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Risk Intelligence - ERM and Predictive Analytics

Overview

Risk Intelligence synthesizes data across all nine modules to identify, analyze, and mitigate threats before they become incidents. Predictive modeling forecasts future risk likelihood. Automated CAPA generation addresses major risks. Risk heatmaps with likelihood/impact analysis meet CMS, OIG, NIST, ISO, and OSHA requirements simultaneously. 

Key Capabilities

  • Comprehensive risk analysis pulling data from all modules
  • Predictive modeling for incident likelihood and emerging patterns
  • Risk heatmaps with likelihood/impact scoring
  • Automated CAPA (Corrective Action/Preventive Action) generation
  • PESTLE and SWOT analysis frameworks
  • Emergency preparedness and business continuity planning
  • FCA (False Claims Act) violation detection
  • HIPAA and cybersecurity risk assessment
  • Internal and external risk comparison with peer benchmarking
  • Multi-site enterprise risk aggregation with facility-level drill-down

Integration

  • Incident Portal for trend data
  • Policy Hub for regulatory compliance tracking
  • Care Excellence for clinical risk, Privacy & Security for HIPAA/cyber risk
  • Integrated Safety for workplace hazards4Essential Compliance for fraud/waste/abuse detection
  • EHR/EMR systems for clinical data.

Differentiators

  • Multi-module synthesis: Analyzes risk across quality, compliance, safety, privacy, and operations in one system, not isolated department silos
  • Predictive intelligence: Forecasts future incident likelihood based on pattern recognition, not reactive risk assessment after events occur
  • Automated CAPA: Generates corrective and preventive actions for major risks, eliminating manual process gaps
  • Regulatory convergence: Meets CMS, OIG, NIST, ISO, and OSHA requirements simultaneously, not separate compliance activities for each framework

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