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By law, how far can you go in screening employees or altering leave policies during a pandemic? The Americans with Disabilities Act (ADA), privacy and state leave laws still apply, limiting what employers can do, advises Nina Massen, JD, senior associate with the disability, leave and health management practice group of Jackson Lewis LLP in White Plains, NY.
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The string of wrong-site errors at Rhode Island hospital may be attention-getting, but the hospital is not the only one experiencing this never event. An identification error led to a pregnant woman undergoing a CT scan intended for another patient at Banner Thunderbird Medical Center in Glendale, AZ, which is now prompting litigation.
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Lean management is a big trend in the business world these days, including the health care arena, but risk managers may assume that the "lean" is all about budget cutting and belt tightening. Not at all, say the experts in this strategy and the health care providers who are using it.
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News: A man with a history of suicidal ideation was involuntarily admitted to the hospital. The next day, the man was transferred to an acute care psychiatric facility and placed on 15-minute observation status by the on-call physician.
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With so much focus on health care these days reform, malpractice, and never events on everyone's mind risk managers are uniquely situated to influence the debate and display their value to employers.
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The economy may be struggling, but Healthcare Risk Management's Salary Survey indicates that income for health care risk managers is generally on the upswing.
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When the same "never event" happens five times in two years at the same hospital, something is terribly wrong. Risk managers and patient safety experts are aghast at the reports coming from Rhode Island's largest hospital and wondering what it means about the culture of that institution and the state of patient safety efforts across the country
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Ironically, the fifth wrong-site surgery occurred at Rhode Island Hospital as it continues working with The Joint Commission's Center for Transforming Healthcare on improving surgical protocols. The hospital volunteered for the project to improve the safeguards to prevent patients from undergoing wrong-site, wrong-side, and wrong-patient surgical procedures.
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It is challenging enough to ensure compliance with Medicare billing rules within your own organization, but don't forget that you also can be drawn into someone else's scam. Federal authorities are cracking down on billing fraud that originates outside your hospital, and if you aren't careful, you can be caught up in the prosecution, with all the attached liability.
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Risk managers are obligated to take the proper steps to detect fraudulent activity and to avoid becoming a naive conspirator, says Steve Lee, an investigator with Steve Lee & Associates, a forensic accounting and litigation consulting firm in Los Angeles. He has consulted on a number of high-profile fraud cases and says risk managers can reduce their vulnerability to billing scams with a few simple precautions.
