§ 23-17-24. Internal risk management program.
Every hospital licensed in this state and its insurance carrier shall cooperatively,
as part of their administrative functions, establish an internal risk management program
which shall include at least the following components:
(1) An in-hospital grievance or complaint mechanism designed to process and resolve as
promptly and effectively as possible grievances by patients or their representatives
related to incidents, billing, inadequacies in treatment, and other factors known
to influence malpractice claims and suits. The mechanism shall include appointment
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§ 23-17-24. Internal risk management program.
Every hospital licensed in this state and its insurance carrier shall cooperatively,
as part of their administrative functions, establish an internal risk management program
which shall include at least the following components:
(1) An in-hospital grievance or complaint mechanism designed to process and resolve as
promptly and effectively as possible grievances by patients or their representatives
related to incidents, billing, inadequacies in treatment, and other factors known
to influence malpractice claims and suits. The mechanism shall include appointment
of a representative accountable to the hospital administration who shall anticipate
and monitor on a day-to-day basis the grievances and administer the mechanism;
(2) The continuous collection of data by each hospital with respect to its negative health
care outcomes (whether or not they give rise to claims), patient grievances, claims,
suits, professional liability premiums, settlements, awards, allocated and administrative
costs of claims handling, costs of patient injury prevention and safety engineering
activities, and other relevant statistics and information;
(3) Medical care evaluation mechanisms, which shall include but not be limited to, tissue
committees or medical audit committees, to review the appropriateness of procedures
performed, to periodically assess the quality of medical care being provided at the
institution, and to pass on the necessity of surgery;
(4) Education programs for the hospital's staff personnel engaged in patient care activities
dealing with patient safety, medical injury prevention, the legal aspects of patient
care, problems of communication and rapport with patients, and other relevant factors
known to influence malpractice claims and suits.