KHF Risk Mgmt

Risk Management

 

Malpractice Requirements, Guidelines, and Resources

One of the most important products provided by Kids Health First is malpractice coverage for its members. The purpose of such benefit is to advocate for our providers and to advance the practice of medicine while ensuring detailed attention and focus on patient safety.

We have chosen CURI as our carrier and partner in this endeavor. CURI, "a full-service advisory firm that works harder to make your life easier" will advise us based around our priorities which will be  elevated outcomes. Whether the topic is medicine, business or  life, CURI's holistic, physician-focused approach and tailored solutions evolve as our needs do, allowing us to do,  and achieve more.

Overall, CURI's mission is in sync with Kids Health First’s objectives to provide low financial risk to our members paired with the highest level of patient safety.

Click here to visit CURI's website or  click here to find detailed instructions on how to access and use its website: 

Corporate Headquarters
Headquarters
700 Spring Forest Road, Suite 400
Raleigh, NC 27609
800-662-7917

Risk Management Q&A

For answers to the following risk management questions, click here.

  • Is there a rule that says a provider must complete a patients' chart by a specific time? (Nov 2023)
  •  What should be done if a caregiver alters Form 3231 after a practice has signed it? (Nov 2023)
  •  How do we dismiss a patient? (July 2024) and Patient Termination Emergency Care (February 2025)
  • How to respond to patient's complaints and demands?
  •  What medical services can be provided to minors without parental consent?
  • Can I discharge patients for refusal to vaccinate?
  • What are the correct procedures for vaccine errors?
  • What are the recommendations and requirements for chaperoned exams for pediatric patients?
  • Should a provider drug test patient at parents' request?
  • What is reportable to DFACS?
  • Are we required to release information to a third party?
  • What is the criteria for maintaing medical and non-medical records? (February 2025)
  • What are the mandatory reporting requirements for the state of Georgia regarding child abuse? (May 2025)
  • Measles Immunity: What are the recommendations for employers and the requirements for employees (June 2025)

 

Malpractice Requirements

The following is a list of documents that will help guide you through the process of the malpractice approval process, which is required by Kids Health First prior to hiring any new providers. Other  information and guidelines related to the  coverage and claims process is also included.

 

Mandatory Reporting Requirements May 2025

Georgia State law OCGA 19-7-5 states that all physicians, registered nurses and licensed practical nurses are deemed mandatory child abuse reporters. This means if you have reasonable cause to believe that suspected child abuse has occurred, you are required by law to report such abuse.

All new employees of KHF will receive training on mandatory reporting and retraining as appropriate.

The following are two web based training sites that offer this training free of charge:

You may also refer to the KHF handbook which provides information on mandatory reporting.

 

Announcement April 21, 2025: Governor Brian Kemp signs medical liability tort-reform measures  into law

Two sweeping medical liability tort‑reform measures were  championed alongside the Medical Association of Georgia and our legal partners. These twin bills redraw the litigation landscape for every hospital, practice, and provider in the state. 

Here's what you need to know at a glance:

  • SB 68: Brings broad changes to how lawsuits, particularly personal injury ones, are handled in Georgia.
  • SB 69: Regulates third-party litigation funding (when outside companies fund lawsuits in exchange for a cut of the money if the case wins).

To read the two bills in full and to fully understand the implications on your practice, click here to learn more. 

For any additional questions, please don't hesitate to contact me. 

Nicholas Ghiselli
GENERAL COUNSEL, CURI INSURANCE
o: 800-328-5532  |  w: curi.com 

Guidelines and Resources 

The following is a list of documents provided by Medical Management Associates related to OSHA Training in the Medical Practice on April 17, 2025.

Following is a list of documents, provided by CURI  that will help guide you in specific risk management issues. A short, instruction video on accessing CURI's entire catalog can be viewed here.

* Kids Health First Malpractice Program invoice payments are sent to:

IPA-GA Liability Program, LLC
P.O. Box 116176
Atlanta, GA  30368

For assistance with any questions related to the malpractice requirements by Kids Health First, please contact Barbara Douglas at bdouglas@khfirst.com, 770.333.0033, Ext. 201, or 470.430.1981.

May 2025

Please Review - "Maintenance of Patient's or Parent's Voicemail Records"  

Sterling Seacrest Pritchard provides a detailed brief on how to maintain parent or patient's voicemail records and/or ensure that if the record contains any PHI that it is properly destroyed. Please review the steps necessary to protect the practice in this regard. Click here to read the  entire client brief. You may also wish to download a copy for your records.  

December 2024

Please Review -  "Treating Patients Located (temporarily) Outside of Georgia" 

For more information on the above topic from the experts at Sterling Seacrest Pritchard, please click here. 

May 20, 2024

Please Review  -"Risk Opinion on Prescribing Controlled Substances via Telemedicine Across State Lines"

For more information on the above topic from Brent Reece at Sterling Seacrest Pritchard, please  click here.