Write a 3-4 page risk management policy and procedure for a health care organization. Analyze a specific issue that
occurred in a health care organization and apply risk management best practices to it for the purpose of early risk
identification and risk reduction or elimination in the future.
Health care organizations have always searched for ways to identify and reduce risks. An organization’s ability to
identify and analyze its risk exposure is a determining factor in the effectiveness of its risk management program
(Hoarle, 2015). Early identification and analysis are essential.
Current health care risk management practices developed in the mid-1970s as a result of a surge in malpractice
suits. These suits caused rapid increases in claims costs for the industry and later in insurance premiums. Today,
health care delivery systems and organizations realize the value of risk management and have developed formalized
programs (Hoarle, 2015). In addition, organizations have established mechanisms to review potential incidents of risk
and safety concerns (Pelletier & Beaudin, 2018). While risk management programs are responsible for daily
management and risk operations, all health care stakeholders are responsible to participate in activities that will
reduce unnecessary risks and improve safety and quality (Hoarle, 2015).
This second course assessment consists of two parts. You are to assume the role of a new risk manager within your
organization’s risk management department. According to your director, employees lack awareness of the
organization’s risk management program. Likewise, departments inconsistently apply risk management
principles. As a result of these deficiencies, your director has given you your first assignment.
Part One: Risk Management Policy and Procedure
Your director has asked you to write a formal risk management policy and procedure for the organization.
Part Two: Application of Risk Management Principles to a Specific Incident
In addition to the policy and procedure, your director has asked you to apply your knowledge of risk management
principles to a specific organizational risk that has occurred. You will select one of the three incidents from the Vila
Health: Patient Safety media piece from Assessment 1. These incidents included a patient identification error, a
medication error, and a HIPAA/privacy violation. Select the risk that holds the most interest for you.
Your director believes that the organization’s newly written risk management policy and procedure, coupled with
your analysis from a risk management standpoint of a recent, specific incident that occurred, will help employees
(and the organization) recognize how the hospital’s risk management program contributes to the overall
organization’s safety and quality improvement efforts.
References
Hoarle, K. (2015). Risk management poised to grow as healthcare evolves. Biomedical Instrumentation &
Technology, 49(6), 433–435.
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7/12/22, 6:00 PM Assessment 2 Instructions: Risk Management Policy and …
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_374116_1&content_id=_11465655_1 2/4
Pelletier, L. R., & Beaudin, C. L. (2018). HQ solutions: Resource for the healthcare quality professional (4th ed.).
Philadelphia, PA: Wolters Kluwer.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies
through the following assessment scoring guide criteria:
Competency 1: Analyze the quality and performance improvement activities within the health care
organization.
Propose evidence-based risk management strategies and techniques to identify and eliminate or
reduce a particular risk.
Competency 2: Explain the risk management function in the health care organization.
Explain the importance of a risk management program to health care organizations.
Define key risk management terms.
Describe the major risk categories in a health care organization, along with their corresponding risk
identification techniques.
Competency 4: Apply leadership strategies to quality improvement in a health care organization.
Analyze the risk manager’s role in effective management of the organization’s risk management
program.
Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity,
dignity, and integrity of others and is consistent with health care professionals.
Write a clear, organized risk management policy and procedure that is generally free of errors and is
reflective of professional communication in the health care field.
Provide citations and title and reference pages that conform to APA style and format.
Preparation
To help prepare for successfully completing this assessment:
Conduct independent research on policy templates. You will find multiple policy templates from which to
choose as you write your risk policy and procedure.
Select one of the organizational risks from the Vila Health: Patient Safety simulation from Assessment 1.
These included a patient identification error, a medication error, and a HIPAA/privacy violation. For Part Two
of your assessment you will conduct an in-depth analysis of the organizational risk you selected.
Instructions
Part One: Risk Management Policy and Procedure (3–4 pages)
As the new risk manager in your health care organization, your director has assigned you responsibility for drafting
the organization’s risk management policy and procedure. This assignment stemmed from your director’s perception
that employees lacked knowledge and awareness of risk management’s contribution to furthering the organization’s
safety and quality improvement efforts. Likewise, your director also saw evidence that departments within the
organization were inconsistently applying risk management principles to their daily work practices.
The guidance you have received from your director about writing this policy and procedure is that it needs to
include all of the following headings. It also needs to answer all of the questions underneath each heading:
7/12/22, 6:00 PM Assessment 2 Instructions: Risk Management Policy and …
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Purpose Statement:
How can a risk management program help this organization advance its strategic safety and quality
goals?
Key Risk Management Terms:
What is the definition for each of these risk management terms?
Risk prevention.
Risk reduction.
Regulatory compliance.
Patient safety.
Adverse event.
Near miss.
Risk Categories and Risk Identification Techniques:
What are the major risk categories in health care? In your answer, be sure to explain each risk category
and to provide relevant examples from the literature to illustrate your points.
What risk management strategies will the organization use to identify potential organizational risks? Be
sure your narrative identifies and describes such risk identification techniques as concurrent,
retrospective, incident reporting, and previous trends. Note: These are only a few of the risk
identification techniques to address in your policy and procedure. Be sure to include other examples
you are aware of from your professional experience or from reviewing your suggested resources.
What are examples of risk categories and their appropriate corresponding risk identification
techniques? For example, coding errors are a type of financial risk. Retrospective auditing is the risk
identification technique used to identify this risk type.
Risk Manager’s Role in Program Implementation and Compliance:
What is the risk manager’s role in risk management program implementation and compliance?
How can a risk manager impact effective management of the organization’s risk management
program?
What is one example from the literature that shows how the risk manager role can positively impact a
health care organization’s management of its risk management program?
Part Two: Application of Risk Management Principles to a Specific Incident (3–4 pages)
To further help employees and the organization at large see risk management’s contribution to helping the
organization achieve its safety and quality goals, your director has asked you to analyze and apply risk management
principles to a recent incident that occurred in the organization. Your director has asked you to include all of the
following headings in your analysis and to address all of the questions underneath each heading.
Risk Description:
Which potential risk to your organization from the Vila Health: Patient Safety simulation are you
analyzing? These included patient identification error, medication error, and a HIPAA/privacy violation.
Risk Implications:
What are the risks to patients, employees, and to the organization if this particular risk is not
addressed? In other words, what could happen if the organization chooses to do nothing?
Risk Identification:
What risk management strategies and techniques will the organization employ to identify this type of
risk in the future? For example, will the organization identify this type of risk by analyzing incident
report data? What other strategies might the organization employ to identify the risk? Be sure to
include your rationale for choosing the particular strategy(ies).
Risk Reduction/Elimination:
What risk management best practices could the organization employ to eliminate or reduce the risk in
the future? For example, if you plan to identify the risk by analyzing incident report data, would you
conduct a drill down to determine what is causing the risk? What other best practices might you
employ? Consult your suggested resources for guidance on best practices for eliminating and
reducing risk.
7/12/22, 6:00 PM Assessment 2 Instructions: Risk Management Policy and …
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What steps would you take to implement your plan to eliminate or reduce your selected risk?
Additional Requirements
Length: Your risk management policy and procedure assessment will be 6–8 double-spaced pages, not
including title and reference pages.
Font: Times New Roman, 12-point.
APA Format: In the health care environment, typically a policy and procedure and analysis document would
not be written according to APA style and format. To make this assessment as authentic as possible to what
you might actually encounter in the workplace, the body of your assessment does not need to conform to
APA guidelines. Do make sure that it is clear, persuasive, organized, and well written without grammatical,
punctuation, or spelling errors. At the same time, health care is an evidence-based field. As such, your title
and reference pages need to conform to APA format and style guidelines. Likewise, you also must cite your
sources according to APA guidelines. Your leaders may question you about the sources of the information you
are providing them.
Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty
member will evaluate your work