Health Care Risk Management (HRM) Core Program
The Health Care Risk Management (HRM) Core Program is designed for professionals who are new in their roles as risk professionals or, those who are interested in an introduction to risk management. HRM Core is immediate, on-demand orientation training that risk professionals can complete while waiting for more comprehensive in-person professional development with ASHRM’s HRM Certification Program. This product was designed for individuals, or anyone tasked with onboarding new staff to risk management. HRM Core is an on-demand virtual program consisting of six modules, focusing on an introduction to risk management, the Five-Step Risk Management Process, and evaluating risk management programs.
Foundations to Analytics for Health Care Strategists
Program Overview
HRM Core was designed by subject matter experts and leaders in the field, to answer common questions new risk management professionals may have when they first learn of and begin to use the risk management process through practical learning application.
Benefits of HRM Core:
Attendees will learn about the core components of health care risk management. Upon completing this program, participants will be able to:
- Determine and compare informal and formal risks, loss drivers, and explain risk control strategies for identified risks in your health care organization and discuss insurance and risk financing options.
- Apply the Enterprise Risk Management (ERM) framework to organizational decision-making and demonstrate a risk mitigation action plan that protects organizational assets and creates value.
- Evaluate the effectiveness of risk management programs at mitigating risk and report the strengths and weaknesses of a management plan.
Who should take ASHRM’s HRM Core Program? This course is open to any professional new to the field of health care risk management or someone interested in risk management.
Topics Covered:
Module 1 | Introduction of Health Care Risk Management
• Role of the risk professional within a health care organization
• Organizational services, internal data, service leaders, and governance structures
• Essential documents, forms, and services that help support a successful risk management program
Module 2 | Risk Identification and Analysis
• Formal and informal risk identification
• Relevant industry loss drivers
• Report data for informed risk mitigation decision-making
• Methodologies and tools used in Failure Mode and Effects Analysis (FMEA) and Root Cause Analysis (RCA)
Module 3 | Data Visualization and Storytelling
• Risk control techniques such as avoidance, prevention, reduction, segregation, and non-insurance transfer
• Risk reduction, risk transfer
• Different types of insurance coverage
Module 4 | Rapid, Market-Specific Strategic Decision Making
• ERM risk assessment process to organizational exposures
• Potential outcomes of an ERM risk assessment
• Recommendations from an ERM risk assessment for ultimate decision-making
Module 5 | Implementing Techniques
• Elements of risk mitigation action plans
• Value protection and value creation
• Organizational strategic plan – risk appetite/level of risk aversion
• Outline of organizational roles, authority, accountability, and responsibility for sustainable risk mitigation plan
Module 6 | Evaluating the Risk Management Program
• Monitoring metrics
• Key performance indicators
• Reporting data & continuous evaluation
Contributing Authors
EDITOR: Cyndi Siders, MSN, RN, CPHRM, CPPS, DFASHRM
Editor: Cyndi Siders, MSN, RN, CPHRM, CPPS, DFASHRM
Cyndi is CEO of Siders HealthCare Consulting, LLC providing customized risk management and patient safety professional consultation and strategic support, coaching, mentoring and education for health care organizations and health systems, risk management companies, insurance and claims management companies and insurance agencies. Cyndi has served as vice president of consulting services for large professional liability insurance companies providing leadership for a team of consultants delivering risk management and patient safety consultative services, education, and strategic support for clients nationally. She is current president of the North Dakota Society for Healthcare Risk Management and serves as faculty for the ASHRM Health Care Risk Management Certificate Program. Cyndi is a frequent state and national speaker on a variety of risk management and patient safety topics and has authored several national publications, including chapters in ASHRM publications. Cyndi is a past recipient of the ASHRM Research Incentive Award.
Chris Allman, JD, CPHRM, DFASHRM
Chris Allman, JD, CPHRM, DFASHRM
Christopher Allman is the Director of Compliance & Privacy for Medically Home, a national Hospital at Home Provider located in Boston, Massachusetts. During his more than twenty-six years as an attorney, Mr. Allman has focused his career on general health law, including all areas of regulatory compliance on the federal and state levels, health care risk management, and litigation. More specifically, Mr. Allman’s has provided expertise in areas of strict government regulation, such as Stark, Anti-Kickback Statute, False Claims Act and HIPAA, as those matters become increasingly complex in today’s environment. Mr. Allman’s clients have included major regional medical centers, small community hospitals and individual physician offices. Mr. Allman is the author of “Case Law Update”, a column that appears in the quarterly ASHRM Journal. He has also published articles on a variety of health care topics, including health care risk management, HIPAA, licensing matters, risk management in long term care facilities, and was a contributor to the ASHRM Healthcare Claims and Litigation Playbook, the ASHRM Leadership Playbook and an associate editor of the ASHRM ERM Playbook. Mr. Allman is a Certified Professional in Healthcare Risk Management (CPHRM), a Distinguished Fellow of the American Society for Healthcare Risk Management (DFASHRM), a Past President of the Michigan Society of Healthcare Risk Management and is a former Advisory Board Member for the American Society for Healthcare Risk Management (ASHRM) and has served as the Chair of the Advocacy Task Force from 2012-2014, on the ASHRM Finance Committee in 2018 and 2019, and the ASHRM ERM Task Force. In addition to his current activity with the ASHRM, he is also an active member of the State Bar of Michigan – Health Law Section and the American Health Law Association. Mr. Allman graduated from Wayne State University Law School in 1996 and Hope College in 1992.
Caroline Bell, RN, BSN, JD, CPHRM, DFASHRM
Caroline Bell, RN, BSN, JD, CPHRM, DFASHRM
Caroline Bell is a health care risk professional leader with experience in the oversight of risk frameworks and implementing risk mitigation strategies to optimize performance and reduce uncertainty. Caroline focuses on helping organizations achieve results through a variety of risk management approaches informed by value creation principles. Building upon her staff nurse experience and Juris Doctor and Bachelor of Science in Nursing degrees, Caroline’s credentials include Certified Professional Healthcare Risk Manager (CPHRM) and Distinguished Fellow of the American Society of Healthcare Risk Management (DFASHRM). Caroline is active in several professional associations, including a term as the President of the Colorado Healthcare Associated Risk Managers (CHARM) and American Society for Health Care Risk Management (ASHRM) board member. She is a task force member and faculty member for the ASHRM ERM Certificate program. Caroline employs a collaborative leadership style that strengthens stakeholder engagement, encouraging others to think globally and consider the downstream implications of potential liability exposures. Caroline works with both underwriters and policyholders to mitigate potential patient care liability exposures by crafting relevant risk management education, resources and programming. Caroline is regularly published in health care risk management publications and is invited to speak at national and regional industry forums.
Denise Dawson, RN, MHSA, ARM, CPHRM, DFASHRM
Denise Dawson, RN, MHSA, ARM, CPHRM, DFASHRM
Denise joined RCM&D in 2008 as a Risk Management Consultant within the Healthcare Division. She is a nationally recognized health care enterprise risk management professional with extensive health care experience, and more than 30 years specializing in risk management, regulatory compliance, quality improvement and patient safety. In her current role, Denise is Team Leader for the RCM&D Healthcare Risk Management Consultation Services. She provides program leadership and works directly with clients to implement risk mitigation strategies in clinical and non-clinical areas across the health care enterprise. In addition, she provides comprehensive professional support services to help clients comply with new and changing regulatory requirements, evaluate emerging exposures through onsite risk assessments, navigate claims processes and develop recommendations and solutions for today’s complex risks. In addition, Denise currently leads RCM&D’s Healthcare Enterprise Risk Management (ERM) service line. Denise is a former President of the American Society for Healthcare Risk Management (ASHRM). She has also served on the Board for ASHRM for two terms. She is currently an active member of ASHRM affiliated chapters in several states. She is a faculty member for ASHRM’s ERM Certificate program and Healthcare Risk Management Certificate program. She is a contributing author to ASHRM’s ERM and Leadership Playbooks. Denise speaks nationally on several health care enterprise risk management topics. Before joining RCM&D, Denise began her career as a staff nurse at Geisinger Medical Center, where she spent 19 years advancing to the position of Director Risk Manager.
Jean B. Hood, RN, MSN, CPHRM, CPPS, FASHRM
Jean B. Hood, RN, MSN, CPHRM, CPPS, FASHRM
Jean B. Hood, RN MSN CPHRM CPPS FASHRM is the Corporate Executive Director of Clinical Risk Management for AdventHealth, a large not-for-profit, faith-based health care system that provides care across nine states. Jean oversees risk processes for the West Florida Division of AdventHealth. Jean is an active member the American Society for Health Care Risk Management (ASHRM). She has earned the designation of Certified Professional in Health Care Risk Management (CPHRM) and the designation as a Certified Professional of Patient Safety (CPPS). She is recognized as a Fellow of the American Society for Health Care Risk Management (FASHRM). Jean received the award of ASHRM’s Risk Management Professional of the Year in 2021. The Clinical Risk team at AdventHealth, under her leadership, received ASHRM’s Patient Safety Innovation award in 2018. Jean has volunteered her time on many ASHRM committees, and previously served as the chair of the Chapter Leader Task Force and the Nominating Committee. Jean is a faculty member for ASHRM’s Risk Management Essentials team. She was a contributing author to ASHRM’s Leadership Playbook. She is honored to begin her term as an Advisory Board member in 2024. Jean is also very active in the Florida Society for Health Care Risk Management and Patient Safety (FSHRMPS). Jean is the immediate Past-President of FSHRMPS and has held several Board and officer positions previously for the society. Jean coordinates a Florida state specific Risk Management 101 program for FSHRMPS and is a previous recipient of the society’s Professional Recognition Award in 2015.Jean is a registered nurse with past roles that include critical care, nursing management, and performance improvement before becoming a leader in health care risk management.
Anne Huben-Kearney, RN, MPA, CPHRM, CPPS, DFASHRM
Anne Huben-Kearney, RN, MPA, CPHRM, CPPS, DFASHRM
Anne is currently a Risk and Patient Safety Consultant providing independent consultation for health care providers, including psychiatry and psychology professionals, as well as health care organizations. Anne has extensive clinical, managerial, and administrative experience in a variety of health care settings, such as tertiary care institutions, community hospitals, and physician office practices. Anne has served in clinical leadership roles, as a director of performance improvement, and as a patient safety officer with academic community hospitals and as a risk management consultant, vice president and assistant vice president of risk management with companies providing medical professional liability insurance. She has a history of working directly with risk professionals and clinicians to develop individualized action plans to mitigate potential loss based on their unique exposures and risk management needs.
Mike Midgley, RN, JD, MPH, CPHRM, DFASHRM
Mike Midgley, RN, JD, MPH, CPHRM, DFASHRM
Mike is an experienced health care risk manager, nurse, insurance professional, attorney and professor. He began his clinical career as a nurse in intensive care and emergency medicine. Mike started his health care risk management career with a captive insurance company in New York City, having dedicated risk and claims management consulting responsibilities to a major tertiary care medical center. He then served as a risk manager at academic medical centers in New York City. Mr. Midgley later worked in the field as a risk management consultant, underwriter, product development manager, business development manager and compliance officer with medical malpractice insurance carriers. Mike is currently the Head of Loss Control for Munich Re Specialty Insurance. Mike is on faculty at Loyola Law School where he teaches leadership and strategic planning and serves as faculty for the American Society for Health Care Risk Management (ASHRM). Mr. Midgley is a New York licensed attorney and is a member of the NY State Bar Association. Mike earned his Juris Doctor (JD) from Fordham University School of Law. He has a Master of Public Health degree from the University of Medicine and Dentistry of NJ and a Bachelor of Science degree in nursing from Rutgers University School of Nursing. He is a Distinguished Fellow of ASHRM (DFASHRM) for superior achievement and has earned Certified Professional in Healthcare Risk Management (CPHRM) designation. Mike was the 2017 President of ASHRM. He is a Past President of the Association for Healthcare Risk Management of New York (AHRMNY) where he continues to serve on the Board of Directors. Mike is an active member of the NY, NJ, FL and TN ASHRM Chapters. Mike has authored book chapters and articles on various risk management topics and routinely provides risk management lectures.
Lisa Ramthun, MSN, RN, CPHRM, CPHQ, DFASHRM
Lisa Ramthun, MSN, RN, CPHRM, CPHQ, DFASHRM
Lisa Ramthun joined Jefferson in 2021 as the Enterprise Vice President of Clinical Risk and Claims. Lisa oversees clinical risk management and professional liability claims programs for the multi-billion-dollar academic health system and university. Before joining Jefferson, Lisa held other executive risk management and consulting positions. Lisa has over thirty (30) years of experience in health care risk management, emergency nursing, and pre-hospital nursing and has held various leadership positions. Lisa has created strategic and innovative risk management and patient safety programs that have improved organizational performance and mitigated risk while helping organizations achieve their strategic vision. Lisa holds Bachelor's and Master of Science degrees in nursing and is a certified professional in health care risk management. Lisa is recognized by the American Society of Healthcare Risk Management as a Distinguished Fellow and is a frequent speaker and contributing author on risk management topics. Lisa is a past Board member of the American Society for Healthcare Risk Management and is a faculty for the ASHRM Healthcare Risk Management Certificate program. In addition, Lisa has served in a number of volunteer and elected positions, including chapter president for the Southern California Association for Healthcare Risk Management.
Georgene Saliba, BSN, MBA, CPHRM, FASHRM
Georgene Saliba, BSN, MBA, CPHRM, FASHRM
Georgene is the currently the Vice President, Insurance for UHS of Delaware, Inc. In that role, she places all lines of insurance, oversees claims management, workers’ compensation, behavioral health and acute care risk management, environmental risk and emergency management functional areas. Prior to assuming this position, Georgene was the Senior Director, Corporate Risk Management, Acute Care where she was responsible for analysis and oversight of the risk management and patient safety functions for all UHS acute care facilities, including participation in facility surveys to evaluate functionality of the facility risk programs and performance of risk staff. Prior to coming to UHS in 2014, she was the Administrator Risk Management & Patient Safety for Lehigh Valley Health Network in Allentown PA. She is a diploma graduate of the Hospital of the University of Pennsylvania, obtained her BSN from Cedar Crest College and her MBA from DeSales University. She holds the CPHRM and FASHRM designations. She is a Past President of ASHRM and a current faculty member. She has been a speaker both nationally and regionally on risk management and patient safety topics.
Kathy Shostek, RN, ARM, MBA, DFASHRM, CPHRM, CPPS
Kathy Shostek, RN, ARM, MBA, DFASHRM, CPHRM, CPPS
Ms. Shostek is the Healthcare Loss Control Expert for Munich Re Specialty - North America where she supports the Excess & Surplus Healthcare portfolio and provides risk management and patient/resident safety expertise to clients and insureds. She is an industry recognized health care professional experienced in applying risk reduction techniques and innovative approaches to improve patient safety and reduce liability risks. Kathy’s experience is extensive and includes leadership at the acute care level and a corporate multispecialty physician group practice. Kathy has worked for national risk and safety consultancies as well as health care liability insurance companies assisting health systems, hospitals, senior living, and physician groups to implement risk management strategies and patient safety programs. Kathy serves as faculty for ASHRM’s Patient Safety Certificate course, is a past board member of ASHRM, a lead contributor to ASRHM’s Patient Safety Playbook and FMEA Playbook, and past chair of ASHRM’s Patient Safety Task Force. Kathy has served as risk consultant and developer for ECRI’s Healthcare Risk, Quality, and Safety Guidance System and publications, including Physician Office Fundamentals and Critical Care Safety Essentials. She co-authored a chapter in ASHRM’s Risk Management Handbook for Healthcare Organizations, 5th edition. ASHRM awarded Kathy the Distinguished Service Award in 2018 for her career contributions to health care risk management and patient safety.
Elaine Ziemba, JD, MBA
Elaine Ziemba, JD, MBA
Elaine is currently Vice President and Chief Risk Officer for the Stanford Medicine Enterprise. In this role she is responsible for the operational and strategic functions of the enterprise risk program for Stanford Medicine’s pediatric and adult academic medical centers, a large community-based hospital center and two large affiliated physician networks. The Risk function is responsible for all aspects of risk financing, insurance purchases and management, all claims and litigation activities, risk management consultation and education, management and safety oversight of the Owner Controlled Insurance Program (OCIP) and claims administration within the Workers’ Compensation Program. Elaine also holds executive leadership positions in and responsibility for Stanford Medicine’s two distinct captive risk financing entities.