Risk Management

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Risk Management
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What is Risk Management?

• Risk Management policies that strive to either
  eliminate, share, or modify and reduce the risk
  associated with a particular activity
• Risk an exposure to the chance of injury or
  financial loss
• Damage awards for financial loss can be based on
• Permitting injured or unfit persons to play
• Failing to employ competent personnel
• Failing to provide competent training,
  instructions, or supervision
• Negligently moving an injured player

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Risk Management

• Achievement of two interrelated tasks
• Recognize primary risks and take all reasonable
  steps to eliminate or reduce them
• Establish defense of suits that are filed since
  all risks cant be eliminated

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Decreasing Risks

• Eliminate the risk by eliminating the conditions
  that cause the risk
• Share the risk with others (basis for liability
  or malpractice insurance)
• Reduce the risk by looking at all aspects of the
  activity
• Standards of care established in state practice
  acts
• Standard First Aid

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Decreasing Risks

• Licensure, registration, certification
• NATA Competencies must be taught for each CAAHEP
  athletic training education program
• NATABOC Role Delineation Study

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Risk Reduction

• 1) Prevention of Injury
• PPE
• Assessing playing areas
• Environmental hazards
• 2) Conduct of Activity
• Is the equipment safe for the level of play?
• Is it safe, undamaged, and the best that may be
  obtained for the money available? (activity may
  have to be eliminated if equipment not the best
  for protection)
• Improper techniques being taught coaching
  methods, water breaks, water availability,
  work/rest intervals

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Risk Reduction

• Delineation of who is responsible for return to
  play
• Physicians, Athletic Trainers, Coaches
• 3) Treatment of Injuries
• Proper evaluation
• Documentation reported to physicians
• Adequate equipment supplies for emergencies
• Proper referral procedures
• Direct supervision of AT staff by licensed
  physicians
• Adequate professional staff to supervise SATs

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Risk Reduction

• 4) Record Keeping
• Written records
• Information most important (legally)
• Physicians orders
• Treatment plan
• Treatment record
• Progress notes

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Terminology

• Standard of Care level of medical
  sophistication competency that must be
  demonstrated by someone who has similar education
  training to other members of a particular group
• Standards that affect athletic training practice
  OSHA, First Aid/CPR, Amer. Disabilities Act,
  Drug Enforcement Agency, Title IX of Fed. Ed.
  Amendments, Civil Rights Act of 1964
• Tort legal wrong other than breach of contract
• Negligence act of commission or omission

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Terminology

• Malpractice liability where an unfavorable
  outcome of patient-practitioner interaction
• Malpractice laws some states have laws that
  define specific jobs that can be sued for
  malpractice (healthcare providers)
• Liability responsibility for actions that cause
  harm to others
• Statute of Limitations state law that sets a
  length of time that persons may sue for damages
  under either negligence or malpractice laws
• Assumption of Risk assuming potential risk for
  activity

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Basic Defenses

• Contributory negligence arises when the
  plaintiffs own negligence contributed to the
  proximate cause of the injury
• Plaintiff is barred from recovery of damages
• Comparative negligence developed as a reaction
  to all-or-none principle of contributory
  negligence

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University of Idaho Risk Management

• http//www2.webs.uidaho.edu/riskmanagement/
• Campus crime information
• Drug free environment
• Violence free work place
• Emergency Numbers

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Developing a Risk Management Plan

• Security issues
• Fire safety
• Electrical Equipment safety
• Emergency injury management