We first assess your current set of conditions and then evaluate your resources. We only make recommendations and develop actions plans that are practical, achievable, and measurable. Patient safety should be designed in to your programs, your processes and your organization. We’ll get you there.

1. Risk Management Strategic Planning
2. Physical Facility Assessments
3. Patient Goal Implementation
4. Risk Control
5. RCA and Hazard Assessments
6. Patient Safety Leadership

1. Risk Management Strategic Planning
Is your organization changing? Have you identified new risks to your organization? Do you manage risk with a “game plan” that has measurable future?

• Strategy refers to basic directional decisions, that is, to purpose and mission
• Strategy consists of the important actions necessary to realize these directions
• Strategy answers the question: What should the organization be doing?
• In sum, what are the ends we seek and how should we achieve them?

A strategic plan should be developed whenever an organization undertakes a major new initiative (such as patient safety). The plan adds the perspective of the long view to short term externally driven initiatives such as compliance with the National Patient Safety Goals. We will work with you to develop a risk management strategic plan that gets your where you want to go and manages risk in an effective an deficient manner.

2. Physical Facility Assessments
A fresh perspective on a familiar environment can often reveal risks that have gone unnoticed. With our background codes, standards and assessment we can evaluate an environment for both patients and employee risk. Our reports will give you an action plan to correct deficiencies and reduce your risk exposure.

3. Patient Safety Goal Implementation
We will work with the stakeholders in your organization to implement your patient safety goals and integrate those goals with your existing risk management program. By fully developing your implementation plan and quantifying your goals and objectives you can realize not only improved safety culture and reduced risk exposure but also receive credit at time of policy renewal. We’ll show you how and work with you every step of the way to ensure your patient safety programs complement your risk management programs and to make your organization a more attractive insurance risk.

4. Risk Control
What is your loss experience telling you? What are your trends and what are your exposures? What actions can you take to control, mitigate, or transfer the exposures? Are the risk control choices you are making the right ones for your organization and for your available resources?

We're experts in aligning risk control strategies with available resources and at obtaining measurable success. We will work with you to analyze your exposures and develop realistic, cost-effective and quantifiable risk control programs.

5. RCA and Hazard Assessments
We are experts in teaching Root Cause Analysis but we also work with clients and perform RCA’s if requested. Our approach is time proven and approved by all relevant Authorities Having Jurisdiction (AHJ’s). No fancy software, intractable forms, just a straightforward understandable approach to getting to the root cause and selecting appropriate countermeasures to mitigate the identified risk.

We also will work with organizations wish into conduct a Hazard Assessment. Failure Modes and Effects Analyses (FMEA) can be used to proactively identify the potential failure of individual process steps and the outcomes of those failures. FMEA is proactive and can identify potential risks, vulnerabilities and their effects before an adverse or sentinel event occurs. FMEA is strongly recommended as a routine process to evaluate the risks of any new service or program such as bariatric surgery program or a new aeromedical operation.

6. Patient Safety Leadership
The JCAHO tells us that a hospital’s “Leaders plan and implement a safety management program. They are ultimately responsible for the safety of all patients and all staff. Leaders also establish expectations, plans, priorities, and manage the performance improvement process.”

We will work with hospital governance and senior leadership to define the scope of your patient safety program, to give it direction, and to coordinate and add value to patient safety initiatives. We will give your organization a strategic patient safety plan that

• Promotes continual planning, directing and coordinating of the patient safety program with the organization’s mission and vision
• Gives both tactical and strategic direction that is practical, measurable, and adds value by decreasing the cost of risk
• Places risk management, quality management, and patient safety in an understandable and manageable context that promotes organization-wide integration
• Supports a culture of safety by reducing barriers, improving infrastructure and communication, and aligning mission and goals.

Patient safety should be designed in to your programs, your processes and your organization. We’ll get you there.

"Dave is very knowledgeable in all aspects of healthcare risk management and provides a wide variety of experience in risk and safety. Dave has a unique ability as a communicator and gets the job done by his understanding of the art of training the trainer."

-Jerry Rakes, VP of Risk Management LifePoint Health System


Built Environment
Business Continuation Plan

Center for Health Design, Healthcare Design Conference: 2017, Orlando Fl, “Ligature Attachment and Suicide Risk Assessment on Behavioral Health Inpatient Units"

Center for Health Design, Behavior Health Workshop: 2017, Washington DC “Suicide Risk Assessment on Behavioral Health Inpatient Units”

American College for Health Design, Summer Leadership Summit (SLS) 2017, Chicago, “Ethics and Architecture”

The Joint Commission (TJC) 2014, 2018, Chicago “Risk Assessments in Behavior Health “

American Society for Hospital Risk Management (ASHRM) 2017, Indianapolis “Behavior Health Risk Assessments”

American Society for Hospital Risk Management (ASHRM) 2018, Nashville TN, “Ethics Risk and Patient Centered Care”

American Society for Hospital Risk Management (ASHRM) 2013, “Enough already. Where’s my ERM Dashboard?”

Southern California Association for Healthcare Risk Management (SCAHRM), Annual Conference 2018, Palm Springs CA, “Risk and Ethics”

Department of Defense, U. S. Army MEDCOM Safety Conference, 2017, 2018 San Antonio TX “Risk Assessments”

Department of Defense, Veterans Health Administration Joint Safety Conference, 2018 Orlando FL, “Safety as a Nobel Profession”

University of Michigan, Health Learning Systems, 2018, “Ethics of Large Scale Medical Disclosures”

American Society for Hospital Risk Management (ASHRM) 2015, “The Path to Improved Outcomes: Integrating Risk Assessment with Risk Control”

List of Publications

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