Medical Mutual Insurance Company of Maine

A quarterly review of Company and industry news for Medical Mutual member-policyholders.

About Us » Publications & Announcements

The Advocate
Archive

 

Company Shares Insight on Team Training and Claims Trends at Hospital Education Program

 

Program to Expand in 2010

 

“We’ve received terrific feedback on the program over the past three years and we’re now planning on expanding it to recognize the diversity of the participants we have been drawing.”

— Cheryl Peaslee,
Assistant VP of Risk Management

Executives, VPMAs and quality assurance professionals from 15 Northern New England hospitals gathered for Medical Mutual’s 2009 Hospital Education Program on August 18, 2009 to learn about the benefits and processes involved in interdisciplinary team training in the hospital environment, as well as gain risk management insight from a special presentation on emerging patterns in hospital claims.

Representatives from 11 hospitals insured by Medical Mutual and, notably, four hospitals currently self-insured or covered by other carriers, took part in the morning program held at the Woodlands Club in Falmouth, Maine.

Doug Salvador, MD, MPH, Associate Chief Medical Officer and Patient Safety Officer of Maine Medical Center in Portland, Maine presented the team training portion of the seminar, which focused on the structures, processes and behaviors necessary to implement an interdisciplinary team training model in a hospital environment. Salvador said with proper training, the team approach has proven to be an effective means of preventing adverse events.

Fostering mutual respect among all members of the clinical team and developing consistent, effective communications behaviors, he said, are the central tenets of the collaborative model and he outlined practical guidelines for implementing such strategies.

Attendees called the presentation “timely” and cited the value of hearing local examples of successful process improvements through team training and the collaborative model.

Rounding out the program was a presentation on recent trends in hospital claims by Medical Mutual Assistant Vice President - Claims, Mary Elizabeth Knox. Ms. Knox analyzed the Company’s claims data for the past ten years and presented evidence that indicates a possible waning of claims related to vaginal births after cesareans, bariatric surgery and retained sponges and other surgical items. Other types of claims such as medication errors, patient falls, myocardial infarctions in emergency departments, failure to diagnose cancer and unrecognized postoperative complications, were previously identified as trends which persist today. Finally, she identified a handful of claims types that bear watching as potential trends, according to recent data: anticoagulation, negligent hiring and credentialing, computer access issues, telemedicine and electronic medical records.

Given the intense and focused energy of hospital clinicians and administrators on a day-to-day basis, attendees said the trends data proved invaluable in highlighting information they would not normally be exposed to. As a practical matter, one attendee cited the usefulness of the information saying, “We need to know the emerging trends. This will be helpful to take back to my office when identifying our case reports.”

Medical Mutual Assistant Vice President of Risk Management, Cheryl Peaslee, commenting on the Hospital Education Program said, “We’ve received terrific feedback on the program over the past three years and we’re now planning on expanding it to recognize the diversity of the participants we have been drawing. So next year we’ll offer a Hospital Education Program specifically for hospital VPs of Medical Affairs and Quality, Risk Management and Performance Improvement personnel in the spring of 2010, as well as a program for hospital CEOs and CFOs in the summer or fall.”

“It’s really a matter of practicing what we preach,” she said. “The success of the series has been great, but we’re always looking to improve. And by focusing presentations on narrower audiences from within the hospital environment, we think it will be even better.”