Primary Care Risk Management Program Discussion Paper

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Primary Care Risk Management Program Discussion Paper

Introduction

  1. Identification of primary care risk management program (PCRMP)

Primary care risk management program (PCRMP) is a risk management strategy designed to identify, assess, and manage risks within a primary care facility (Merriel, Seggie & Ahmed, 2023). The program focuses on developing policies and procedures to minimize risks and create a safe environment for patients and staff.

  1. Importance of PCRMP in primary care facility

This program is crucial as it helps minimize risks that may lead to patient harm, lawsuits, or penalties. PCRMP helps lessen risks and develops proactive measures to prevent them. A comprehensive PCRMP can create a safe environment for both patients and staff. Primary Care Risk Management Program Discussion Paper

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Rationale

  1. Current risk management plan in the selected primary care organization

The selected organization has a risk management plan that focuses on general risk management strategies but lacks a specific PCRMP. The current plan in place does not include policies and procedures that specifically address risks that are unique to primary care facilities.

  1. Lack of PCRMP implementation in current plan

Lack of PCRMP implementation in the current risk management plan exposes the facility to significant risks and failure to implement PCRMP could lead to adverse patient outcomes, financial penalties, and legal action against the organization.

  • Compliance standards and the need for PCRMP implementation

Compliance standards set by local, state, and federal regulatory agencies require primary care facilities to have a comprehensive PCRMP. With the PCRMP in place, the organization will be compliant with these standards and is providing a safe environment for patients and staff.

 

Support

  1. Data indicating the need for PCRMP

Research indicates that primary care facilities face unique risks requiring specific risk management strategies (Pereira-Lima et al., 2019). These risks include medication errors, misdiagnosis, patient falls, and infections and an implementation of PCRMP would reduce these risks significantly. According to Kirca, Ozgonul and Bademli (2020), medical errors and adverse events are a significant concern in primary care facilities. A study by Wang et al. (2022) have shown that approximately 12% of primary care patients experience an adverse event, with half of these events being preventable. This highlights the need for a comprehensive risk management program that can prevent or mitigate adverse events. Primary Care Risk Management Program Discussion Paper

Patient safety incidents are another key area of concern in primary care facilities. Research has also shown that between 44,000 and 98,000 Americans die each year as a result of preventable medical errors underscoring the importance of implementing risk management strategies to improve patient safety.

  1. Legal responsibility of the organization to provide a safe facility

The organization has a legal responsibility to provide a safe facility for patients and staff a failure of which could lead to legal action against the organization.

  • Legal responsibility of the organization to provide a safe work environment

Also, the organization has a legal responsibility to provide a safe work environment for staff a failure of which could culminate in legal action against the organization.

 

Implementation

  1. Identifying and assessing risks

The first step in implementing PCRMP is identifying and assessing risks unique to the primary care facility. This step involves analyzing data from previous incidents, identifying potential risks, and assessing their impact on patients and staff.

  1. Developing policies and procedures

The next step is developing policies and procedures to manage identified risks which involves creating policies and procedures that outline specific actions to prevent, mitigate, or respond to risks (Cagliano, Grimaldi & Rafele, 2017). These policies should be based on evidence-based practices and comply with local, state, and federal regulations.

  • Educating staff

The third is educating staff on PCRMP policies and procedures. According to Cagliano, Grimaldi and Rafele (2017), staff should be trained on the specific risks identified in the facility, and the policies and procedures put in place to manage them. It is suggested that the practice should be an ongoing process to ensure staff remains up-to-date with the latest risk management strategies. Primary Care Risk Management Program Discussion Paper

  1. Establishing monitoring and reporting systems

The final step is establishing monitoring and reporting systems to track the effectiveness of PCRMP. These systems should identify when risks occur, monitor the effectiveness of policies and procedures, and report incidents to the appropriate staff and regulatory agencies.

 

Challenges

  1. Staff resistance

A potential challenge to implementing PCRMP is staff resistance whereby they resist change or feel overwhelmed by the new policies and procedures. Communication and training are critical to addressing staff resistance.

  1. Insufficient resources

Another potential challenge is insufficient resources. Notably, the PCRMP would require staff time and financial resources to develop and implement policies and procedures and the organization must allocate sufficient resources to ensure the success of PCRMP.

  • Insufficient training

Insufficient staff training on PCRMP policies and procedures could lead to noncompliance or failure to identify and manage risks. This guides that ongoing training and education are critical to ensure staff is equipped to manage risks effectively.

  1. Addressing identified risks

Finally, addressing identified risks can be challenging and the organization must proactively implement policies and procedures to manage these risks. Primary Care Risk Management Program Discussion Paper

 

Evaluation

  1. Plan for assessing success of PCRMP

The organization must have a plan to evaluate the success of PCRMP. This plan should include specific metrics to measure the effectiveness of policies and procedures, track the incidence of identified risks, and monitor compliance with local, state, and federal regulations.

  1. Short-term, long-term, and end goals

The evaluation plan should include short-term, long-term, and end goals with the short-term goals focusing on implementing policies and procedures while long-term goals focus on reducing identified risks. End goals may focus on compliance with local, state, and federal regulations and a safe environment for patients and staff.

  • Measuring effectiveness

The evaluation plan should include specific metrics to measure the effectiveness of PCRMP. These metrics may include incident reports, compliance with policies and procedures, and staff training records.

  1. Modifying PCRMP as necessary

Finally, the evaluation plan should include a process for modifying PCRMP as necessary. As new risks emerge or policies and procedures become outdated, the organization must be proactive in updating PCRMP to ensure ongoing compliance and a safe environment for patients and staff.

 

Opportunities

  1. Recommendations for additional risk management improvements

The organization should continually evaluate its risk management strategies and identify opportunities for improvement (Paltrinieri, Comfort & Reniers, 2019). Key recommendations for this to be achieved include additional training for staff, updated policies and procedures, or improved monitoring and reporting systems.

  1. Adjacent areas of influence

Another recommended change is for the organization to consider adjacent areas of influence that may impact PCRMP. For example, the organization could work with local healthcare providers to develop shared protocols for managing identified risks recognizing that collaboration with other healthcare providers would help reduce risks across the healthcare system. Primary Care Risk Management Program Discussion Paper

 

 

References

Cagliano, A. C., Grimaldi, S., & Rafele, C. (2017). A systemic methodology for risk management in healthcare sector. Safety Science, 49(5), 695-708. https://doi.org/10.1016/j.ssci.2011.01.006

Kirca, N., Ozgonul, M. L., & Bademli, K. (2020). The relationship between the competence of nurses and their attitudes in medical errors: a cross‐sectional survey. Journal of Nursing Management, 28(5), 1144-1152. https://doi.org/10.1111/jonm.13013

Merriel, S. W., Seggie, A., & Ahmed, H. (2023). Diagnosis of prostate cancer in primary care: navigating updated clinical guidance. British Journal of General Practice, 73(727), 54-55. https://doi.org/10.3399/bjgp23X731769

Paltrinieri, N., Comfort, L., & Reniers, G. (2019). Learning about risk: Machine learning for risk assessment. Safety science, 118, 475-486. https://doi.org/10.1016/j.ssci.2019.06.001

Pereira-Lima, K., Mata, D. A., Loureiro, S. R., Crippa, J. A., Bolsoni, L. M., & Sen, S. (2019). Association between physician depressive symptoms and medical errors: a systematic review and meta-analysis. JAMA network open, 2(11), e1916097-e1916097. https://doi.org/10.1001/jamanetworkopen.2019.16097

Wang, C., Li, J., Li, H., Xia, Y., Wang, X., Xie, Y., & Wu, J. (2022). Learning from errors? The impact of erroneous example elaboration on learning outcomes of medical statistics in Chinese medical students. BMC Medical Education, 22(1), 469. https://doi.org/10.1186/s12909-022-03460-1

Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Introduction

13 points

Criteria Description

Introduction

  1. 5: Excellent

13 points

An introduction is comprehensive. The submission incorporates analysis of supporting evidence as to why increased attention to the proposed risk management strategy is needed and provides specific examples of why it is important within the specified health care sector. Level of detail is appropriate. Primary Care Risk Management Program Discussion Paper

  1. 4: Good

11.05 points

An introduction is incorporated in full. The submission encompasses essential details and provides appropriate support as to why greater attention to this risk management strategy is needed.

  1. 3: Satisfactory

9.75 points

An introduction is present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

An introduction is present, but the information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

An introduction is not included.

Rationale

13 points

Criteria Description

Rationale

  1. 5: Excellent

13 points

A rationale is comprehensive. The submission provides specific examples of where the proposed risk management strategy is lacking in the selected plan and provides insightful supporting evidence as to how its implementation will better meet compliance standards. Level of detail is appropriate. Primary Care Risk Management Program Discussion Paper

  1. 4: Good

11.05 points

A rationale is described in full. The submission encompasses essential details as to how the proposed risk management strategy is lacking in the selected plan and provides appropriate support for how its implementation will better meet compliance standards.

  1. 3: Satisfactory

9.75 points

A rationale is present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

A rationale is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

A rationale is not included.

Support

13 points

Criteria Description

Support

  1. 5: Excellent

13 points

Support data are comprehensive. The submission incorporates an analysis of how the data indicate a need for the proposed risk management initiative. Level of detail is appropriate. Primary Care Risk Management Program Discussion Paper

  1. 4: Good

11.05 points

Support data are described in full. The submission provides an appropriate explanation of how the data indicate a need for the proposed risk management initiative.

  1. 3: Satisfactory

9.75 points

Support data are present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

Support data are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

Support data are not included.

Implementation

13 points

Criteria Description

Implementation

  1. 5: Excellent

13 points

Implementation strategies are comprehensive. The submission provides specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. Level of detail is appropriate.

  1. 4: Good

11.05 points

Implementation strategies are described in full. The submission encompasses essential details and provides appropriate support as to how the risk management initiative will be incorporated into the selected health care organization. Primary Care Risk Management Program Discussion Paper

  1. 3: Satisfactory

9.75 points

Implementation strategies are present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

Implementation strategies are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

Implementation strategies are not included.

Challenges

13 points

Criteria Description

Challenges

  1. 5: Excellent

13 points

Possible challenges to the risk management implementation are comprehensive. The submission provides specific relevant examples of solutions for navigating or preempting predicted obstacles. Level of detail is appropriate.

  1. 4: Good

11.05 points

Possible challenges to the risk management implementation are described in full. The submission also describes possible solutions to the predicted obstacles.

  1. 3: Satisfactory

9.75 points

Possible challenges are present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

Possible challenges are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. Primary Care Risk Management Program Discussion Paper

  1. 1: Unsatisfactory

0 points

Possible challenges are not included.

Evaluation

13 points

Criteria Description

Evaluation

  1. 5: Excellent

13 points

Evaluation strategies are comprehensive. The submission provides specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. Level of detail is appropriate.

  1. 4: Good

11.05 points

Evaluation strategies are described in full. The submission explains how the evaluation plan will assess alignment with the overall goals of the risk management program.

  1. 3: Satisfactory

9.75 points

Evaluation strategies are present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

8.45 points

Evaluation strategies are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient. Primary Care Risk Management Program Discussion Paper

  1. 1: Unsatisfactory

0 points

Evaluation strategies are not included.

Opportunities

19.5 points

Criteria Description

Opportunities

  1. 5: Excellent

19.5 points

Additional risk management opportunities are described comprehensively, with detailed support for the recommended changes. Level of detail is appropriate.

  1. 4: Good

16.58 points

Additional risk management opportunities are described in full, with appropriate support for the recommended changes.

  1. 3: Satisfactory

14.63 points

Additional risk management opportunities are present, but minimal detail or support is provided for one or more components.

  1. 2: Less Than Satisfactory

12.68 points

Additional risk management opportunities are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

Additional risk management opportunities are not included.

Thesis Development and Purpose

6.5 points

Criteria Description

Thesis Development and Purpose

  1. 5: Excellent

6.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Primary Care Risk Management Program Discussion Paper

  1. 4: Good

5.52 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

  1. 3: Satisfactory

4.88 points

Thesis is apparent and appropriate to purpose.

  1. 2: Less Than Satisfactory

4.23 points

Thesis is insufficiently developed or vague. Purpose is not clear.

  1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

6.5 points

Criteria Description

Argument Logic and Construction

  1. 5: Excellent

6.5 points

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

  1. 4: Good

5.52 points

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

  1. 3: Satisfactory

4.88 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

  1. 2: Less Than Satisfactory

4.23 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

  1. 1: Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use) Primary Care Risk Management Program Discussion Paper

6.5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

  1. 5: Excellent

6.5 points

The writer is clearly in command of standard, written, academic English.

  1. 4: Good

5.52 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

  1. 3: Satisfactory

4.88 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

  1. 2: Less Than Satisfactory

4.23 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

  1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

Paper Format (use of appropriate style for the major and assignment)

6.5 points

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

  1. 5: Excellent

6.5 points

All format elements are correct.

  1. 4: Good

5.52 points

Appropriate template is fully used. There are virtually no errors in formatting style.

  1. 3: Satisfactory

4.88 points Primary Care Risk Management Program Discussion Paper

Appropriate template is used. Formatting is correct, although some minor errors may be present.

  1. 2: Less Than Satisfactory

4.23 points

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

  1. 1: Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources

6.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style

  1. 5: Excellent

6.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.

  1. 4: Good

5.52 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct. Research and citations are timely and relevant, and address all of the issues stated in the assignment criteria.

  1. 3: Satisfactory

4.88 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Research and citations are adequate regarding source, number, and rigor of resources selected. Sources are standard in relevance, quality of outside sources, or timeliness.

  1. 2: Less Than Satisfactory

4.23 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Few outside sources were used to support the assignment. Limited research is apparent. The information provided is incomplete, inaccurate, or otherwise deficient.

  1. 1: Unsatisfactory

0 points

Sources are not documented.

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization. Primary Care Risk Management Program Discussion Paper

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

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Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.
You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation. Primary Care Risk Management Program Discussion Paper

You are required to support your statements with a minimum of six citations from appropriate credible sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Primary Care Risk Management Program Discussion Paper