Health risk and insurance management (HSMU 213) (hsmu 372)

1st trimester 2014

KENYA METHODIST UNIVERSITY
'END OF1ST 'TRIMESTER 2014 (PT) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME

: MEDICINE & HEALTH SCIENCES

: HEALTH SYSTEMS MANAGEMENT
: HSMU 213/372
: HEALTH RISK AND INSURANCE MANAGEMENT
: 2 HOURS

INSTRUCTIONS:

Answer all the four questions in Section I and two from

Section II.

SECTION I (40 marks)

Question One
Normally insurance companies are not willing to accept all the risks that other people may wish to transfer to
them. The risk that they accept must be within certain parameters. Identify and explain five such parameters or
characteristics.

(10
marks)

Question Two
State why "Risk Identification" is necessary. Justify the use of multiple types of techniques in the risk
identification process with brief explanation of each.

(10
marks)

Question Three
Explain the difference between the following terms as used in risk and insurance management.

Law of large numbers and loss control.

Peril and hazard

Risk advance and risk diversification.

Risk retention and risk transfer.

Question Four

(2.5 marks)

(2.5 marks)

(2.5 marks)

(2.5 marks)

(2 marks)

Explain the concept of risk and uncertainty.

What are the objectives of the risk management?

"Insurance is risk transfer mechanism by which an organization can change uncertainty for certainty." (4 marks)

(4 marks)

Explain

SECTION TWO (60 Marks)

Question Five
Explain the barriers in risk analysis process.

(30 marks)

Question Six
Discuss the nature and scope of risk management.

(30 marks)

Question Seven
What is liability in the case of risk management? Discuss various aspects of liability in risk
management.

Health Risk Insurance Management (HSMU 213) (hsmu 372)

3rd trimester 2014
KENYA METHODIST UNIVERSITY
END OF 3'RD 'TRIMESTER 2014 (PT) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME

: MEDICINE & HEALTH SCIENCES

: HEALTH SYSTEMS MANAGEMENT
: HSMU 213/372
: HEALTH RISK & INSURANCE MANAGEMENT
: 3 HOURS

SECTION A:

Answer all questions

Question One

Discuss the purpose and role of Risk Management in health systems.

(10 marks)

Question Two
Define and explain the importance of the following in Risk
Management

Risk Management Philosophy

(10 marks)

Risk Management Policy

Question Three
Differentiate the following methods of risk identification
using relevant examples in health care.

Retrospective risk identification

(10 marks)

Prospective risk identification

Question Four
Explain the importance of monitoring and reviewing a health risk management process.

(10 marks)

SECTION B:

Answer any two questions

Question Five

Discuss the factors for consideration in the choice between risk retention and risk transfer.

As a newly appointed health manager for your County Hospital, explain the risk treatment

(10
marks)
(20
marks)

options/strategies available for handling risks in the hospital.

Question Six

You have recently been appointed as a risk manager for one of the leading referral hospitals in the

(20
marks)

country. Explain five of your responsibilities in regards to the hospitals risk management process.

One of your concerns would be the many medical errors witnessed in the hospital. Discuss at least four
causes of medical errors that you will focus on.

Question Seven

(10
marks)

Explain four ways you would use Risk Management information systems to manage risks in your
organization.

Using examples differentiate the following types of

insurance as used in health systems management.

First Party coverage

Third party or liability coverage.

(15 marks)

(15 marks)