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ERM AND THE CENTER FOR HEALTH QUALITY AND INNOVATION

In January 2013, the chief risk officer for the University of California and the executive director for the UC Center for Health Quality and Innovation (CHQI) announced a new joint venture. The new joint venture – the Center for Health Quality and Innovation Quality Enterprise Risk Management (CHQIQERM) – will award up to $8 million in grants for projects designed to reduce the risk of clinical harm to UC surgery patients in three priority areas:

1. Development of enterprise risk management (ERM) within the Schools of Medicine and medical centers. This includes projects that are aimed at clinical improvements involving multiple departments and divisions.

2. Projects aimed at reducing medical malpractice claims. These projects should take into consideration issues creating the highest frequency and severity of malpractice claims within the university facilities. Claims data identifying these areas of exposure will be provided. Projects will be evaluated based on transferability and sustainability. Ability to demonstrate a return on investment will also be considered.

3. Projects aimed at improving patient safety, quality, and efficiency within the University of California medical centers.

The joint venture seeks to fund projects by UC Health faculty and staff that use an evidence-based, systems approach to minimize the risk of clinical harm to UC patients. UC's actuary will continue to evaluate the return on investment (ROI) of the projects and include evaluation of these loss prevention efforts in its actuarial study as it has in the past.

Funding is available to UC faculty and staff intending to engage in performance improvement activities at UC-owned and UC-operated medical centers. Individual projects are capped at $250,000 per academic medical center site. A five- campus project may be awarded up to $1.25 million.

"We're thrilled to partner with Risk Services," said Terry Leach, executive director of the UC Center for Health Quality and Innovation. "This collaboration will help leverage the talent of UC Health's faculty and staff to improve patient safety at UC medical centers."[1]

After an initial campus review, top-scored selections will receive a second round of review by the CHQIQERM Risk Advisory Committee in conjunction with the CHQI Operations Committee, with final selection by the CHQI board. Five-campus multisite proposals will automatically advance to receive a review by CHQIQERM.

The CHQIQERM will provide selected Project performance improvements (Pis), within three months of approval, a schedule to present their projects to various multicampus groups responsible for quality improvement and/or reduction of patient harm throughout UC, including the CHQI Operations Committee, the chief medical officer (CMO) and chief nursing officer (CNO) group, the UC quality officers, infection control officers, pharmacy chairs, CEOs, and so on. Presentations are designed to provide individuals responsible for integration of performance improvement projects throughout UC the opportunity to learn more about the funded projects, and to provide consultation for design modification, as appropriate, to increase support and acceptance of the funded projects.

By January 1, 2014, if project funds remain or if Risk Services provides additional resources, CHQIQERM will disseminate a second round of requests for proposals (RFPs), and will provide review and management pursuant to the previous year's round of funding, with projects to be completed by June 30, 2015, unless a project continuation agreement has been negotiated and agreed upon by all parties, including the CHQI board.

  • [1] UC Health, January 8, 2013.
 
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