Can Risk Management Help the Bottom Line?
September, 1997When risk management
is discussed, the subjects of communications and systems are always mentioned.
Furthermore, how these topics create patient satisfaction and prevent patient injuries is
of utmost importance. Another term that frequently is mentioned is quality of care.
Quality of care is difficult to define and even more difficult to measure. Some
authorities have the opinion the best measure of quality of care is directly related to
patient or customer satisfaction. It is, therefore, important that the systems and
communications of an office support patient satisfaction.
Patient satisfaction becomes an important issue not only
with risk management but with the promotion of the business of medicine. There is no doubt
that satisfied patients are less likely to institute a malpractice claim. Satisfied
patients are an important component to a clinics growth and retention of its patient
base.
When patients are not satisfied with their office
encounter, most do not voice their complaints. Studies have indicated up to 96% of
patients do not complain when dissatisfied. If they do complain it will usually be to a
clinic employee. It is much less likely that patients will address their complaints
directly to the physician. With this being said, most complaints are driven by a strong
desire for things to improve in the clinic the patient has chosen. If the patient wants to
discuss a problem it is an opportunity for the staff to listen objectively to the
concerns. When the patient voices a desire to speak directly to the physician regarding a
complaint, arrangements for this communication should be handled promptly. This dialogue
may be emotionally charged, especially if it is associated with an unexpected outcome.
Patient complaints should be viewed as an opportunity for
feedback to evaluate the operations of the office and assist in continued improvement. If
patients are listened to, and their complaints seriously dealt with, it may be mutually
beneficial. Patients that have unresolved complaints will tell between 8-10 people their
opinion. It is not hard to determine the negative business impact of this network on a
clinic.
Patient satisfaction surveys, as well as listening,
appreciating and responding to patient complaints are sound business principals. In
summary, we do feel risk management issues affect the bottom line.
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