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Division of DD Event Reporting July 2012 CIMOR-EMT

Division of DD Event Reporting July 2012 CIMOR-EMT. July 16, 2012. If you are a staff member who at some point in your career may need to: Complete Review Enter An event or med error report form this training is for you. Goal of Today’s Training.

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Division of DD Event Reporting July 2012 CIMOR-EMT

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  1. Division of DDEvent ReportingJuly 2012CIMOR-EMT

  2. July 16, 2012

  3. If you are a staff member who at some point in your career may need to: • Complete • Review • Enter An event or med error report form this training is for you.

  4. Goal of Today’s Training Establish the EMT reporting criteria & process Consistently communicate & implement the process with DD facilities, DD contracted providers and TCM entities

  5. Purpose of Today’s Training • To teach you when to complete an Event Management Tracking Form. • To teach you how to complete the new Event Management Tracking Forms. • To teach you how to review an Event Management Tracking Form.

  6. 9 CSR 10-5.206Report of Events This rule prescribes the procedures for documenting, reporting, analyzing and addressing certain events that affect individuals in services that are licensed, certified or funded by DMH.

  7. History of Reporting Prior to 10-1-2006 the Department had independent systems of data collection for state facilities. 10-1-2006 a centralized system was introduced for use by the Department of Mental Health (CIMOR-EMT) 7-16-12 is the projected date for using the new DD EMT Reportable Categories & Forms

  8. Why Do We Report? Information is collected around the individuals we serve and used in a variety of ways. • Risk Prevention & Management • Center for Medical Services • Mental Health Commission • Licensure & Certification • Regional Offices & State Operated Programs

  9. Definition of a Reportable Event Those specific incidents that were • unusual, • or have actual or potential adverse outcomes, • or medication errors that reach the individual.

  10. Reportable Categories Instead of using 30+ reportable “incident types” we are classifying reportable events into 8 categories.

  11. Reportable Category #1 Report all events where there is a report, allegation or suspicion of: • Misuse of funds/property • Neglect • Physical Abuse • Sexual Abuse • Verbal Abuse

  12. Reportable Category #2 Report All • Emergency Room Visits • Unscheduled hospitalizations • Deaths of individuals served by DD • Med Errors that reach an individual • Incidents of Falls • Uses of Emergency Procedures

  13. Reportable Category #3 Report all events where there is Law Enforcement involvement when the individual is either the victim, alleged perpetrator, or law enforcement is called as a support in the event.

  14. Reportable Category #4 Report all events that result in disruption of DMH service due to fire, theft or natural disaster; resulting in extensive property damage or loss.

  15. Reportable Category #5 Report all events where there is sexual conduct involving a individual and it is alleged, suspected or reported that one of the parties is not a consenting participant.

  16. Reportable Category #6 Report all events where there is any threat or action, verbal or non-verbal, which conveys a significant risk of immediate harm or injury and results in reasonable concern that such harm will actually be inflicted.

  17. Reportable Category #7 Report all events where the individual ingests a non-food item.

  18. Reportable Category #8 Report all events that result in a need for an individual to receive life saving intervention or emergency medical/psychiatric intervention.

  19. Timelines for Reporting Immediate Notification to DMH-DD • Abuse/Neglect or Misuse of Consumer Funds/Property • Critical Events • Death of DMH-DD individual • DD-Employee Misconduct

  20. Timelines for Reporting All other events require written notification within next business day of event or discovery of event.

  21. Event Report

  22. Med Error Report

  23. Addendum

  24. How to Review the EMT • Ensure completeness • Identify reports, allegation or suspicion of A/N • Identify critical events

  25. Worksheet Scenarios Work in groups to do the following… Read the brief description and decide as a group which event: • Requires an EMT form to be completed? • Identify the Reportable Category establishing the criteria for completing the EMT form. • If a form is required which form/s are to be completed? • Should the EMT report be flagged for A/N or Critical?

  26. Event Scenarios • Complete Med Error Form • Complete an Event Form & Addendum

  27. Submitting EMT Report Forms Some Regional Offices ask that you submit to TCM. Some Regional Offices ask that you submit directly to the Regional Office.

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