Bayfront Health Brooksville Case

It was a pleasure to interview Donna Moran, the Chief Quality Control Officer, from Bayfront Health Brooksville with the assistance of a few risk managers. Bayfront Health Brooksville is one of only 147 hospitals to be named a Top Performer on Key Quality Measures for four consecutive years by The Joint Commission (Health, 2017).
Risk managers are very involved in the care of every patients stay from beginning to end but also it has the hospitals best interest. First, one of the most important challenges the organization faces in controlling infectious diseases is hand washing. There are many types of community acquired infections which increase the risk to inpatient populations as individuals are admitted to the hospital. Requiring strict hand
Each employee receives a mandatory one hour RM training course on hire date and then annually thereafter. The education includes topics such as prevention of negligence, malpractice, litigation and vicarious liability. Occurrence reports are completed as events occur to alert the risk manager of potential risks. These occurrences are reviewed, tracked and trended to determine where they are experiencing increased risk. As adverse events occur, Root Cause Analysis (RCAs) is conducted. So “what is a Root Cause Analysis”? This is a very defined process that is completed once an initial investigation into an adverse event has occurred. Staff involved in the event is brought together by the Risk Manager and Chief Quality Officer to discuss potential where there was a deviation in the process. The root cause is divided in to barriers that are caused by a system failure, equipment failure or individual failure. This collaboration amongst all involved is non-punitive and is meant to allow each person to speak openly about what they felt was the cause of the event and to uncover the root cause of the