Risk Assessment Worksheet
Factor Analysis Table
| Risk Factor | Potential Impact(s) on the Organization | Strategies to Mitigate or Control the Impact of the Factor |
| Staff Burnout and Turnover (Internal) | Persistent burnout leads to high turnover, understaffing, and decreased care quality. It can also increase training and recruitment costs while lowering staff morale (Kelly et al., 2021). | Managers can implement employee assistance programs, schedule regular check-ins, offer flexible shifts, and incentivize performance. Building a culture of recognition and promoting work-life balance are also effective strategies. |
| Cybersecurity Threats (External) | Data breaches can result in HIPAA violations, patient mistrust, costly legal actions, and operational disruptions. Cyberattacks may also compromise clinical operations, delaying treatment. | Managers should invest in secure EHR systems, conduct periodic security audits, enforce strict access controls, and provide regular cybersecurity training for all staff. Incident response protocols must be rehearsed regularly. |
| Supply Chain Disruptions (External) | Shortages in essential equipment, PPE, or medications can delay care, compromise patient safety, and force care rationing, especially during crises like pandemics. | Managers can diversify supplier networks, maintain emergency inventory stockpiles, and establish mutual aid agreements with local facilities. Monitoring supply usage trends also supports proactive procurement. |
| Increasing Regulatory Demands (External) | Non-compliance with evolving healthcare regulations can result in penalties, lawsuits, loss of funding, and diminished reputation. Staying compliant is time-intensive and costly. | A dedicated compliance team should monitor regulatory changes and integrate new standards into policies. Routine staff training, internal audits, and the use of legal consultants support proactive compliance (Hut-Mossel et al., 2021). |
| Financial Instability Due to Rising Costs (Internal/External) | Escalating costs in labor, supplies, and utilities can lead to budget deficits, staff cuts, reduced patient services, and an inability to invest in innovations. | Managers can adopt cost-containment strategies, like energy-saving initiatives and optimized staffing models. Diversifying revenue through outpatient and telehealth services can also stabilize income. |
| Patient Dissatisfaction (Internal) | Poor patient experience negatively affects CMS reimbursement scores and hospital reputation, leading to reduced patient volume and increased complaints or legal claims. | Managers should implement real-time patient feedback systems and use that data to drive improvements. Staff training in empathy, communication, and service recovery should be ongoing. |
| Low Staff Engagement in Quality Improvement (QI) Programs (Internal) | Disengaged staff often resist change and neglect QI efforts, which limits progress in patient safety, care efficiency, and accreditation readiness. | Managers should invite frontline staff to participate in QI teams, recognize contributions publicly, and tie participation to performance evaluations. Shared governance models encourage ownership of outcomes. |
| Rising Malpractice Insurance Premiums (External) | Higher premiums increase operational costs and may discourage physicians from practicing in high-risk specialties or underserved areas. | Managers can reduce liability risks through improved documentation standards, adherence to clinical guidelines, and regular provider education on risk mitigation. Encouraging open disclosure practices also builds trust. |
| Inadequate EHR Interoperability (Internal/External) | Limited system interoperability hampers care coordination, causes delays in treatment decisions, and leads to medical errors, especially during care transitions. | Managers should invest in EHR systems that support integration with other providers. Promoting participation in health information exchanges (HIEs) and training staff on interoperability tools enhances information sharing. |
| Healthcare Workforce Shortage (External) | National shortages of nurses, physicians, and allied health professionals can lead to inadequate staffing levels, increased workloads, reduced patient access, and quality issues (Haddad et al., 2023). | Managers should partner with academic institutions for pipeline development, offer scholarships and residency programs, and invest in cross-training staff. Recruitment from international talent pools and workforce retention strategies are also vital. |
References
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2023, February 13). Nursing shortage. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Hut-Mossel, L., Ahaus, K., Welker, G., & Gans, R. (2021). Understanding how and why audits work in improving the quality of hospital care: A systematic realist review. PLoS ONE, 16(3), e0248677. https://doi.org/10.1371/journal.pone.0248677
Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008
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Risk Assessment Worksheet
Risk Assessment Worksheet
As a health care manager, it is important that you understand factors that can pose risks and adversely impact your organization. Part of your job will be to determine factors that can affect your health care organization and develop ways to avoid or address them. This process of identifying potential risks and taking mitigating steps to prevent them is known as risk assessment and risk management.
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