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HomeMy WebLinkAboutMINUTES - 01051988 - 1.59 POSITION ADJUSTMENT REQUEST No. Date: 11/13/87 Dept. No./ Copers Department Health Svcs/Hospital Budget Unit No. 0540 Org. No. 6558 Agency No. 54 Action Requested: Establish the Class of Hospital Risk Management Coordinator, allocate it to salary level #C5-1601(pre 7/1/87 adjustment level) and reclassify without examination Accredited Record Tech pos #314 Proposed Effective Date: 1/6/88 Explain why adjustment i^ needed: To properly classify, the incumbent (S. Peterson) according to the duties she performs Draft S ec �1as�- fieaipierr-QtrestfiartRaYre :,ttached: Yes No ❑ Estimated cost of adjustment: $ 135/mo Cost is within department's budget: Yes ® No ❑ If not within budget, use reverse side to explain how costs are to be funded. Department must initiate necessary appropriation adjustment. Web Beadle, Use additional sheets for further explanations or comments. Dept. Personnel Officer for Department Head Personnel Department Recommendation Date: 42 -�2� 7 Establish the class of Medical Risk- Specialist.- allocate it to Salary Level C5 1637 (2334-2837); reclassify without examination Accredited Reco l Technician position #314; Salary Level C5 1484 .(2003-2435). c r i T m < — ,IST" Amend Resolution 71%17 establishing positions and resolutions allocating class tqe,. Basic/Exempt Salary Schedule, as described above. Effective: day following Board action. -Z, 3113' l J Date for Director of rsonnel County Administrator Recommendation Date: pprove Recommendation of Director of Personnel Disapprove Recommendation of Director of Personnel Other: ?—6r-)KyhX,0Wministrator 3oard of Supervisors Action JAN 5 1988 Phil Batchelor, Clerk of the Board of adjustment APPROVED.7211MIRW on Supervisors and County Administrator )ate: JAN 5 1988 By: kPPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. M ; RISK MANAGEMENT COORDINATOR Serves as support to the Risk Management Committee (RMC). Investigates patient care in relation to lawsuits and potentially compensable events (PCE). Prepares agenda and reports for the committee, maintains minutes and protects the confidentiality of RMC activities. Reviews lawsuits with the Claims Adjuster (CA) that are filed against the Health Services. Provides (CA) with required information for initial eva- luation of claims for CA's report to County Administrator's Office. Prepares for RMC summaries of patients' .care for all lawsuits and serious PCE's. Makes referrals for case reviews to appropriate clinical departments or indi- vidual staff members. Verifies that any action required by a Department or Committee has been completed. Maintains confidential lawsuit- and PCE files. Supplies our attorneys with information required for lawsuits. Includes answering interrogatories, obtaining appropriate documents from departments, and signing verifications that the Hospital has supplied the plaintiff's attorney with appropriate requested information. Arranges meetings with our attorneys and staff members involved in lawsuits. Reviews incident reports for possible PCE's. Reports problems identified to the Executive Director and meets monthly with Health Services .Director, Medical Director, Executive Director and Claims Adjuster to review status of lawsuits. and discuss new claims and PCE's. JOB-1 (continued) RMC-continued Reviews all cases reported by clinical departments as having met one of their risk screens. Makes judgement as to the severity of case. If a serious problem is identified, requests department and/or physician review and reports case to RMC. Prepares periodic reports for RMC and MQAC of each department's cases which assist in identifying problem patterns by type of problem and physician involved. Carries out related referrals requested by these Committees. Serves as support to the Ambulatory Review Committee (a subcommittee of the Medical Quality Assurance Committee) and the OB/GYN Department. Includes preparing agenda, maintaining minutes, preparing memos for chairman's signature and assisting with QA activities. Provides educational and technical assistance to departments and committees relating to RM and QA issues. Includes development of criteria, abstracting and analyzing data from medical records, and preparing related reports. Maintains MMH&C Consent to Treatment Manual . Develops related consent forms and writes related procedures in coordination with Associate Administrator. Serves on Forms Committee and consults with departments on form.development. JOB-2 DRAFT Proposed Salary Level #C5-1607 ($2265-2754) (pre 7/1/87 lvl) HOSPITAL RISK MANAGEMENT COORDINATOR DEFINITION: Under general direction, coordinates hospital and clinic based risk management activities; serves as liason with the County Administrator's Office Risk Management Division and County appointed claims adjusters and attorneys on 3rd party claims and lawsuits filed against the department; facilitates the internal investigation and documentation of information necessary to defend against such actions; and performs related work as required. DISTINGUISHING CHARACTERISTICS: This single position management class is located in the Hospital and Clinics Division of the Health Services Department. It is distinguished as a staff specialist on risk management issues such as medical malpractice and other 3rd party claims and suits against the Division or it's employees. The incumbent serves as the Division's representative with out- side entities regarding risk management and .protects the confidentiality of certain data gathering and investigatory activities pursuant to applicable laws. This position reports to an Assistant Director of Health Services (Executive Director of Hospital and Clinics). TYPICAL TASKS: Receives and reviews written incident reports for potentially canpen- sable events (PCE's); investigates the circumstances surrounding documented incidents and reports significant cases to departmental administration; receives reports fran hospital clinical services of events meeting their predetermined risk screens; makes judgements as to severity of events reported and requests further investigation or physician review and reports to the departmental Risk Management Committee (RMC); provides staff support to the- Physician RMC including preparing their agenda, keeping their minu- tes, and protecting the confidentiality of their discussions under the Medical Staff Bylaws; prepares summaries (abstracts) of patient care for the RMC; makes referrals for further investigations ordered by the Cammittee and follows up to insure timely responses to such referrals; obtains and provides information to County appointed claims adjusters and assists then in reviewing malpractice and other claims for report to the CAO; obtains and provides information to County appointed attorneys including copies of medical records or other documents and answering interrogatories; provides inservice education and technical assistance to staff and other physician committees regarding risk management issues; assists in maintaining the Hospital and Clinic Consent to Treatment Manual including developing con- sent forms and related procedures; serves on the departmental forms commit- tee and consults with other Divisions on forms development; attends meetings and prepares a variety of correspondence and reports regarding risk management issues. MINIMUM QUALIFICATIONS: EITHER (1) Possession of a valid registration as a Registered Record Adminis- trator or possession of a valid certification as an Accredited Record Technician with the American Medical Record Association and three years of full time experience, or its equivilent, in medical records work in an acute care hospital OR (2) Possession of a valid license as a Registered Nurse in the State of California and two years of full time experience, or its equivilent, as a registered nurse in an acute care hospital. KNOWLEDGE, SKILLS & ABILITIES: Knowledge of risk management principles and techniques applicable to a health care setting; knowledge of the organization and functions of various acute care hospital clinical services; knowledge of the content and use of medical records; knowledge of the legal aspects governing the delivery of health care services; knowledge of medical and surgical terminology and procedures; ability to analyze and evaluate data and present facts, conclu- sions and recommendations to others; ability to communicate effectively both verbally and ,in writing; ability to establish and maintain cooperative work relationships with others.