11 Case Study: Three Steps for Bringing Risk Management Back in House

Interviewee: Renee Reimer J.D., Chief Risk & Legal Operations Officer, Memorial Hermann Health System

Interviewer: Christopher Ketcham, Ph.D., CPCU, CRM, CIC, CFP®, Formerly Visiting Assistant Professor, University of Houston Downtown, Houston, Texas; Garnet Valley, Pennsylvania

Date: November 30, 2012


Memorial Hermann (MH) is a 107-year-old not-for-profit healthcare system in the greater Houston Texas community. The area served by MH today has a population base of 6.14 million, which is expected to grow to 6.71 million by 2016. MH is one of the largest not-for-profit healthcare system in the state of Texas and has a 23.5% market share [Note: using 2011 data] in the Expanded Greater Houston Metropolitan Service Area (MSA1) for inpatient services through 12 hospitals. MH also has other service operations in 171 locations. The MH package of services includes: inpatient hospital delivery services, outpatient ambulatory services, home health, drug rehabilitation and alcohol treatment, and retail services including diagnostic, laboratory, sports medicine, rehabilitation, and imaging. MH's trauma center is one of the nation's busiest. In addition MH operates one of the only air ambulance services in the region and has its own health insurance company providing health benefits for its employees and others.

The Federal government in the US requires hospitals to measure and report patient safety ...

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