Medical Group Management Association
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Risk and Compliance Management

Protecting organizations from medical malpractice and adverse legal events

Risk and compliance management in a medical practice involves maintaining a program to provide an overall safe environment, prevent or minimize adverse events, and comply with federal and state laws and regulations.

Risk and compliance management performance objectives include:

Risk management
  • Explain risk mitigation.
  • Develop a risk-management plan that addresses policies on blood-borne pathogens, emergency response, respiratory safety, fire safety, personal protective equipment, material safety data sheets and right to know for hazard communication materials.
  • Identify the legal requirements of record keeping.
  • Describe the components of a successful risk and safety training program.

Adverse events
  • Explain the impact of adverse events on the organization.
  • List and define the components of effective internal controls.
  • Design an emergency and evacuation plan in accordance with Occupational Safety and Health Administration (OSHA).

Federal and state laws and regulations
  • List and define all necessary rules and regulations.
  • List the reasons for and explain the process of reporting to state and federal agencies.

Accreditation and licensure requirements
  • List and define the credentialing requirements for payers and facilities.
  • List and define all necessary licensing requirements (for example, state, federal, specialty boards, Clinical Laboratory Improvement Amendments [CLIA]).


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