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| Section | Weight | Objectives |
|---|---|---|
| Legal and Regulatory | 20% | - Manage legal risks and liabilities - Interpret healthcare laws and regulations - Develop policies for legal compliance - Ensure compliance with regulatory requirements - Analyze legal trends and precedents |
| Healthcare Operations | 20% | - Address workplace violence and safety - Manage emergency preparedness and response - Evaluate operational risk controls - Implement risk management in clinical operations - Identify operational risks in healthcare settings |
| Claims and Litigation | 20% | - Coordinate litigation support and defense - Evaluate litigation outcomes and lessons learned - Implement claims prevention strategies - Manage claims processes and documentation - Analyze claims data for risk patterns |
| Clinical/Patient Safety | 25% | - Assess patient safety state and staff awareness - Collaborate on proactive safety initiatives (FMEA, RCA, Safety Culture/Just Culture) - Implement patient safety programs and interventions - Analyze clinical data to identify risks and trends - Evaluate effectiveness of patient safety initiatives |
| Risk Financing | 15% | - Identify and analyze risk financing options - Evaluate insurance programs and coverage - Develop risk financing strategies - Analyze risk transfer mechanisms - Manage self-insurance and captive programs |
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NEW QUESTION # 85
Which of the following are proactive elements of a workplace violence prevention program?
Answer: A
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, proactive workplace violence prevention focuses on measures implemented before an incident occurs. These strategies aim to identify risks, strengthen preparedness, and reduce the likelihood or severity of violent events.
Pre-employment background screening helps identify applicants with histories that may pose safety concerns, consistent with legal hiring standards. Ongoing staff training enhances awareness of warning signs, communication skills, and reporting procedures. Leadership rounding increases visibility, supports early identification of environmental or behavioral risks, and reinforces safety culture. Active shooter drills and emergency preparedness exercises ensure that staff understand response protocols and can act effectively under stress.
Options B, C, and D primarily describe reactive or post-incident measures. Law enforcement notification, restraining orders, crisis intervention, DEA notification, documentation, and emergency command activation occur after an event has taken place or when an immediate threat is present.
Health Care Operations objectives emphasize prevention, preparedness, environmental assessment, and workforce education as foundational elements of a workplace violence program. Therefore, pre-employment screening, training, rounding, and drills represent proactive components of an effective prevention strategy.
NEW QUESTION # 86
In general, how many steps should an FMEA proceed in each direction (upstream/downstream) when mapping a process for failure analysis?
Answer: D
Explanation:
A practical FMEA requires enough process context to capture upstream causes and downstream consequences without becoming unmanageably large. A common operational rule-of-thumb is to examine roughlytwo steps upstream and two steps downstreamfrom a target step to uncover handoffs, dependencies, and failure propagation. Risk management objectives focus on identifying failure modes that originate earlier (e.g., incorrect patient ID at registration leading to lab/specimen mismatch) and harms that emerge later (e.g., delayed result communication causing deterioration). The exact boundary depends on complexity and risk; high-hazard workflows (blood products, surgery, chemo) may require deeper mapping. The goal is usable granularity: map, identify failure modes, score (S-O-D), prioritize, implement controls, and reassess residual risk.
NEW QUESTION # 87
An organization's CEO has requested that the risk manager develop policies and procedures for the risk management department. The risk manager should consider developing policies for all of the following EXCEPT
Answer: C
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, the risk management department should establish formal policies addressing core operational responsibilities. Coordination of responses to subpoenas is a critical function involving legal compliance, protection of privileged information, and collaboration with counsel. Departmental accountability for occurrence reporting is essential to ensure proper event identification, investigation, and trending.
Additionally, defining the risk management reporting process to the governing body supports board oversight and enterprise risk management responsibilities.
Responses to freedom of information requests, however, are generally governed by legal, compliance, or public information offices, particularly in public institutions subject to open records laws. While risk management may provide input if records involve claims or adverse events, primary responsibility for handling such requests typically resides outside the risk management department.
Health Care Operations objectives emphasize clearly defined departmental scope, structured reporting relationships, and alignment with governance responsibilities. Therefore, while subpoena coordination, occurrence reporting, and board reporting are appropriate policy areas for risk management, responses to freedom of information requests fall outside its primary policy development scope.
NEW QUESTION # 88
Which of the following can be considered evidence in a malpractice claim?
* photographs of injuries
* thank you note from the patient to the physician
* patient journal of the hospital stay
* gift from the patient to a volunteer
Answer: A
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, evidence in a malpractice claim includes any relevant material that may help establish facts related to duty, breach, causation, or damages. Photographs of injuries are routinely admissible as demonstrative or documentary evidence to illustrate the nature and extent of harm. A thank you note from a patient to a physician may be introduced to reflect the patient's contemporaneous perception of care, credibility, or satisfaction at a particular time, depending on context. A patient's personal journal documenting experiences during hospitalization may also be considered evidence, particularly if it describes symptoms, interactions, or emotional distress relevant to damages.
A gift from a patient to a volunteer, however, is generally not probative of negligence or injury unless directly tied to issues of undue influence or misconduct. In typical malpractice litigation, such a gift does not establish standard of care, breach, or damages and would not ordinarily be considered relevant evidence.
Claims and litigation objectives emphasize careful documentation, preservation of relevant materials, and coordination with counsel regarding evidentiary matters. Therefore, photographs, written communications, and patient journals may be considered evidence in a malpractice claim.
NEW QUESTION # 89
What significantly impacts whether incident reports are discoverable?
Answer: D
Explanation:
Discoverability of incident reports varies substantially by jurisdiction and depends on how state and federal laws define peer review privilege, quality improvement protections, and confidentiality-plus how courts interpret those protections. Risk management objectives include structuring reporting and investigation workflows to maximize protected quality review where legally available: routing analyses through designated committees, labeling and handling documents per policy, limiting distribution, and avoiding mixing risk/peer review materials with ordinary business records. However, privilege is not automatic; mishandling (broad email distribution, using reports for disciplinary actions outside protected structures, inconsistent committee practices) can weaken protections. A defensible program uses legal counsel guidance, staff training, and clear documentation rules so the organization learns from events while reducing unnecessary legal exposure.
NEW QUESTION # 90
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