Who Is This Creature

This adorable cephalopod (octopus) captivated us and it has become our mascot. Why? The first thing that caught our eye was, well, the eye. As an insurance company that is owned by our policyholders, we have been keeping a watchful eye out on behalf of our owners for thirty years, enabling best practices in risk and claims management.

And who wouldn't want an extra arm, or eight? We know that our owners are busy doing what they do best — providing health care services. Our job is to act as an extension of their organization, reaching deep into the areas of our expertise.

The cephalopod is one of the most adaptable and long-lived species on the planet. Likewise, CHI is the longest continually-operating health care professional liability insurance company in California.

And lastly, we were captivated by our mascot’s smile. Talk to any of our owners and you will hear that we are a very friendly bunch. While people don't usually think of insurance as a fun part of their business, the team at Optima has put a smile on many faces.

CHI

Risk Management

THROUGH OWNERSHIP

Risk Management

Creating a Win-Win in Clinical Outcomes and Loss Prevention

From its inception, CHI has worked proactively with each owner to reduce liability by improving clinical outcomes. Obstetrical (OB) claims, for example, once accounted for 62 percent of claims dollars. CHI became one of the first health care professional liability insurance carriers to create an initiative aimed at reducing OB risk and improving quality. The results of this cutting-edge initiative were astounding.

Before the obstetrical care initiative, CHI hospitals were paying $504 per delivery for claims. By 2007, that number plummeted to a historical low of $28. Today, the cost per delivery is $33. Analysis of claims data and industry best practices remains a cornerstone of the CHI risk management program today. “We saved money, but more importantly, we saved lives because of the reduction in medical errors. That alone makes our risk management program a tremendous success.” says Jeffry Sousa, past CHI president (1997–2013.)

Expanding on its effective clinical risk management efforts, CHI has incorporated Enterprise Risk Management (ERM) into its risk management focus for owner organizations. ERM encompasses CHI owners’ entire organizations and looks to establish best risk management practices in all areas of operation.

B. Konard Jones, President/CEO of NorthBay Healthcare, appreciates this support: “As a fairly small health care organization, we have to maximize every angle. We can’t employ our own risk management staff like many larger providers do. Having CHI as a partner, however, we have the very best experts in risk management on our team, allowing us to exercise the best practices in health care. We embrace CHI as our risk management partner and feel we have an advantage over the bigger guys in that department.”

“When you focus on risk mitigation, you inherently improve patient outcomes. CHI’s risk management initiatives over the years have continually resulted in our owners showing, on average, better loss profiles than the average California hospital.”

Harris Koenig, President/CEO, San Antonio Regional Hospital