Column: Risk Management

Retooling Reschooling

By: | May 2, 2017 • 3 min read
Joanna Makomaski is a specialist in innovative enterprise risk management methods and implementation techniques. She can be reached at [email protected]
Topics: ERM | May 2017 Issue

I fondly remember my high school home economics classes where we learned to cook, sew and do wood work. In fact, my high school years were on the cusp of the gender shift, when girls were finally allowed to join the boys in wood working classes.

We also had an elective class where we could learn to type using a typewriter — that crazy contraption that was thought only to be a fad and for which I saw little future use.


I never did take the typing class.

Fast forward to today — how deeply I regret my naive, limited thinking and decision. How I wish I took those 8th grade typing classes. There isn’t an hour of any day when I am not hunting-and-pecking at a keyboard. How I still suffer.

It is clear the world around us is ever changing. How we do and make things, how we make money is changing — ever evolving. Tools are smarter, more connected, intuitive.

Like it or not, we have entered the high speed digital transformation highway and there is little room for a U-turn for any industry.

This is a transformation affecting all of our computing devices and tools — devices that connect to each other, talk, take directions from each other, and learn lessons, each exploiting the deep pool of data they collect and store. Technology research firm Gartner suggested that by 2020 there will be more than 26 billion connected devices globally.

This new technological paradigm takes advantage of rapidly growing internet connectivity and rich data. It is poised to drive out inefficiencies, optimize resources and (ideally) help workers do their jobs better and more safely.

Like it or not, we have entered the high speed digital transformation highway and there is little room for a U-turn for any industry.

Brilliant risk management capabilities such as personal protective clothing that is equipped with worker vital sign sensors have now been unlocked.

This sensor data empowers field, remote and centralized workers in real time, allowing critical information to be shared with support entities, including emergency responders if the worker experiences any health issues. This used to be equipment reserved only for science fiction movies or space exploration.

Even with this blunt reality unfolding before our eyes, very important people seem to be resisting change. Maybe out of pure politics or nostalgia for simpler times we see attempts to resurrect industries and jobs that are no longer viable.

Maybe some don’t realize that keeping dying jobs alive on life-support systems such as subsidies and incentives is simply unsustainable.

There is no question that this technology transformation can empower some workers; but it also threatens others. This can put at risk traditional roles, leaving workers behind.

Such a technological transformation cannot occur without a wholesale cultural transformation. Digitization is indeed a change of tools, but it is also a change of workplace models, hierarchical relationships, customer experiences, competitors and most importantly, mind-set.


To be successful, culture change starts at the top. Leadership and a devoted implementation team are prerequisites to effectively move an organization to a more flexible, less hierarchical, more autonomous digital culture where employees can truly be creative. A workplace environment not to be feared, but revered.

Knowing this, getting early worker engagement, retraining and finding new ways to adapt existing skills should be much easier.

Just because the typewriters left the shop floor doesn’t mean you can’t adapt and develop digital skills such as using a digital speech interface to do all your typing. &

More from Risk & Insurance

More from Risk & Insurance

Risk Management

The Profession

Janet Sheiner, VP of risk management and real estate at AMN Healthcare Services Inc., sees innovation as an answer to fast-evolving and emerging risks.
By: | March 5, 2018 • 4 min read

R&I: What was your first job?

As a kid, bagging groceries. My first job out of school, part-time temp secretary.

R&I: How did you come to work in risk management?

Risk management picks you; you don’t necessarily pick it. I came into it from a regulatory compliance angle. There’s a natural evolution because a lot of your compliance activities also have the effect of managing your risk.

R&I: What is the risk management community doing right?


There’s much benefit to grounding strategic planning in an ERM framework. That’s a great innovation in the industry, to have more emphasis on ERM. I also think that risk management thought leaders are casting themselves more as enablers of business, not deterrents, a move in the right direction.

R&I: What could the risk management community be doing a better job of?

Justified or not, risk management functions are often viewed as the “Department of No.” We’ve worked hard to cultivate a reputation as the “Department of Maybe,” so partners across the organization see us as business enablers. That reputation has meant entertaining some pretty crazy ideas, but our willingness to try and find a way to “yes” tempered with good risk management has made all the difference.

Janet Sheiner, VP, Risk Management & Real Estate, AMN Healthcare Services Inc.

R&I: What was the best location and year for the RIMS conference and why?

San Diego, of course!  America’s Finest City has the infrastructure, Convention Center, hotels, airport and public transportation — plus you can’t beat our great weather! The restaurant scene is great, not to mention those beautiful coastal views.

R&I: What’s been the biggest change in the risk management and insurance industry since you’ve been in it?

The emergence of risk management as a distinct profession, with four-year degree programs and specific academic curriculum. Now I have people on my team who say their goal is to be a risk manager. I said before that risk management picks you, but we’re getting to a point where people pick it.

R&I: What emerging commercial risk most concerns you?


The commercial insurance market’s ability to innovate to meet customer demand. Businesses need to innovate to stay relevant, and the commercial market needs to innovate with us.  Carriers have to be willing to take on more risk and potentially take a loss to meet the unique and evolving risks companies are facing.

R&I: Of which insurance carrier do you have the highest opinion?

Beazley. They have been an outstanding partner to AMN. They are responsive, flexible and reasonable.  They have evolved with us. They have an appreciation for risk management practices we’ve organically woven into our business, and by extension, this makes them more comfortable with taking on new risks with us.

R&I: Are you optimistic or pessimistic about the U.S. health care industry and why?

I am very optimistic about the health care industry. We have an aging population with burgeoning health care needs, coupled with a decreasing supply of health care providers — that means we have to get smarter about how we manage health care. There’s a lot of opportunity for thought leaders to fill that gap.

R&I: Who is your mentor and why?

Professionally, AMN Healthcare General Counsel, Denise Jackson, has enabled me to do the best work I’ve ever done, and better than I thought I could do.  Personally, my husband Andrew, a second-grade teacher, who has a way of putting things into a human perspective.

R&I: What have you accomplished that you are proudest of?

In my early 20s, I set a goal for the “corner office.” I achieved that when I became vice president.  I received a ‘Values in Practice’ award for trust at AMN. The nomination came from team members I work with every day, and I was incredibly humbled and honored.

R&I: What is your favorite book or movie?

The noir genre, so anything by Raymond Chandler in books. For movies,  “Double Indemnity,” the 1944 Billy Wilder classic, with insurance at the heart of it!

R&I: What is your favorite drink?


Clean water. Check out for how to help people enjoy clean, safe water.

R&I: What’s the best restaurant at which you’ve eaten?

Liqun Roast Duck Restaurant in Beijing.

R&I: What is the most unusual/interesting place you have ever visited?

China. See favorite restaurant above. This restaurant had been open for 100 years in that location. It didn’t exactly have an “A” rating, and it was probably not a place most risk managers would go to.

R&I: What is the riskiest activity you ever engaged in?

Eating that duck at Liqun!

R&I: If the world has a modern hero, who is it and why?

Dr. Seuss who, in response to a 1954 report in Life magazine, worked to reduce illiteracy among school children by making children’s books more interesting. His work continues to educate and entertain children worldwide.

R&I: What do your friends and family think you do?

They’re not really sure!

Katie Dwyer is an associate editor at Risk & Insurance®. She can be reached at [email protected]