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1 Risk Assessments: Building Your Risk Program, Developing Partnerships, and Mitigating Risk Ralph Oyaga, Esq., MBA Corporate Compliance Officer Heritage Provider Network 1 Agenda Fundamentals Creating BuyIn Mitigating Risk 2

P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Page 1: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Risk Assessments: Building Your Risk Program, Developing Partnerships, and Mitigating Risk

Ralph Oyaga, Esq., MBA

Corporate Compliance Officer

Heritage Provider Network

1

Agenda• Fundamentals

• Creating Buy‐In

• Mitigating Risk

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Page 2: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Risk Assessment Fundamentals• Risk = Likelihood  X  Impact 

Impact

Likelihood3

Risk Map

Impact

Likelihood

5

4

3

2

1 2 3 4 5

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Page 3: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Risk Scoring• Organization’s Risk Tolerance / Appetite

• L, M, H

• 1 – 5

• Adding third dimension (e.g. velocity)

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Impact – Concepts to Keep in Mind

• Emerging risks – Impact not fully understood (learning curve)

Impact

Likelihood

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Page 4: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Impact – Concepts to Keep in Mind

• “Black Swans”

• Low likelihood, but 

• catastrophic impact

Impact

Likelihood

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Reducing Impact of Black Swan Events• Don’t try to predict, focus on mitigating vulnerabilities and reducing the possible consequences

• Example: Hackers “kidnap” your network

• Build Redundancies

• Disaster Recovery Mode

• Cyber Insurance 

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Page 5: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Document Process (CPE)• Who participates?

• How are topics prioritized?

• What is the process?

• How are mitigation steps determined?

• Is education provided?

• How are the results determined?

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Risk Assessment Process• Compile List of Risks (Risk Inventory)

• Group / Categorize (Risk Domains)

• Prioritize

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Page 6: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Risk Inventory• Compile List of Risks

• Iterative process• Negotiate

• Refine

• Consensus

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List 3

List 2

List 1

Risk Domains - Examples• Financial – malpractice, insurance, credit score, penalties/CIA

• Human Capital – selection, retention, turnover, work comp

• Technology – EHR, Cyber Security, Social Media

• Regulatory/Legal – FWA, Audit CAPs

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Page 7: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Prioritize List• Within each risk domain

• Identify correlations, synergy, effective resource allocation

• Early wins (employee engagement –momentum –ROI)

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Buy-In• bī ˌin

• Agreement to support a decision

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Page 8: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Strategies for Creating Buy-In• Adapt to others’ communication style. 

• Avoid extremes

• “Withhold & Uphold” “Spray & Pray”

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Strategies for Creating Buy-In• The way a risk is framed influences people’s understanding of it.

• Example: Airline Safety Statistics 

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Page 9: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Strategies for Creating Buy-In• Link to organization’s mission/vision and strategic objectives

• Why is it imperative to mitigate this risk?

• We are all in this together ! 

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Strategies for Creating Buy-In• Leverage role of “Trusted Advisor”

• Timely

• Accurate

• Reliable

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Page 10: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Strategies for Creating Buy-In• Prepare for feedback.

• Prepare to act. 

• What is negotiable. 

• Can collaboration save the day.

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Risk vs. Reward• Risk assessment  Risk mitigation

• Mitigation strategies

• Risk Avoidance

• Risk Limitation / Mitigation

• Risk Transference 

• Risk Acceptance / Assumption

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Page 11: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Mitigation StrategiesImpact

Likelihood

5

4

3

2

1 2 3 4 5

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Avoid RiskTransfer Risk

Accept Risk Limit Risk

Executing Risk Mitigation Plan• Risk‐based control system

• Control Levers (Robert Simons)

• Belief controls:• Communicate the vision, mission and values of the organization• Inspire and motivate employees

•Engage in risk mitigation efforts

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Page 12: P30 Risk Assessment - HCCA Official Site · 2019-04-04 · • “Black Swans” • Low likelihood, but • catastrophic impact Impact Likelihood 7 Reducing Impact of Black Swan

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Q & A

?Ralph Oyaga

[email protected]

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