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Home > Medical Malpractice: Risk Check Survey

Medical Malpractice: Risk Check Survey

The Risk Check Survey encompasses the degree to which your firm provides comprehensive policies, programs, and training focused on protecting your organization.
Date*
Date Format: MM slash DD slash YYYY
Organization Name*
Person Completing Survey*
Title*
Phone*
Email*
Rate the effectiveness or success of the organization’s actions:
1. How effective is your organization with regards to identifying and evaluating risk control activities, using both formal methods (standardized event reporting system, risk assessment tools) and informal (open communication with clinical staff)?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
2. How effective is Senior Management, Risk Management, and Quality at collaborating when adverse patient outcomes occur?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
3. How effective is your organization’s credentialing process when reviewing and verifying (including education, training, work history, and experience) applicants who are applying for their privileges or seeking to renew them?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
4. To what extent does senior leadership support a ‘just culture’ of safety for reporting adverse events and near misses?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
5. How well does your organization utilize evidence-based, and best, practices to promote patient safety and prevent patient harm?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
6. Utilizing a standardized, risk adjusted tool, how effective are the organization's risk assessment procedures with regards to annually identifying risks and planning effectively to address potential exposures?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
7. To what degree does your risk management plan address the structure and processes for risk management activities within the organization?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
8. To what degree do your policies suggest you implement proactive risk assessments, such as FMEA (Failure Mode Effects Analysis), prior to implementing new processes so you may identify potential risk areas where medical errors or patient harm could occur?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
9. How effective is your claims management process in connecting the organization’s appetite for managing risks with its financial ability to satisfy claims when and if they occur?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
10. To what extent does your organization’s corporate compliance process include billing, coding, accounting compliance, and HIPAA compliance?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
11. How robust is your organization’s processes for selection, hiring, and retention of staff and while addressing employee turnover in a proactive manner?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
12. How effective are your organization's training and on-going educational opportunities at assuring support staff competency, promote quality-of-care and patient safety, and promote work-related employee safety?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
13. How comprehensive and continual (on-going) is your organization’s process to monitor and manage legal and regulatory requirements, including compliance, licensure, and accreditation?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
14. How effective is your organization’s internal QAPI (Quality Assessment and Process Improvement) process at measuring, tracking and providing trend quality indicators to ensure patient and staff safety, regulatory compliance, and process improvement?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
15. To what degree are the processes in place to manage the selection, maintenance and security of technology within the healthcare setting, include organizational strategy [HIPAA, EHR (Electronic Health Records), cyber and social media] and clinical processes [EHR, clinical equipment, and communication processes]?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE
16. How effective is your organization’s emergency preparedness program in addressing risk related to natural disasters, exposures and business interruptions?*
- N/A
- INEFFECTIVE
- MARGINALLY EFFECTIVE
- MODERATELY EFFECTIVE
- EFFECTIVE
- HIGHLY EFFECTIVE

IQRM Surveys Available for the Following Risk Issues:

Business Continuity
Employment Practices Liability
Discipline and Termination
Cyber Liability
Workers’ Compensation
Products Liability
Professional Liability
Recruitment, Selection & Hiring
Substance Abuse
Wage and Hour
Workplace Discrimination
Workplace Safety
Workplace Sexual Harassment
Claims Management
Directors & Officers Liability
Environmental Liability
Fleet Safety
General Liability
Medical Malpractice
Pre-Employment Screening
Product Contamination & Recall

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Associated Insurance Services

3380 Elder Street
Boise, Idaho 83705

Phone: (208) 336-7733

Toll Free: (800) 678-7733

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Mon-Fri: 8:30am-5:00pm
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Coeur d’Alene Office

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10589 South Highway 95
Coeur d’Alene, Idaho 83814

Phone: (208) 336-7733

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Fax: (208) 336-1137

Mon-Fri: 8:30am-4:00pm
Sat-Sun: Closed

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