Implementation of Enterprise Risk Management in a State Owned Managed Hospital: lesson learnt

Ira Prasanti, Chan Citra Chandoko, Aprilia Laksmi Palupi

Abstract


Changes in business development cause uncertainty and risk that cannot be avoided and can be a threat to the organization. To overcome these risks and uncertainties, organizations need to implement comprehensive risk management. Enterprise Risk Management (ERM) is a simple risk management that is applied on a broader scale and is a new vocabulary in the world of industrial risk management, especially for the hospital. The paper present the implementation of ERM in a state-owned managed hospital with 234 hospital beds capacity based on ERM framework.

Ten recommendations that need to be made to optimize the ERM framework include systems and planning aspects, human resource development, information systems, and monitoring. In the system and planning aspects, it is necessary to improve policies, adjust the organizational structure and job description of risk managers, develop guidelines, standards and programs, determine indicators, and prepare standard reports. Organizations need to strengthen human resources through selection of risk agents, socialization, workshops, identification of needs, and implementation of training. These efforts need to be supported by improving information and technology systems that support the ERM program and monitoring, and review programs.


Keywords


enterprise risk management, hospital, implementation, risk management

Full Text:

PDF

References


Wiboonrat M. Risk Management in Healthcare Services. In: Arabnia HR, Grimaila MR, Markowsky G, Aissi S, editors. Proceedings of The 2011 International Conference on Security & Management. Las Vegas Nevada; 2011. p. 453–60. Available from: http://worldcomp-proceedings.com/proc/p2011/SAM3081.pdf

Epetimehin F. The Role of Enterprise Risk Manag ement in Health Systems Developmentn. IOSRJ Bus Manag. 2014;16(9):47–50.

Shortreed J. ERM Framework. In: Fraser J, Simkin

s BJ, editors. Enterprise Risk Management:To day

's Leading Reasearch and Best Practices for Tomorrow's Executives. Hoboken, NJ, USA: John Wiley & Sons, Inc.; 2011. p. 97–123. Available from:http://doi.wiley.com/10.1002/9

Zhao X, Hwang B-G, Low SP. Critical success factors for enterprise risk management in Chinese construction companies. Constr Manag Econ. 2013;31(12):1199–214.

Fraser JRS, Simkins BJ. The Challenges of and Solutions for Implementing Enterprise Risk Management. Bus Horiz. 2016;59(6):689–98.

Hare C. Essays on Information Security Practices [Internet]. 2001 [cited 2018 Nov 12]. Available from: http://www.ittoday.info/AIMS/DSM/82-10-85.pdf

Demidenko E, Mcnutt P, Demidenko E, Mcnutt P. The Ethics of Enterprise Risk Management as A Key Component of Corporate Governance. Int J Soc Econ. 2010;37(10):802–15.

Beasley M, Clune R, Hermanson D. The Impact of Enterprise Risk Management on The Internal Audit Function. J Foriensic Account. 2006;(February 2006):1–20.

Shang K, Chen Z. Risk Appetite : Linkage with Strategic Planning [Internet]. Ireland; 2012.

Available from:https://web.actuaries.ie/sites/d

efault/files/ermresources/research_risk_app_lin

k_report.pdf

Rittenberg L, Martens F, Martens F. Enterprise Risk Management: Understanding and Communicating Risk Appetite. Committee of Sponsoring Organizations of the Treadway Commission (COSO); 2012. Available from: www.coso.org

Rompho N. Linking Balanced Scorecard and COSO ERM in Thai Companies. Artic J Manag Policy Pract. 2015;16(2):127–34.

Mouatassim H, Ibenrissoul A. Proposal for an Implementation Methodology of Key Risk Indicators System : Case of Investment Management Process in Moroccan Asset Management Company. J Financ Risk Manag. 2015;4:187–205.

Paape L, Speklé RF. The Adoption and Design of Enterprise Risk Management Practices: An Empirical Study. Eur Account Rev. 2012;21(3):533–64.

Quail ROB. How to Plan and Run a Risk. In: Fraser J, Simkins BJ, editors. Enterprise Risk Management: Today's Leading Reasearch and Best Practices for Tomorrow's Executives. Hoboken, NJ, USA: John Wiley & Sons, Inc.; 2010. p. 155–70. Available from: http://doi.wiley.com/10.1002/9781118267080

Bansal A, Tripathi JP. A Literature Review on Training Need Analysis. IOSR J Bus Manag. 2017;19(10):50–6.

Rubino M, Vitolla F. Corporate Governance and The Information System: How a Framework for IT Governance Supports ERM. Corp Gov. 2014;14(3):320–38.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Journal of Hospital Management

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.