More Info

Critical Incident Reports: Massachusetts

06/23/2006 | Requests *

Summary

As part of the Massachusetts Independence Plus grant, the workgroup recognized there was a certain amount of risk associated with individualized budgeting. They devised a “Incident Reporting” System that would document any incidents (such as fall, funding problems, injuries) that would compromise the health of an individual with disabilities being served under the program. The forms were created to assist a future Massachusetts IP waiver and have not yet been adopted

Author

Available Files

Form: Final Report Word (26K, 1 page)
Form: Final Report PDF (7K, 1 page)
Form: Hosptial Visit Word (40K, 2 pages)
Form: Hosptial Visit PDF (45K, 1 page)
Form: Initial Report Word (82K, 4 pages)
Form: Initial Report PDF (57K, 4 pages)
Meeting Summary Word (238K, 3 pages)

Keywords

Individualized Budget; Independent Living; Independence Plus; Community Inclusion; Caregiving; 1915c; incidence report; incident management; incident form; CIM and Grievances

Topic

Aging Issues, Consumer Direction, Long-Term Care, Physical Disabilities, Quality

Type/Tool

Archived conference materials, Assessments, Checklists, Comparison Table, Matrix or Chart, Surveys, Waiver templates

Source

Grantee produced, Massachusetts

State

Massachusetts

Date Created

02/15/2007

Contact

Nirvana Huhtala Petlick

npetlick@ifh.rutgers.edu

Short URL

www.hcbs.org/moreInfo.php/doc/1810

Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.

* Reflects requests since January 1, 2007

HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)