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  • 7/31/2019 Riskpro Healthcare Industry

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    1

    Risk

    Manageme

    ntAdvisory

    &Consulting

    HealthcareIndustry

    Riskpro,India

  • 7/31/2019 Riskpro Healthcare Industry

    2/30

    2

    WhoisRisk

    proW

    hyus?

    A

    BOUTUS

    Riskpro

    isanorgan

    isa

    tiono

    fmem

    ber

    firms

    aroun

    dIndiadevo

    tedtocl

    ien

    tserv

    ice

    exce

    llence.M

    em

    ber

    firmso

    fferw

    idera

    nge

    ofserv

    icesin

    the

    fieldo

    friskmanagem

    en

    t.

    Curren

    tlyitha

    so

    ffices

    inthreema

    jorc

    ities

    Mum

    ba

    i,Delh

    ian

    dBanga

    lorean

    dallia

    nces

    ino

    therci

    ties.

    Manage

    dbye

    xperience

    dpro

    fess

    ionalsw

    ith

    experiencess

    pann

    ingvarious

    industrie

    s.

    MISSION

    Provid

    eintegra

    tedriskmanagemen

    t

    consu

    ltingserv

    ices

    tom

    id-largesize

    d

    corpora

    te/financia

    linst

    itutions

    inIndia

    Be

    the

    pre

    ferre

    dserv

    iceprovid

    er

    for

    comp

    leteGovernance,

    Riskan

    dComp

    liance

    (GRC)so

    lutions.

    VALUE

    PROPOSITION

    Youge

    tqualitya

    dvisory,

    norma

    llydeliv

    ere

    d

    by

    largeconsu

    lting

    firms,a

    tfee

    leve

    ls

    charge

    dbyin

    depen

    den

    t&sma

    llfirms

    Highqua

    lityde

    livera

    bles

    Mu

    lti-s

    killed&

    mu

    lti-d

    iscip

    line

    dorganis

    ation.

    Time

    lycomple

    tiono

    fany

    task

    Afforda

    blealterna

    tive

    tolarge

    firms

    DIFFERENTIATORS

    Risk

    Managemen

    tisourmain

    focus

    Over

    200yearso

    fcumu

    lative

    experience

    Hybr

    idDe

    liverymo

    de

    l

    Abilit

    ytotakeon

    largean

    dcomp

    lexpro

    jects

    due

    tode

    liverycapa

    bilities

    WeH

    oldhan

    ds,no

    tsha

    kehan

    ds.

  • 7/31/2019 Riskpro Healthcare Industry

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    3

    RiskMa

    nagemen

    tAdvisory

    Serv

    ices

    Tra

    ining

    Recru

    itmen

    t

    BaselII/IIIAdvisory

    Marke

    tRisk

    Cre

    dit

    Risk

    Opera

    tiona

    lRisk

    ICAAP

    CorporateRisks

    En

    terprise

    RiskAssessm

    en

    t

    Frau

    dRisk

    Riskbase

    dInterna

    lAudi

    t

    Opera

    tions

    Risk

    Forensicserv

    ices

    Informatio

    nSecurity

    ISAu

    dit

    Information

    Securi

    ty

    ITAssuran

    ce

    ITGovernance

    Operat

    ionalRisk

    Processreviews

    Po

    licy/Process

    Review

    Process

    Improvemen

    t

    Comp

    liance

    Risk

    Governance

    Corpora

    teGovernance

    Business

    Stra

    teg

    icrisk

    Frau

    dRisk

    Forensic

    Accoun

    ting

    OtherRisks

    Business/

    Stra

    teg

    icRisk

    Repu

    tation

    Risk

    Ou

    tsourcing

    Risk

    Con

    tractua

    lRisk

    Ban

    king

    ELearn

    ing

    Corpora

    teTra

    ining

    Regu

    lar

    RiskManagemen

    tTra

    ining

    On

    line

    Tra

    iningma

    teria

    l

    Workshops

    /Even

    ts

    Virtua

    lRiskManagers

    Fu

    llTime

    RiskProfess

    iona

    ls

    Part

    time

    RiskProfess

    iona

    ls

    RiskManagersonca

    ll

    free

    Operat

    ionalRisk

    Processreviews

    Po

    licy/Process

    Review

    Process

    Improvemen

    Comp

    liance

    Risk

    BaselII/IIIAdvisory

    Marke

    tRisk

    Cre

    dit

    Risk

    Opera

    tiona

    lRisk

    ICAAP

    CorporateRisks

    nterprse

    s

    ssessm

    en

    t

    Frau

    dRisk

    Riskbase

    dInterna

    lAudi

    t

    Opera

    tions

    Risk

    orenscservces

    Informatio

    nSecurity

    ISAu

    dit

    Information

    Securi

    ty

    ITAssuran

    ce

    ITGovernance

    Governance

    Corpora

    teGovernance

    Business

    Stra

    teg

    icrisk

    rau

    s

    orensc

    ccoun

    tn

    OtherRisk

    Business/

    Stra

    teg

    icRisk

    Repu

    tation

    Risk

    Ou

    tsourcing

    Risk

    on

    tractua

    s

    anng

    earnn

    orpora

    te

    ranng

    Regu

    lar

    RiskManagemen

    tTra

    ining

    On

    line

    Tra

    iningma

    teria

    l

    Workshops

    /Even

    ts

    Virtua

    lRiskManagers

    Fu

    llTime

    RiskProfess

    iona

    ls

    Part

    time

    RiskProfess

    iona

    ls

    RiskManagersonca

    ll

    free

    SERVICES

  • 7/31/2019 Riskpro Healthcare Industry

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    4

    F

    REE

    N

    oCostKnowRiskDiagnosticAsses

    sment

    (To

    determineyourpainpo

    ints,

    industrybenchmar

    kingetc)

    GAPANALYSIS&PROJECTDEFINIT

    ION

    (Riskproan

    dcl

    ients

    bra

    instorm

    de

    finepro

    ject)

    PROJECTTE

    AMDEFINITION

    Client

    ge

    tstose

    lect

    Riskpro

    teammem

    bers,

    subjectma

    tterexperts.

    Riskprousesam

    ixo

    fcl

    ien

    tsta

    ff/ownsta

    ffformaximumva

    luea

    dd

    PROJECT

    EXECUTION

    Con

    stan

    tpro

    jectup

    da

    tes,

    tim

    elypro

    jectcomp

    letionan

    dpro

    ject

    ou

    tcomes

    tha

    tarepract

    ica

    lan

    deasy

    tomainta

    in

    USP

    USP

    OurDeliveryMethodology

  • 7/31/2019 Riskpro Healthcare Industry

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    5

    BusinessMo

    delHospital(

    Illustrative)

    CorporateGovernan

    ce

    BusinessPlanning

    Mergers&Acquisitions/P

    rojects

    Marketing&Sales

    Procurement-

    Medical

    OperatingSystems&IT

    Procuremen

    t-

    Capex

    InventoryManagement

    Housekeeping

    HR&Payroll

    Operational

    Strategic

    Support

    Diagnosis&

    PatientTreatment

    Patientdischarge

    andRehabilitation

    Services

    Patientrecep

    tion

    &admission

    MedicalStrategy

    &Serv

    ice

    Excellence

    M

    edicalRecord

    M

    aintenance

    InsuranceincludingTPA

    MIS&FR

    Finance&Accounts

    Administration&Facility

    Management

    Legal&Ta

    xation

    CustomerService

    Cost

    Perspective

    Other

    Enablers

    MedicalAudit

    BloodBankManagement

    F&B

    Waste&EnergyManagement

    Misc.

    Important

    Stakeholder

    perspective

    Service

    Delivery

    QualityAssurance

  • 7/31/2019 Riskpro Healthcare Industry

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    6

    KeyIssues

    noticedinHos

    pitals

    ShortHealthcareP

    ersonnel

    StockOutofLifeS

    avingDrugs

    Impropermaintena

    nceofmedicalrecords

    Longpendingfrom

    TPAs/Corporate

    Lossofstardoctor/team

    Issueofexpiredblood/medicinetopatients

    Notmaintainingad

    equatetransparencywith

    patientswithregar

    dtotreatmentprovided

    Improperwastema

    nagement

    Customerservicenotinsyncwithcustomer

    expectations

    Incorrectbillingto

    patients

    Insufficientuseof

    ITindailyoperations

    Threatofinformationtheftfromexternal&int

    ernal

    sources

    Continuousdependencetodriverevenuethr

    ough

    ECHS/CGHS

    Frequentchanges

    intheProjectPlan

    Lackofinvestmen

    tinresearchanddevelopm

    entto

    identifyopportuni

    tiesfornewspecialtyservices.

    Impropermonitoringofcostandqualityagainsttheplan/

    budgets

    LackoffocusonMedicalPrograms

    Incorrectdiagnosis/treatmentprovidedtopa

    tients

    Regulatorynoncompliances

    Unhygienicconditionsinhospitalkitchen

    Impropersegregationanddisposalofwaste

    Incompletemedicalrecords

    Incorrectprovisioningforaccountsreceivables

    Inappropriatedata

    usedforreportingtoman

    agement

    WeakprocessestoensurecompliancetoJCI/NABH

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    7

    RiskBased

    InternalAudit

    H

    oww

    eDo

    Transaction

    Audit

    Control

    Reviews

    Process

    Reviews

    Risk

    Assessment

    Fraud

    Mitigation

    EnterpriseRisk

    Assessment

    IncreasingEnterpriseRisk

    Focus

    NeedofOrganizations

    Intern

    alAu

    diting

    he

    lpsa

    n

    organ

    iza

    tion

    accom

    plish

    its

    object

    ives

    by

    bring

    ing

    a

    systema

    tic,

    discip

    line

    dapproach

    toevaluate

    and

    improve

    the

    effectiv

    eness

    of

    risk

    mana

    gement,

    control

    an

    d

    governance

    proce

    sses.

    Sourc

    e:TheInstituteofInternalAuditors1999(IIA)

    Ben

    efitsofRiskbasedAud

    it

    Tra

    ditiona

    lau

    ditviewva

    lue

    adde

    d

    tech

    niques

    Riskpro

    fileo

    fBusinesses

    Inte

    rna

    lCon

    tro

    ls&Ops

    Risk

    reviews

    Costre

    duct

    ionsrecommend

    ations

    Reviewo

    fFrau

    dRiskContro

    ls

  • 7/31/2019 Riskpro Healthcare Industry

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    8

    InternalAuditUniverse

    InternalAuditma

    ybeperformedinthefollowingdomainsforhosp

    itals:

    i

    HospitalGovernance

    ii

    Medical&Q

    ualityAudit

    iii

    OperationsSupportAudit

    iv

    PeopleAudit

    v

    Finance&A

    ccounts

    vi

    Compliance

    Management

    Ensuringmanagementsvision,businessobjectivesareincorporatedin

    thegoverningprinciplesofthehospitals.

    Ensuringrobustprocedures

    supportingclinicianstoprovide

    bestquality

    medicalcaretopatients.

    Ensuringrobustbusinessprocessestosupporteffectivean

    defficient

    operationofunits.

    Ensuringprocessestorecru

    it,developandretainworkersan

    dleadersto

    supportachievementofbusinessobjectives

    Ensuringprocessesandcon

    trolsforaccurateandeffectivef

    inancial

    accountingandreporting.

    EnsuringprocessestohelpunitsandHOcomplywithinternalpolicyand

    procedures,legalrequirements,JCI,NABHandotherrequire

    ments.

    Majorfocusarea

    Ob

    jective

  • 7/31/2019 Riskpro Healthcare Industry

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    9

    InternalAuditmethodology

    forHospitals

    Auditplanning

    Auditexecution

    Reporting

    KeyActivities Deliverabl

    es

    Ga

    ining

    de

    tailedun

    ders

    tan

    dingo

    fyour

    organ

    isa

    tion

    .

    Iden

    tifica

    tionof

    key

    bus

    inessprocesses

    support

    ingpatie

    ntserv

    ice

    .

    Importancemapp

    ingo

    fbus

    inessprocesses

    withpa

    tien

    tjourney

    .

    Iden

    tifica

    tionof

    bus

    inessris

    ksa

    tun

    itan

    d

    organ

    isa

    tionwi

    de

    leve

    l.

    Organ

    isingwor

    ks

    hopsa

    tun

    itan

    dHO

    leve

    l

    todiscuss

    keyb

    us

    inessprocessesan

    dris

    k

    rating

    toa

    tta

    inc

    ommonun

    ders

    tan

    ding

    .

    Iden

    tifica

    tionof

    opera

    tiona

    lan

    dc

    lin

    ica

    l

    processes

    tobe

    au

    dite

    d(au

    ditw

    ishlis

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    Discuss

    ionw

    ith

    un

    ithea

    dsan

    dHO

    to

    priori

    tiseau

    dits

    .

    Fina

    linterna

    lau

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    Engagemen

    tletters

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    taile

    dscop

    ing

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    hau

    ditindiscuss

    ion

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    ders

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    ds

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    HO

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    iden

    tifykey

    focusareas

    .

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    nduc

    ting

    de

    taile

    dprocesswa

    lkthroughs

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    cumen

    tation

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    tro

    lsiden

    tification

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    ting

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    ntinuous

    discuss

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    t

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    itan

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    tifica

    tiono

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    tions,

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    ditissue

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    ison

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    tation

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    fpro

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    iona

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    ithextensiveexperience

    inhea

    lthcareau

    dits

    .

    Con

    tinuous

    pro

    jectreviews

    bypartnersand

    directorso

    fthe

    firm

    toensurequ

    alityan

    dcl

    ien

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    tisfact

    ion.

    Quality

    Assurance

  • 7/31/2019 Riskpro Healthcare Industry

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    10

    PatientJour

    neyView-Illustrative

    S

    tandardsteps/stagesin

    apatientjourneyinanhospital

    Listofdepartmentssupportingservicedelivery

    Busin

    essimportanceassignedtodepartments

    onbasisof

    degreeofinvolvementin

    providingpatientcare/service

  • 7/31/2019 Riskpro Healthcare Industry

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    11

    Otherfactorstobeconsid

    eredforScopin

    g

    S

    Multi-specialtyVs.SuperSpecialtyhospital.MoreintenseIAsincasehospitalismulti&superspecialty.

    S

    BusinessObjectives

    have

    tobe

    kep

    tinm

    indforeach

    hosp

    ital/unitan

    dIAscopeshou

    ldbe

    fine

    twea

    ked

    accord

    ing

    ly

    S

    Ageofthehospitalfornewhospitals,

    key

    focusiseffectiveimpleme

    ntationofSOPs,clarityin

    roles&

    responsi

    bilities,se

    rvice

    de

    liverymon

    itoring.

    Stable/Ma

    ture

    hosp

    italsfo

    cusmoreonopera

    tiona

    lexce

    llence,

    intro

    ducing

    industry

    bestpract

    ices.

    S

    IntegratedComp

    lianceRiskManagement

    Most

    hosp

    italsreviewsa

    mecon

    tro

    lsmore

    thanonce,

    foreg.

    Billingprocessma

    ybereviewe

    dinNABH/JCIan

    d/or

    inInterna

    lAu

    ditan

    dor

    inISOan

    dor

    inInte

    rna

    lCon

    tro

    ls

    over

    financia

    lrepo

    rtingreview.

    Management

    shou

    ldconsi

    der

    deve

    lopin

    gan

    integra

    tedcomp

    liancerisk

    managemen

    tfram

    eworkw

    here

    byrisk

    isassesse

    d/teste

    doncean

    drep

    orte

    dinmu

    ltip

    lep

    lacesas

    requ

    ire

    d.

    S

    PastIAscope

    key

    issues/cha

    llengesplay

    importan

    tro

    leindirect

    ion

    setting.

    Au

    ditChartershou

    ldcover

    key

    processes/contro

    lsmon

    itoringregu

    larly.

    Non

    keyprocesses/con

    tro

    lsc

    an

    be

    teste

    d/reviewe

    donce

    in2/3years.

    S

    Fraudvulnerabilitiesshou

    ldbereviewe

    dw

    hileascerta

    ining

    IAscope

    S

    Ma

    turi

    tyo

    fIT/ERPsystem

    iscrucia

    lfactor

    forscop

    ing

  • 7/31/2019 Riskpro Healthcare Industry

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    12

    RiskproClients

    O

    urClients

    Anytrademarksorlo

    gosusedthroughoutthispresentationaretheproper

    tyoftheir

    respectiveowners

  • 7/31/2019 Riskpro Healthcare Industry

    13/30

    13

    TeamExperiences

    Our

    Experiences

    Anytrademarkso

    rlogosusedthroughoutth

    ispresentationarethepro

    pertyoftheir

    respectiveowners

    Our

    teammembersha

    veworkedatworl

    dclassCompanie

    s

  • 7/31/2019 Riskpro Healthcare Industry

    14/30

    14

    RESUMES

    Ourteam

    S

    Fou

    nder-Riskpro

    S

    CA,

    CPA

    ,MBA-F

    inance

    (USA),FRM(GARP)

    S

    Ove

    r10years

    interna

    tion

    alexperience

    6yea

    rsinBa

    hra

    inan

    d4ye

    ars

    USA

    S

    15yearsexp

    inriskconsu

    ltingan

    dinterna

    laud

    its

    S

    Sox

    Comp

    liancepro

    jectfor

    Fann

    ieMae,

    USA($900+Billion

    Mortgage

    Company)

    S

    Spe

    cia

    liza

    tion

    inOperatio

    na

    lRisk,Base

    lII,Soxan

    dCon

    tro

    ldesign

    S

    Led

    me

    dium

    tolargeengagemen

    tteams

    ManojJain

    S

    Co-

    Founder-Riskpro

    S

    CA

    (In

    dia),MBA(Ne

    therlan

    ds),

    CIA(USA)

    S

    Ove

    r15yearso

    fextensiv

    einterna

    lan

    dexterna

    lau

    ditexperience

    inIndiaan

    d

    abroa

    d.

    S

    Worke

    dw

    ithKPMGUnite

    dAra

    bEm

    ira

    tes,

    PKF

    Sou

    thAfrica,

    Ernsta

    ndYoung

    Kuw

    ait,De

    loitte

    Ne

    therlan

    dsan

    dKPMGIndia.

    S

    Worke

    dw

    ithcl

    ien

    tsinaw

    idevarie

    tyo

    findustriesan

    dcoun

    tries

    inclu

    ding

    tra

    ding,

    reta

    ilan

    dconsumergood

    s,NGO

    ,manu

    facturin

    gan

    dban

    kingan

    dfin

    ance.

    Ma

    jor

    clien

    tsinclu

    de

    ban

    ks,

    investmen

    tcompan

    ies,m

    anu

    facturingorganiza

    tions,

    avia

    tione

    tc.

    RahulBhan

    C

    redentials

  • 7/31/2019 Riskpro Healthcare Industry

    15/30

    15

    RESUMES-

    Ourteam

    S

    Co-

    Founder-Riskpro

    S

    B.C

    om,

    CA

    S

    30yearso

    faccoun

    ting,f

    inancean

    driskmanag

    emen

    texperience

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  • 7/31/2019 Riskpro Healthcare Industry

    16/30

    16

    S

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  • 7/31/2019 Riskpro Healthcare Industry

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    17

    Contacts

    Ema

    il:

    [email protected]

    Web:www.r

    iskpro.in

    THANKS

    MUMBA

    I

    ManojJain,Director

    B-44GlaxoBuilding,Near

    Mt.MarysSteps,Bandra

    (W),Mumbai4000

    50

    M-9833767114

    E-manoj.jain@risk

    pro.in

    DELHI

    Rah

    ulBhan,Director

    C-561,DefenceColony,

    New

    Delhi-110024

    M-9968005042

    [email protected]

    BANGAL

    ORE

    CasperAbraham,Director

    No.62/BModiResidency

    MillersRoad,BensonTown

    Bangalore56004

    6

    M-9845061870

    E-casper.abraham

    @riskpro.in

  • 7/31/2019 Riskpro Healthcare Industry

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    18

    DetailedCove

    rage-Hosp

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  • 7/31/2019 Riskpro Healthcare Industry

    19/30

    19

    Detailed

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  • 7/31/2019 Riskpro Healthcare Industry

    20/30

    20

    Detailed

    CoverageHospitalGovernance

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  • 7/31/2019 Riskpro Healthcare Industry

    21/30

    21

    Detailed

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  • 7/31/2019 Riskpro Healthcare Industry

    22/30

    22

    Detailed

    CoverageHospitalGovernance

    SubAreas

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  • 7/31/2019 Riskpro Healthcare Industry

    23/30

    23

    Detailed

    CoverageHospitalGovernance

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  • 7/31/2019 Riskpro Healthcare Industry

    24/30

    24

    Detailed

    CoverageHospitalGovernance

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  • 7/31/2019 Riskpro Healthcare Industry

    25/30

    25

    Example

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  • 7/31/2019 Riskpro Healthcare Industry

    26/30

    26

    Governance

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  • 7/31/2019 Riskpro Healthcare Industry

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    27

    Governance

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  • 7/31/2019 Riskpro Healthcare Industry

    28/30

    28

    EnterpriseRiskManagement

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  • 7/31/2019 Riskpro Healthcare Industry

    29/30

    29

    ITGovernan

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  • 7/31/2019 Riskpro Healthcare Industry

    30/30

    30

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