Settlement Agreement Provision
The Commonwealth shall offer guidance and training to providers on proactively identifying and addressing risks of harm, conducting root cause analysis, and developing and monitoring corrective actions.
About Risk Management Training
DBHDS makes training and topical resources available to providers on each of the following topics with an application to disability services, or at minimum to human services: proactively identifying and addressing risks of harm; conducting root cause analysis; and, developing and monitoring corrective actions.
DBHDS publishes information on the Department’s website on the use of risk screening/assessment tools and risk triggers and thresholds. Recommendations for best practices in monitoring serious incidents, including identifying patterns and trends which may be used to identify opportunities for improvement are also available and accessible. Detailed guidance is published, with input from relevant professionals, about risks common to people with developmental disabilities, which include considerations for how to appropriately and adequately monitor, assess, and address each risk. All information is available and accessible to providers and other caregivers.
Authorizing Authority
Settlement Agreement Provision
The Commonwealth shall offer guidance and training to providers on proactively identifying and addressing risks of harm, conducting root cause analysis, and developing and monitoring corrective actions.
About Risk Management Training
DBHDS makes training and topical resources available to providers on each of the following topics with an application to disability services, or at minimum to human services: proactively identifying and addressing risks of harm; conducting root cause analysis; and, developing and monitoring corrective actions.
DBHDS publishes information on the Department’s website on the use of risk screening/assessment tools and risk triggers and thresholds. Recommendations for best practices in monitoring serious incidents, including identifying patterns and trends which may be used to identify opportunities for improvement are also available and accessible. Detailed guidance is published, with input from relevant professionals, about risks common to people with developmental disabilities, which include considerations for how to appropriately and adequately monitor, assess, and address each risk. All information is available and accessible to providers and other caregivers.
Authorizing Authority
Processes, Protocols and Standards
- SFY24 Risk Management Review Committee Charter QIC Approved 6.26.23
- 2023 Care Concern Threshold Criteria Memo
Instruments and Tools
- Risk Awareness Tool
- DBHDS Office of Licensing High Health Risk Investigation Guidance
- Serious Incident Review and RCA Template_Example 5 Whys Stories Billy
- Serious Incident Review and RCA Template_Example 5 Whys Stories Jasmine
- Serious Incident Review and RCA Template_Example 5 Whys Stories Sam
- Serious Incident Review and RCA Template_Example 5 Whys Stories Victor
- Serious Incident Review and Root Cause Analysis Template November 2023
- Systemic Risk Assessment Template (April 2023)
- Individual Risk Tracking Tool (November 2024)
- Monthly Risk Tracking Tool (November 2024)
- Serious Incident Review and Root Cause Analysis Template (November 2023)
- Risk Mitigation Tool for Serious Incident Reports (October 2024)
- Sample Emergency Medical Drill Form (October 2024)
- Office-of-Licensing-OL-Website-Index-Reference-Tool-1.2025.xlsx
Processes, Protocols and Standards
Training Materials
- Health and Safety Alerts
- Updated Crosswalk of DBHDS Approved Attestation Trainings (November 2024)
- Updated Risk Management Attestation Form (November 2024)
- Clarification Related to the DBHDS Risk Management Requirements Specific to “Conducting Investigations and Required OHR Investigator Training (October 2024)
OIH Health & Safety – Training PowerPoints
- Aspiration-Pneumonia
- Constipation and Bowel Obstructions
- Dehydration
- Falls
- Pressure Injuries
- Seizures
- Sepsis
Root Cause Analysis – 12VAC35-105-160.E.2
Sample(s)
- Sample Root Cause Analysis Policy (February 2022)
- Serious Incident Review and RCA Template Example 5 Whys Stories Victor (July 2023)
- Serious Incident Review and RCA Template Example 5 Whys Stories Billy (June 2023)
- Serious Incident Review and RCA Template Example 5 Whys Stories Jasmine (June 2023)
- Serious Incident Review and RCA Template Example 5 Whys Stories Sam (June 2023)
Training(s)
- Flow-Chart Incident Review (April 2023)
- QI-RM-RCA Webinar (December 2021)
- Regulatory Compliance with Root Cause Analysis Regulations Training (December 2021)
- Risk Management & Quality Improvement Strategies Training by the Center for Developmental Disabilities Evaluation and Research – Handout (December 2020)
- Root Cause Analysis Training (October 2020)
FAQs
Risk Management – 12VAC35-105-520
Attestation
- Updated Crosswalk of DBHDS Approved Attestation Trainings (August 2022)
- Updated Risk Management Attestation Form (August 2022)
Sample(s)
- Systemic Risk Assessment Template (fillable with examples)
- Sample Provider Risk Management Plan (June 2021)
- Systemic-Risk-Assessment-Sample-1-Non-Residential-Provider-August-2023
- Systemic-Risk-Assessment-Sample-2-Provider-of-a-4-Bed-Group-Home-August-2023
- Systemic-Risk-Assessment-Sample-3-Intensive-In-Home-Service-Provider-August-2023
- Systemic-Risk-Assessment-Sample-4-Medication-Assistance-Services-August-2023
Training(s)
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- Licensed Provider Coaching Seminar III (July 2023)
- Minimizing Risk Session 1 Webinar (April 2023)
- Minimizing Risk Session 1 PowerPoint (April 2023)
- Minimizing Risk Session 2 Webinar (April 2023)
- Minimizing Risk Session 2 PowerPoint (April 2023)
- Minimizing Risk Session 3 Webinar (April 2023)
- Minimizing Risk Session 3 PowerPoint (April 2023)
- Flow-Chart Incident Reviews (April 2023)
- QI-RM-RCA Webinar (December 2021)
- Regulatory Compliance with Risk Management Regulations Training (December 2021)
- Risk Management Tips and Tools Training (June 2021)
- Risk Management & Quality Improvement Strategies Training by the Center for Developmental Disabilities Evaluation & Research – Recorded Webinar (December 2020)
- Risk Management Training (November 2020)
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For more information about Risk Management Training: