医疗保健组织的企业风险管理：一个经济企业风险管理创新项目（ERM）。
ERM for Health Care Organizations: An Economic Enterprise Risk Management Innovation Program (ERM).
作者信息
da Silva Etges Ana Paula Beck, Grenon Veronique, de Souza Joana Siqueira, Kliemann Neto Francisco José, Felix Elaine Aparecida
机构信息
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.
The Risk Authority Stanford, Palo Alto, CA, USA.
出版信息
Value Health Reg Issues. 2018 Dec;17:102-108. doi: 10.1016/j.vhri.2018.03.008. Epub 2018 May 15.
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.
背景
近年来，医疗保健机构一直在寻求企业风险管理（ERM）的新型系统，以获取更准确的数据来制定风险策略。
目的
本研究提出了一个专门为医疗保健机构设计的概念性企业风险管理框架。
方法
我们探讨了美国和巴西的医院如何在其管理结构中构建和实施企业风险管理流程。本研究纳入了对15位首席风险官（8位来自美国，7位来自巴西）的访谈，并使用NVivo（QSR国际软件）进行定性数据分析。
结果
访谈证实，医疗保健机构采用企业风险管理的势头渐强且已成为优先事项，并且风险经济评估导向的需求在医疗保健风险管理者中很常见。
结论
我们提出了一个医疗保健企业风险管理模型（医疗保健领域的经济企业风险管理），该模型分为四个成熟度级别，并辅以实施时间表。该模型还附带了指导方针，以指导企业风险管理的逐步实施，包括进行风险经济评估的指导。
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