Hospital Acquired Conditions

Survey from Aon Insurance Corporation

Staff Reporters

According to a new analysis by insurance giant Aon Corporation, hospital-acquired conditions accounted for 12.2 percent of total legal-liability costs incurred by health care facilities in 2007.

Top Four Injury Claims

In addition, according to a brief about the Aon study in Modern Physician, one out of six claims against health care facilities was associated with hospital-acquired conditions, in 2007. Claims for these injuries were the most frequent of the four hospital-acquired condition categories:

  • Infections
  • injuries,
  • pressure ulcers, and
  • foreign objects left in the body after surgery.

Assessment

Costs of claims associated with pressure ulcers were the most expensive for health care facilities, which paid about $145,000 on average in claims for that condition. Aon analyzed nearly 78,000 claims with a total $9.3 billion of incurred losses for its professional liability report, which included information from more than 1,200 facilities that provided loss and exposure data.  

Conclusion

Your thoughts and comments are appreciated; especially by our physician, medical quality improvement, risk management and insurance agent readers and subscribers.

 Related Information Sources:

Practice Management: http://www.springerpub.com/prod.aspx?prod_id=23759

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Health Administration Terms: www.HealthDictionarySeries.com

Physician Advisors: www.CertifiedMedicalPlanner.com

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CMO Opportunity in SD

Avera Health Plans

By Judy Kliethermes

Avera Health Plans is a subsidiary of Avera Health, a regional health system providing healthcare services at more than 231 locations in eastern South Dakota and surrounding states. 

Plan Description

Avera Health Plans (AHP) has more than 60 hospitals and 3,100 physicians and licensed practitioners in its regional network.  Care can be accessed in more than 200 counties in the Avera Health Plans service area, with more than 600 physicians providing primary care services.

Position and Duties

The Chief Medical Officer will be responsible for leading and supervising AHP’s performance measurement, quality improvement and utilization management programs.  The Chief Medical Officer (CMO) will work with his/her team to analyze and improve the quality of care and the patterns of care utilization within the AHP network and will work to improve the health status of AHP’s member population. The CMO will supervise the Director of Health Services; oversee Medical Vendor Management and Physician Relations. 

Reporting

Reporting to the President of Avera Health Plans, the CMO will be an active member of the Senior Management Team of AHP.  Additionally, the CMO chairs the health plans’ Regional Care Councils, Utilization Management Committee, P&T Committee, Best Practices Workgroup and Credentialing Committee.

Candidates

Ideal physician candidates will have experience in a leadership role at a health plan and fully understand health care economics and the medical economics of prepaid plans.  Candidates must demonstrate superior communication skills and be able to work well within a team.

Assessment

Qualifications include board certification, a current and unrestricted medical license plus the ability to obtain a license in the State of South Dakota, a minimum of five years of clinical practice experience and a minimum of three years of experience as a health plan physician executive.
   
Conclusion
If you are interested in learning more, please reply to this message and attach a copy of your current CV / resume, or contact me below:
  
Judy Kliethermes
1-800-678-7858 ext. 63451
314-863-3631 Fax
judyk@cejkasearch.com E-mail

CEJKA SEARCH
4 City Place, Ste 300
Saint Louis, Missouri 63141
http://www.cejkasearch.com
 

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