Effective Healthcare Auditing and Risk Management Practices

Start Date End Date Venue Fees (US $)
30 Nov 2025 Riyadh, KSA $ 3,900 Register

Effective Healthcare Auditing and Risk Management Practices

Introduction

Continuous performance improvement and risk management are critical concepts that should be regularly promoted and practiced throughout the healthcare system. In this course, participants will learn how to measure performance in their healthcare organization while taking into account complex operating dynamics, ever-changing policies, and competitive forces driving the reimbursement structure of care.

Participants will gain robust tools and techniques to identify performance variation and minimize risk while rewarding ideal performance standards. They will return to their healthcare organization equipped with the critical elements of integrated quality and risk management system that ensures continuous quality improvement.

Objectives

    By the end of the course, participants will be able to:

    • Define performance and risk management as it applies to health systems management
    • Measure healthcare efficiency, effectiveness, and value-based intersection
    • Develop process improvement strategies while considering capacity management, demand forecasting, and resource allocation
    • Align financial concepts with decision-making and risk management in healthcare
    • Follow the steps of an effective risk management process within their healthcare organization

Training Methodology

This is an interactive course. There will be open question and answer sessions, regular group exercises and activities, videos, case studies, and presentations on best practice. Participants will have the opportunity to share with the facilitator and other participants on what works well and not so well for them, as well as work on issues from their own organizations. The online course is conducted online using MS-Teams/ClickMeeting.

Who Should Attend?

This course is designed specifically for both clinicians and healthcare managers who have a particular interest in the areas of performance and risk management within the healthcare sector. This could include surgeons, physicians, clinical professionals, heads of nursing, and any high-potential managers with significant performance and risk management responsibilities.

Course Outline

Day 1: Performance and risk management in health systems

  • Elements within a complex health system and its variations
  • Operational performance
  • Strategic performance
  • Risk management
  • Strengths and weaknesses within the public health sectors
  • Strengths and weaknesses within the private health sectors
  • Regulatory affairs and their impact on performance

Day 2: Healthcare efficiency, effectiveness, and Value

  • The difference between efficiency, effectiveness
  • Value-based intersection
  • The consumer-driven healthcare model
  • Accountable Care Organizations (ACOs)
  • Public and/or private insurance models
  • The Define, Measure, Analyze, Improve, and Control (DMAIC) model
  • Lean
  • Six Sigma

Day 3: Process flow and process improvement in healthcare

  • Capacity management
  • Demand forecasting
  • Resource allocation:
  • Impact on process flow
  • Process improvement strategies
  • Service line prioritization
  • Process improvement in inventory management
  • Variations in a process flow
  • Process improvement concepts
  • Revenue cycle management
  • Operations planning
  • Strategic planning

Day 4: Aligning financial concepts with decision making and risk management

  • Financial models in healthcare
  • Health risk management techniques
  • Decision-making strategies
  • Characteristics of demand management
  • Predictive forecasting
  • Constructing physical hospitals
  • Technology

Day 5: Risk management process and objectives

  • Risk management process/steps
  • Purpose and projected outcome of risk management
  • Impact of poor public risk management concerns
  • The outcome of a consumer-driven healthcare system
  • Policies to mitigate risk
  • Policy management

Accreditation

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