Missouri Code of State Regulations › Title 9 - DEPARTMENT OF MENTAL HEALTH › Division 10 - Director, Department of Mental Health › Chapter 5 - General Program Procedures › Section 9 CSR 10-5.206 - Report of Events

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment updates terminology and event
				  reporting requirements for community-based agencies providing department-funded
				  services for individuals with intellectual disabilities, developmental
				  disabilities, and/or behavioral health disorders.
PURPOSE: This rule prescribes procedures for
				  documenting, reporting, analyzing, and addressing certain events that affect
				  individuals who reside in a community residential program or are receiving day
				  program or specialized services from an agency that is licensed, certified,
				  accredited, in possession of deemed status, is funded by, and/or has a
				  contractual relationship with the Department of Mental Health for the provision
				  of services as required by sections
				  630.005,
				  630.020,
				  630.163,
				  630.165, 630.167 and 630.655, RSMo.
(1) Definitions. The following words and
				terms, as used in this rule, mean:
(A)
				Administrative agent, an organization and its approved designee(s) authorized
				by the department as an entry and exit point into the state mental health
				service delivery system for a geographic service area defined by the
				department;
(B) Affiliate, an
				organization that is contracted with the department to provide specific
				community psychiatric rehabilitation (CPR) services in a designated geographic
				region;
(C) Agency, a community
				residential program/center, day program, group home, outpatient program, and/or
				specialized services licensed, certified, deemed certified, or deemed licensed
				by the department, and/or funded by, and/or has a contractual relationship with
				the department for the provision of services. This does not include entities
				licensed by the Department of Health and Senior Services under Chapter 198,
				RSMo, unless the entity is also licensed by the department to serve individuals
				that have a primary diagnosis of mental illness and/or developmental disability
				and their services and supports are funded by the department;
(D) Customer Information Management,
				Outcomes, and Reporting, Event Management and Tracking (CIMOR-EMT), system used
				by the department to collect and analyze relevant data on events that have
				actual or potential adverse outcomes for individuals served. Data is entered
				into the system by agency staff or department staff in accordance with
				established policies and procedures;
(E) Deemed status, acknowledges that an
				agency is monitored and held accountable by a recognized national accrediting
				body and the department accepts the agency's verification of good standing with
				the accrediting body as sufficient to meet the department's standards of
				care;
(F) Department, the
				Department of Mental Health, executive agency of Missouri state government
				comprised of the Division of Behavioral Health (DBH) and Division of
				Developmental Disabilities (DD) and its regional and district
				offices;
(G) Division of Behavioral
				Health (DBH), operating division of the department responsible for ensuring
				prevention, evaluation, treatment, recovery supports, and rehabilitation
				services are available for individuals and family members experiencing a
				substance use disorder and/or mental illness;
(H) Division of Developmental Disabilities
				(DD), operating division of the department responsible for supporting the needs
				of individuals, family members, and caregivers who experience a developmental
				disability;
(I) EMT Community Event
				Report, form used by community providers for reporting events to the department
				in accordance with DBH and DD protocol;
(J) Guardian, individual who is court
				appointed to be legally responsible for the care and custody of the individual
				being served;
(K) Individual, a
				person/consumer/client receiving department-funded services directly from an
				agency or self-directed services;
(L) Reportable events/categories, events
				affecting individuals residing in or receiving services from an agency, as
				defined in subsection (1)(C) of this rule, that meet reporting requirements
				applicable to DBH or DD;
(M)
				On-call system, procedure in which identified staff in DD are available to
				receive notification of reportable events requiring immediate notification
				during non-business hours, a weekend, or holiday;
(N) Plan of Action (POA), documents the
				action to be taken by agency staff to reduce the likelihood an event will recur
				or to remediate an area found out of compliance. Such action may include, but
				is not limited to, staff training, improvements to the physical plant, and/or
				revision of operating procedures;