Bond Indenture Report

Renaissance provides clients with a consulting report annually that verifies the insurance and risk management program terms and conditions for their bondholders. The report also provides a statement of coverage, limit, and loss retention suitability.

Claims Management and Advocacy

Renaissance's Risk Management staff has unique experience in managing claims on behalf of its healthcare clients. We provide comprehensive claim management programs, including:

• TPA Selection and Quality Review
• Care Management Company Selection and Quality Review
• Occupational Medical Network Selection and Quality Review
• TPA/Carrier Claim Audits and Reviews
• Integrated Litigation Management Programs

Actuarial Trust Fund Certification & Reserve Analysis

Renaissance provides consulting advice in the negotiation of actuarial loss reserves to ensure recommendations are based on accurate and justifiable estimates. Our clients benefit from the knowledge provided from quarterly claim file audits and the integration of that data into the actuarial loss estimates. The results are consistent, and predictable loss reserves.

In addition, some healthcare clients have asked for our assistance to identify independent credentialed casualty actuarial services. As a result, we have the expertise to implement an RFP process for the selection of actuarial expertise that specializes in the healthcare industry.

Risk Control Education & Coordination

Renaissance performs proactive risk assessments and implement loss control programs on behalf of our clients. These include programs for OSHA compliance, patient safety and medical error reduction; sentinel event and root cause analysis, and claim frequency and severity analysis. Additionally, we can provide access to educational programs as defined by the client.

Insurance Program Review

Risk Management & Claims Management Audit

We can perform a risk management audit of your organization. We tour your physical facilities, review work procedures and audit the current insurance placements. We conduct interviews with a wide variety of staff members in an attempt to determine communication protocols, and determine whether risk management objectives are being met.

As part of the audit, we also review open claims, with particular emphasis on professional liability and workers compensation claims. We pull individual claim file records and incident reports, review reserves with adjusters, and determine appropriate closing strategies.

Clinical Risk Management Services

Renaissance can provide resources to perform proactive clinical risk assessments and educational programs. These include programs for OSHA compliance, patient safety and medical error reduction; sentinel event and root cause analysis, and claim frequency and severity analysis. Following is a representative sample of the services offered:

Peer Review Solutions

• External Peer Review
• Clinical Practice Assessment
• Administrative Hearing Support
• Disruptive and Impaired Practitioner Management
• Policy and Procedure Assessment & Support

Accreditation and Clinical Regulatory Compliance Assessment

• The Joint Commission
• NCQA
• Conditions of Participation
• Healthcare Quality Improvement Act
• HIPAA
• Corrective Action Plan Development

Medical Staff Organization Assessment

• Medical Staff Governance
• Medical Staff Bylaw Review and Recommendations
• Governing Board Bylaw Compliance
• Peer Review Effectiveness
• Credentialing & Privileging Assessment
• Utilization Management
• Corrective Action Plan Development
• Implementation Support Services

Medical Staff Administrative Support Functions

• Credentialing
• Privileging
• Medical Staff Office Management

Patient Safety Initiative Integration of Medical Staff

• The Joint Commission Patient Safety Initiatives
• Partnership of Medical Staff to Effectuate Change
• Blame-Free Culture Development
• Medical Error Disclosure

Medical Staff Leadership Development

• Evaluation & Position Performance Reviews
• Development of Goals and Objectives
• Strategic Planning
• Governing Board Support

Physician Executive Training and Development 

• Job Description Development
• Targeted Training
• Goals & Objectives
• Medical Staff Organization

Tailored and Targeted Education

• Individual or Group
• Medical Staff
• Administrative Staff
• Orientation

External Peer Review

• Tailored scope and design in accordance with collaborative assessment of situation and organization-specific needs and goals
• Board certified physicians currently practicing in academic and/or community settings
• Consistent with healthcare Quality Improvement Act, The Joint Commission and other regulatory and statutory requirements
• Objective verifiable criteria with effective, just and ethical processes to assess individuals, departments and processes
• Ideal for single group clinical departments, small clinical departments, hospital-based or contractual departments and/or "turf war†situations

Assessment and Intervention

• Tailored scope and design in accordance with collaborative assessment of situation and organization-specific needs and goals
• Specialized physicians, nurses, and other healthcare professionals utilized as appropriate to assessment of process improvement programs, risk management programs, operational effectiveness, and survey preparedness
• Skilled staff collaborates with the client to develop, implement and manage indicated interventions

Education

• Targeted education for physicians, nurses and other healthcare professionals
• Effectiveness monitoring of education programs and processes

We are prepared to start helping you today. Please take a few moments to contact us:

Renaissance Healthcare Group, Inc.

Renaissance Hospital Management, Inc.

1011 Lake Street
Suite 216
Oak Park, IL 60301

Office: (708) 660-9393
Fax: (708) 660-9396
Email: Email Us

Whatever your needs
- from facility management to acquisition - Renaissance Healthcare Group can help you. We look forward to meeting you and to working with you.