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Which information locations in covered entities under HIPAA must be secured first? A multi ‐criteria decision‐making approach
AbstractCreating adequate safeguards for physical and online locations (e.g., desktop computers, network servers) where protected health information (PHI) may be breached is critical for management within entities compliant with the Health Information Portability and Accountability Act (HIPAA). With the increasing complexity of cyber breaches and budgetary issues, prioritizing which locations require the most immediate attention by top management through a data-driven model is more important than ever. Using CORAS threat modeling and five methods for multi-criteria decision-making, these locations were ranked from greatest...
Source: Journal of Healthcare Risk Management - August 25, 2023 Category: Hospital Management Authors: Amir Fard Bahreini Tags: LEGAL & REGULATORY Source Type: research

A guide to mitigating audit log ‐related risk in medical professional liability cases
AbstractFollowing the American Recovery and Reinvestment Act in 2009, use of electronic health records (EHRs) has become ubiquitous. Accordingly, one should expect most medical professional liability cases to involve review of patient records produced from EHRs. When questions arise regarding who was involved in care of a patient, what they knew and when, or the meaning, completeness, integrity, validity, timeliness, confidentiality, accuracy, or legitimacy of data, or ways that the EHR's user interface or automated clinical decision support tools may have contributed to the alleged events, one often turns to the EHR and i...
Source: Journal of Healthcare Risk Management - July 25, 2023 Category: Hospital Management Authors: Dean F. Sittig, Adam Wright Tags: RESEARCH ARTICLE Source Type: research

Issue Information
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - July 11, 2023 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

President's Message
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - June 17, 2023 Category: Hospital Management Authors: Rebecca Cady Tags: PRESIDENT'S MESSAGE Source Type: research

Case law update
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - June 1, 2023 Category: Hospital Management Authors: Christopher J. Allman Tags: CASE LAW UPDATE Source Type: research

Performance improvement, telemedicine, patient engagement, and comparative no ‐show rates
AbstractNo-show patient visits should be considered risk events. No-shows impact the quality and continuity of patient care. Missed visits increase health care risks by deferred or missed diagnosis and treatment, and increases costs of care. This performance improvement project proactively implemented a telemedicine system of care during a public health emergency (PHE). The goal was to improve health care access and decrease health care disparities despite emergency management changes in organizational staffing and federal stay-at-home orders. Telemedicine visits also addressed known causes of historically high in-person n...
Source: Journal of Healthcare Risk Management - May 26, 2023 Category: Hospital Management Authors: Rawan Narwal ‐Kasmani, Tamara J. Vaughan, Charla A. Ulrich, Julie M. Stausmire Tags: OPERATIONS Source Type: research

Feeling safe versus being safe: Perceptions of safety versus actual disease exposure across the entire health care team
This study suggests that leaders in health care should focus on cultivating supportive organizational cultures, assessing both perceived and actual safety, and provide adequate training in safety practices may improve preparedness and organizational trust during times of both certainty and crisis particularly for clinical workers with less education and training. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - May 20, 2023 Category: Hospital Management Authors: Laurence M. Boitet, Katherine A. Meese, Alejandra Col ón‐López, Katherine L. Sweeney, David A. Rogers Tags: RESEARCH ARTICLE Source Type: research

The power of writing
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - May 20, 2023 Category: Hospital Management Authors: Robert F. Bunting Tags: EDITOR'S NOTE Source Type: research

A call for safety: Anticipating and mitigating risk across an obstetrics and gynecology service line
AbstractDelivery of healthcare is a complex interaction of patients, healthcare providers, nurses, ambulatory practices, and hospitals. As the model of health care transitioned, free standing physician practices and hospitals have coalesced to form networks of ambulatory practices and hospitals. This change in the model of healthcare delivery presented challenges to provide safe, quality, cost-effective care for patients, with potentially increased risk to an organization. The development and imbedding of comprehensive safety strategies are imperative to the foundation of this model.Northwell Health, a large health system ...
Source: Journal of Healthcare Risk Management - May 4, 2023 Category: Hospital Management Authors: Adriann Combs, Victor R. Klein Tags: CLINICAL/PATIENT SAFETY Source Type: research

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments
AbstractHospitals seeking to understand patient safety strengths and vulnerabilities in the context of mergers/acquisitions benefit more from a third-party perspective than from a limited internal process. A well-structured and highly-inclusive risk assessment —involving a broad cross-section of interviews—can be key to a successful transition of optimal health care safety during organizational changes. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - May 3, 2023 Category: Hospital Management Authors: Patricia Folcarelli, Jock Hoffman, Margaret Janes, Jennifer Clair MacCready, Annette Roberts, Jason Boulanger, Melissa DeMayo, Jennifer Vuu Sanchez, Bessie Manley Szum Tags: OPERATIONS Source Type: research

Administrators ’ preparedness to address physician burnout before and during COVID‐19
AbstractOccupational burnout has become widespread. The syndrome can be especially harmful in health care settings, affecting clinicians, organizational effectiveness, and patient safety. Certain approaches have proven helpful in some cases in combatting the syndrome. The coronavirus pandemic presented physicians with unique challenges, which appeared to have magnified work stress This national survey specifically explored interventions used by health care leaders to reduce burnout and whether these interventions proved effective during a pandemic. We also discuss effective and appropriate organizational measures to reduce...
Source: Journal of Healthcare Risk Management - May 2, 2023 Category: Hospital Management Authors: Payton L. Schoolcraft, Stephen L. Brown, Yue Xie Tags: OPERATIONS Source Type: research

Issue Information
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - April 27, 2023 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

President's Message
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - April 8, 2023 Category: Hospital Management Authors: Rebecca F. Cady Tags: PRESIDENT'S MESSAGE Source Type: research