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HCSIS Incident Reporting Management

Guidelines for the identification, reporting and corrective action of adverse events affecting someone with I/DD.
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Documentation

Open RTF file, 152 KB,  Incident Report vApril 2014 (English, RTF 152 KB)
Open RTF file, 419.22 KB,  Incident Report Site-Based vApril 2014 (English, RTF 419.22 KB)
Open RTF file, 100.23 KB,  Incident Report for Data Entry vApril 2014 (English, RTF 100.23 KB)

General Reference

Open ZIP file, 1.66 MB,  Categories vApril 2014 (English, ZIP 1.66 MB)
Open RTF file, 67.44 KB,  Guidelines vApril 2014 (English, RTF 67.44 KB)
Open RTF file, 42.31 KB,  IM Changes Chart vApril 2014 (English, RTF 42.31 KB)
Open RTF file, 40.98 KB,  Incident Fact Sheet vApril 2014 (English, RTF 40.98 KB)
Open RTF file, 43.06 KB,  Incident Scenarios vApril 2014 (English, RTF 43.06 KB)
Open RTF file, 419.22 KB,  Instructions for Incident Report Site-Based vApril 2014 (English, RTF 419.22 KB)
Open RTF file, 40.68 KB,  Significant Behavioral Incident DecisionTree vApril 2014 (English, RTF 40.68 KB)

Adult Autism Spectrum Disorder/Prader-Willi Syndrome/Smith-Magenis Syndrome Documentation

Open RTF file, 1.4 MB,  Paper Incident Reporting Process (English, RTF 1.4 MB)

MRC/DDS Documentation for ABI/MFP Programs

Open RTF file, 12.31 KB,  MRC/DDS Paper Incident Reporting Process (English, RTF 12.31 KB)
Open RTF file, 36.13 KB,  MRC DDS Initiative Incident Report Changes vApril 2014 (English, RTF 36.13 KB)
Open RTF file, 11.26 KB,  MRC/DDS Guidance re: Incident reporting and Use of Alcohol/Unauthorized Restraints (English, RTF 11.26 KB)
Open RTF file, 18.73 KB,  MRC/DDS Guidance re: Incident reporting and Medication Refusals (English, RTF 18.73 KB)

Children's Autism Documentation

Open RTF file, 60.67 KB,  Children's Autism Waiver Instructions for Incident Report vApril 2014 (English, RTF 60.67 KB)

IM Training

Open RTF file, 152 KB,  Incident Report vApril 2014 (English, RTF 152 KB)
Open DOCX file, 1 MB,  Hands On Training: Lesson 1 HCSIS Overview (English, DOCX 1 MB)
Open DOCX file, 2.67 MB,  Hands On Training: Lesson 2 Introduction to Incident Management (English, DOCX 2.67 MB)
Open DOCX file, 4.15 MB,  Hands On Training: Lesson 3: The Incident Report (English, DOCX 4.15 MB)
Open DOCX file, 2.81 MB,  Hands On Training: Lesson 4 The Incident Report Review Process (English, DOCX 2.81 MB)
Open DOCX file, 5.9 MB,  Hands On Training: Lesson 5: Additional Incident Management Module Functionality (English, DOCX 5.9 MB)

Quick IM Guides

Open ZIP file, 1.22 MB,  Autism Waiver Area Office Management Review Quick Guide (English, ZIP 1.22 MB)
Open RTF file, 286 KB,  Area Office Management Review Quick Guide (English, RTF 286 KB)
Open RTF file, 116.5 KB,  Filing an extension Quick Guide (English, RTF 116.5 KB)
Open RTF file, 305 KB,  Incident Management Filing and Review Process Quick Guide (English, RTF 305 KB)
Open RTF file, 375 KB,  Incident Management Submitting the Initial Report Quick Guide (English, RTF 375 KB)
Open RTF file, 199.5 KB,  Incident Management Completing the Final Report Quick Guide (English, RTF 199.5 KB)
Open RTF file, 232 KB,  Regional Office Management Review Quick Guide (English, RTF 232 KB)

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