reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter E - ZONING REQUIREMENTS FOR LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED › Section 6000.501 - Removal of zoning approval as a prerequisite to licensing intermediate care facilities for the mentally retarded (ICFs/MR)

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Prior to October 3, 1988, a provider who
					 intended to operate a four to eight bed ICF/MR was required to obtain written
					 approval from the local zoning authorities to occupy a single family dwelling
					 with more than three unrelated people. Various zoning officials were reluctant
					 to provide this approval, thus delaying the opening of certain ICFs/MR. By
					 removing the zoning requirement, ICF/MR providers may obtain licensure in a
					 more timely manner.
(b) Current and
					 future providers who apply for certificates of compliance from the Department
					 of Human Services to operate ICFs/MR are no longer required to submit
					 documentation with the Application for a Certificate of Compliance that zoning
					 approval for the ICF/MR sites has been obtained.
(c) The Office of Mental Retardation has
					 informed Department of Health staff from the Division of Long Term Care that
					 ICF/MR providers need not produce, during survey site visits, documentation
					 that zoning has been approved in order for survey staff to recommend that the
					 Department of Human Services license and certify the facilities.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter F - ADMINISTRATION AND MANAGEMENT OF CLIENT FUNDS › Section 6000.521 - Administration and management of client funds

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The County Mental Health/Mental
					 Retardation Administrator (Administrator) is responsible for compliance with
					 the policies and procedures in this statement of policy.
(b) An Administrator should ensure that
					 community residential facilities with which they contract establish policies
					 and procedures on the administration and management of client funds consistent
					 with this statement of policy. Administrators should review and approve the
					 policies and procedures on client funds and monitor the implementation of these
					 policies and procedures.
(c)
					 Policies and procedures should include provision for a financial plan to be
					 integrated into each client's Individual Program Plan to insure the
					 satisfaction of current and future needs. The financial plan should include, at
					 a minimum:
(1) Documentation that a client
					 has received assistance in applying for funds and benefits to which the client
					 is entitled by establishing residential intake procedures that identify client
					 eligibility for benefits from all resources and annually reviewing each
					 client's eligibility for programs-for example, rent rebate, food stamps and the
					 like. A decision not to access benefits shall be approved by the
					 Administrator.
(2) A forecast of
					 cash flow, a budget plan and a review of proposed cash needs.
(3) A review and analysis of the client's
					 investments, insurance policies, burial accounts and conserved resources
					 identified by family-for example, burial plots and the like.
(4) Development of a room and board contract,
					 if applicable, in accordance with Chapter 6200 (relating to room and board
					 charges).
(5) An assessment of the
					 client's need for supervision or training in money management, or
					 both.
(6) Documentation of the
					 client's desire to receive oversight/training in the management of personal
					 funds.
(7) An assessment of the
					 individual client's need for a representative payee based on the client's
					 ability to manage the client's own monies.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter H - QUALITY ENHANCEMENT POLICY › Section 6000.621 - County policy

Current through Register Vol. 54, No. 28, July 13, 2024
A county policy statement should contain the following
						elements:
(1) A statement of
					 philosophy embracing the concept of quality in services for persons with mental
					 retardation.
(2) A statement of
					 methodology to be used by the county to conduct self-assessment. This
					 methodology should support the consumer-oriented principles and practices and
					 include involvement by family, friends, advocates and interested
					 citizens.
(3) A description of the
					 responsibility of providers, including staff and board, in enhancing quality in
					 programs provided.
(4) A statement
					 that the county and each of its providers will work cooperatively and within
					 standards adopted by the county to develop the provider's policy on assessment
					 of quality.
(5) A statement
					 addressing the incorporation of appropriate components of the definition of
					 quality into the contracts drawn between the county and the providers of the
					 service.
(6) A provision that
					 orientation to the concept of quality enhancement be incorporated into staff
					 development programs.
(7) A
					 provision to update and refine both county and provider policy on quality
					 enhancement and a mechanism as a result of ongoing feedback from the
					 implementation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter H - QUALITY ENHANCEMENT POLICY › Section 6000.622 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
A county should formulate a separate procedures statement
						that utilizes its quality enhancement policy. Procedures should ensure that the
						process is consumer-centered. Procedures should address the methods the county
						will use to determine whether programs are having a positive effect on people's
						lives. At a minimum, these methods should address consumer growth and
						development and consumer satisfaction. These procedures should contain the
						following:
(1) Methods for conducting
					 annual self-assessments that measure individual consumer concern including
					 growth, development and satisfaction.
(2) Methods for conducting an annual
					 self-assessment that measures the availability of services in the county system
					 as a whole. This includes addressing not only the availability of existing
					 services but the need for additional services.
(3) Methods for contract monitoring to assure
					 that quality enhancement provisions are being met.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter H - QUALITY ENHANCEMENT POLICY › Section 6000.623 - Action plan

Current through Register Vol. 54, No. 28, July 13, 2024
Elements in the county action plan should include:
(1) Identification of persons
					 responsible for quality enhancement activities.
(2) Establishment of priorities for
					 implementation and the respective roles identified for members of the
					 partnership.
(3) A schedule for
					 county and provider self-assessment, how that self-assessment is to be
					 accomplished and the basis for the assessment. This assessment should include
					 the County Mental Health and Mental Retardation Board and the members of the
					 partnership, as well as provider staff and boards.
(4) Time frames for implementation which
					 detail all levels of involvement.
(5) Strategy for utilizing the results of the
					 self-assessment.
(6) Identification
					 of ways to continually improve the quality of service delivery.
(7) Identification of the sources and
					 recipients of technical assistance and training activities.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter H - QUALITY ENHANCEMENT POLICY › Section 6000.624 - The Office of Mental Retardation direct and independent review of county quality enhancement process

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Direct
					 and independent review should include:
(1) A
					 review of the county quality enhancement policy statement, county procedures to
					 implement the policy and the county's most recent action plan.
(2) A review of the most recent county
					 self-assessment.
(3) Application of
					 the county self-assessment methodology with a sample of consumers including
					 record review and program observation.
(4) Verification of the contract provisions
					 addressing quality and reports resulting from contract monitoring by the
					 county.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter L - FAMILY-DRIVEN FAMILY SUPPORT SERVICES › Section 6000.701 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Family support
					 services include services defined in Chapter 6350 (relating to family resources
					 services) and subsequent statements of policy such as Mental Retardation
					 Bulletin No. 99-83-24, titled: DHS Policy on Support Services for Persons with
					 Mental Retardation and Their Families and Mental Retardation Bulletin No.
					 99-84-21, titled: Supplement Agreement to the DHS Policy on Support Services
					 for Persons with Mental Retardation and Their Families.
(b) Family-driven is a method of providing
					 family support services whereby the family or the person with mental
					 retardation, rather than the service system, are given the responsibility for
					 deciding which services will best address the family's specific needs. In a
					 family-driven model, family members also have a primary responsibility for
					 planning, implementing, evaluating and setting priorities on services to
					 address their specific needs.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter L - FAMILY-DRIVEN FAMILY SUPPORT SERVICES › Section 6000.702 - Funding of family-driven family support services

Current through Register Vol. 54, No. 28, July 13, 2024
Family-driven family support services (FD/FSS) pilot
						projects initiated in 1987/88 and 1989/90 are eligible for 100% State financial
						participation up to the level they were funded as pilot projects. They include
						only projects that were categorically funded as a result of their submission of
						a proposal in response to Mental Retardation Bulletin No. 00-87-15, issued
						October 6, 1987, and titled: Request for Proposals to Develop Family-Driven
						Family Support Services Pilot Projects, or Mental Retardation Bulletin No.
						00-89-09, issued April 19, 1989, titled: Request for Proposals to Develop or
						Expand Family-Driven Family Support Services Pilot Projects. Funding for family
						support services which are not integrated into an approved family-driven
						project will continue to be reimbursed by the Department on a 90/10 matching
						basis.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter L - FAMILY-DRIVEN FAMILY SUPPORT SERVICES › Section 6000.703 - Accounting for expenditures

Current through Register Vol. 54, No. 28, July 13, 2024
Counties sponsoring an approved 100% State-funded
						Family-Driven Family Support Services (FD/FSS) program should account for
						expenditures for that program separate from expenditures for family support
						services provided with 90/10 funding.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter L - FAMILY-DRIVEN FAMILY SUPPORT SERVICES › Section 6000.704 - Monitoring

Current through Register Vol. 54, No. 28, July 13, 2024
The Office of Mental Retardation will monitor the
						progress of the projects on an ongoing basis to ensure that the family-driven
						nature of the projects is maintained.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter O - CRITERIA FOR APPROVAL OF NEW INTERMEDIATE CARE FACILITIES FOR PEOPLE WITH MENTAL RETARDATION › Section 6000.821 - Criteria for approval of new intermediate care facilities for people with mental retardation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Office of Mental Retardation will review proposals for intermediate care
					 facilities for people with mental retardation (ICFs/MR), as part of the
					 certificate of need process, through an interdepartmental cooperative agreement
					 with the Department of Health. The Department of Human Services (Department)
					 will only support and approve Medicaid funding for ICFs/MR which meet the
					 following criteria:
(1) Projects to convert
					 community homes to ICFs/MR shall be budget neutral and approved in writing by
					 the county mental health/mental retardation program and the Office of Mental
					 Retardation.
(2) In-State referrals
					 of individuals to ICFs/MR shall be approved by the county MH/MR program in the
					 individual's county of residence in accordance with its responsibilities under
					 Chapter 6201 (relating to county mental retardation services).
(3) The ICF/MR shall coordinate case
					 management services with the appropriate county MH/MR program. Case management
					 shall include cooperative planning to prevent prolonged institutional placement
					 and to prepare the person for return to life at home in the
					 community.
(4) Community-integrated
					 day services shall be provided off the grounds of the ICF/MR, unless medically
					 contraindicated by a physician.
(5)
					 Non-State ICFs/MR shall be reimbursed in accordance with Chapter 6211 (relating
					 to allowable cost reimbursement for non-State operated intermediate care
					 facilities for people with mental retardation) and Medicare principals
					 HIM-15.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › GENERAL PROVISIONS › Section 6000.901 - Scope

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Individuals who
						are registered with a county mental retardation program or who receive supports
						and services from facilities licensed by the OMR are afforded the protections
						detailed in this subchapter.
(b)
						Providers who receive funds from the mental retardation system, either directly
						or indirectly, to provide or secure supports or services for individuals
						authorized to receive services from a county mental retardation program and
						providers licensed by the OMR are reporters and are to file incident reports as
						specified in this subchapter.
(c)
						County mental retardation programs and their designated support coordination
						entities are reporters and are to file incident reports as specified in this
						subchapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › GENERAL PROVISIONS › Section 6000.902 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
The purpose of this subchapter is to specify the
						  guidelines and procedures for the incident management process. The incident
						  management process is a subset of a larger risk management process. Incident
						  policies, procedures, training, response and reporting are all important
						  components of the incident management process. Combined with other areas of
						  risk assessment such as employee injuries, complaints, satisfaction surveys and
						  hiring practices, incident management is an essential component of a
						  comprehensive quality management process. See Appendix E (relating to incident
						  management components).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › GENERAL PROVISIONS › Section 6000.903 - Licensing applicability

Current through Register Vol. 54, No. 28, July 13, 2024
A facility must comply with Chapters 2380, 2390, 6400,
						  6500 and 6600. To the extent that this subchapter exceeds the requirements of
						  Chapters 2380, 2390, 6400, 6500 and 6600, the use of this subchapter is
						  optional for facilities. Because this subchapter meets or exceeds the
						  regulatory requirements in Chapters 2380, 2390, 6400, 6500 and 6600, compliance
						  with the reporting procedures in this subchapter will be accepted by the
						  Department as meeting the regulatory requirements of §§ 2380.17,
						  2390.18, 6400.18 and 6500.20.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › GENERAL PROVISIONS › Section 6000.904 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						  subchapter, have the following meanings, unless the context clearly indicates
						  otherwise:
Department
-The Department of Human
						  Services of the Commonwealth.
HCSIS
-The Home and Community Services
						  Information System.
OMR
-The Office of Mental Retardation
						  of the Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › RESPONSIBILITY FOR REPORTING/INVESTIGATING › Section 6000.911 - Providers

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Employees,
						contracted agents and volunteers of providers covered within the scope of this
						subchapter are to respond to events that are defined as an incident in this
						subchapter. When an incident is recognized or discovered by a provider, prompt
						action is to be taken to protect the individual's health, safety and rights.
						The responsibility for this protective action is assigned to the provider
						initial reporter and point person. The protection may include dialing 911,
						escorting to medical care, separating the perpetrator, calling ChildLine,
						arranging for counseling and referring to a victim assistance program. Unless
						otherwise indicated in the individual support plan, the provider point person
						or designee is to inform the individual's family within 24 hours, or within 72
						hours for medication error and restraint, of the occurrence of an incident and
						to also inform the family of the outcome of any investigation.
(b) After taking all appropriate actions
						following an incident to protect the individual, the provider is to report all
						categories of incidents and complete an investigation as necessary whenever
						services or supports are:
(1) Rendered at the
						provider's site.
(2) Provided in a
						community environment, other than an individual's home, while the individual is
						the responsibility of an employee, contracted agent or volunteer.
(3) Provided in an individual's own home or
						the home of his family, while an employee, contracted agent or volunteer is
						providing services in the home.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › RESPONSIBILITY FOR REPORTING/INVESTIGATING › Section 6000.912 - Individuals and families

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						Individuals and families are to notify the provider, when they feel it is
						appropriate, or their supports coordinator regarding any health and safety
						concerns they may have related to a service or support that they are receiving.
						If an individual or family member observes or suspects abuse, neglect or any
						inappropriate conduct, whether occurring in the home or out of the home, they
						should contact the provider or their supports coordinator, or both, and they
						may also contact the Office of Mental Retardation directly at 1 (888) 565-9435.
						As specified in this subchapter, the supports coordinator will either inform
						the involved provider of the incident or file an incident report. Once informed
						by the supports coordinator, the provider is subsequently responsible to take
						prompt action to protect the individual, complete an investigation as necessary
						and file an incident report. In the event of the death of an individual, the
						family is requested to notify the supports coordinator.
(b) When an individual or the individual's
						representative arrange his own supports through a payment agent or intermediary
						service organization and an incident occurs, the individual, the individual's
						family or his representative is to inform the provider, when it is appropriate,
						or the supports coordinator that an incident has occurred. The provider or
						supports coordinator will take prompt action to protect the individual, ensure
						a certified investigator is assigned as necessary and file an incident report
						in HCSIS.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › RESPONSIBILITY FOR REPORTING/INVESTIGATING › Section 6000.913 - County mental health/mental retardation programs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When an individual or family informs his
						supports coordinator that an event has occurred that can be defined as an
						incident and there is a relationship as specified in §
												6000.911(b)(1)-(3)
						(relating to providers) the supports coordinator is to immediately notify the
						provider rendering the support or service. The provider is responsible for
						taking prompt action to protect the individual, completing an investigation as
						necessary and filing an incident report in HCSIS.
(b) When an individual or a family member
						informs the supports coordinator of an event that can be categorized as abuse
						or neglect as defined in this subchapter and there is no relationship as
						specified in §
												6000.911(b)(1)-(3),
						the supports coordinator will take prompt action to protect the individual.
						Once the individual's health and safety are assured, the supports coordinator
						will ensure a certified investigator is assigned as necessary and file an
						incident report in HCSIS.
(c) When
						a family member of an individual informs the individual's supports coordinator
						of the death of the individual, the supports coordinator will determine if a
						report has been filed by a provider. If a provider is not required to file the
						report, the supports coordinator will file an incident report in
						HCSIS.
(d) In some circumstances,
						county mental retardation program staff may be required to report incidents.
						County staff are to report deaths and incidents of alleged abuse or neglect
						when a provider or supports coordinator relationship does not currently exist,
						or in circumstances when the process for reporting or investigating incidents,
						described in this subchapter, for providers or support coordination entities
						compromises objectivity.
(e) If a
						county incident manager or designee is informed that a provider's certified
						investigator suspects that abuse or neglect is occurring beyond the authority
						of the provider to investigate, the county is to take all available action to
						protect the health and safety of the individual. The county may need to employ
						the resources of law enforcement, ChildLine, area agency on aging, counselors
						or other protective service agencies to protect the individual.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › REPORTABLE INCIDENTS › Section 6000.921 - Categories of incidents

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						following are the categories of incidents to be responded to by staff who are
						knowledgeable about incident management processes and protecting individuals.
						After the immediate health and safety assurances have been met, these incidents
						are to be reported in HCSIS. The categories are divided into those that must be
						reported within 24 hours of discovery or recognition and those that are to be
						reported within 72 hours.
(b) For
						the incidents that require reporting within 24 hours, the first section of the
						incident report must be completed in HCSIS within 24 hours. The first section
						includes a minimum data set (individual and provider demographics, action taken
						to protect the individual and description of the incident and the category of
						incident). The final section of the incident report includes additional
						information about the incident, any required investigation and corrective
						actions. The final section is to be completed within 30 days of recognition or
						discovery of the incident.
(c) The
						second set of incidents requires reporting within 72 hours of recognition or
						discovery. These incidents are reported using abbreviated data entry screens in
						HCSIS.
(d) When multiple
						individuals associated with a provider/entity are involved in certain primary
						categories or secondary categories, or both, of incidents, the incident can be
						reported using a site report. Only those events designated in the list of
						reportable incidents as a site report may be filed in this manner. An
						individual who is part of a group involved in a site report and is injured must
						have a separate individual report completed using the proper
						classification.
(e) Providers,
						supports coordination entities, counties and OMR must be vigilant to report any
						incident when there is a suspected crime to law enforcement. When an individual
						is allegedly abused, neglected or the victim of a crime, the individual is to
						be offered the support of avictim's assistance program. See Appendix G
						(relating to victim's assistance programs).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › REPORTABLE INCIDENTS › Section 6000.922 - Incidents to be reported within 24 hours

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following are categories of incidents
						to be reported within 24 hours after the occurrence of the incident:
(1)
Abuse
. The allegation or
						actual occurrence of the infliction of injury, unreasonable confinement,
						intimidation, punishment, mental anguish, sexual abuse or exploitation. Abuse
						is reported on from the victim's perspective, not on the person committing the
						abuse.
(i)
Physical abuse
.
						An intentional physical act by staff or other person which causes or may cause
						physical injury to an individual, such as striking or kicking, applying noxious
						or potentially harmful substances or conditions to an individual.
(ii)
Psychological abuse
. An
						act, other than verbal, which may inflict emotional harm, invoke fear or
						humiliate, intimidate, degrade or demean an individual.
(iii)
Sexual abuse
. An act
						or attempted acts such as rape, incest, sexual molestation, sexual exploitation
						or sexual harassment and inappropriate or unwanted touching of an individual by
						another. Any sexual contact between a staff person and an individual is abuse.
(iv)
Verbal
						abuse
. A verbalization that inflicts or may inflict emotional harm,
						invoke fear or humiliate, intimidate, degrade or demean an
						individual.
(v)
Improper or
						unauthorized use of restraint
. A restraint not approved in the
						individual support plan or one that is not a part of an agency's emergency
						restraint procedure is considered unauthorized. A restraint that is
						intentionally applied incorrectly is considered an improper use of
						restraint.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › REPORTABLE INCIDENTS › Section 6000.924 - Incident management contingency plan

Current through Register Vol. 54, No. 28, July 13, 2024
Reportable incidents are to be submitted electronically
						  by means of the HCSIS, a web-based system developed by the Department. In the
						  event that HCSIS is unavailable, the submission of incidents is to occur by
						  following the directions in the Incident Management Contingency Plan. See
						  Appendix J (relating to incident management contingency
						  plan).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › REPORTABLE INCIDENTS › Section 6000.925 - Categories of incidents to be investigated

Current through Register Vol. 54, No. 28, July 13, 2024
The following chart indicates those incidents to be
						  investigated by the provider, the county and OMR. The investigation process
						  does not preclude investigations by law enforcement or other agencies
						  responsible to investigate.
Primary Category
Secondary Category
Entity
									 Responsible for Investigation
Abuse
All
Provider
Improper or unauthorized use of restraint
Provider and County
Neglect
All
Provider
Rights Violation
All
Provider
Misuse of Funds
All
Provider
Death
When an individual is receiving
									 services from a provider/entity. (See § 6000.911(b)(1)-(3).)
Provider and OMR or Department of Health (county participation as
									 requested by OMR)
Hospitalization
Accidental Injury
									 Unexplained Injury Staff to Individual Injury Injury Resulting from Individual
									 to Individual Abuse
Provider Provider Provider Provider
Injury Resulting from Restraint
Provider and County
Emergency Room Visit
Unexplained
									 Injury Staff to Individual Injury Injury Resulting from Individual to
									 Individual Abuse
Provider Provider Provider
Injury Resulting from Restraint
Provider and County
Injury requiring treatment beyond first aid
Staff to Individual Injury Resulting from Individual to Individual
									 Abuse
Provider Provider
Injury Resulting from Restraint
Provider and County
Individual to Individual Abuse
Sexual
									 Abuse
Provider
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › SEQUENCE OF REPORTING › Section 6000.931 - Multiple categories and sequences

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Many real life occurrences may result in
						events that may be classified under multiple categories of incidents. In an
						attempt to assist the point person in identifying an appropriate order for
						reporting incidents that may be classified under multiple categories, the
						following sequence is suggested. This sequence may not be appropriate in all
						situations, but should be used as a guide in selecting the most appropriate
						category.
(1)
24-Hour Reporting
						Primary Incident Category
.
(i)
						Death.
(ii) Suicide
						attempt.
(iii)
						Hospitalization.
(iv) Psychiatric
						hospitalization.
(v) Emergency room
						visit.
(vi) Abuse.
(vii) Individual to individual
						abuse.
(viii) Neglect.
(ix) Missing person.
(x) Injury requiring treatment beyond first
						aid.
(xi) Disease reportable to the
						Department of Health.
(xii)
						Fire.
(xiii) Misuse of
						funds.
(xiv) Rights
						violation.
(xv) Law enforcement
						activity.
(xvi) Emergency
						closure.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › INCIDENT MANAGEMENT PROCESS › Section 6000.941 - Administrative structure

Current through Register Vol. 54, No. 28, July 13, 2024
Providers, supports coordination entities and counties
						  are to create an administrative structure that is sufficient to implement the
						  requirements of this subchapter. Specifically, they shall:
(1) Assign an individual with overall
						responsibility for incident management.
(2) Develop a policy for incident
						management.
(3) Ensure that staff,
						individuals and families are trained on incident management policies and
						procedures.
(4) Assign roles within
						their organization for reporting and investigation of incidents.
(5) Assure corrective action to individual
						incidents.
(6) Conduct analysis of
						data on incidents and the quality of investigations.
(7) Identify and implement individual and
						systemic changes based on risk management analysis.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.951 - Initial reporter

Current through Register Vol. 54, No. 28, July 13, 2024
The initial reporter is any person who witnesses the
						  incident or is the first to discover or be made aware of the signs of an
						  incident. The initial reporter first responds to the situation by taking prompt
						  action to protect the individual's health, safety and rights. The protection
						  may include dialing 911, escorting to medical care or calling ChildLine. As
						  soon as the immediate needs of the person have been met, the initial reporter
						  notifies the provider point person of the incident and receives instructions on
						  next steps to take. The initial reporter documents his observations in a
						  narrative report which is kept in the provider/entity's files. In cases of
						  alleged abuse or neglect, the initial reporter will comply with the applicable
						  laws and regulations. See Appendix F (relating to related laws, regulations and
						  policies).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.952 - Point person

Current through Register Vol. 54, No. 28, July 13, 2024
A point person is assigned and authorized to perform
						  specific duties as described in provider/entity or county policy. In general, a
						  point person is to receive verbal or other reports or allegations of incidents
						  from individuals, families and initial reporters. They are to safeguard the
						  individual, ensure that HCSIS Incident Reports are submitted, communicate with
						  others involved in investigations, follow-up and review of incidents. This role
						  is pivotal in the incident management process. When an incident is reported,
						  the point person, as a representative of the agency, is to:
(1) First confirm that appropriate actions
						have been taken or order additional actions to secure the safety of the
						individual involved in the incident.
(2) Separate the individual from the target
						when the individual's health and safety may be jeopardized.
(3) Ensure notification requirements of the
						Older Adults Protective Services Act (35 P.S. §§
													10225.101-10225.5102) and
						23 Pa.C.S. §§
													6301-6384 (relating to Child Protective
						Services Law) are met.
(4)
						Determine whether an investigation or other follow-up is needed.
(5) Secure the scene of an incident when an
						investigation may be required.
(6)
						Ensure that, when needed, a certified investigator is promptly
						assigned.
(7) Notify appropriate
						supervisory/management personnel within 24 hours of the incident, as specified
						in provider/entity or county policies.
(8) Initiate a HCSIS Incident Report within
						24 or 72 hours as described in the Reportable Incident section of this
						bulletin.
(9) Notify the family
						within 24 hours (72 hours for medication error and restraint) unless otherwise
						indicated in the individual support plan.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.953 - Incident management representative

Current through Register Vol. 54, No. 28, July 13, 2024
The incident management (IM) representative is the
						  person designated by the provider with overall responsibility for incident
						  management. This includes the assurance that the activities of the initial
						  reporter and point person have been completed. In addition, the IM
						  representative is responsible for the finalization of the incident report
						  within 30 days of the incident. The IM representative is responsible to
						  evaluate the quality of incident investigations as described in the
Pennsylvania Certified Investigators Manual
, Labor Relations
						  Alternatives, Inc.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.954 - Certified investigator

Current through Register Vol. 54, No. 28, July 13, 2024
A certified investigator is a person who has been
						  trained and received a certificate in investigation from OMR as communicated
						  via Mental Retardation Bulletin 00-01-06, issued September 6, 2001,
						  titled
Announcement of Certified Investigator Training
.
						  Certified investigators are to promptly begin an investigation, when assigned,
						  and are to enter a summary of their investigation findings in the HCSIS
						  Incident Report.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.955 - Supports coordinator

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						support coordinator is a person who is responsible for the coordination of
						services for an individual and who receives reports from an individual or
						family. When an individual or a family member informs the supports coordinator
						of an event that can be categorized as abuse or neglect as defined in this
						subchapter and there is no relationship as specified in §
												6000.911(b)(1)-(3)
						(relating to providers), the supports coordinator functioning in the point
						person role is to take prompt action to protect the individual. Once the
						individual's health and safety are assured, the supports coordinator will
						ensure a certified investigator is assigned, as necessary, and file a HCSIS
						Incident Report.
(b) When a family
						informs their supports coordinator of the death of a relative, the supports
						coordinator will determine if a report has been filed by a provider. If no
						provider is required to file the report, the supports coordinator will file a
						HCSIS Incident Report.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.956 - Supports coordinator supervisor/unit manager

Current through Register Vol. 54, No. 28, July 13, 2024
The supports coordinator supervisor and the supports
						  coordinator unit manager are responsible for the finalizing of HCSIS Incident
						  Reports filed by the supports coordinator.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.957 - County incident manager

Current through Register Vol. 54, No. 28, July 13, 2024
The county incident manager is the person designated by
						  the county with overall responsibility for incident management within his
						  county program. This responsibility includes a review to ensure that incidents
						  are managed and reported in accordance with the process described in this
						  statement of policy and to approve or not approve HCSIS Incident Reports
						  submitted by the provider or supports coordination entity. In addition, the
						  county incident manager is responsible for the final submission of HCSIS
						  Incident Reports filed by the county point person.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.958 - Regional incident manager

Current through Register Vol. 54, No. 28, July 13, 2024
The regional incident manager is the person designated
						  by OMR with overall responsibility for incident management within his region.
						  This responsibility includes a review to ensure that incidents are managed and
						  reported in accordance with the process described in this subchapter and to
						  approve or not approve HCSIS Incident Reports.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › ROLES › Section 6000.959 - Bureau of State Operated Facilities (BSOF) incident manager

Current through Register Vol. 54, No. 28, July 13, 2024
The BSOF incident manager is the person designated by
						  OMR with overall responsibility for incident management for incidents filed by
						  State-operated facilities. This responsibility includes a review to ensure that
						  incidents are managed and reported in accordance with the process described in
						  this subchapter and to approve or not approve HCSIS Incident
						  Reports.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › TYPES OF INCIDENT REPORTS › Section 6000.961 - Standardized incident report

Current through Register Vol. 54, No. 28, July 13, 2024
The following process applies to the primary incident
						  category to be reported within 24 hours.
(1) The first section of the incident report
						is to include individual and provider demographics, incident categorization,
						actions taken to protect the health and safety of the individual, and a
						description of the incident. See Appendix K (relating to standardized incident
						report). The first section is to be submitted through HCSIS within 24 hours of
						the incident being recognized or discovered.
(2) The certified investigator is responsible
						for conducting certified investigations, completing investigation records and
						for entering the summary of the investigator's findings into HCSIS. The summary
						is the compilation of the analysis and findings section of the investigation
						report. For more information on the analysis and findings section, see
						the
Pennsylvania Certified Investigation Manual
. The final
						section of the incident report will retain all of the information
(3) The final section of the incident report
						will retain all of the information from the first section and will add
						additional information relevant to the incident. See Appendix K. The final
						section is to be submitted through HCSIS within 30 days of the incident being
						recognized or discovered. If the provider agency determines it will not be able
						to meet the 30-day reporting timeframes for completion of the final section,
						notification of an extension is to be made to the county and the regional
						office of OMR by means of HCSIS prior to the expiration of the 30-day
						period.
(4) When multiple
						individuals associated with a provider or entity are involved in certain
						primary categories and secondary categories of incidents, the incident can be
						reported using a site report. Only those events designated in the list of
						reportable incidents as a site report may be filed in this manner.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › TYPES OF INCIDENT REPORTS › Section 6000.962 - Abbreviated incident report

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						The following process applies to the primary incident categories requiring
						reporting within 72 hours. These incidents are not individually approved by the
						county, OMR regional office or Bureau of State Operated Facilities, but are to
						have a 30-day analysis completed and maintained by the provider/entity.
						Analysis of these incidents is to be included in the quarterly
						report.
(b) Medication errors and
						the use of restraints are to be reported using the abbreviated HCSIS incident
						management data entry screens, designed to gather relevant data about these
						incidents. Data is to be input within 72 hours of the recognition or discovery
						of the event.