Beaver County System of Care

1. Beaver CountySystem of Care Incident Reporting

2. Overview • Reasons for Reporting – why it’s important • Two different reporting systems • Managed Care Organization – MCO • Adverse • Critical • BC Critical Incident system – all residents • Critical • Early Warning • Frequently asked questions • Helpful hints • Communication

3. Reason for Reporting: Why it’s important • Continuous Quality Improvement • Identification of trends and/or improvement opportunities • prevent future incidents • Improve system functioning • Monitoring to ensure member safety and high quality services • increase opportunities for intervention • Because it is required.

4. Reporting Systems: MCO Staff serving MCO Members only: • When do I report? • Within the next business day from the incident date. • Where can I find the reporting form? • Critical Incident Log is located under Quality Management Forms at http://vbh-pa/com/provider/prv_forms.htm • How do I report? • Risk Management Fax: 1-855-287-8491 • Risk Management Email (encrypted only): criticalincident@beaconhealthoptions.com • Contact Quality Management Staff: • Nicole Brown 724-744-6327

5. Reporting Form: MCO

6. MCO Reportable Incidents: • Suicide/attempted suicide • Homicide/attempted homicide • Death • Allegations of sexual/physical abuse • Assault • Absent w/out leave with or w/out risk to self/others • Undesirable events inconsistent with routine patient care • Breach of confidentiality • Parent/guardian taking child AMA – Against Medical Advice • Accidental injury • Medication/Treatment errors • Adverse reaction to medication/treatment • Fire setting/property damage • Temporary closure of a facility • Possession of a deadly weapon • Outbreak of a serious communicable disease • Other • Administrative Discharge • Any real or threatened litigation in a case

7. Reporting Systems: Beaver County Staff serving all Beaver County residents: • When do I report? • Within the next business day of the incident date. • Where can I find the reporting form? • BC Critical Incident Reporting form is located at http://www.bc-systemofcare.org/incident-reporting/ • How do I report? • Send all incidents to BCBH on the BC Reporting Form via fax: • To: Elisia Majors & Stephanie Santoro • Fax: 724-847-6229

8. Beaver County Behavioral Health Reportable Incidents: Critical Incidents: CRIT - Abuse - Physical/Sexual CRIT - Outbreak of Contagious Disease CRIT - Apparent Homicide By Client CRIT – Overdose CRIT – Arrest CRIT - Serious Assault CRIT - Attempted Suicide CRIT - Suicide CRIT - Client Injury - Accident/Intentional CRIT - Client Injury - Restraint/Seclusion CRIT - Community Hosp - Involuntary (302) CRIT - Community Hosp - Voluntary (201) CRIT – Death CRIT - Failure to Follow Duty to Warn CRIT – Fire CRIT - Hospitalization – SMH* CRIT - Medical Hospitalization CRIT - Medical TxError CRIT - Missing Person CRIT - Misuse of Client Funds CRIT - Other Incident-Serious Nature *admission to a state hospital

9. Beaver County Behavioral Health Reportable Incidents: Early Warning Incidents: EW – AMA – Against Medical Advice EW - Attempts At Elopement EW - Atypical Behavior - Change From Baseline EW - Complaints - Property Destruction/Eviction EW - Consumer Not Responding to Contact EW - E/R Visit - Behavioral/Physical Health EW - Inability to Locate Consumer EW - Indications For Increased Service/Supports EW - Police Involvement EW - Refusal to Take Medications Posing Risk EW - Sleep Pattern Change From Baseline EW - Unexcused Missed Appts - Provider

10. BC Incident Reporting Form

11. Frequently Asked Questions: • When should I report? Within the next business day of an incident. Follow up later if more information is available. • Who should report? All providers serving Beaver County residents. • Do I have to complete all the fields? Yes. This helps us identify the person in the system. • Should a supervisor review the incident report before sending it to the county? Yes. This will ensure it is complete, legible and tells what happened. • Who can I contact with questions or to get forms? Elisia Majors or Stephanie Santoro 724-847-6225 http://www.bc-systemofcare.org/incident-reporting/

12. Helpful Hints: • Type or print legibly. • The date of the incident is the date the incident started. • An incident might cover several dates. Use the start date but include the details and additional dates in the body of the report. • Choosing a category: • What take highest priority? - use your best judgement* • Not sure, talk to your supervisor - Call Elisia or Stephanie • Include the symptoms that lead to an ER visit and/or inpatient behavioral health admission • What happened? Don’t leave the reader wondering. • Hospital is not a type of housing • Use relationships not names. (other than the member’s name) • *Phone number is the number of the provider/program where supervisor/staff can be reached to answer any questions.

13. Communication: Why is communication so important? • Continuity • Many people are served by multiple systems and levels of care. • Talk to each other about the individual, incidents and reporting requirements. • Can’t report on time? • Talk to the county. Make them aware of the incident and obstacles to reporting. They will work with you.

14. THANK YOU • You have completed the Incident Reporting protocol. • Please take the test! • You will get a certificate once you have completed all the competencies and passed with 90% or better. • The certificate will generate on its own. • Print it. • Give it to your supervisor