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infections, hospital-acquired infection). Secondary infections are infections that happen as a result of receiving treatment in a hospital or medical center but are secondary from

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infections, hospital-acquired infection). Secondary infections are infections that happen as a result of receiving treatment in a hospital or medical center but are secondary from the patient's original admitting diagnosis. The State audit revealed that, of all the readmissions to the hospital, a staggering 85% are the result of secondary admissions. What's worst, many of the secondary infections are for acute or communicable infections (e.g., tuberculosis, bacterial meningitis, pneumonia, strep throat, etc...). In fact, 78% of the cases are bacterial in nature, with the remainder, viral in nature. As a result of its review, the State has determined that the ER is the main entry point for these infections and that Westview must close its ER. If the ER. closes, Westview will immediately go bankrupt. After much discussion between Westview's legal department and the State regulators, the State has agreed to allow Westview to remain open if it: 1. Determines the main cause of the spread of infections from one location to the next 2. Resolve any additional training needed to prevent (mainly, reduce) future incidents of infection 3. Draft an acceptable Risk Management Plan to minimize and/or prevent incidents of secondary infections. Westview has agreed to the State's terms. The Chief Medical Officer's first act was to terminate the former Director of Risk Management and hire you. The CMO gives you the task. After reading the scenario in its entirety, how would you begin to address the hospital's noted deficiencies? Note: You are not being asked to create a detailed risk management plan. Rather, describe how you would go about creating one while addressing the needs of the hospital in light of the state's requirements

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