White Papers

BREAKING - The PSO Opportunity: Clarity PSO's 2017 Report
For this year's report we look past the basics and start to examine some of the insights our clients have gained and operational changes implemented as a result of their work with us.


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How Would You Know if You Had a Problem With Your Telemedicine Services?
Do you offer telemedicine services? Do you have a risk management plan that includes telemedicine? Telemedicine is a way of delivering healthcare, and as such, it is subject to the same RQS exposures traditionally associated with healthcare delivery. In this White Paper, we discuss why it is important to create a culture of safety and implement an early warning system to track and manage risks associated with telemedicine.

Highlights from Clarity's National Patient Safety Summit
This paper highlights the valuable insight garnered through a Patient Safety Summit held by Clarity Group. The Summit brought together operational and clinical leadership from across the country to discuss how these providers can develop new and innovative initiatives within their respective healthcare delivery systems and create cultures of safety in the process. The issue for many providers is managing all of the changes in healthcare while still providing quality patient care. The Summit gave the attendees an open forum to discuss their fears, current challenges and ideas for improvements.

Journey to an Effective Safety Culture - Part 3: Effective Change for Quality Improvement
In the final white paper in the Culture of Safety Series, we look at how understanding high reliability organizations (HROs), change, and human behavior can help drive effective cultures of safety. Adapting characteristics of HROs to healthcare settings and carefully choosing change strategies will not only help drive improvements within an organization, but also nurture a safe culture.

Mitigating Surgical Medical Malpractice Exposure in Ambulatory Surgery Centers
In this white paper, we discuss the key pieces to mitigating surgical medical malpractice exposures and enhancing patient safety in ambulatory surgery centers (ASCs). As the traditional framework of only caring for patients in the hospital setting continues to fade, it is important that outpatient settings put more emphasis on managing risks and implementing integrated risk, quality and safety strategies to create safer environments for their patients.

Journey to an Effective Safety Culture - Part 2: Awareness & Assessment of Safety Culture
In this white paper, we explore complexity and chaos' effects on systems, human factors, Just Culture, and the potential impacts they all have on patient safety; various theories are reviewed, safety program frameworks are introduced and safety culture assessment tools are presented.

Underwriting: The Science...and the Art
In the final white paper in the Healthcare Captive Series, we examine the characteristics of a careful and well-informed captive underwriting approach. We look at the various factors underwriting must consider from a strictly scientific, data-driven perspective as well as the abstract judgments that are involved in the process.

Is the Answer to Enhanced Patient Safety Hiding in Plain Sight? The Transformation of "Incident Reporting"
We all have these systems, whether paper or electronic, that are supposed to capture incidents that can lead to and/or have resulted in patient harm. Most of these systems can do this, but many will agree that there is something missing - something important - when it comes to whether or not these systems actually enhance patient safety.

We cannot just track incidents anymore; we need to make this an organization-wide process where we build awareness, which leads to intervention, and results in changes that can be seen and monitored. In this white paper, we discuss the transformation of traditional "incident reporting" into an integrated patient safety management system and offer a path to achieve this transformation.

Journey to an Effective Safety Culture - Part 1: Embracing Patient Safety Culture
We have all heard the term "safety culture," but do we really understand its meaning or know how to achieve it? In a new white paper series, Clarity PSO explores safety culture from a healthcare perspective and provides a pathway to navigate the current programs and tools available for patient safety. In the first white paper, we start with the basics to understand what makes an effective culture of safety, which includes defining patient safety and safety culture and reviewing the history and current state of these two areas.

The Foundations of a Successful Ambulatory Safety Program
The second white paper in our ambulatory safety series shows you how to build a well-rounded and proactive ambulatory safety program, from understanding your current practices to creating processes that work.

The Development of RQS Management Programs
The second white paper in the Healthcare Captive Series focuses on the development of a successful Risk-Quality-Safety (RQS) program, which aims to improve an organization's internal processes, increase the internal communication and knowledge sharing, support an environment of learning, and ultimately foster a climate of improved patient safety. The keys to success include a robust incident reporting and management tool, staff education and awareness, and open communication. 

Clarity PSO Celebrates its 5th Anniversary with a Comprehensive 5 Year Report

To mark its 5th year as an industry leading PSO, Clarity PSO has created a 5 year report. Tom Piotrowski, Executive Director of Clarity PSO states, "This report is truly the culmination of the past 5 years of work and dedication of Clarity PSO and our clients to the patient safety movement. There is a lot of value to participating with Clarity PSO beyond the obvious federal protection. The data that is collected, the in-depth analyses, and additional patient safety activities are very powerful to heighten awareness and create positive change. This report helps to show those benefits."

A Quick Look at "Convenient Care Clinics" from a Risk-Quality-Safety (RQS) Perspective
As the popularity of walk-in retail health clinics or "convenient care clinics" continues to grow, it is important that we understand the impact these facilities have on the population and the healthcare industry. This white paper identifies ways retail clinics can contribute to patient safety improvement as well as some of the RQS concerns we need to address in order for them to become a valued partner in the healthcare delivery landscape.

Foundations of Successful Claims Management
Read about the best practices of the claims management process, which include proactive case management, clear litigation guidelines and a consistent reserve philosophy and methodology.

Clarity Solutions and PSO Advisory Services Tailored to Support Nursing Professionalism, Quality Improvement and a Just Culture
This white paper introduces concepts and a solution that currently helps hospital nursing peer review and nursing quality review committees and programs manage the investigation, follow-up, and case review of medical events submitted and self-referred by nursing staff.

Risk-Quality-Safety Beyond the Traditional Hospital Setting - The Time for Awareness is Now
This is the first of white papers to discuss the needs, challenges, approaches and results of addressing patient safety in ambulatory settings with an integrated risk-quality-safety management approach.

Just Culture: A Roadmap to Best Practice in Radiology Peer Review
This white paper provides best practices in radiology peer review that may be used to transform traditional peer review into a "just" peer review process that not only improves physician performance, but also the quality spectrum of radiology care delivery.

The Patient Safety Act - Part 2: The Adoption of the AHRQ Common Formats to Enhance the Benefits of Working with a PSO
Explore how providers can begin to remove barriers that may have previously derailed and limited the ability to influence quality and safety efforts through working with a PSO and adopting common nomenclature for the reporting of medical errors. Also discover how one large healthcare system successfully adopted the AHRQ Common Formats in their work with Clarity PSO.

OIG Report Spurs Change of Mental Model on Event Reporting
The statistic reported by the OIG in its survey of 189 hospitals, who reported using an incident reporting system, shows that true patient harm experienced by Medicare beneficiaries is captured only an estimated 14% of the time. This white paper discusses how healthcare providers need to change their mental model from managing incident reports to an effective and integrated event management system that is committed to the improvement of patient safety and healthcare quality.

What You Need to Know about the MMSEA Reporting Requirements
This white paper outlines the MMSEA reporting requirements for self-insured hospitals and liability reporters as well as Clarity Group's MMSEA compliance solutions and strategies to make reporting for claims administrators easy and streamlined.

Proposed Changes to the Disclosure of Protected Health Information
On May 31, 2011, The Department of Health and Human Services (HHS) released the proposed changes to expand the statutory privacy requirements of patients' protected health information.

The Patient Safety Act - Part 1: What are the Benefits of Working with a PSO?
Discover the benefits of working with a Patient Safety Organization, which includes receiving federal preemption from legal discovery for certain types of information collected and access to a learning lab to look more deeply into matters or patient safety without fear of being penalized for the findings.

Implementing Electronic Medical Records (EMR): Mitigate Security Risks and Create Peace of Mind
Learn about the emerging privacy and security concerns that come along with transitioning to electronic medical records.

Accountable Care Organizations: The Important Role of Healthcare Risk, Quality and Safety Management
Accountable Care Organizations have captured both the imagination and energy of healthcare providers since they became a part of healthcare reform in the Patient Protection and Affordable Care Act in 2012. This white paper covers the other side of the ACO conversation and that is how you can ensure that all the parts of the ACO will work together as an integrated entity with the help of risk, quality and safety management tools.

Crushing the Silos: A Leadership Imperative to Ensuring Healthcare Safety in the Era of Healthcare Reform
In this new age of healthcare reform and the coming together of ACOs we have the opportunity and the need to crush our organizational silos that might be impeding our focus on reducing harm and enhancing patient safety.

Considerations When Choosing Medical Professional Liability Insurance
Before you choose a medical professional liability insurance carrier based on price alone, read this white paper to learn about the other items you need to consider to make sure you are selecting a suitable insurer.

Enhanced Healthcare Effectiveness and Cost Reduction Driving a New Look at the Adoption of Evidence Based Care
This white paper focuses on the adoption of evidence based care.

Sample Medications in Physician Practices
In these challenging economic times, physician practices may choose to help their patients obtain sample medication so the patients can get the medication that they need and cannot afford. This can be a high risk activity for physician offices and it is prudent to create and consistently use a medication management system that includes adequate preparation and education of physician office staff in order to mitigate potential risk exposure.

Behavioral Health Comprehensive Risk Assessment
Learn about the various components to consider in undertaking a proactive and comprehensive risk assessment of behavioral health.

Proven Web-based Tool Highlights Patient Safety Vulnerabilities
Discover how Cone Health in Greensboro, NC uses Clarity's incident reporting tool, the HealthcareSafetyZone® Portal, to reduce adverse events and improve organizational efficiency.

Patient Safety Organizations: How to Effectively Work With a PSO
This white paper outlines the steps a healthcare provider should take to effectively work with a Patient Safety Organization.

Empowered Staff Make Positive Change to Patient Safety
Learn how the staff at Cone Health used Clarity's incident reporting tool, the Healthcare SafetyZone® Portal to empower staff to improve the culture of safety at the organization.

Healthcare Captives & RRGs
Read about the potential threats, pitfalls and defensive strategies of forming new captive insurance companies and risk retention groups.

Patient Safety and Strategic Data Management Realized with the Healthcare SafetyZone® Portal
Learn about the 4 key aspects to strategically managing patient safety data in your organization: data collection, dissemination/collaboration, analysis and intervention.

Patient Safety Reaches a New Milestone
On January 19, 2009, the Final Rule issued for the operations of Patient Safety Organizations went into effect. Learn more about the ruling and its impact on healthcare.