Risk Management
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Our risk managers are trained to handle various issues in multiple settings. The duties our risk manager undertakes are ultimately determined by the specific organization. We work in the following areas of medical risk management:
• Financing, insurance, and claims management
• Event and incident management
Our healthcare risk management profiles identify and evaluate risks taking into account the DPC as a means to reduce expenditures though health and wellness management, continuity of care, prescription savings, the expansive list of health issues not referred to a specialist. We take pride in using our proprietary plan “DPC Centric” plan designs to proactively and reactively to either prevent incident or to minimize the damages following an event.
The goal is always decreasing the risk to the organization while at the same time providing a product superior in scope and benefit in the marketplace
Given that each organization faces unique challenges, there is not a one-model-fits-all risk management solution. Challenges faced by administrators that should be addressed in a risk assessment plan include but are not limited to:
• The ease of use
• Overutilization of high cost procedures
• Potential medical effectiveness
• Existing and future policy
• Legislation impacting the field of healthcare
The hazards of not preparing for potential issues can have significant, long-term effects. Neglecting to have comprehensive risk management plans in place can compromise an employees health outcomes, increase liability risks, and result in financial losses.
Thus, potential risks have to be evaluated and measured in terms of their potential negative effects. Based on the risk assessment, an organization-specific management plan should be developed, implemented, and monitored.
Our risk managers are trained to handle various issues in multiple settings. The duties our risk manager undertakes are ultimately determined by the specific organization. We work in the following areas of medical risk management:
• Financing, insurance, and claims management
• Event and incident management
Our healthcare risk management profiles identify and evaluate risks taking into account the DPC as a means to reduce expenditures though health and wellness management, continuity of care, prescription savings, the expansive list of health issues not referred to a specialist. We take pride in using our proprietary plan “DPC Centric” plan designs to proactively and reactively to either prevent incident or to minimize the damages following an event.
The development and implementation of DPC Centric healthcare programs and ecosystems are based on extensive ongoing research. We are the only firm with the ability to stay up-to-date on relevant information in their organization and the effectiveness of their DPC program because research results could prove contradictory to presumptions that would otherwise shape risk management practices
Reviewing other studies is one way to develop risk management programs. Following the directives of governing organizations such as the Department of Health and Human Services, Food and Drug Administration (FDA), and American Society for Healthcare Risk Management (ASHRM) ensures risk management compliance.
Based on information provided from all available resources, our risk managers conduct organization-specific risk analyses to determine potential risks. The analysis identifies:
• What could possibly happen?
• How likely is something to happen (measuring risk)?
• How severe will the outcome be if something did happen with DPC intervention?
• How can the likelihood something will happen be mitigated by the DPC on the forefront and to what degree?
• What can the DPC do to reduce the impact (and to what degree)?
• What is the potential for exposure or what cannot be proactively avoided by the DPC?
Using analysis results, we can compare the likelihood of different adverse events along with their impacts and rank potential risks in terms of severity using the DPC centric model. This is our advantage as we can now build plans for mitigating risks and handling them appropriately through the DPC . Risk management plans also undergo quality assessments, so the interventions and actions proposed are addressed as real potential issues. Once a strategy is in place, it is monitored and modified as needed.
As noted, our risk management plans are specific to different organizations. While avoiding potential financial consequences is one concern, employee needs are generally the priority. Plans for risk management must cover patient-specific risks incorporating the DPC into the profile.
Many patient risks can be reduced by having access to a Direct Primary Care Physician, encouraging strong communication among staff-members, providing counseling services for those working with patients, and conducting competency assessments.
Other risks posed to patient safety DPC’s can be mitigate using patient-specific risk management strategies such as:
• Not filling expired prescriptions – DPC will send patients adequate notification of prescription expiration will support communication between patients and physicians thus reducing potential prescription medication abuse.
• Following up on missing test results – DPCs monitor patients who need to take additional medical tests following appointments may fail to do so, or the test results might get lost. Developing a plan to monitor receipt of test results guarantees the results are reviewed, so patients can then be consulted.
• DPCs Track missed appointments - Implementing a system to follow-up with patients who miss appointments but fail to reschedule is another proactive step in managing patient risks.
• DPC’s Communicate with patients - Patients may have limited understanding of information received from physicians. Having a strategy that checks the patient’s comprehension of information reduces the likelihood that the patient will misinterpret a physician’s orders or will improperly take medication.
• Sufficient record retention - Keeping patient records on file for an extended period of time or indefinitely is useful for monitoring patient health, even when patients are not actively seeking care. DPC and Risk management protocol will also have plans in place for disposing of records in accordance with federal mandates.
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