Ana Paula Beck da Silva Etges1, Veronique Grenon2, Joana Siqueira de Souza3, Francisco José Kliemann Neto3, Elaine Aparecida Felix4. 1. National Health Technology Assessment Institute, CNPq, Porto Alegre, Rio Grande do Sul, Brazil; Department of Industrial Engineering, UFRGS, Porto Alegre, Rio Grande do Sul, Brazil; School of Technology, PUCRS, Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: anaetges@producao.ufrgs.br. 2. The Risk Authority Stanford, Palo Alto, CA, USA. 3. Department of Industrial Engineering, UFRGS, Porto Alegre, Rio Grande do Sul, Brazil. 4. Department of Anesthesiology, School of Medicine, UFRGS, Porto Alegre, Rio Grande do Sul, Brazil.
Abstract
BACKGROUND: In recent years, health care organizations have looked to enterprise risk management (ERM) for novel systems to obtain more accurate data on which to base risk strategies. OBJECTIVE: This study proposes a conceptual ERM framework specifically designed for health care organizations. METHODS: We explore how hospitals in the United States and Brazil are structuring and implementing ERM processes within their management structure. This study incorporates interviews with 15 chief risk officers (8 from the United States and 7 from Brazil) with qualitative data analysis using NVivo (QSR International software). RESULTS: The interviews confirm that adopting ERM for health care organizations has gained momentum and become a priority, and that the demand for risk economic assessment orientation is common among health care risk managers. CONCLUSION: We propose an ERM model for health care (Economic Enterprise Risk Management in Health Care) divided into four maturity levels and complemented by an implementation timeline. The model is accompanied by guidelines to orient the gradual implementation of ERM, including orientation to perform risk economic assessment.
BACKGROUND: In recent years, health care organizations have looked to enterprise risk management (ERM) for novel systems to obtain more accurate data on which to base risk strategies. OBJECTIVE: This study proposes a conceptual ERM framework specifically designed for health care organizations. METHODS: We explore how hospitals in the United States and Brazil are structuring and implementing ERM processes within their management structure. This study incorporates interviews with 15 chief risk officers (8 from the United States and 7 from Brazil) with qualitative data analysis using NVivo (QSR International software). RESULTS: The interviews confirm that adopting ERM for health care organizations has gained momentum and become a priority, and that the demand for risk economic assessment orientation is common among health care risk managers. CONCLUSION: We propose an ERM model for health care (Economic Enterprise Risk Management in Health Care) divided into four maturity levels and complemented by an implementation timeline. The model is accompanied by guidelines to orient the gradual implementation of ERM, including orientation to perform risk economic assessment.
Authors: Ana Paula Beck da Silva Etges; Veronique Grenon; Ming Lu; Ricardo Bertoglio Cardoso; Joana Siqueira de Souza; Francisco José Kliemann Neto; Elaine Aparecida Felix Journal: BMC Health Serv Res Date: 2018-07-24 Impact factor: 2.655