Risk Management and the Role of Managed Care

Reflective Analysis: Risk Management and the Role of Managed Care Name Institutional Affiliation Reflective Analysis: Risk Management and the Role of Managed Care A healthcare organization has the duty to ensure risk management policies are in place and that they are compliant with MCO standards. In the administrative sense, this requires a commitment to consistently reviewing the existing risk management policies for example in the case of patient falls or patient negligence to ensure that the structure of the organization is well-equipped to avoid such risks (Chassin, 2013). In these instances, such would involve eliminating fall hazards and providing sufficient staff that corresponds to the number of patients at the facility. Similarly, this calls for a review of the protocols every time there are policy changes with regards to risk management policies and compliance. In an MCO, it is inevitable that instances of patient conflict as well as employer/employee conflict will arise. It is vital that the MCO has in place elaborate conflict resolution and risk management protocols and measures to prevent such incidences from escalating beyond administrative control (Chassin, 2013). For instance, a clear conflict resolution mechanism will work well to ensure that patient/patient disputes can be amicable solved and that employer/employee disputes do not compromise performance in any way possible (Howard, Bernel...