Asunto(s)
Disentimientos y Disputas , Publicaciones Gubernamentales como Asunto , Mala Praxis , Medios de Comunicación de Masas , Rol del Médico , Opinión Pública , Brasil , Conducta Cooperativa , Humanos , Consentimiento Informado , Seguro de Responsabilidad Civil/economía , Relaciones Interprofesionales , Japón , Responsabilidad Legal/economía , Maniobras Políticas , Neurocirugia/economía , Neurocirugia/ética , Neurocirugia/organización & administración , Neurocirugia/psicología , Relaciones Médico-Paciente , Política , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/psicología , Poder Psicológico , Derivación y Consulta , Medición de Riesgo , Sociedades Médicas , Revelación de la Verdad , Estados UnidosRESUMEN
BACKGROUND: Claims that result from at-risk medical practices, especially those involving medical records and systems failure-related problems, cost significantly more than the average claim to resolve, primarily due to additional defense costs required for expert witnesses. An analysis of these claims areas has pinpointed specific problems that can be addressed and corrected. OBTAINING PHYSICIAN PARTICIPATION IN RISK MANAGEMENT: A participatory risk management program requires all physicians applying for insurance to comply with established general and specialty-specific practice guidelines. Additionally, physicians and their staff receive premium-credit points by attending regularly scheduled continuing education programs on reducing liability risk. If a claim arises in which there is some question about whether the physician followed the guidelines, the circumstances are thoroughly reviewed with the physician after defense of the claim has been completed. Additionally, a medical records consultation program helps individual practices audit their records and identify and correct any at-risk problems. REWARDING PARTICIPATING PHYSICIANS: Based on the success of the program, a new premium program has been instituted in which all physicians are placed in the lowest premium group, but they must participate regularly in risk management activities and avoid adverse actions to maintain the low premium rate.
Asunto(s)
Seguro de Responsabilidad Civil/normas , Mala Praxis/legislación & jurisprudencia , Médicos/normas , Guías de Práctica Clínica como Asunto , Gestión de Riesgos/métodos , Colorado , Bases de Datos Factuales , Educación Médica Continua , Humanos , Seguro de Responsabilidad Civil/economía , Mala Praxis/economía , Registros Médicos/normas , Planes de Incentivos para los Médicos , Desarrollo de Programa/métodos , Garantía de la Calidad de Atención de Salud/economía , Garantía de la Calidad de Atención de Salud/legislación & jurisprudencia , Gestión de Riesgos/economía , Gestión de Riesgos/legislación & jurisprudenciaRESUMEN
Hospital - sponsored insurance organizations can offer their members many advantages, especially reasonable and stable malpractice insurance coverage and premium rates. To do so, they must ensure their financial stability through the support of the insured and through adequate reinsurance, compete effectively with commercial insurance companies, comply with federal regulations regarding reimbursement to hospitals for premiums, and develop effective internal management.
Asunto(s)
Economía Hospitalaria , Seguro de Responsabilidad Civil/economía , Bermudas , Islas Anglonormandas , Estados Unidos , Indias OccidentalesRESUMEN
Hospital-sponsored insurance organizations can offer their members many advantages, especially reasonable and stable malpractice insurance coverage and premium rates. To do so, they must ensure financial stability through the support of the insured and throuygh adequate reinsurance, compete effectively with commercial insurance companies, comply with federal regulations regarding imbursement to hospital for premiums, and develop effective internal management (Summary)