Critical Incident Management Sample Clauses

Critical Incident Management. The CONTRACTOR shall adhere to all State requirements for Critical Incident management and reporting as defined in NMAC 8.308.
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Critical Incident Management. 1. The SE shall develop and implement a statewide critical incident management system that identifies and tracks critical incidents, corrects case-specific issues, and addresses identified systems’ issues that place consumers at risk. 2. The SE shall immediately report to the Collaborative any incident that could place a consumer at immediate risk. The SE shall report all critical incidents that impact health and safety to the Collaborative within 24 hours of notification/becoming aware of the incident. 3. The SE’s critical incident management system shall be in accordance with Collaborative and member agency guidelines and incident management protocols and must be prior approved by the Collaborative. 4. Critical incidents include but are not limited to incidents that may have a serious impact on consumers, provider staff, member agencies, or the public, or may bring about adverse publicity. 5. The SE shall track and analyze critical incidents. The SE shall use this information to identify potential and actual quality of care and/or health and safety issues, including both case-specific and systemic issues, and shall implement appropriate interventions. 6. The SE shall ensure that network providers report critical incidents within the timeframes specified by the SE. This shall include both initial reporting of the incident and a follow-up report providing additional detail regarding the incident. For critical incidents that impact health and safety, the maximum timeframe for providers to report the incident shall be 24 hours and the maximum timeframe for providers to submit a follow-up report shall be 48 hours.
Sample 1
Critical Incident Management. The CONTRACTOR shall adhere to all State requirements for Critical Incident management and reporting. The CONTRACTOR shall develop policies and procedures to address and respond to incidents, report incidents to the appropriate entities per required time frames, and track and analyze incidents. The CONTRACTOR shall use this information to identify trends and patterns both case-specific and systemic, identify opportunities for improvement, and develop and implement appropriate strategies to reduce the occurrence of incidents and improve the quality of care. The CONTRACTOR shall use this information and the data to conduct an annual evaluation of its Critical Incident management system. The CONTRACTOR shall include the results of its evaluation as part of the CONTRACTOR's QM/QI work plan submitted to HSD as outlined in Section 4.12.2.9 of this Agreement. The CONTRACTOR shall require its staff and Contract Providers to complete a reassessment of risk and update the CCP to mitigate assessed risks and to prevent occurrence of further incidents. The CONTRACTOR shall require its staff and Contract Providers to collaborate with any investigation conducted by the CONTRACTOR or outside agencies (e.g., HSD, the Collaborative, the DOH, CYFD, Adult PS, and law enforcement). The CONTRACTOR shall also require its staff and Contract Providers to report, respond to, and document Critical Incidents and the resulting follow-up activities, as specified by the CONTRACTOR. The CONTRACTOR shall require its staff and Contract Providers to document the initiated action(s) and all follow-up activities related to the intervention(s) implemented as a result of the incident and enter the information into the HSD Critical Incident Reporting Portal until the established intervention(s) demonstrate the Member’s health, safety, and welfare are no longer issues of concern. Follow-up action(s) include actions taken as a result of reviewing a Critical Incident that: Require investigation or intervention for issues of health and safety; Include a referral request for additional information to internal or external staff or agencies; and Include any change in the CONTRACTOR’s activities, including but not limited to a Care Coordination visit, a Care Coordination investigation, an intervention, and/or a reassessment or change in CCP. The CONTRACTOR shall provide appropriate training and take corrective action as needed to ensure Provider compliance with Critical Incident requirements. The CONTRA...
Sample 1

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