Content Search. Number of Items: 25 All. Government that Works Increase access to health care. Jobs that Pay Develop a skilled workforce that meets the needs of Pennsylvania's business community. Schools that Teach Provide universal access to high-quality early childhood education. Government that Works Provide high-quality supports and protections to vulnerable Pennsylvanians.
Domiciliary Care for Persons with Mental Retardation. Reorganization of the Office Mental Retardation. Approved Consolidated Waiver BY:. Announcement of Certified Investigator Training. Appendix I. Renewal of Pennsylvania's Home and Community? Office of Mental Retardation's Monitoring of Counties. Principles for the Mental Retardation System. Coordination of treatment and support for people with a diagnosis of serious mental illness who also have a diagnosis of mental retardation.
Sub Section e. Each entity reports certain incidents, collects information about those incidents and takes action based on those reports.
The development and expansion of community-based supports and services and the increasing flexibility people enjoy to choose a wide variety of both traditional and nontraditional supports have increased the need to establish consistent Statewide processes for safeguarding individuals. Following the implementation period, the OMR systematically collected and evaluated feedback from a variety of sources. As part of a continuous quality improvement effort, opportunities for improvement were identified in the feedback, which resulted in the revisions contained in this statement of policy.
The primary goal of an incident management system is to ensure that when an incident occurs, the response will be adequate to protect the health, safety and rights of the individual. This statement of policy communicates clear and specific methodologies to ensure appropriate responses at the provider, county and State levels. The standardization of the reporting format, the time frames for reporting and the investigation protocol are key to conducting individual, provider, countywide and Statewide analysis of incidents.
The continuous review and analysis of reported incidents at the provider, county and State levels is to enhance risk management processes and to formulate actions to prevent the recurrence of incidents.
See Appendix J relating to incident management contingency plan. The incident management processes described in this statement of policy expect that investigations at the provider, county and State levels be conducted by certified investigators.
This will ensure that all incidents that require investigation receive a systematic investigation that meets established standards. A training program and certification process has been established by the OMR and communicated by Mental Retardation Bulletin , Announcement of Certified Investigator Training, dated September 6, In addition to the OMR reporting processes described in this statement of policy, reporting requirements of other laws, regulations and policies must be followed.
See Appendix F relating to related laws, regulations and policies. Providers, supports coordination entities, counties and OMR must be vigilant to report any incident when there is a suspected crime to law enforcement. When an individual is allegedly abused, neglected or the victim of a crime, the individual is to be offered the support of a Victim's Assistance Program. See Appendix G relating to victim's assistance programs.
Facilities must comply with Chapters , , , and To the extent that this statement of policy exceeds the requirements of Chapters , , , and , the use of this subchapter is optional for facilities. The intention of the OMR is to develop an effective incident management system that applies an elevated standard concerning the health, safety and rights of individuals receiving services. Complying with this statement of policy will provide the opportunity to test and revise the policy before regulations related to incident management are revised or initiated.
Therefore, it is in everyone's best interest that all providers adhere to the reporting specified in Annex A. Editor's Note : The regulations of the Department, 55 Pa. Fiscal Note: BUL No fiscal impact; 8 recommends adoption. The purpose of this subchapter is to specify the guidelines and procedures for the incident management process.
Incident policies, procedures, training, response and reporting are all important components of the incident management process. Combined with other areas of risk assessment such as employee injuries, complaints, satisfaction surveys and hiring practices, incident management is an essential component of a comprehensive quality management process. See Appendix E relating to incident management components.
A facility must comply with Chapters , , , and To the extent that this subchapter exceeds the requirements of Chapters , , , and , the use of this subchapter is optional for facilities. The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:.
When an incident is recognized or discovered by a provider, prompt action is to be taken to protect the individual's health, safety and rights. The responsibility for this protective action is assigned to the provider initial reporter and point person.
The protection may include dialing , escorting to medical care, separating the perpetrator, calling ChildLine, arranging for counseling and referring to a victim assistance program. Unless otherwise indicated in the individual support plan, the provider point person or designee is to inform the individual's family within 24 hours, or within 72 hours for medication error and restraint, of the occurrence of an incident and to also inform the family of the outcome of any investigation.
If it cannot reasonably be determined which provider had responsibility at the time of the incident, all providers who are aware of the incident are to report the incident and investigate.
The certified investigator is to review the protective action taken by the agency and ensure communication with county staff occurs, outside HCSIS, to alert the county that appropriate interventions may be needed to protect the individual. If the death, alleged abuse or neglect occurred beyond the provider's responsibility as specified in subsection b 1 -- 3 , the provider is not to report the incident in HCSIS, but instead should give notice of the incident, outside of HCSIS, to the individual's supports coordinator.
These individuals have specific rights as defined by the Whistleblower Law 43 P. If an individual or family member observes or suspects abuse, neglect or any inappropriate conduct, whether occurring in the home or out of the home, they should contact the provider or their supports coordinator, or both, and they may also contact the Office of Mental Retardation directly at 1 As specified in this subchapter, the supports coordinator will either inform the involved provider of the incident or file an incident report.
Once informed by the supports coordinator, the provider is subsequently responsible to take prompt action to protect the individual, complete an investigation as necessary and file an incident report. In the event of the death of an individual, the family is requested to notify the supports coordinator. The provider or supports coordinator will take prompt action to protect the individual, ensure a certified investigator is assigned as necessary and file an incident report in HCSIS.
The provider is responsible for taking prompt action to protect the individual, completing an investigation as necessary and filing an incident report in HCSIS. Once the individual's health and safety are assured, the supports coordinator will ensure a certified investigator is assigned as necessary and file an incident report in HCSIS.
If a provider is not required to file the report, the supports coordinator will file an incident report in HCSIS. County staff are to report deaths and incidents of alleged abuse or neglect when a provider or supports coordinator relationship does not currently exist, or in circumstances when the process for reporting or investigating incidents, described in this subchapter, for providers or support coordination entities compromises objectivity.
The county may need to employ the resources of law enforcement, ChildLine, area agency on aging, counselors or other protective service agencies to protect the individual. After the immediate health and safety assurances have been met, these incidents are to be reported in HCSIS. The categories are divided into those that must be reported within 24 hours of discovery or recognition and those that are to be reported within 72 hours. The first section includes a minimum data set individual and provider demographics, action taken to protect the individual and description of the incident and the category of incident.
The final section of the incident report includes additional information about the incident, any required investigation and corrective actions. The final section is to be completed within 30 days of recognition or discovery of the incident. Only those events designated in the list of reportable incidents as a site report may be filed in this manner. An individual who is part of a group involved in a site report and is injured must have a separate individual report completed using the proper classification.
When an individual is allegedly abused, neglected or the victim of a crime, the individual is to be offered the support of avictim's assistance program. The allegation or actual occurrence of the infliction of injury, unreasonable confinement, intimidation, punishment, mental anguish, sexual abuse or exploitation.
Abuse is reported on from the victim's perspective, not on the person committing the abuse. The Incident Management Bulletin was created with significant stakeholder input ranging from in-person meetings across the state to the public comments received when the Bulletin was released as draft.
This bulletin describes:. As communicated in ODP Announcement , there are two webinars that are scheduled for stakeholders to attend. Please reference the communication to register. You must be logged in to post a comment.
Home Contact us. Login in to your account. Register for an account. Recover your password.
0コメント