Health care risk management is a term used for the organization’s culture, processes, and structures that are directed toward identifying and managing its various risks. With patient safety initiatives at the forefront of care, the goal of this program is to help health care professionals to develop the background knowledge and skills necessary for the specialty of risk management.
Faculty will prepare students to respond to potential risk while developing methods to mitigate loss throughout the organization. The Health Care Risk Management course is comprised of five modules addressing key areas of the field. The program begins with an overview of risk management in the health care setting, exploring the role of risk manager. Legal and regulatory issues are covered, including a thorough examination of the role of documentation and patient records. Enterprise risk management, methodologies, state and federal regulations, corporate compliance, and laws also will be discussed. The program will also address risk issues in non-health-care settings, as well as risk financing, insurance, and contracts.
This program aligns with content relevant for the Certified Professional in Healthcare Risk Management (CPHRM) exam, which is administered by the American Hospital Association (see below for details). The American Society of Healthcare Risk Management (ASHRM) is a member of AHA.
Influence change through patient safety
The field of health care risk management has grown dramatically over the past few decades, leading professionals to new and exciting roles and responsibilities.
- Improve your knowledge of the risk management process
- Learn how to integrate the systems for risk management, quality and patient safety
- Enter a growing field
- Offered online—This program is offered completely online. Learners progress through the course at their own pace within the 10-week completion timeframe
This program consists of five online modules. All must be completed to successfully complete the program.
- Overview of Health Care Risk Management
- Standards, Laws, Regulatory Affairs and Patient Safety
- Enterprise Risk Management and Corporate Compliance
- Alternative Health-Care Sites and Employment Risk
- Risk Financing, Insurance, and Contracts
Overview of Health Care Risk Management
Introduces the concepts of health care risk management, including the role/scope of a risk manager and a risk management plan. This module will focus on identifying both real and potential risk exposures in a health-care setting and teach risk management tools to help minimize, avoid, and/or mitigate these exposures by implementing loss prevention and loss control techniques. Additionally, this module will explore and present patient rights issues that give rise to common risk management concerns, such as informed consent, advance directives, patient confidentiality/HIPAA, and communication/health-care literacy.
Standards, Laws, Regulatory Affairs and Patient Safety
Examines the issues surrounding documentation within the medical record. This module will review the fundamental principles and pitfalls of medical charting, as well as the various uses for the medical record. The student will explore multiple liability issues surrounding documentation related to falls, wound care, pain management, medication errors, and changes in the patient’s condition. Safety reporting, “never events,” and “sentinel events” will be discussed. Strategies for incident analysis and prevention will be reviewed. The module will also outline the role of the Joint Commission and National Patient Safety Goals, and the requirements for compliance with each safety goal. Legislation governing patient safety also will be addressed.
Enterprise Risk Management and Corporate Compliance
Introduces the structured analytical process of enterprise risk management (ERM). This module explores the ERM and health-care concepts that holistically support the framework necessary for enterprise-wide solutions and strategies for dealing with organizational risks. We will examine corporate compliance standards and procedures, including standards of conduct, laws, regulations, and government agencies.
Alternative Health-Care Sites and Employment Risk
This module addresses employment-related exposures in health-care organizations, including employment regulations, workplace safety, and organizational staffing issues. We will also examine risk management issues in non-hospital settings, including assisted living, long-term care, home health care, emergency services, ancillary services, behavioral health, clinical research, and telemedicine settings.
Risk Financing, Insurance, and Contracts
Examination of risk financing in a health-care setting. The techniques of risk retention and risk transfer will be explored. Types of insurance coverage, how to purchase insurance, and how to read an insurance policy also are discussed.
Faculty will prepare students to:
- respond to potential risk while developing methods to mitigate loss throughout the organization
- Improve their knowledge of the risk management process
- learn to integrate the systems for risk management, quality and patient safety
Who should participate
This program is appropriate for…
- Legal nurses (LNCC)
- Safety officers
- Other health care professionals
- Quality/utilization review nurses (CPHQ)
Requirements to enroll
- Clinical experience—Participants must have a minimum of a high school diploma or equivalent and have work experience in a healthcare setting or with a provider of services to the healthcare industry
- Proficient computer skills as well as strong verbal and written communication skills are required.
REQUIRED: laptop or desktop computer
- Required: a PC or Mac, laptop or desktop computer must be used to complete course activities like tests, quizzes, homework, or chats
- Required: high-speed Internet access
- Required: Mozilla Firefox browser, version 10 or newer
- Required: if not already installed on your computer, you may need to install these free plugins: Flash | Adobe Reader
OPTIONAL: mobile device
- Optional: most course video content can be viewed on a mobile device like a tablet, iPad or smart phone
- Mobile devices cannot be used to complete required course components like homework, tests, quizzes, chats
The following textbook is optional.
- Risk Management Handbook for Healthcare Organizations, 6th edition, 3-volume set, Author: Roberta Carroll, American Society for Healthcare Risk Management, hardcover, ISBN: 0470620803
CPHRM Eligibility Requirements
This program is aligned with content relevant for the Certified Professional in Healthcare Risk Management (CPHRM) exam, which is administered by the American Hospital Association. Candidates meeting the CPHRM eligibility requirements fully and passing the CPHRM Examination attain the CPHRM designation. The American Hospital Association Certification Center (AHA-CC) reserves the right but is not obligated to verify the accuracy of eligibility information supplied by or on behalf of a candidate.
To be eligible for the CPHRM Examination, a candidate must fulfill one of the following requirements for education/healthcare experience and meet the requirement for risk management experience:
- Education / Healthcare Experience
- Baccalaureate degree or higher from an accredited college or university plus five (5) years of experience in a healthcare setting or with a provider of services to the healthcare industry
- Associate degree or equivalent from an accredited college plus seven (7) years of experience in a healthcare setting or with a provider of services to the healthcare industry.
- High school diploma or equivalent plus nine (9) years of experience in a healthcare setting or with a provider of services to the healthcare industry
- Risk Management Experience
- 3,000 hours or 50 percent of full time job duties within the last three years dedicated to healthcare risk management in a healthcare setting or with a provider of services (e.g. consultant, broker, or attorney) to the healthcare industry.