Vital Signs: Risk and Insurance for Healthcare

Behind the glitch: Tracing AI in safety events

When a critical clinical event occurs, how do you know if AI played a role? In this episode, we dive into the emerging challenge of identifying and investigating AI-related incidents in healthcare [https://www.wtwco.com/en-us/industries/health-care]. Learn how to evaluate AI as a contributing factor, define what counts as an AI-related near miss and document safety concerns effectively. We also explore how to train staff to recognize and report errors in which AI may have had an impact or appear to have been a causal factor. If patient safety and technology oversight are on your radar, this conversation is a must-listen.

From risk to resolution: Preventing patient abandonment claims

This episode focuses on the essential components and best practices for drafting an effective and legally sound termination letter when ending the physician–patient relationship, emphasizing the need for a professional, nonconfrontational tone that prioritizes a smooth transition for the patient. The episode explains why providers are generally not required to give a reason for termination, outlines how to clearly communicate the effective date and emergency care timeframe — often 30 days — and highlights the importance of including resources for finding a new provider as well as instructions and forms for transferring medical records, all while adhering to HIPAA and state requirements regarding fees and access rights. The discussion also covers the rationale for avoiding direct referrals to specific clinicians, the need to tailor notice periods based on state rules and patient circumstances and the correct process for sending the letter via certified and standard mail to ensure proper documentation. Overall, this episode provides practical, detailed guidance to help practices protect patients, maintain compliance, and reduce risk when communicating the dissolution of care.

Challenges and barriers to termination

In this episode, we explore the complex operational, ethical and regulatory considerations involved in communicating the termination of a physician–patient relationship, including the internal challenges practices face, such as ensuring consistent workflows, preventing inadvertent rescheduling, managing difficult behaviors and maintaining nondiscriminatory processes. Our guests discuss barriers like fear of negative social media, longstanding patient ties and concerns about regulatory scrutiny, as well as how practices decide whether termination applies to an individual provider, a group, or an entire system while navigating EMTALA requirements. The conversation also covers patient appeals, voluntary withdrawals from care and when a formalized process is recommended to avoid misunderstandings or abandonment claims. Additionally, we highlight the significant risks, liabilities and CMS-related compliance exposures that arise from mishandled terminations, the patient's rights regarding records access and safe care transitions, and why tracking termination data is essential for identifying patterns, addressing bias, improving communication and strengthening policies.

Key steps along the way

In today's podcast, we will continue our focus on the topic of terminating the physician and patient relationship. Building on part one of this series, our expert panel explores the practical, legal and ethical considerations involved in ending a therapeutic relationship in a way that protects patient safety, minimizes liability and supports the well-being of physicians and staff. Through real-world examples, the discussion highlights the importance of having clear, non discriminatory policies; setting expectations early; documenting noncompliance or behavioral concerns; and using both verbal and written communication to ensure the termination process is fair, transparent and defensible. Listeners will gain actionable guidance on avoiding patient abandonment, managing high-risk scenarios such as post-operative care or behavioral health concerns, and ensuring continuity of care during the transition period. The episode also addresses staff training, de-escalation strategies and balancing obligations to individual patients with the safety of the broader practice environment. This conversation offers valuable insights for physicians, practice leaders and healthcare administrators seeking to navigate one of the most challenging aspects of medical practice with confidence and compassion.

Breaking up is hard to do

Like any relationship, the effort to maintain a therapeutic and respective connection between provider and patient takes effort and time. And like any connection between two parties, the relationship can reach a point of disruption or challenge. Ideally, working through the rough patches is the desire. Circumstances may reach a point though where the differences are too far apart, the bond broken and mutual respect lost. All efforts to resolve the matter have been exhausted. As the song goes "breaking up is hard to do." In this episode, we delve into the ethical, legal and practical aspects of ending the physician-patient relationship. Healthcare professionals will gain insights into best practices, guidelines and strategies to ensure a respectful and smooth transition. We'll explore ways to minimize risks while upholding the highest standards of patient care.