1. Risk Management Process Patricia Kaczmarek, RN, BHSc., MSHL Health Quality Assurance Bureau of Field Operations

2. Risk Management Process 2

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5. 2014- Changed Process 2015- Revised Tools 5

6. Risk Management Process Important Considerations Hospital State Regulations Patient Safety Organization Patient Safety 6

7. Risk Management Process Important Considerations Patient Safety Organization- (PSO) Which Entity and When Patient Safety Work Product- (PSWP) Policy and Procedures Patient Safety Evaluation System-(PSES) PSWP data under the PSES 7

8. Risk Management Process Pre-Survey Communication 8

9. Risk Management Process Entrance Entrance Checklist 9

10. Risk Management Process Information Gathering Patient Safety Organization Surveyor Do’s and Don’ts Go To- References 10

11. Risk Management Process Information Gathering Patient Safety Organization http://www.pso.ahrq.gov/listed 11

12. Risk Management Process Information Gathering Survey Do’s and Don’ts Do: Verify Compliance Respect Confidentiality 12

13. Risk Management Process Information Gathering Survey Do’s and Don’ts Do Not: Request protected information/documents 13

14. Risk Management Process Information Gathering Go To- References http://www.pso.ahrq.gov/listed **STATE GUIDANCE INFORMATION** - Florida Statutes (F.S.) pursuant to s.395.0197 (13) and (15), F.S. 14

15. Risk Management Process Information Gathering Effectiveness: Risk Management Process Incident Reporting Integration and Communication QAPI 15

16. Risk Management Process Decision Making Review Findings: Determine Compliance Gather Additional Information 16

17. Risk Management Process Exit Interview Review Findings: Answer Questions Explain Next Steps 17

18. Risk Management Process Post Survey: Complete Survey Documentation Communicate: Team Members Field Office Management 18

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20. QUESTIONS?? Contact Information Patricia.Kaczmarek@ahca.myflorida.com (239) 464-4671 20