Slide One (Title Slide)
Home and Community Services Information System
HCSIS

Slide Two

HCSIS = Home and Community Services Information System
•	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 
Slide Three
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 
Slide Four
MODULES COVERED IN HCSIS 
•	Event Management
•	Death Reporting
•	Health Care Record
•	National Core Indicator Survey
•	Provider Sign-up User Administration
Slide Five
Event/Incident Management
•	Incident Reporting
•	Medication occurrences
•	Resistance Reporting
•	Optional Reporting
Slide Six
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
Slide Seven
Incident Management Process
•	(Image of the 4-step circular process involved)
Slide Eight
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
Slide Nine
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.   
Slide Ten
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

Slide Eleven
Incident Report Form
•	(Image of Incident Report Form)
Slide Twelve
Site-Based Incident Report Form
•	(Image of Site-Based Incident Report Form)
Slide Thirteen
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
Slide Fourteen
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

Slide Fifteen
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
Slide Sixteen
Cause of Injury 
•	Inflicted by self, by staff, by peer, by other 
•	Environmental
•	Restraint-Related 
Slide Seventeen
Type of Injury
•	Abrasion/Cut	 
•	Fracture
•	Poison
Slide Eighteen
Affected Body Part 
•	Ankle	 
•	Eye
•	Shoulder

Slide Nineteen
Initial Treatment Provider
•	Self/Family
•	LPN, RN, NP
•	MD’s Office
•	EMT
Slide Twenty
Location of Incident 
•	DMR Residence
•	Individual’s Family Home	 
•	Day Service
•	Community Activity
Slide Twenty-One
Incident Location Detail
•	Bedroom
•	Yard
•	Vehicle
Slide Twenty-Two
Relation to Individual
•	Reporting Provider Staff
•	Individual/Consumer
•	Relative
Slide Twenty-Three
Hospital Occurrence
•	Death
•	Admission to ICU/CCU
•	Surgical Procedure
•	Psychiatric Admission

Slide Twenty-Four
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
Slide Twenty-Five
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
Slide Twenty-Six
Follow-Up Appointments
•	Primary Care Physician (PCP)
•	Specialist
•	Outpatient/ Admitting psychiatrist
Slide Twenty-Seven
HCSIS Deployment
•	March, 2006, pilot of electronic HCSIS scheduled for roll-out in the Northeast Region
•	July, 2006, full implementation of electronic HCSIS scheduled.
Slide Twenty-Eight
DMR Web Page
•	Under “Publications” you will find all the handouts and HCSIS Alerts.
(Image of the DMR Web Page)
•	http://www.mass.gov/dmr