Sign-In
Cart
Clinical Intelligence in Healthcare Risk Compliance and Insurance Investigations: A Daily Reference for Hospital Risk, Serious Incident Investigations
Paperback
Publisher: Lexcura Summit
Published: Sep 19 2026
Pages: 130
Weight: 0.40
Height: 0.28 Width: 6.00 Depth: 9.00
Language: English
When a serious hospital event occurs, the same facts immediately enter several decision systems. Hospital leaders must determine what happened and what needs to change. Risk professionals assess patient safety and institutional exposure. Compliance teams examine regulatory obligations and program effectiveness. Insurers evaluate liability, damages, coverage, and reserves. Special Investigations Units decide whether an anomaly justifies further investigation. Counsel must establish what the evidence supports-and where the limits of that evidence lie.
Clinical Intelligence in Healthcare Risk, Compliance, and Insurance Investigations provides a disciplined method for conducting those inquiries without allowing the assumptions of one function to become the conclusions of another.
Built around the seven pillars of the Lexcura Clinical Intelligence Model(TM), the book shows readers how to:
- Test the integrity, completeness, and reliability of the record
- Establish the patient's clinical baseline before evaluating later events
- Analyse imaging, laboratory findings, and other objective evidence
- Reconstruct the clinical and operational timeline
- Evaluate standards of care and reasonable alternative actions
- Apply regulatory and compliance requirements to the supported facts
- Map causation without overstating foreseeability, preventability, or intent
The book also examines the four different clocks that begin running after a hospital event: the clinical clock, the evidentiary clock, the reporting clock, and the insurance-claim clock. Understanding how these clocks interact is essential when determining whether care was appropriate, whether reporting duties were met, whether evidence was preserved, and whether an investigation should be expanded.
Three complex worked cases take the reader through every pillar of the model. Each case demonstrates what the reviewer should examine, which questions should be asked, what conclusions can reasonably be drawn, and which issues must remain unresolved until further evidence is obtained.
Practical decision tools, investigation pathways, review checklists, escalation frameworks, and cross-functional outputs make this a working reference rather than a book that is read once and set aside.
Written for hospital risk leaders, compliance professionals, serious-incident investigators, insurance claims teams, SIU specialists, healthcare attorneys, clinical experts, and executive leadership, this book provides a common analytical foundation for decisions that must be clinically grounded, operationally useful, and capable of withstanding scrutiny.
Also from
Carroll, Michelle
Surviving Chauncy High: Adventures in Education in the 90's: Revelations of a High School Student
Carroll, Michelle
Paperback
The Lexcura Clinical Intelligence Model(TM): A Framework for Clinical Intelligence in Medical Litigation
Carroll, Michelle
Paperback
Clinical Intelligence in Medical Malpractice: A Practical Framework for Evaluating Negligence, Causation, Wrongful Death, and Damages
Carroll, Michelle
Paperback
The Lexcura Clinical Intelligence Model(TM): A Framework for Clinical Intelligence in Medical Litigation
Carroll, Michelle
Paperback
The Lexcura Clinical Intelligence Model: A framework for Clinical Intelligence in Medical Litigation
Carroll, Michelle
Hardcover
The Mass Tort Evidence Portfolio: A Clinical Framework for Claimant Screening Causation Bellwether Selection and Litigation Strategy
Carroll, Michelle
Paperback
The Doctrine of Clinical Intelligence: The Evolution of a Discipline for Understanding Complex Healthcare Reality
Carroll, Michelle
Hardcover
Clinical Intelligence for Attorneys: Reconstructing the Patient's Clinical Story before Building the Legal Case
Carroll, Michelle
Paperback
Clinical Intelligence: Why Attorneys Nurses and Paralegals Need a Governed Standard for Medical Legal Analysis
Carroll, Michelle
Paperback
From Record Review to Clinical Intelligence: The Career Path for Nurses and Paralegals Becoming Medical-Legal Analysts
Carroll, Michelle
Paperback
Clinical Intelligence in Home Care, Hospice, and Home Health: Using the Lexcura Model to Evaluate Claims and Prevent Litigation
Carroll, Michelle
Hardcover
Clinical Intelligence in Home Care, Hospice, and Home Health: Using the Lexcura Model to Evaluate Claims and Prevent Litigation
Carroll, Michelle
Paperback
Also in
General Law
Before All Is Said and Done: Practical Advice on Living and Dying Well
Miles, Pat
Watson, Suzanne
Hardcover
Boy with a Knife: A Story of Murder, Remorse, and a Prisoner's Fight for Justice
Trounstine, Jean
Paperback
With Liberty and Justice for Some: How the Law Is Used to Destroy Equality and Protect the Powerful
Greenwald, Glenn
Hardcover
The U.S. Constitution: A Comprehensive and Annotated Guide for the Modern Reader
Murray, Melissa
Hardcover
Department of Fate: The Promise, the Power, and the Collapse of America's Most Consequential Institution
Maddow, Rachel
Hardcover
Last Branch Standing: A Potentially Surprising, Occasionally Witty Journey Inside Today's Supreme Court
Isgur, Sarah
Hardcover
Unreasonable Women: Three Stories of Violence, Imprisonment, and Extraordinary Survival
Van Der Leun, Justine
Hardcover
Discovering the Club: Piecing Together the Puzzling Network of Parental Pimping, Ritualistic Abuse, and Sex Trafficking
Clack, Cynthia L.
Paperback
So Ordered: An Originalist's View of the Constitution, the Court, and Our Country
Alito, Samuel A., Jr.
Hardcover
North Carolina Notary Public Manual, 2016
Secretary of State, Nc Department
North Carolina Department of the
Secretary of State
Hardcover
Supremacy: How Rule by the Court Replaced Government by the People
Bowie, Nikolas
Renan, Daphna
Hardcover
Social Security, Medicare & Government Pensions: Get the Most Out of Your Retirement and Medical Benefits
Matthews, Joseph
Paperback
Nolo's Guide to Social Security Disability: Getting & Keeping Your Benefits
Morton III, David A.
Paperback
Federal Rules of Civil Procedure; 2026 Edition: With Statutory Supplement
Michigan Legal Publishing Ltd
Paperback
The Price of Mercy: Unfair Trials, a Violent System, and a Public Defender's Search for Justice in America
Galvin Almanza, Emily
Hardcover
Five Bullets: The Story of Bernie Goetz, New York's Explosive '80s, and the Subway Vigilante Trial That Divided the Nation
Williams, Elliot
Hardcover
Captain's Dinner: A Shipwreck, an Act of Cannibalism, and a Murder Trial That Changed Legal History
Cohen, Adam
Hardcover
The Water Remembers: My Indigenous Family's Fight to Save a River and a Way of Life
Cordalis, Amy Bowers
Hardcover
Our Minds Were Always Free: A History of How Black Brilliance Was Exploited--And the Fight to Retake Control
Davis, Lisa E.
Hardcover
The Criminal Law Handbook: Know Your Rights, Survive the System
Bergman, Paul
Berman, Sara J.
Paperback
Searching for Jane Crow: Black Women and Mass Incarceration in America from the Auction Block to the Cell Block
Leflouria, Talitha L.
Hardcover
Your Data Will Be Used Against You: Policing in the Age of Self-Surveillance
Ferguson, Andrew Guthrie
Hardcover
One in Five: Why Child Sexual Abuse Is Our Biggest Public Health Crisis--And What We Can Do to Stop It
Malone, Luke
Letourneau, Elizabeth J.
Hardcover
Revenge for the Sixties: Sam Alito and the Triumph of the Conservative Legal Movement
Canellos, Peter S.
Hardcover
Robert's Rules of Order Newly Revised in Brief, 3rd Edition
Robert, Henry M., III
Honemann, Daniel H.
Balch, Thomas J.
Paperback
The Pain Brokers: How Con Men, Call Centers, and Rogue Doctors Fuel America's Lawsuit Factory
Chamblee Burch, Elizabeth
Hardcover
Medical Terminology Made Simple: Easily Learn, Memorize, and Pronounce Medical Terms
Temple, John, MD
Paperback
The Public Domain: Find and Use Free Content for Your Website, Book, App, Music, Video, Art, and More
Secor, Glen
Paperback
Oops...That's Illegal!: A Handbook for the Wildly Curious (and the Accidental Outlaw)
Mandell, Mike
Hardcover
When Companies Run the Courts: How Forced Arbitration Became America's Secret Justice System
Ballou, Brendan
Hardcover
The Trustee's Legal Companion: A Step-By-Step Guide to Administering a Living Trust
Hanks, Liza
Zolla, Carol Elias
Buckley, Shaila
Paperback
Getting Permission: Using & Licensing Copyright-Protected Materials Online & Off
Stim, Richard
Paperback
Living Trusts for Everyone: Why a Will Is Not the Way to Avoid Probate, Protect Heirs, and Settle Estates (Second Edition)
Sharp, Ronald Farrington
Paperback
Dig Me a Grave: The Inside Story of the Serial Killer Who Seduced the South
Harpootlian, Richard A.
Assael, Shaun
Hardcover
Lawless: How the Supreme Court Runs on Conservative Grievance, Fringe Theories, and Bad Vibes
Litman, Leah
Paperback
Bone Valley: A True Story of Injustice and Redemption in the Heart of Florida
King, Gilbert
Hardcover
Federal Rules of Evidence; 2026 Edition (Casebook Supplement): With Advisory Committee notes, Rule 502 explanatory note, internal cross-references, qu
Michigan Legal Publishing Ltd
Paperback
The Constitution Cannot Save Us: Why We Can No Longer Rely on Our Founding Document
Seidman, Louis Michael
Hardcover
Is the Government Legally Killing Us?: Is the Evidence Obvious? How Fear of Death and the Illusion of Freedom Turn Us Into Accomplices to Evil
(Scott Schara), Grace's Dad
Paperback
Pink Crime: Fighting Against the Criminalization of Motherhood, Pregnancy, and Queer Identity
Beety, Valena
Hardcover
Federal Rules of Evidence; 2026 Edition: With Internal Cross-References
Michigan Legal Publishing Ltd
Paperback
The Constitution of the United States of America: The Declaration of Independence, The Bill of Rights
Founding Fathers
Paperback
The U.S. Constitution and Other Writings (Deluxe Leatherbound Edition)
Editors of Canterbury Classics
Hardcover
Represent Yourself in Court: Prepare & Try a Winning Civil Case
Berman, Sara J.
Bergman, Paul
Paperback
Understanding Living Trusts(R): How You Can Avoid Probate, Keep Control, Save Taxes, and Enjoy Peace of Mind
Schumacher, Vickie
Paperback
Iras, 401(k)S & Other Retirement Plans: Strategies for Taking Your Money Out
Shea, Tracy
Slesnick, Twila
Paperback
No Loose Ends: The Smart & Slightly Morbid Guide to Estate Planning & End-Of-Life Tasks
Zuckerman, Adam
Hardcover
The Cases That Haunt Us: From Jack the Ripper to JonBenet Ramsey, the Fbi's Legendary Mindhunter Sheds Light on the Mysteries That Won't Go Away
Douglas, John E.
Olshaker, Mark
Paperback
38 Londres Street: On Impunity, Pinochet in England, and a Nazi in Patagonia
Sands, Philippe
Hardcover
J.K. Lasser's Small Business Taxes 2027: Your Complete Guide to a Better Bottom Line
Weltman, Barbara
Paperback
Stitching Freedom: A True Story of Injustice, Defiance, and Hope in Angola Prison
Tyler, Gary
Hardcover
The Presidential Pardon: The Short Clause with a Long, Troubled History
Prakash, Saikrishna Bangalore
Hardcover
55 Successful Harvard Law School Application Essays, 2nd Edition: With Analysis by the Staff of the Harvard Crimson
Staff of the Harvard Crimson
Paperback
Lawless: How the Supreme Court Runs on Conservative Grievance, Fringe Theories, and Bad Vibes
Litman, Leah
Hardcover
Every Californian's Guide to Estate Planning: Wills, Trust & Everything Else
Hanks, Liza W.
Paperback
Terrible Stuff Damaging Everybody: The True Story of Lies and Libel in Dominion V. Fox
Rosenberg, Ian
Hardcover
Special Needs Trusts: Protect Your Child's Financial Future
Urbatsch, Kevin
Farinas Jones, Jessica
Paperback
Little Book of Restorative Justice & Community: Reclaiming Connection and Responsibility for Our Neighbors
Morneau, Caitlin
Wilson, Sheryl
Paperback
Fireproof: A Five-Step Model to Take Your Law Firm from Unpredictable to Wildly Profitable
Morse, Mike
Nachazel, John
Hardcover
The Only Living Trusts Estate Planning Guide: Protect Your Assets, Avoid Probate, Slash Taxes and Secure Your Heirs' Future.
Sterling, Thayer
Paperback
Beyond the Body Farm: A Legendary Bone Detective Explores Murders, Mysteries, and the Revolution in Forensic Science
Jefferson, Jon
Bass, Bill
Paperback
J.K. Lasser's Small Business Taxes 2026: Your Complete Guide to a Better Bottom Line
Weltman, Barbara
Paperback
The U.S. Constitution - Anti-Federalist Edition
Adams, Samuel
Henry, Patrick
Convention, Constitutional
Paperback
Hitler's American Model: The United States and the Making of Nazi Race Law
Whitman, James Q.
Paperback
Contempt of Court: The Turn-Of-The-Century Lynching That Launched a Hundred Years of Federalism
Phillips, Leroy
Curriden, Mark
Paperback
Solve Your Money Troubles: Strategies to Get Out of Debt and Stay That Way
O'Neill, Cara
Loftsgordon, Amy
Paperback
The Fall of Affirmative Action: Race, the Supreme Court, and the Future of Higher Education
Driver, Justin
Paperback
Redemption: Faith, Justice, and Sisterhood on Death Row (Large Print Edition)
Wright, Lawrence
Paperback
Vanished in Vermillion: The Real Story of South Dakota's Most Infamous Cold Case
Raguse, Lou
Paperback