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Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St.

Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Certified Professional in Healthcare Risk Management


Study & Review Course

CME Accredited

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Logistics Overview:
Logistics for Consultations and Development located in Egypt, Cairo, A55 AlNakheel Street, Al Mohandssen, and Saudi Arabia, Jeddah, Al Foad Plaza, Palestine street, Logistics for Consultations and Development was established in 2007 to provide Training and Consultation to health care professions. It expands to cover Egypt, Saudi Arabia and the Gulf Region. Logistics activities varies from professional development training Programs, conferences and workshops and Healthcare accreditation readiness consultation,

Logistics for Consultations and Development affiliates with number of reputable academic partners as Management Center at the American University in Cairo AUC, Quality unit in Faculty of Medicine - Ain- Shams University and Quality Center in Faculty of Medicine-Alexandria University

Logistics for Consultations and Development provides training in different models extending from long programs as post graduate Diplomas, workshops and short training courses; our programs granted from our academic partners also accredited as CME from Saudi Commission for Healthcare Specialties SCFHS and Technical & Vocational Training Corporation

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

Introduction

E-Mail: info@logisticsconsultations.com

The Healthcare Risk Management Professionals primary duties include the prevention, reduction, and control of loss to the healthcare organization, its patients, visitors, volunteers, physicians, other healthcare professionals and employees. Regardless of the healthcare delivery system in which the individual works, the Healthcare Risk Management Professional interfaces with a number of healthcare professionals in the accomplishment of these objectives. Duties may include incident investigation and analysis, tracking, trending and evaluation, risk financing and claims management. Logistics for Consultations & Development has organized a training workshop called 'Review and Study Course for the Healthcare Risk Management AHA-CC Certification Board Exam'

A Certified Professional in Healthcare Risk Management (CPHRM) is


Designed to test a well-defined body of knowledge representative of professional practice in the discipline. Successful completion of a certification examination verifies broad-based knowledge in the discipline being tested. Certification examinations conducted by the AHA-CC are independent of each other. Each leads to a certification credential in a healthcare discipline. Content on each examination was defined by a body of experts. Content of each examination was defined by a national role delineation study. The study involved surveying practitioners in the field to identify tasks that are performed routinely and considered important to competent practice.

How to apply for CPHRM Exam


Examination is offered online throughout the year, Exam costs 425 USD. To Apply for the exam and schedule your Examination and choose your location visit http://www.goamp.com

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Outline of CPHRM Preparation Course


Learning Objectives

By the end of the course participants will be able to


Describe the history and purpose of health care risk management & to identify the key components of developing a risk management program, including the risk management professionals responsibilities. know includes the methods and processes used by organizations to manage risks and seize opportunities related to the achievement of their objectives Understand the need for Risk Management and Loss Prevention / reduction Examine components of the risk management process including, but not limited to, risk identification, risk analysis and risk control. Understand how to plan to foresee risks, to estimate the effectiveness, and to create response plans to mitigate them Describe the Need for Effective Communication Runs as a loss prevention Introduce participants to the main legal terms in Healthcare Risk Management Understand the climate in healthcare today, the emphasis on patient safety and outside organizations that influence internal operations. Discuss the claims process from occurrence through resolution and to review the basic components of risk financing and contracts management. Know the different tools for Risk Management (FMEA, RCA,..) Understand the application of risk management tools in clinical Settings Indentify common risk exposure in the different levels of the healthcare setting Discuss the claims process from occurrence through resolution and to review the basic components of risk financing and contracts management. Understand the policies and procedures to Regulatory Accreditation compliance Discuss the Ethics Codes in Risk Management Know the essentially conforms to the six-domain format of the CPHRM examination. Know the ASHRM resources and other suggestions for additional study. Provides a list of common acronyms and a collection of additional practice questions encompassing all CPHRM domains

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Who Should Attend

This course is intended as a review for healthcare Risk Management professionals who are preparing for the CPHRM examination or who want to sharpen their existing Risk management skills. And who are interested in Healthcare Risk Management & Patient Safety, Include:
- Healthcare Quality Professionals

- Healthcare Risk Managers - Healthcare Executives -Healthcare Insurance Reviewers & Claims Processors -Physicians, Nurses & Healthcare professionals - Quality & Accreditations Consultants This course is a supplement to CPHRM examination preparation activities. Attendance to this course provides no guarantee of successful completion of the CPHRM examination

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Educational Topics
1- Loss Prevention/Reduction
A. Develop statistical and qualitative risk management reports. B. Develop and maintain communications and relationships with key departments and functions C. Assess the current state of patient safety and staff awareness within the organization. D. Collaborate on proactive patient safety initiatives E. Design, implement, and maintain risk management data collection and analysis systems F. Ensure that a product recall program exists. G. Ensure that appropriate policies, procedures, and mechanisms exist to reflect current practice and are routinely updated to reflect relevant legislation and regulations. H. Design, implement, and maintain educational programs on risk management and patient safety I. Implement a program for control of contractual risk by recommending/implementing J. Modifications to address identified risks. K. Communicate with key committees, including the governing body. L. Ensure that a program exists in the organization to require non-employed staff members, vendors or contractors to maintain adequate insurance to cover the organizations exposures. M. Collaborate with public relations in the preparation of responses to the media/external inquiries regarding incidents/occurrences. N. Promote appropriate procedures for retention, access, and destruction of medical records and other key business records. O. Promote a culture of patient safety through education, policy development, and standardization of processes. P. Oversee the investigation of accidents or circumstances that could lead to financial loss (e.g , professional, institutional, and general liability, product liability). Q. Participate in due diligence assessment for new services or delivery models, acquisitions, or construction. R. Educate providers, staff, employees, patients and families on the role of patients and families in improving patient safety and reducing risk. S. Coach physicians, leaders, managers, and staff on appropriate disclosure methods and processes. T. Participate in critical incident debriefing. U. Participate in the development of corrective action plans for problems uncovered by risk assessments, audits and investigations (e.g., sentinel events, reported events/incidents, FMEA and Root Cause Analysis). V. Supervise follow-up to recommend improvements stemming from risk assessments, audits and W. Investigations (e.g., sentinel events, reported events/incidents, FMEA and Root Cause Analysis).

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

2- Claims Management
A. Notify carriers of potential or actual claims. B. Direct claims management strategies and activities C. Ensure that administration is kept informed of high exposure cases and aggregate claims experience, including its impact on the risk financing program. D. Secure and evaluate all pertinent medical, billing, and other records related to individual liability claims E. Assess liability and probability of legal action for notification of insurance carriers. F. Ensure chain-of-custody for all potential evidence related to individual liability claims. G. Analyze professional liability historical loss experience. H. Ensure legal case files are maintained in such a way to protect discoverability. I. Communicate results of claims data analysis and risk management opportunities for inclusion in setting organizational priorities. J. Manage the response to service of process and notify appropriate parties of such service.

3- Risk Financing
A. Maintain and coordinate exposure data for organization. B. Complete insurance applications and renewals. C. Develop comprehensive risk financing strategies to address the organization's areas of exposure Conduct ongoing monitoring/evaluation of risk financing program. D. Respond to risk management concerns about insurance coverage from organization personnel and staff members.

4- Regulatory/Accreditation Compliance
A. Promote compliance with state agencies governing the reporting of specific events through policy development, guidance, or education. B. Promote compliance with state-specific legislation through policy development, guidance, or education. C. Promote compliance with federal and state laws and regulations governing patient confidentiality through policy development, guidance, or education including protected health information (PHI). D. Promote compliance with state reporting requirements through policy development, guidance, or education. E. Promote compliance with state reporting requirements governing violence in the workplace through policy development, guidance, or education F. Educate staff on regulatory issues related to risk management. G. Promote compliance with state regulations regarding the investigation and resolution of patient complaints or grievances through policy development, guidance, or education. H. Collaborate with other departments by preparing and conducting quality and/or risk assessments to maintain a constant state of accreditation readiness.

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

I. Promote compliance with regulations governing involuntary detention of patients through policy development, guidance, or education. J. Provide ongoing consultation to other departments to promote compliance with accreditation standards. K. Collaborate in the development of the organization's regulatory compliance plan. L. Promote compliance with The Joint Commission (TJC) Sentinel Event reporting requirements. M. Promote compliance with private accrediting/certification organizations. N. Assure compliance with The Joint Commission (TJC) Patient Safety Standards. O. Develop responses to inquiries from regulatory and licensing agencies. P. Develop and implement policies in response to regulatory mandates from The Joint Commission. Q. Maintain awareness of patient safety activities occurring locally and nationally R. Advice on questions related to patient self-determination and advance directives. S. Ensure HIPAA compliant business partner agreements are in place and current for all insurers, Attorneys and others involved in the claims process that will have access to PHI. T. Ensure that processes are in place for compliance with federal and state community initiatives for Emergency preparedness including natural, man-made, and biologic disaster readiness. U. Ensure processes are in place to monitor and report emerging public health trends.

E-Mail: info@logisticsconsultations.com

5- Operations
A. B. C. D. E. F. G. H. I. J. Supervise risk management staff. Develop/maintain department policies and procedures and modify as required. Prepare risk management department budgets. Develop risk management philosophy including the organizational response to errors. Coordinate risk management committees. Develop annual goals for risk management department. Train risk management staff. Develop risk management plan. Evaluate the effectiveness of risk management activities. Develop policies and procedures for acceptance of legal documents (e.g., summons, complaints, subpoenas, court orders). K. Support patient safety committee meetings by collecting and formulating relevant information to facilitate decision-making process. L. Participate in professional association activities. M. Annually assess risk management plan for effectiveness.

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

6. Bioethics
A. Provide risk management consultation for specific ethical dilemmas (cases). B. Provide education/in-service for staff, patients, families, communities on patient's rights e.g. of life decisions). C. Ensure organizational compliance with disclosure of unanticipated outcomes D. Ensure programs that address provider and staff behavioral issues are culturally, legally and psychologically sound and non-discriminatory

Course Schedule
Day 1st Session
overview of historical background of healthcare risk management Pre-Course Test

2nd Session
ERM Enterprise Risk Management Loss prevention / reduction

3rd Session
Risk Management process (Identification, Analysis, Control)

Day 1

Day 2

Risk Management Plan / Program

Communication as a loss prevention tool

Legal terms

break

Day 3

Employment practices and organizational liability Risk Management Tools (FMEA, RCA, )

break

Patient safety

Claims management and risk financing

Day 4

Application of Risk management tools in clinical settings Regulatory / Accreditation compliance CPHRM exam hints

Insurance & contracts

Day 5

Monitoring / evaluation of risk management program CPHRM Exam Preparation Guide

Bioethics

Open discussion CPHRM Mock Exam

Day 6

www.logisticsconsultations.com

Saudi Arabia Jeddah- Al-Foad Plaza-Palestine St. Tel: +966 2 6196125 Fax: +966 2 6746843 Makkah Abdullah Al Arif St. hay El Stin Tel: +966 2 5605152 Fax: +966 2 5603738

Egypt
Cairo 55A AlNakheel St. Almohandssen Tel: +20 2 33352850 Fax:+20 2 33352830

E-Mail: info@logisticsconsultations.com

Teaching Methods
The instructors will use a variety of adult learning methods to ensure that participants are capturing the basic concepts and the knowledge in a way that takes into consideration the variations in back- ground. The purpose is to review and wrap up all the content outline of the CPHRM Exam, Including the application aspects. Methods include but not limited to: Power point presentations and discussions Small group work Case studies Reviewing Questions and Answers Sample test

Evaluation Methods

Pre Test Post Course Mock exam

Granted Certificate
Attendance Certificate CME Accredited

Reference Materials

Risk Management Handbooks for Healthcare Organizations 6th Edition:


Volume 1: The Essentials Volume 2: Business Risks Volume 3: Clinical Risks

CPHRM Exam Preparation Guide

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