29 slides from Munchener Ruckversicherungs-gesellschaft's conference presentation, May 2025
Slide 1: Preventing Sexual Abuse & Misconduct in Healthcare Settings
Preventing Sexual Abuse & Misconduct in Healthcare Settings
Slide 2: Getting a Baseline
GETTING A BASELINE Sexual abuse and misconduct is a preventable risk.
Slide 3: Learning Objectives
LEARNING OBJECTIVES Navigating the National Landscape The Data Dilemma Leveraging Root Cause Analysis to Mitigate Risk
Slide 4: Why This Conversation & Why Now?
WHY THIS CONVERSATION & WHY NOW? Navigating the National Landscape
Slide 5: Increasing Impact
INCREASING IMPACT SURVIVORS | YOUR TEAM | THE INDUSTRY FINANCIAL COSTS 2025 $750M Dr. Robert Hadden REPUTATIONAL COSTS 2024 $535M Pavilion Behavioral Health PATIENT HARM 2024 $360M Cumberland Hospital + CMO DISTRUST 2023 $485M Arcadia Healthcare REGULATORY SCRUTINY 2021 $380M Dr. Larry Nassar REDUCE
Slide 6: Financial Payouts
FINANCIAL PAYOUTS INDUSTRY FOCUS HEALTH FAITH- K-12 SOCIAL YOUTH CARE BASED SCHOOLS SERVICES DEVELOPMENT AVERAGE: AVERAGE: AVERAGE: AVERAGE: AVERAGE: $59,331,175 $15,975,673 $6,288,219 $7,059,679 $8,198,969 MEDIAN: MEDIAN: MEDIAN: MEDIAN: MEDIAN: $2,400,000 $2,000,000 $1,650,000 $2,775,000 $1,456,25
Slide 7: Healthcare Case Analysis
HEALTHCARE CASE ANALYSIS AVERAGE PAYMENT = $59 MILLION 98% 78% 30% 58% of cases involved repeated Male Offenders Female healthcare facility interactions and (avg age 45 yrs) Victims was aware of abuse allegations prior Source: First Do No Harm (Praesidium 3-Part Blog)
Slide 8: Outlook: SML Trends Over the Next Three Years
2 0 2 4 I n s u r an c e B e n c h ma r k i ng S u r v e y R e s u l t s OUTLOOK: SML Trends Over the Next Three Years LIMITS Praesidium, (2025, February) Insurance Carrier Benchmarking: Sexual Abuse and Molestation Liability. https://bit.ly/SMLBenchmarking24
Slide 9: Current: What Are Carriers Requiring?
2024 Insurance Benchmarking Survey Results CURRENT: What Are Carriers Requiring? Requirements for monitoring & supervising high- 8 8 % risk situations 8 8 % Screening protocols, including background checks for staff &/or volunteers 9 4 % Abuse prevention policies Training protocols for employees, sp
Slide 10: Why Is Professional Boundaries So Hard?
WHY PROFESSIONAL IS THIS SO HARD? BOUNDARIES DEFINED The Data Dilemma
Slide 11: Challenges & Assumptions
CHALLENGES & ASSUMPTIONS • Data is only a snapshot in time • Low frequency, high impact • Assume everyone understands and utilizes the highest professional ethics and boundaries with patients • High stress, burnout, difficult patients • Assume exposures limited to professions with sensitive exams •
Slide 12: Common Barriers to Speaking Up
COMMON BARRIERS TO SPEAKING UP FEAR OF RETALIATION OVERRESP ONSE FEAR OF MAKING A NO FORMAL OR OTHER OR FALSE ALLEGATION MECHANISM FOR CONSEQU ENCES UNDERRESP ONSE REPORTING Creating a culture that encourages addressing low -level concerns requires identifying barriers and actively working to break
Slide 13: What Can We Do & How Do We Start?
WHAT CAN WE DO & HOW DO WE START? Leveraging Root Cause Analysis to Mitigate Risk
Slide 14: Root Cause Analysis Path to Prevention
ROOT CAUSE ANALYSIS PATH TO PREVENTION PRAESIDIUM SAFETY EQUATION
Slide 15: Promote a Culture of Safety from an Influential Leader's Perspective
Promote a Culture of Safety from an Influential Leader’s Perspective CREATING A CULTURE OF SAFETY Standards Standards Everyone knows Everyone takes Everyone reports Employee Quality is are clear are enforced safety is part of warning signs their concerns engagement is institutionalized their job ser
Slide 16: Understanding Boundaries & Sexual Abuse
UNDERSTANDING BOUNDARIES & SEXUAL ABUSE Access Privacy Control
Slide 17: Normalize the Conversation
NORMALIZE THE CONVERSATION UNDERSTAND WHAT PUTS ALL HEALTHCARE PROFESSIONALS AT RISK • Over identifying with a client • Feels unappreciated and unrewarded for hard work • Not recognizing when (not if) you have “favorites” or when (not if) there is an • Drug and excessive alcohol use attraction • Lac
Slide 18: Evaluate Common Assumptions
EVALUATE COMMON ASSUMPTIONS FOR OPPORTUNITIES TO STRENGTHEN OPERATIONS Ensure leadership understands and is committed to a culture of safety Discuss and build better professional boundaries Integrate a comprehensive approach to chaperones Create robust patient education and feedback loops Strengthen
Slide 19: Time for a Poll: Abuse prevention policies communicated
TIME FOR A POLL: My organization’s policies for abuse prevention are clearly communicated to all levels. DISAGREE AGREE STRONGLY AGREE
Slide 20: Evaluate Common Assumptions
EVALUATE COMMON ASSUMPTIONS FOR OPPORTUNITIES TO STRENGTHEN OPERATIONS Ensure leadership understands and is committed to a culture of safety Discuss and build better professional boundaries Integrate a comprehensive approach to chaperones Create robust patient education and feedback loops Strengthen
Slide 21: Time for a Poll: Concerns taken seriously
TIME FOR A POLL: Concerns communicated to leadership regarding the safety of patients are taken seriously . DISAGREE AGREE STRONGLY AGREE
Slide 22: Evaluate Common Assumptions
EVALUATE COMMON ASSUMPTIONS FOR OPPORTUNITIES TO STRENGTHEN OPERATIONS Ensure leadership understands and is committed to a culture of safety Discuss and build better professional boundaries Integrate a comprehensive approach to chaperones Create robust patient education and feedback loops Strengthen
Slide 23: Time for a Poll: Confidence in reporting process
TIME FOR A POLL: I have high confidence in our process for reporting and investigating abuse. DISAGREE AGREE STRONGLY AGREE
Slide 24: Evaluate Common Assumptions
EVALUATE COMMON ASSUMPTIONS FOR OPPORTUNITIES TO STRENGTHEN OPERATIONS Ensure leadership understands and is committed to a culture of safety Discuss and build better professional boundaries Integrate a comprehensive approach to chaperones Create robust patient education and feedback loops Strengthen
Slide 25: Culture Journey
CULTURE JOURNEY COMPLACENCY COMPLIANCE COMMITMENT
Slide 26: Questions?
QUESTIONS? PRAESIDIUM
Slide 27: Preventing Abuse for More Than 30 Years
PREVENTING ABUSE FOR MORE THAN 30 YEARS Our mission is to prevent the sexual abuse of children and vulnerable adults and to preserve trust in respected organizations. CANDACE D. COLLINS, JD PRAESIDIUM WHITEPAPERS Senior Director of Strategic Alliances ccollins@praesidiuminc.com PREVENTION BLOGS TIP
Slide 28: 2025 Praesidium Report
Praesidium, (2025). 2025 Praesidium Report. https://hubs.ly/Q03ghznv0
Slide 29: Scan to Download a Copy
PRAESIDIUM || 2024 Praesidium Insurance Carrier Benchmarking: Sexual Abuse & Molestation Liability A Scan to Download a Copy Preferred Citation: Preesidium, (2025, Februd Benchmarking: Sexual Ab PRAESIDIUM it ly/SMLBenchma: