Risk Management & Mitigation Flashcards
7 cards from real HCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Management & Mitigation flashcards as text
A healthcare consultant is helping a client comply with CMS Conditions of Participation. Which requirement most directly relates to risk management?
Answer: Maintaining an effective, organization-wide Quality Assessment and Performance Improvement (QAPI) program
CMS requires hospitals to run a QAPI program that tracks adverse events and drives systemic improvement.
Which practice best protects the legal discoverability status of internal patient safety event analyses?
Answer: Conducting the analysis under a federally listed Patient Safety Organization (PSO) framework
Work performed within a PSO under the Patient Safety and Quality Improvement Act receives federal confidentiality privilege.
A client experiences repeated patient falls on one nursing unit. Which consultant recommendation reflects a data-driven mitigation approach?
Answer: Analyze fall data for patterns in timing, location, and patient risk factors, then target interventions accordingly
Effective mitigation analyzes event data to identify contributing patterns and applies targeted, proportionate interventions.
In a contract review, a consultant flags a 'hold harmless' clause requiring the hospital to indemnify a vendor for the vendor's own negligence. Why is this a risk concern?
Answer: It improperly shifts the vendor's liability onto the hospital
Such indemnification clauses transfer liability for the vendor's conduct to the hospital, increasing its risk exposure.
A consultant recommends disclosure and a sincere apology to a patient after a harmful error, alongside early resolution programs. What outcome does evidence associate with this approach?
Answer: Reduced litigation costs and preserved patient trust compared with deny-and-defend strategies
Communication-and-resolution programs are associated with lower liability costs and better patient relationships than deny-and-defend.
Which key risk indicator (KRI) would give a consultant the earliest warning of rising clinical risk in a client's surgical department?
Answer: An upward trend in surgical count discrepancies and near-miss reports
Trending near misses and process discrepancies are leading indicators that precede serious harm events.
A hospital's cybersecurity risk assessment identifies legacy medical devices that cannot be patched. Which compensating control should a consultant recommend?
Answer: Network segmentation to isolate the devices from other systems
Segmenting unpatchable devices onto isolated networks limits attacker access and contains potential compromise.