Enterprise Risk Management for Health Care (AHLA Members)

The Fourth Edition from AHLA and ASHRM addresses both the need for, and implementation of, a comprehensive enterprise risk management process and plan.
Publisher: AHLA
Book :Softbound, 606 pages
4th Edition
$215.00
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ISBN: 9781663379412
Publisher: AHLA
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Health care organizations, from physician groups to large complex health systems, are operating in an environment of conflicting regulatory imperatives, shortages of critical staff, changing technology, and evolving business conditions. With limited resources, leaders and staff struggle to establish priorities among competing needs and to improve strategic planning, budgeting, and resource allocation. Enterprise Risk Management (ERM), a discipline adapted from the financial services industry, provides an analytical and philosophical framework for identifying, assessing, and strategically addressing risks and opportunities.

This Fourth Edition of Enterprise Risk Management for Health Care was entirely redesigned by members of the American Health Law Association and the American Society for Healthcare Risk Management to provide guidance for leaders and advisors of health care organizations at any point along the ERM journey. With the benefit of lessons from sound ERM programs in other industries, the authors closely focus on issues unique to health care organizations, examining applications of ERM in this challenging context, with consideration of legal implications present across the full range of health care risk domains.

This new edition is of value to health care risk professionals, attorneys, strategic planners, internal auditors, human resources and finance managers, and others, whether they drive change from within an organization or as outside advisors. This Fourth Edition of Enterprise Risk Management for Health Care serves as both primer and a comprehensive guide for a variety of audiences.

EDITORS: David N. Crapo, Faisal Khan, Sheila Hagg-Rickert, Faye Dance Sheppard

AUTHORS:Carolyn Bailey, Carolyn Bergkvist, Susan Boisvert, Cynthia Borelli, Liza R. Brooks, Justin K. Brown, Rebecca F. Cady, Bethany Corbin, Jeffrey F. Driver, Doris Fischer-Sanchez, Christopher J. "CJ" Frisina, Keevana Glossin, Michelle Hackley, Sheila Hagg-Rickert, Diana Hamer, Anne Huben-Kearney, Susan R. Huntington, Gabriel L. Imperato, Mark A. Kadzielski, Teresa M. Kielhorn, Jason J. Krisza, Deborah Lessard, Melissa L. Markey, William J. McDonough, Caulin McGraw, Ryan D. Meade, Michael J. Morris, John P. Murdoch II, Roseanna Murray, Melinda Oliver, Stephen Pavkovic, Richard S. “Rick” Porter, Montrece Ransom, Alyssa Riggins, Phoebe Roth, Michael F. Schaff, Jenna N. Scott, Faye Dance Sheppard, Brian A. Smith, Nicole A. Strombom, David Vogt, Moira Wertheimer, Brendan E. Williams

The 3rd Edition ISBN was 9781522126355.

To be published March, 2024.

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Table of contents

Overview:  Introduction to Enterprise Risk Management 


DOMAIN I  OPERATIONAL RISK

Chapter 1  The Role of Governance in Managing Organizational Risk

Chapter 2  An Enterprise Risk Management Approach to Contracting

Chapter 3  Managing Supply Chain Risks: An Enterprise Risk Approach

Chapter 4  Peer Review and Credentialing in an Era of Enterprise Risk Management

Chapter 5  Reducing Enterprise Risk Through Diversity, Equity, and Inclusion


DOMAIN II  CLINICAL AND PATIENT SAFETY RISK

Chapter 6  Enterprise Risk Management Considerations Regarding Individual Rights

Chapter 7  Patient Rights: Informed Consent and Clinical Research

Chapter 8  Public Health, Infection Prevention and Control, and the Law: Exploring Enterprise Risk Management

Chapter 9  The Risk Management Benefits of Incorporating ERM Approaches into Health Care Investigations


DOMAIN III  STRATEGIC RISK

Chapter 10  Risks Related to Emerging Health Care Delivery Models

Chapter 11  Using Enterprise Risk Management-Based Frameworks to Advance Population Health


DOMAIN IV  FINANCIAL RISK

Chapter 12  Managing Risks Related to Federal Reimbursement

Chapter 13  Health Insurers' Enterprise Risk Management Techniques

Chapter 14  Private Equity Investment in Health Care Enterprises

Chapter 15  Captive Insurance Company as an ERM Driver


DOMAIN V  HUMAN CAPITAL RISK

Chapter 16  The Employment Relationship: Identifying and Managing Risks


DOMAIN VI  LEGAL AND REGULATORY RISK

Chapter 17  Managing Fraud and Abuse Risks Through an Effective Compliance Program


DOMAIN VII  TECHNOLOGY RISK

Chapter 18  Enterprise Risk Management Considerations for Electronic Health Records, Personal Health Records, and Health Information Exchanges

Chapter 19  Cybersecurity Risks for Health Care Enterprises

Chapter 20  Managing the Risks of Telehealth Practice


DOMAIN VIII  HAZARD RISK

Chapter 21  Environmental Risk Management


Conclusion:  Enterprise Risk Management Across the Health Care Domains


Index