1. Risk Profiling Overview Tom O’Regan September 2014

2. HIQA: Risk Profiles Our Risk Profile tool is core to responsive regulation and in large part informs how the Authority responds to risk in designated centres The Risk Profile provides the caseholder with a risk rating of each centre on his/her caseload at any one point in time It also enables the caseholder to view a centre’s profile over time and determine if there is an escalating, de- escalating or static pattern to the assessed risk The Risk Profile is also useful for resource planning

3. Risk profiling: current scope [“Prism” ICT system went live September 2013] Within Prism now: Elderly care Disability Currently outside Prism: Children’s services Under development: Healthcare

4. Risk Matrix

5. Risk Profiles and the PRISM system Business Intelligence Risk Profile Scheduling Directory Monitoring Receipt of Information

6. Risk Profile – Operation in the Prism system The Risk Profile gives the inspector a risk rating for each centre/service in their caseload Background process runs once a week and compiles a Risk Profile with these components: 1. Governance and management 2. Corrective Action Plans – to resolve non-compliances 3. Unsolicited information received – of potential high risk 4. Formal Notifications from centres of potentially high-risk events 5. Enforcement activity (i.e. legal action) underway There is one current Risk Profile under each centre/service at any time Each centre/service will have a list of Risk Profiles associated with it over time Profile history is essential for trend analysis

7. Risk Profiling and BI PRISM’s inbuilt features - Views / Charts and Dashboards present information at different levels: –Inspector (I) –Inspector Manager (IM) –Head of Program (HoP) –Sector overview: senior management Reports – Provide a deeper capability for analysis

8. Risk Management - HIQA versus other Regulators

9. Future Risk Profiling Predictive Analytics –Using previously high risk centres can we predict future high risk centres? Text mining Listen on other channels (social media)? Enhanced self-service analytics Risk profiling for Healthcare services

10. Risk Profiling Overview September 2014