85,017 emergency visits

Peel Memorial Hospital

Brampton Civic Hospital

• TBD

• Peel has the second highest volume of new immigrants in the country

• The top home languages include: English, Punjabi, Urdu, Spanish, Portuguese, Arabic, Somali, Gujarati, Tamil, Hindi, and Chinese

• Peel … the child and youth population under 19 years of age is the second highest of any region in the province

Key Facts

ERM Framework

x

HEALTH SYSTEMS THAT SERVE THE

GLOBAL COMMUNITY

Preserve and enhance reputational equity with

internal and external stakeholders.

PATIENTFINANCIAL

PEOPLE

SAFEENVIRONMENT

INFORMATION & TECHNOLOGY

LEGAL &REGULATORY

GOVERNANCE

IDENTIFYN

ICATE

RESPOND

MO

NIT

OR

& A

SSESS

& REPORT

CO

MM

U

How To Implement ERM?

Conduct Risk Reviews– To identify key processes, risks, weaknesses,

controls and tolerance– To promote accountability for the

management of key risks while fostering a risk aware culture

Approach– Involve appropriate personnel – Facilitate agreement of the priority of risks

as well as mitigating actions and accountabilities

– Formulate metrics to be used to identify trends/quantify risk

Deliverable & Outcome– Engagement and ownership – Quantification of risk

Other Ongoing ERM Initiatives

• Obstetrical Insured Claims analysis• Large Insurance losses to identify trends and

risk factors.• Critical Adverse Events• Other Serious Incidents

Planned Metrics

Risk Register – For Illustrative Purposes Only

RISK DESCRIPTION IMPACT LIKELIHOODRISK

SIGNIFICANCEPREVIOUS

STATUSCURRENT STATUS RESPONSE RESPONSIBILITY

1

Incorrect service delivery to patients (e.g. medication, specimen source entry)

Major Likely HIGH

FMEA to be performed Patient

2

Insufficient/inadequate capital funding/budget Moderate Remote LOW

Additional scrutiny and rigor applied to approval of capital projects.

Financial

3

Patients are experiencing delayed access to care. Minor Very Likely MEDIUM

Wait times are monitored and units experiencing excessive delays will implement an action plan that will then be monitored.

Patient

4

Catastrophic event at EGH impacting patient, staff and public safety. Major Unlikely MEDIUM

Facility is to be assessed by an independent engineer and an appropriate business case to be made.

Safe Environment