The 3Rs program: the Colorado experience.
ABSTRACT COPIC Insurance Company is a Colorado-based medical liability carrier. From October of 2000 to the present, it has employed an early intervention program called the 3Rs program standing for recognize, respond, and resolve. The program emphasizes disclosure, transparency, apology, and patient benefits. The origins of the program, its operational aspects, and results of implementation are discussed.
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- "Initial reports of implementation of Sorry Works! principles at a growing number of sites are favorable (Wojcieszak et al., 2008). The COPIC Insurance Company has achieved similar results from its 3 Rs Program: Recognize (unanticipated events), respond (promptly), and resolve (any related matters), a no-fault variant (Boothman, Blackwell, Campbell, Commiskey, & Anderson, 2009; Quinn & Eichler, 2008). From 1995 to 2007, after implementation of a disclosure and offer program at the University of Michigan, the average monthly rate of new claims fell from 7.02 to 4.52 per 100,000 patient encounters and monthly rate of lawsuits fell from 2.13 to 0.75 per 100,000 patient encounters. "
ABSTRACT: The present liability system is not serving well childbearing women and newborns, maternity care clinicians, or maternity care payers. Examination of evidence about the impact of this system on maternity care led us to identify seven aims for a high-functioning liability system in this clinical context. Herein, we identify policy strategies that are most likely to meet these aims and contribute to needed improvements. A companion paper considers strategies that hold little promise. We considered whether 25 strategies that have been used or proposed for improvement have met or could meet the seven aims. We used a best available evidence approach and drew on more recent empirical legal studies and health services research about maternity care and liability when available, and considered other studies when unavailable. Ten strategies seem to have potential to improve liability matters in maternity care across multiple aims. The most promising strategy-implementing rigorous maternity care quality improvement (QI) programs-has led to better quality and outcomes of care, and impressive declines in liability claims, payouts, and premium levels. A number of promising strategies warrant demonstration and evaluation at the level of states, health systems, or other appropriate entities. Rigorous QI programs have a growing track record of contributing to diverse aims of a high-functioning liability system and seem to be a win-win-win prevention strategy for childbearing families, maternity care providers, and payers. Effective strategies are also needed to assist families when women and newborns are injured.Women s Health Issues 01/2013; 23(1):e25-37. DOI:10.1016/j.whi.2012.11.003 · 1.61 Impact Factor
Conference Paper: Optical layer reconfigurability: Applications and technologies[Show abstract] [Hide abstract]
ABSTRACT: Architectures allowing for dynamic connectivity on the physical layer of an optical network and enabling component technologies will be discussed, and issues of control, scalability, and compliance to central office engineering limitations will be examined.All-Optical Networking: Existing and Emerging Architecture and Applications/Dynamic Enablers of Next-Generation Optical Communications Systems/Fast Optical Processing in Optical Transmission/VCSEL and Microcavity Lasers. 2002 IEEE/LEOS Summer Topi; 02/2002
Article: You can say sorry.[Show abstract] [Hide abstract]
ABSTRACT: Jane Feinmann assesses initiatives that challenge the idea that doctors cannot afford to apologise when something goes wrongBMJ (online) 02/2009; 339:b3057. DOI:10.1136/bmj.40018.430972.4D · 16.38 Impact Factor