Impact of Risk Management on Liability Claims Experience. Abstract, ExecutiveSummary, Final Report and Appendices B, G, and H.1, H.2

摘要

The objective of the project were to: (1) describe the clinical risk managementprograms and activities of Maryland hospitals after such activities were mandated by state law; (2) compare the current clinical risk management programs among Maryland hospitals with different types of liability insurance coverage; (3) compare current risk management activities among hospitals in three states with varying levels of risk management regulations; and (4) examine relationships between clinical risk management activities and risk-adjusted liability claims experience. Study results indicate that risk management efforts vary widely among Maryland hospitals. On average, hospitals have approximately two-thirds of the minimum recommended risk management programs and activities in place. In a three state comparison, risk management regulation does not appear to motivate greater program efforts among hospitals. Although self-insurance is associated with risk management program activity among Maryland hospitals (p<.06), stronger predictors of risk management effort include hospital location in a metropolitan area and previous claims experience. The extent to which these risk management efforts will be reflected in the quality of patient care, incidence of adverse events, or subsequent hospital liability claims experience must await future investigation.