CHANGES to REQUIREMENTS -- Effective May 2008

CRICO/RMF has made a number of changes to the Obstetrical Risk Reduction Premium Incentive Program. The new requirements are effective May 2008 and will be the criteria used for the premium reduction in policy year 2009 (i.e., what must be completed in 2008). The Obstetrics Risk Reduction Program is open to all CRICO-insured Obstetricians (attendings and residents), Midwives and Family Practitioners (attendings and residents). This voluntary program was launched in June 2003, rewarding risk-reduction activities with a malpractice premium discount.

Specific risk reduction activities must be completed in the calendar year prior to receiving the discount. The discount is given each year for three consecutive years as a 10 percent rebate of your individual premium. At the end of the three-year period, you may requalify for the program by repeating the original requirements and continuing the cycle of participation indefinitely. CRICO/RMF reserves the right to discontinue or alter the program in the future, with sufficient notice to participants. Costs encountered for completing specified risk reduction coursework are your responsibility.

Program Requirements

First Year

To enter the program and qualify for the first year discount, you must complete the following four activities and submit your documents of completion by December 15th of the current calendar year:

1. A test on the current CRICO/RMF Clinical Guidelines for Obstetrical Providers [PDF]
   (revised June 2006)
2. CRICO/RMF's online course “Electronic Fetal Heart Monitoring in the Intrapartum Period" available at www.rmfcme.com (for new participants only)
3. CRICO/RMF's online course “Managing Shoulder Dystocia” available at www.rmfcme.com (for new participants only)
4. CRICO/RMF approved Labor and Delivery team training coursework at the Center for Medical Simulation (register at: www.harvardmedsim.org); or Labor and Delivery team training coursework by arrangement with the Beth Israel Deaconess Medical Center faculty (Contact, Barbara Stabile, RN at bstabile@bidmc.harvard.edu).

Second Year

You will need to complete the following two activities and submit documents of completion by
December 15th to receive your year 2 discount:

1. A didactic team training refresher course
2. A test on the current CRICO/RMF Clinical Guidelines for Obstetrical Providers [PDF]
   (revised June 2006)
   
   

Third Year

You will need to complete the following two activities and submit documents of completion by
December 15th to receive your year 3 discount:

1. A test on the current CRICO/RMF Clinical Guidelines for Obstetrical Providers [PDF]
   (revised June 2006)
2. Obstetrics Safety Drill

Requalifying Year

1. A test on the current CRICO/RMF Clinical Guidelines for Obstetrical Providers [PDF]
   (revised June 2006)
2. CRICO/RMF approved Labor and Delivery team training coursework at the Center for Medical Simulation (register at: www.harvardmedsim.org) ; or Labor and Delivery team training coursework by arrangement with the Beth Israel Deaconess Medical Center faculty (Contact, Barbara Stabile, RN at bstabile@bidmc.harvard.edu)

Where to Send Evidence of Completion

Please send the guideline test and online course certificates of completion to:

CRICO/RMF
Attn: Loss Prevention/Patient Safety, Carolyn Jones
101 Main Street, 13th Floor
Cambridge, MA 02142

For assistance, or more information

You may contact us via the following ways:

• Use our website form and select "OB Risk Reduction Program" as your topic, or ;
• E-mail Carolyn Jones with questions related to documentation or record-keeping, or ;
• E-mail Roxane Gardner with questions related to the overall premium discount program.

CRICO/RMF looks forward to collaborating with you in this effort to enhance patient safety and control malpractice premiums.