Hello, Welcome back to Progress Notes - PRN.
In this issue:

National Nurses Week 2016

CALLING ALL DOCTORS: Wanna Get "Engaged"? Meet ISO 9001 by Dr. Rick Ebken, MD, FACS

Leadership and Your Management System

by Eric T. Schulze, CERM

Preliminary Risk Analysis (PRA) Tool 

by Ted Schmidt, R.Ph., CERM

ISO 9001:2015 FAQ’s

National Nurses Week begins each year on May 6 and ends on May 12, Florence Nightingale's birthday.

Here is a link to the National Nurses Week 2016 Free Webinar. 

The National Nurses Week 2016 theme Culture of Safety. It starts with YOU. This theme honors the contributions nurses make every day to the safety and collaboration in healthcare. Little things make big things. Working together to improve our healthcare processes, nurses make a difference, one patient at a time. Join us in celebrating the tireless efforts of all nurses!


Too forward, too personal? Not really; let me introduce you to the very engaging ISO 9001, a way of raising hospital accreditation to even higher standards.

Full physician “engagement” with the hospital’s quality management system is paramount in allowing us to attain the most efficient levels of performance and the best outcomes (the latter are now becoming increasingly reimbursement-incentivized, as you know!).


 During the 2015 DNV GL symposium,   I overheard someone say that after 4 years of “doing” ISO they can kind of see how leadership and management review can contribute to improvement.     This is an unfortunate observation and truth for many hospitals using the 9001 framework as part of their accreditation.  Implementing, maintaining, and improving a management system is a journey, not a destination. All of us have probably heard that by now.

 Leadership involvement and the management process of your management system is usually one of the last to mature.


The PRA tool is a first line tool (hence the name “preliminary”) that you would use to determine at a glance the effects of identified risks.     It is often considered as a scaled down version of a FMEA (failure modes and effects analysis) that may be very beneficial in our “hospital risk-based thinking”.      One application that might provide immediate assistance to your hospital is with your contracted services.  How will you rate the product or service provided by your contracted services to determine the “type and extent of control” necessary for your contracted services? 


BlueSynergy Associates has teamed with CERM Academy to help increase awareness and proficiency of risk-based thinking to healthcare.  Actually, we write articles for CERM Academy several times a month.  BlueSynergy “owns” the section entitled “Healthcare@Risk” as we partner with CERM Academy to bring a much larger body of knowledge to you on-line regarding healthcare@risk 

 We use the process-approach as the basis from your DNVGL accreditation on which to build your risk processes. This is a much different perspective from other risk sources in healthcare.  

We want to let you know about their upcoming Bootcamp on June 6 to 10 in Seattle, Washington, USA. Please register early, there is almost 1,000 pages of prework (reading).

The Certified Enterprise Risk Manager® is a certificate program for professionals to learn risk-based problem solving and risk-based decision making tools based on ISO 31K, COSO, IEC, NIST 800, and other risk frameworks.  American Society for Quality (ASQ), Institute of Supply Management (ISM), Project Management Institute (PMI) and engineering associations are incorporating risk management into their bodies of knowledge.  Candidates leave the bootcamp with risk-based frameworks, processes, and tools that can be immediately applied in any business or organizational setting.

Greg Hutchins, best selling author of ISO risk, ISO 9001, and risk assurance books, is the lead presenter in the Bootcamp.

Click the title to gain a better understanding on how the new requirements are applied in healthcare.

October 12 - 14, 2016 Marriott Orlando World Center Orlando, FL

Click the title to visit the DNV GL site for more information.  We hope to see you there!


In our next issue:

Aligning your Vision with Your Accreditation 

Article on the third leading cause of death

Opioids & Infections 



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Ted Schmidt, R.Ph.,CERM
Senior Advisor

Eric T. Schulze, CERM
Senior Advisor

BlueSynergy Associates LLC

8137 Autumn Ln Suite 100

West Chester, Ohio 45069