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CPHRM exam Format | CPHRM Course Contents | CPHRM Course Outline | CPHRM exam Syllabus | CPHRM exam Objectives

- Assess the current state of patient safety and staff awareness within the organization

- Collaborate on proactive patient safety initiatives

- FMEA

- RCA

- Safety Culture

- Just Culture

- Design, implement, and maintain educational programs on risk management and patient safety related topics



- Promote a culture of patient safety through education, policy development, and standardization of processes

- Educate providers, staff, employees, patients and families on the role of patients and families in improving patient safety and reducing risk

- Coach physicians, leaders, managers, and staff on appropriate disclosure methods and processes

- Participate in critical incident debriefing



- Participate in the development of corrective action plans and supervise follow-up of recommended improvements

- stemming from risk exams

- audits and investigations of reported incidents

- Provide guidance to staff regarding any of the following:

- disruptive patient, family member and/or visitors

- informed consent

- substitute (Surrogate) Decision Makers

- minors consent

- release of information

- law enforcement

- subpoenas

- attorneys

- search warrants

- abuse allegations

- advance directives/orders for life sustaining treatment

- Manage an incident reporting and data analysis system for patient safety, patient complaints, and other risk events

- Provide risk management consultation for specific ethical dilemmas

- Maintain awareness of patient safety initiatives occurring locally and nationally

- Review documentation and assist providers/staff with appropriate documentation to mitigate risk



- Manage a broad comprehensive insurance program including such activities as captive management

- insurance

- insurance purchasing

- insurance consulting

- administering self‐insured coverages

- managing or coordinating the management of claims for all lines of insurance



- Oversee the investigation of accidents or circumstances that could lead to financial loss

- professional

- institutional

- general liability

- product liability



- Analyze historical loss experience; address trends

- Develop enterprise risk financing strategies to address the organization's areas of exposure

- general liability (GL)

- professional liability (PL)

- cyber liability



- Provide recommendations to reduce risk in contracts, ensuring adequate controls and obligations for insurance coverage are appropriate to the risk

- Ensure timely reporting of incidents according to insurance policy language



- Promote compliance with federal and state laws and regulations through policy development, guidance, or education

- Promote compliance with federal and state laws and regulations governing patient confidentiality through policy development

- guidance

- education including protected health information (PHI)

- Promote compliance with federal and state reporting requirements through policy development, guidance, or education

- abuse of vulnerable populations



- Promote compliance with federal and state reporting requirements governing violence in the workplace through policy development, guidance, or education

- Promote compliance with federal and state regulations/organization policy regarding the investigation and resolution of patient complaints or grievances through policy development, guidance, or education

- Collaborate with other departments by preparing and conducting quality and/or risk exams to maintain a constant state of accreditation readiness



- Promote compliance with laws and regulations governing involuntary detention of patients through policy development, guidance, or education

- Promote compliance with the requirements of the following federal acts/regulations through policy development, guidance, or education:

- Centers for Medicare and Medicaid Services (CMS)

- Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA)

- Health Insurance Portability and Accountability Act (HIPAA)

- National Practitioner Data Bank (NPDB)

- Safe Medical Device Act (SMDA)



- Design a risk management data collection/analysis system to ensure timely reporting and monitoring of:

- device reporting and tracking logs

- regulatory inquiries

- Collaborate in the development of the organization's regulatory compliance plan to ensure workforce compliance of all applicable accreditation standards

- Promote, in partnership with Patient Safety and Medical Staff departments, programs that address provider and staff behavioral issues are culturally, legally and psychologically sound and non-discriminatory

- Participate in the development of responses to questions from regulatory and licensing agencies, and insurance companies



- Collaborate with leaders and security personnel on workplace violence prevention

- Conduct risk exams to identify exposures related to new and existing services and enterprise‐wide services

- Establish a method for planning, evaluating, selecting, management, and on‐going evaluation of enterprise wide event reports of harm or near‐harm incidents

- Supervise and develop risk management staff



- Develop/maintain risk management department specific policies and procedures and modify as required

- Coordinate risk activities for the organization

- Develop annual institutional goals for the risk program/department

- Evaluate the effectiveness of risk management activities

- Develop policies and procedures for acceptance of legal documents

- summons

- complaints

- subpoenas

- court orders



- Support patient safety committee meetings by collecting and formulating relevant information to facilitate decision-making process

- Participate in professional association activities

- Understand the peer review, credentialing and privileging process

- Provide education/in‐service for staff, patients, families, communities on patients rights

- end of life decisions



- Collaborate on the development of policies and procedures which provide direction to the organization on subjects which have a significant degree of risk

- Privacy

- Informed Consent

- Infection Prevention

- Documentation

- Telemedicine





- Maintain data collection and analysis systems including elements of reports of Potential Compensatory Events (PCEs), open and closed claims and loss runs

- Notify carriers and/or third-party claims and litigation department or administrators of potential compensatory events or real claims

- Participate in claims management activities

- assignment of counsel

- setting loss reserves

- respond to discovery requests/interrogatories

- preparation and attendance for depositions

- mediation

- arbitration

- trials

- evidence/record preservation and management

- review and approve legal expenses



- Participate in evaluating claims to determine exposure to organization and the appropriate method for resolution

- Inform administration of high exposure cases and aggregate claims experience, including any impact to the risk financing program.

- Manage and maintain all information related to a potential or real legal case under attorney/client privilege and protected from discoverability

- Manage the response to service of process and notify appropriate parties of such service

- Support insured defendants through all phases of the litigation process

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