Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

Risk Management Process 2

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2014- Changed Process Revised Tools 5

Risk Management Process Important Considerations Hospital State Regulations Patient Safety Organization Patient Safety 6

Risk Management Process Important Considerations Patient Safety Organization- (PSO) Which Entity and When Patient Safety Work Product- (PSWP) Policy and Procedures Patient Safety Evaluation System-(PSES) PSWP data under the PSES 7

Risk Management Process Pre-Survey Communication 8

Risk Management Process Entrance Entrance Checklist 9

Risk Management Process Information Gathering Patient Safety Organization Surveyor Do’s and Don’ts Go To- References 10

Risk Management Process Information Gathering Patient Safety Organization 11

Risk Management Process Information Gathering Survey Do’s and Don’ts Do: Verify Compliance Respect Confidentiality 12

Risk Management Process Information Gathering Survey Do’s and Don’ts Do Not: Request protected information/documents 13

Risk Management Process Information Gathering Go To- References **STATE GUIDANCE INFORMATION** - Florida Statutes (F.S.) pursuant to s (13) and (15), F.S. 14

Risk Management Process Information Gathering Effectiveness: Risk Management Process Incident Reporting Integration and Communication QAPI 15

Risk Management Process Decision Making Review Findings: Determine Compliance Gather Additional Information 16

Risk Management Process Exit Interview Review Findings: Answer Questions Explain Next Steps 17

Risk Management Process Post Survey: Complete Survey Documentation Communicate: Team Members Field Office Management 18

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QUESTIONS?? Contact Information (239)