Settlement Agreement Provision
The Commonwealth shall require that all Training Centers, CSBs, and other community providers of residential and day services implement risk management processes, including establishment of uniform risk triggers and thresholds, that enable them to adequately address harms and risks of harm. Harm includes any physical injury, whether caused by abuse, neglect, or accidental causes
About Risk Management
The DBHDS Risk Management Review Committee (RMRC) has created an overall risk management process for DBHDS that enables DBHDS to identify, prevent or substantially mitigate, risks of harm for recipients of DD services. The Licensing Regulations require all licensed providers, including CSBs, to implement risk management processes. DBHDS publishes guidance and recommendations for providers on risk management requirements, along with recommendations for monitoring, reducing, and minimizing risks associated with chronic diseases, identification of emergent conditions and significant changes in conditions, or behavior presenting a risk to self or others. DBHDS monitors to ensure providers appropriately respond to and address risk triggers and thresholds using Quality Service Reviews, or other methodology. The RMRC produces reports on DBHDS risk management activities and presents recommendations to the DBHDS Quality Improvement Committee as appropriate.
Authorizing Authority
Processes, Protocols and Standards
- LIC17 Guidance for Serious Incident Reporting
- LIC18 Guidance for Individuals with High Risk Health Conditions
- IMU Process Overview_1.1.2023_Indic 29.12_29.31_29.32_
Guidelines, Charters, Plans, Other
Instruments and Tools
- Individual Risk Tracking Tool (2024)
- 2024 Annual Inspections for Providers of Developmental Services Memo (January 2024)
- Monthly Risk Tracking Tool (April 2023)
- Instructional Video-Risk Tracking Tool (April 2023)
- Serious Incident Review and Root Cause Analysis Template (April 2023)
- Systemic Risk Assessment Template (April 2023)
- Serious Incident Review_RCA Template_160E
- 12_Appendix H_RCA Rubric 160.E.1.a-c_FINAL