Welcome to the Risk Management 

Web Page

 

Risk Management Coordinator-(719) 526-7215

Risk Management is a collective effort of all MEDDAC staff to minimize harm to patients, staff and visitors and reduce liability.  This is accomplished through a coordinated program of monitoring and actions to reduce potential and actual harm and liability by:

  • Providing an early warning system of data analysis that identifies problem areas before Potentially Compensable Events (PCEs) occur

  • Minimizing potential liability once an adverse event occurs

  • Encouraging sensitive/responsive interactions between staff, patients and visitors.

What Risk Management does:
  • Directs, coordinates and evaluates the program

  • Collaborates with appropriate staff including Patient Safety regarding risk issues

  • Coordinates the standard of care/peer review process ensuring that it is done appropriately

  • Manages claims against the government (database & tracking processes)

  • Consults with the Judge Advocate General (JAG) Administrative Law and Claims attorneys on patient risk issues

  • Reports all Sentinel Events to The Joint Commission (TJC) and collaborates in the Root Cause Analysis and develop of the plan to reduce the risk of future harm to patients

RM Definitions:

Potentially Compensable Event (PCE)A potentially compensable event is an adverse event that results in harm to a patient and presents a possible financial loss to the Federal Government as a subsequent malpractice claim or an AD death/disability payment. Any adverse event (to include those involving military members) that caused temporary harm or greater on the AHRQ Harm Scale is considered a PCE and will be documented, tracked, reviewed and analyzed to determine if the adverse event could have been avoided.

Significantly Involved Providers: Individuals who actively delivered care in either primary or consultative roles during the episode of care that gave rise to the allegation of malpractice.  This applies to all disciplines not just privileged providers.

Sentinel Events: Unexpected incident involving death or major permanent loss of function not related to the patientís illness or underlying condition.

Root Cause Analysis (RCA): A thorough evaluation by a team involved in an incident aimed at determining the cause of an incident and developing a plan of action to prevent reoccurrence of that type of incident.  RCAís are required on all Sentinel Events.

Sentinel Event Alert:  Notifications published by TJC to improve the quality of  health care provided to the public.  These publications are posted on the EACH Intranet under Command Publications/Sentinel Alerts and our organizationís response is provide as an attachment.

The Joint Commission

Harm Scale (DoD)

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