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An integrated system that facilitates the management of information in key areas
Affords consistency across the state Expedites communication and processes Increases overall service effectiveness
HCSIS = Home and Community Services Information System
HCSIS: A Component of DMRIS
Is a web based individual information system to be used by both DMR and providers of services
Is geared to capture important events and health care information for individuals served by DMR
MODULES COVERED IN HCSIS
Death Reporting Event Management
National Core Indicator Survey
Provider Sign-Up
User Administration
Health Care Record
Event/ Incident Management
Incident reporting
Restraint reporting
Medication occurrences
Optional Reporting
Incident Management: Component of Quality Management System
Shift from incident reporting to incident management
Procedures similar to current system
Serves important functions: Identifies adverse events Notifies key people Prompts action and response to
protect and to minimize risk Analyzes trends and patterns leading
to service improvements
Development of Incident Management Process
Goal to integrate various existing processes
Input from stakeholders including DMR and DMR- Provider Partnership Committee
Most processes, including restraint reporting and medication occurrences remain the same
Incident Reporting System enhanced into Incident Management System
Incident reporting
•Today's training is on the newly written form for reporting incidents-- generally completed by the direct support staff. •Is not a training on the technical use of HCSIS.
Incident Management Business Process Training and Support
DMR Training Staff conducting actual training
DMR Content Leaders are available resources for answering questions and providing additional information about the incident management system
Reason for roll-out of Incident Management System as paper process first
Incident Type Categories Primary Categories
Death (sudden or unanticipated)
Suicide Attempt Unplanned Hospital
Visit Near Drowning Assault Missing Person Medical Treatment
Resulting From Injury
Property Damage Suspected
Mistreatment
Unplanned Transportation Restraint
Theft Fire Other Criminal
Activity Transportation
Accident Emergency
Relocation Other: an incident
that does not easily fit into one of the incident types
Secondary Incidents Type Category Helps the reporter by specifying the adverse
event that has occurred, for example : Unplanned Hospital Visit Medical Hospitalization Psychiatric Hospitalization E.R. Visit With Treatment Provided
But No Admission E.R. Visit With No Treatment, No
Admission
Secondary Incidents Type Category Death
Accidental
Suicide Unusual
Circumstances
Suicide Attempt First Known
Attempt Repeat Attempt
Assault Sexual Assault –
Victim Sexual Assault –
Alleged Perpetrator
Physical Assault – Alleged Perpetrator
Physical Assault – Victim
Discharge Instructions
Increase in medication (compared to medications before admission)
Instructions on when to contact the health care practitioner
Wound care Transferred to rehabilitation or
nursing facility
Current Status
Change in daily living capabilities – lower than before hospitalization
New Health status-temporary condition that will get better
New Health status – permanent condition, not changing
New health status – terminal condition
HCSIS Deployment
March, 2006, pilot of electronic HCSIS scheduled for roll-out in the Northeast Region
July, 2006, full implementation of electronic HCSIS scheduled.