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Department of Defense TATRC Lewis R. Goldfrank, MD Professor and Chair, Emergency Medicine

Risk Management in the Healthcare Sector: What and Where are the Agents of Opportunity and Why?. Department of Defense TATRC Lewis R. Goldfrank, MD Professor and Chair, Emergency Medicine Director, Emergency Medicine Bellevue Hospital/NYU Hospitals/VA Medical Center

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Department of Defense TATRC Lewis R. Goldfrank, MD Professor and Chair, Emergency Medicine

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  1. Risk Management in the Healthcare Sector: What and Where are the Agents of Opportunity and Why? Department of Defense TATRC Lewis R. Goldfrank, MD Professor and Chair, Emergency Medicine Director, Emergency Medicine Bellevue Hospital/NYU Hospitals/VA Medical Center New York University School of Medicine Medical Director, New York City Poison Center

  2. 5 AO Examples

  3. YOUR HELP Human Subjects Research • Request for Nominations • AO Survey • Yourselves, Research Coordinators, Investigators, • 15 minutes/agent • One-on-One Interviews – Material Tracking • Yourselves, Logistical Managers, Purchasing Decision-makers • Up to 30 minutes • Threat/Mitigation Scenario Workshop • Yourselves, SOM and Hospital Departmental Leadership • Up to 90 minutes

  4. Common Operating Picture RISK MANAGEMENT FRAMEWORK (Cost Benefit Analysis) MATERIALS MGT TRACING IT Interoperability THREAT SCENARIOS Haddon Matrix Mitigation Strategies PI AO SELECTION Survey Tool Key Informants

  5. Manufacturer Or Exporter Facilities Management Purchasing Research Laboratory Clinical Engineering Truck or Rail Carrier Pharmacy and Satellites Patient Units Diagnostic/Pathology Laboratories Shipping and Receiving Public Areas Securing the Supply Line Covered under existing U.S. Customs and Transportation Security Screening and Regulations Building Services Clinics Central Supply Physician Offices Environmental Services Logistics Managers Environment of Care Committee, Security, Infection Control Supply Chain Management, Risk Management Finance, Information Technology, DataBase Management Mapping

  6. 1st Year Deliverables • An Improved Healthcare Risk Management Framework • Identify, track and control the risk of AOs • Use existing enterprise information technology • New mitigation strategies: Safety >> Security • Reduce military and civilian health risk • GIS Tool: • Create a geographic information system (GIS) tool (location intelligence software) • Inform military/ emergency responder interventions during AMC-based terrorist attacks • Inform future architectural design of healthcare facilities

  7. Time Line • Funding: Sometime soon • Project Year: x/07 through y/08 • Participant Recruitment: Month 1 • Interviews: Month 2 • AO Survey: Month 3 • Workshops: Month 7

  8. Years 2 & 3 Deliverables • IT Interoperability • AO Tracking • Location Intelligence Algorithms • Risk Management Framework • Revise Hazard Vulnerability Analysis • GIS-AO Device • Commercial Partner

  9. Project Summary Statements/ VideoConsent Form • Asymmetrical Employer-Employee Context • Voluntary Participation • Confidentiality • De-Identify Public Information

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