Coverys’ Lisa Simm Awarded FASHRM Designation by American Society for Healthcare Risk Management

May 22, 2018 by matray

Coverys recently announced that Lisa Simm, manager, risk management for the Boston-headquartered insurer of medical liability is a recent recipient of the American Society for Healthcare Risk Management's Fellowship Award (FASHRM). This award recognizes outstanding individual achievement and professional excellence in healthcare risk management. To be eligible for FASHRM, fellows must meet criteria in areas of academic and professional designations, continuing education, employment experience and contributions to the field of healthcare risk management through leadership, lecturing and publishing. All potential recipients for the fellowship position undergo a thorough review by the ASHRM board of directors. “We are honored to have Lisa as part of our risk management team,” said Tara Gibson, vice president of risk management at Coverys. “Her dedication to the healthcare community and her ambition prove her to be a well-deserved recipient of this prestigious designation.” Simm has more than 30 years of healthcare leadership experience focusing on healthcare risk management, quality, safety and regulatory compliance in hospital, outpatient settings, physician office practices and long-term care settings. She is a Registered/Licensed Dietitian, a Certified Professional in Healthcare Quality (CPHQ), a Certified Professional in Patient Safety (CPPS) and a Certified Professional in Healthcare Risk Management (CPHRM). Simm is the current treasurer and board member of the Northern New England Society of Healthcare Risk Management and she is on the American Society of Healthcare Risk Management Content Committee.

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Paul H. DeHaan, MD, Elected ISMIE Chairman; New Officers and Board Members Elected

May 21, 2018 by matray

ISMIE Mutual Insurance Co. recently announced the election of Paul H. DeHaan, MD, to be the medical professional liability insurance company's fourth chairman since the its founding in 1976. DeHaan, previously ISMIE vice chairman, had been acting chair of ISMIE since the passing of former chairman Harold L. Jensen, MD, in May of 2017. DeHaan has been an integral leader of ISMIE’s business development and expansion, according to the medical liability insurer. He is a board-certified orthopaedic surgeon who has lived and practiced in McHenry, Ill., for 30 years, a diplomate with the American Board of Orthopaedic Surgery and a fellow with the American Academy of Orthopaedic Surgeons. DeHaan studied medicine at the University of Illinois at Chicago College of Medicine and interned and completed his residency at the Medical College of Wisconsin Affiliated Hospitals. New officers and board members elected ISMIE’s board of directors elected Peter E. Eupierre, MD, a Melrose Park internist, as the company’s new vice chairman and Richard A. Geline, MD, a Glenview-based orthopaedic surgeon, as secretary-treasurer. Adrienne L. Fregia, MD, a Chicago-based specialist in internal medicine and gastroenterology, and Dennis G. Norem, MD, a Rockford-based internist, were elected as new board members during the ISMIE annual meeting.

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CNA Appoints Bruce Dmytrow to Senior Vice President, Healthcare

May 17, 2018 by matray

CNA announced the appointment of Bruce Dmytrow to senior vice president, Healthcare. In this role, Dmytrow is responsible for the overall strategic leadership and direction of CNA's Healthcare underwriting unit. He reports to Kevin Smith, president and chief operating officer, CNA Specialty.  

Dmytrow joined CNA in 1995, most recently serving as vice president for Aging Services and National Programs. Throughout his career at CNA, he has had oversight for CNA's enterprise-wide risk control strategic direction for Healthcare, Professional Services and Financial Institutions Customer Segments in the U.S., Canada and Europe. 

"Bruce is a trusted leader and is well-known for his breadth and depth across the continuum of care, with expertise that extends from the traditional hospital/physician model to new and emerging healthcare delivery systems," Smith said. "Bruce's extensive knowledge and leadership capabilities, combined with CNA's more than 50 years of experience as a top underwriter of insurance solutions and services for healthcare companies, will enable us to better serve our more than one million healthcare customers."

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Cooperative of American Physicians to Present at 2018 Southern California Association for Healthcare Risk Management Conference

May 2, 2018 by matray

The Cooperative of American Physicians, Inc. (CAP) recently announced that vice president for practice optimization, Carole Lambert, MPA, RN, will speak at the Southern California Association for Healthcare Risk Management (SCAHRM) 38th Annual Educational Conference in Rancho Mirage, Calif., on Thursday, May 3 at 10:05 a.m. PDT.

According to the company, CAP is dedicated to providing doctors and hospitals with the tools to offer patients a seamless experience while mitigating the risk inherent with providing care. It specializes in evaluating office systems and documentation, including both paper and electronic health records, to help healthcare practitioners reduce risk.

Joining Lambert will be co-presenter Randie Minovitz, BSN, RN, director, ambulatory risk management at PIH Health Whittier, a nonprofit regional health network serving Southern California. Their presentation, entitled “These Boots Are Made for Walkin’: Risk Management in Ambulatory Care,” will outline key takeaways for medical risk management professionals as they navigate and continue to develop their strategies for effective practice administration specifically as it relates to ambulatory care. Attendees will take away the following key lessons:

• The evolution to complex patient care in the ambulatory setting;

• Behaviors that multiply risk in ambulatory care delivery;

• Strategies for responding to historic and emerging risk issues in the ambulatory setting.

“While there is a growing emphasis on ambulatory procedures in favor of costly and unnecessary hospital stays, there has not yet been an increased acknowledgement of risk issues in the ambulatory care setting,” Lambert said.

“This presentation considers sources of risk along the continuum of ambulatory care and outlines strategies for effective responses to the sources of risk, providing a vital resource for healthcare professionals and practices,” Minovitz added.

Last year, CAP released a comprehensive guide called the Risk Management Self-Assessment Kit, in order to provide a resource and a practical checklist for healthcare providers to help ensure that they are meeting mandated requirements and recommended guidelines to serve as a benchmark for excellence in their risk management. 

Lambert is a member of the CAP Speakers Bureau, a group of experts and thought leaders in medical risk management, practice management, legal and public affairs.

For more information, please visit www.CAPphysicians.com.

 

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CMIC Group’s A- (Excellent) Rating Affirmed by A.M. Best; Outlook Revised to Negative

May 2, 2018 by matray

CMIC Group, a mutual medical professional liability insurance provider, was recently notified that A.M. Best has affirmed the Company’s financial strength rating of A- (Excellent), and the Long-Term Issuer Credit Ratings of "A-" of Connecticut Medical Insurance Company (CMIC) (Glastonbury, CT) and CMIC Risk Retention Group (District of Columbia). However, the outlook has been revised from stable to negative. 

The revised outlook reflects the negative trend in underwriting performance and the challenges CMIC faces to improve results in the near term given the ongoing soft market conditions. Underwriting results have suffered in 2016 and 2017 due to increased severity following several years of consistently positive underwriting results and corresponding surplus growth.  As well in 2017, CMIC booked a “one-time reserve adjustment” of $8 million to account for previously unidentified retro-dated coverage predominantly within the risk retention group’s modified claims-made book of business. 

Despite the reserve strengthening, CMIC’s surplus increased by $10.0 million to $309.5 million as of Dec. 31, 2017, due primarily to unrealized gains.  In terms of financial strength and stability, A.M. Best stated that the Company’s Balance Sheet has received the strongest level of risk-adjusted capitalization rating (BCAR).  They also commented that CMIC's investments are conservative and liquid, while underwriting leverage continues to remain low. 

“Despite these recent developments, our company continues to be very strong financially and the Board of Directors, Management Team, and staff are working diligently to improve our financial performance during this difficult market cycle,” said Stephen J. Gallant, CEO of CMIC Group. “Likewise, we are reviewing our product offerings to ensure they continue to meet the evolving needs of the marketplace, and we appreciate the continued loyalty and support of our esteemed member physicians and valued distribution partners as we remain committed to the long-term success of the company.”

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