Incident Management Guidelines Quiz
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Questions and Answers

What is the minimum number of point persons that each provider and Service Coordination Organization (SCO) must have?

  • Three
  • One (correct)
  • Two
  • Zero
  • Who at JFC serves as the Incident Management (IM) representative?

  • A designated committee member
  • The Certified Investigator (CI)
  • The Administrative Review Committee Member
  • The Chief Executive Officer (CEO) (correct)
  • Within what timeframe must a Certified Investigator (CI) begin an investigation after it's entered into the Enterprise Information Management system (EIM)?

  • 48 hours
  • 12 hours
  • 36 hours
  • 24 hours (correct)
  • What is a key responsibility of the Administrative Review Committee?

    <p>To decide if the investigation is confirmed, not confirmed, or inconclusive (A)</p> Signup and view all the answers

    What is NOT explicitly a duty of the Administrative Review Committee Member?

    <p>Ensuring corrective actions are implemented and monitored (C)</p> Signup and view all the answers

    What is the first priority action that an agency must take upon discovering an incident?

    <p>Protecting the person's health, safety, rights, and well-being (A)</p> Signup and view all the answers

    What is required for an investigation to be considered complete?

    <p>Once the administrative review process is done (D)</p> Signup and view all the answers

    An Administrative Review Committee is required to analyze the cause of an incident when?

    <p>For each confirmed incident only. (A)</p> Signup and view all the answers

    If an individual discloses that they need help contacting local law enforcement, what should you do?

    <p>Let the person know they can ask for help from local law enforcement, and, if they want assistance help them contact or access local law enforcement. (A)</p> Signup and view all the answers

    Under Pennsylvania's 55 Pa.Code Chapter 6100 guidelines, which incident requires 72-hour reporting?

    <p>Use of a restraint. (C)</p> Signup and view all the answers

    Which of the following is NOT specifically listed as a reportable incident under Chapter 6400?

    <p>Significant behavior event. (D)</p> Signup and view all the answers

    What is the overarching concept that defines abuse, as described in the provided text?

    <p>When someone misuses their power against another causing harm or distress. (A)</p> Signup and view all the answers

    When making a report of suspected abuse, what is the priority?

    <p>Following workplace policies on reporting concerns about adult abuse. (A)</p> Signup and view all the answers

    According to the context, what is something you MUST do after calling 911?

    <p>Remove the individual from immediate danger. (A)</p> Signup and view all the answers

    Besides death, what is another 24-hour reportable incident under Chapter 6100?

    <p>Missing person. (D)</p> Signup and view all the answers

    What is an important understanding about reporting abuse?

    <p>You do not need to classify the type of abuse when making a report. (C)</p> Signup and view all the answers

    Which of the following constitutes physical abuse?

    <p>Exposing a person to extremely cold temperatures. (A)</p> Signup and view all the answers

    What is a key indicator that a bruise may be a sign of physical abuse?

    <p>The bruise is shaped like a common object like a belt buckle, or hand. (B)</p> Signup and view all the answers

    What is an example of psychological abuse?

    <p>Making fun of a person's way of speaking. (B)</p> Signup and view all the answers

    Why should physical abuse be reported even if there is no visible injury?

    <p>Because certain actions are defined as physical abuse, regardless of injury. (C)</p> Signup and view all the answers

    What does a spiral fracture signify as it relates to potential abuse?

    <p>It can be a sign of a forced twisting action, suggestive of physical abuse. (D)</p> Signup and view all the answers

    Which of these examples demonstrates psychological abuse through electronic means?

    <p>Sharing a humiliating image of someone on social media. (B)</p> Signup and view all the answers

    What constitutes 'bilateral bruising' as a potential sign of physical abuse?

    <p>Bruising that occurs on opposite sides of the body, such as both shoulders or thighs. (D)</p> Signup and view all the answers

    Which action is NOT considered a form of psychological abuse?

    <p>Restraining someone from leaving a room. (B)</p> Signup and view all the answers

    What does providing support for communication entail?

    <p>Using text in fonts and sizes that meet individual needs. (A)</p> Signup and view all the answers

    Which of the following is a violation of health care rights?

    <p>Withholding details about diagnoses and treatment options. (B)</p> Signup and view all the answers

    Which action exemplifies a violation of an individual's privacy?

    <p>Sharing their image for marketing purposes without clear permission. (B)</p> Signup and view all the answers

    What does the right to control services include?

    <p>Allowing individuals to make decisions about when and how to receive services. (D)</p> Signup and view all the answers

    Which action is NOT a component of providing proper support for communication?

    <p>Using standardized communication methods for all individuals. (B)</p> Signup and view all the answers

    If a person refuses a certain health evaluation, what should the correct action be?

    <p>To respect their decision and not provide that specific evaluation. (D)</p> Signup and view all the answers

    What ensures that the individual has power in their ISP?

    <p>The individual actively participates in creating their Individual Support Plan (ISP). (D)</p> Signup and view all the answers

    What action demonstrates that privacy expectations are NOT recognized and protected?

    <p>Using a person's image in advertising without explicit permission. (A)</p> Signup and view all the answers

    Which of the following deaths would be classified as 'unexpected'?

    <p>A death occurring as a result of a car accident. (D)</p> Signup and view all the answers

    Under what circumstances should a death be reported, according to the text?

    <p>All deaths must be reported. (D)</p> Signup and view all the answers

    What scenario best exemplifies 'Failure to Obtain Informed Consent'?

    <p>Signing a loan document on behalf of an individual without their understanding or freely given consent. (A)</p> Signup and view all the answers

    Which of these situations would be considered 'material resource exploitation'?

    <p>An individual is manipulated into purchasing items for another's use. (A)</p> Signup and view all the answers

    What does the text define as a 'natural cause' of death?

    <p>Death primarily caused by a terminal illness or internal malfunction. (B)</p> Signup and view all the answers

    Which scenario illustrates the exploitation of 'medical responsibilities/resources'?

    <p>An individual has to pay for a medical procedure, as the care team did not locate an in-network provider. (A)</p> Signup and view all the answers

    What type of death is specifically noted to include events like suicide?

    <p>Unexpected (D)</p> Signup and view all the answers

    Which of the following is a form of material resource exploitation?

    <p>Requiring an individual to spend their funds for things they do not need. (D)</p> Signup and view all the answers

    Which situation is considered an unauthorized restrictive procedure?

    <p>Withholding a person's preferred item as a form of punishment, when the behavior is not an imminent danger to themselves or others. (B)</p> Signup and view all the answers

    Which of the following is the most accurate definition of a chronic condition?

    <p>A condition that has been previously diagnosed or treated and lasts a long time. (C)</p> Signup and view all the answers

    Which of the following is an example of a new condition, as defined by the content?

    <p>An individual who is diagnosed with diabetes for the first time. (D)</p> Signup and view all the answers

    According to the content, what is the primary indicator of whether an injury should be reported?

    <p>If the injury needed treatment at a doctor's office, urgent care center or hospital. (B)</p> Signup and view all the answers

    Which of the following does not fit the criteria for needing to be reported?

    <p>A person experiences a serious injury that is assessed at the scene by EMS, but not treated at any facility. (A)</p> Signup and view all the answers

    Which scenario would require a report about a serious illness?

    <p>A scheduled elective surgery for a diagnosed heart condition that requires a hospital stay. (C)</p> Signup and view all the answers

    Which of the following is not an example of a chronic condition?

    <p>Appendicitis. (C)</p> Signup and view all the answers

    What is one element that defines an unauthorized restrictive procedure?

    <p>It restricts access to positive reinforcement or preferred items without following guidelines. (B)</p> Signup and view all the answers

    Flashcards

    Incident Management Representative

    A designated person overseeing incident management within an agency.

    Physical Abuse

    Using physical force against a vulnerable person, causing harm or mistreatment.

    Signs of Physical Abuse

    Indicators that may suggest physical abuse, like unusual bruising or injuries.

    Certified Investigator (CI)

    A trained individual responsible for conducting investigations into incidents.

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    Administrative Review Process

    A procedure for reviewing incident investigations to ensure quality and accountability.

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    Bruises in Uncommon Areas

    Bruising in sensitive areas may indicate abuse, such as genitals or stomach.

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    Spiral Fractures

    A type of broken bone that may indicate abuse, not typical in accidents.

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    Administrative Review Committee

    A group that reviews incident investigations, ensuring speed and objectivity.

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    Psychological Abuse

    An act causing mental or emotional pain through threats or humiliation.

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    Outcome of Investigation

    The committee's assessment that can be Confirmed, Not Confirmed, or Inconclusive.

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    Isolation Threats

    Threatening to isolate someone as a form of control or abuse.

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    Preventive Measures

    Actions taken to prevent future incidents based on investigation findings.

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    Digital Bullying

    Sharing or showing someone's image to shame or degrade them online.

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    Corrective Actions

    Steps implemented to correct issues identified during an investigation.

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    Response Upon Incident Discovery

    Actions taken immediately to protect a person's rights and well-being when an incident is recognized.

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    Reporting Abuse

    Important action to take when witnessing or suspecting any form of abuse.

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    Adaptive Communication

    Adjusting communication methods to meet individual needs.

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    Health Information Access

    Providing essential health details for informed decisions.

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    Privacy Rights

    The right to keep personal information and space confidential.

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    Informed Consent

    The right to make decisions based on comprehensive health information.

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    Individual Support Plans (ISPs)

    Customized strategies for individuals to control their services.

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    Communication Aids

    Tools like braille or interpreters to assist communication.

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    Right to Refuse Services

    Individuals can decline services they don’t want or need.

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    Translation Services

    Providing information in preferred languages for better understanding.

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    Unexpected Deaths

    Deaths due to external forces, like accidents or homicides.

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    Natural Causes Deaths

    Deaths from terminal illness or internal malfunction, not influenced externally.

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    Material Resources Exploitation

    Misusing or stealing someone's possessions for personal benefit.

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    Coercing Spending

    Forcing someone to spend their own money on unwanted items.

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    Medical Responsibilities

    Obligations to cover medical costs when support is inadequate.

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    Reporting Deaths

    All deaths of individuals in Waiver programs or services must be reported.

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    DNR Order

    A Do Not Resuscitate order restricting life-saving treatment.

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    Calling 911

    Contacting emergency services for immediate assistance.

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    Immediate danger

    A situation where there is a high risk of harm.

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    Reportable incidents in PA

    Events that must be reported as per Pennsylvania regulations.

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    Chapter 6100 reporting

    24-hour reporting for severe incidents in Pennsylvania.

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    Chapter 6400 reporting

    Reporting unusual incidents like abuse or hospitalization.

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    Types of abuse

    Various forms of harm inflicted upon individuals.

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    Professional duty

    The responsibility of individuals to act in the best interest of others.

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    Vulnerability to abuse

    The increased risk individuals face in abusive situations.

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    Unauthorized Restrictive Procedure

    Any method that limits a person's movement or access to positive reinforcement, not following established guidelines.

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    Chronic Condition

    Illnesses or diseases that last a long time and have received prior treatment.

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    Examples of Chronic Conditions

    Conditions like heart disease, diabetes, and asthma that require ongoing management.

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    Serious Illness

    A physical ailment that requires hospitalization and medical treatment.

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    New Condition

    Acute illnesses not previously treated, potentially leading to chronic status.

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    Examples of New Conditions

    Conditions like pneumonia, Covid-19, or broken bones requiring immediate care.

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    Reporting Serious Injuries

    Serious injuries needing assessment at medical facilities must be reported.

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    On-site Treatment Reporting

    Injuries treated by the organization’s medical staff should be reported.

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    Study Notes

    Incident Reporting and Management

    • This training reviews the Office of Developmental Programs (ODP) Incident Management process.
    • The goal is prompt action in reporting, responding to, and investigating incidents.
    • Corrective actions mitigate risks and decrease future occurrences.

    Reportable Incident

    • A reportable incident includes various situations: abuse, behavioral health crisis events, death, exploitation, fires, law enforcement activities, missing persons, rights violations, serious illnesses, serious injuries, sexual abuse, suicide attempts, and fatalities.
    • Incidents must be reported within 24 hours of being witnessed or discovered.

    Employee Responsibilities

    • Employees are mandated reporters, required by law to report suspected or known abuse to the correct authorities.
    • Report any incidents immediately to your supervisor (phone/email).
    • Reporting is required even if the incident was not directly observed.

    Incident Management Roles and Process

    • People hold multiple roles in incident management (providers, SCOs, and AEs).
    • Each role has specific responsibilities, determined per incident.
    • The roles may change.
    • Initial Reporter: Anyone who first sees, experiences, hears about, or recognizes the signs of an incident. This includes those receiving services and their family members.
    • Point Person: Receives initial reports and manages the incident throughout. Each provider and SCO must have at least one.
    • Incident Management Representative (IM): Chosen by the agency to oversee management.
    • Certified Investigator (CI): Trained by ODP to conduct investigations within 24 hours of entry into the Enterprise Incident Management system (EIM).

    Administrative Review Process

    • Entities handle incident reports and conduct investigations with a clear review policy.
    • A committee reviews, following ODP Administrative Review Manual guidelines.
    • Committee responsibilities include: evaluating speed, objectivity, and thoroughness; determining if the investigation is confirmed, not confirmed, or inconclusive; identifying preventative and corrective actions; completing the investigator report; and ensuring corrective actions are implemented.

    Response upon Discovery of an Incident

    • The agency must protect the person's health, safety, rights, and well-being after an incident.
    • Immediate actions include: calling 911, removing the individual from danger, arranging for medical care, informing family/support coordinator, informing appropriate entities (e.g., Adult Protective Services), and letting the person know they can contact local law enforcement.

    6100 and 6400 Reportable Incidents in PA

    • Chapter 6100 (24-hour reporting): includes death, abuse, neglect, exploitation, missing persons, injury (beyond first aid), fire, and law enforcement activity; 72-hour reporting: medication errors; critical health and safety events.
    • Chapter 6400 (unusual incidents): includes abuse, injury, trauma, illnesses requiring hospitalization, suicide attempts, rights violations, missing persons, misuse of funds, and serious disease outbreaks.

    Abuse

    • Abuse occurs when someone with authority misuses their power to harm or distress another person.
    • Types of abuse include, but aren't limited to, physical, psychological, and neglect.

    Physical Abuse

    • Physical abuse is when someone uses force or mistreatment against a vulnerable person.
    • It does not necessarily require visible injury.
    • Common examples include hitting, pushing, rough handling, being exposed to cold or heat.

    Psychological Abuse

    • Psychological abuse involves harming a person mentally and emotionally through threats, intimidation, humiliation, isolation, or belittling.

    Seclusion

    • Seclusion happens when a person is placed in an area where they cannot leave.
    • Includes physical barriers and verbal instructions preventing departure.

    Behavioral Health Crisis Event

    • A crisis event occurs when a person has extreme emotional or behavioral reactions that are too much for them to handle.
    • Responses may include community-based crisis response (without transport), facility-based crisis response (transport to a psychiatric facility or hospital), immediate arrest/incarceration, voluntary psychiatric hospitalization, and involuntary psychiatric hospitalization.

    Death

    • All deaths must be reported.
    • Natural causes (e.g., terminal illness, DNR)
    • Unexpected deaths (e.g., external force, accidents).

    Exploitation

    • Exploitation happens when someone uses another individual's resources for their own benefit through illegal or improper acts.
    • Includes various examples like failing to obtain consent, misuse of funds, and coercing behaviors from others.

    Neglect

    • Neglect is failing to provide vital or needed support to a person.
    • Includes failing to provide needed care, supervision, and/or protection from hazards.

    Self-Neglect

    • Self-neglect is when a person denies themselves needed care, support, or services (actions or inactions).
    • Examples include environmental factors (unsafe or unsanitary living conditions), medical factors (refusing necessary medications or medical attention), personal care and nutrition, etc.

    Rights Violation

    • A rights violation is an action that restricts or denies an individual's rights.
    • Examples include civil/legal rights violations (voting, freedom of speech), communication restrictions, restricting services, and unauthorized restrictive procedures.

    Serious Illness

    • A serious illness is a physical condition requiring hospitalization and treatment.
    • Includes chronic conditions (e.g., heart disease, diabetes) as well as acute conditions (e.g., broken bones, pneumonia).

    Serious Injury

    • A serious injury requires more than first-aid treatment.
    • Includes fractures, lacerations, burns, dislocations, electric shocks, and injuries causing loss of consciousness.

    Sexual Abuse

    • Sexual abuse includes various actions with a sexual nature.
    • It happens when a person cannot consent to sexual acts, and includes examples like rape, sexual assault, verbal harassment and grooming.

    Site Closure

    • A site closure is a situation where a location closes for various reasons.
    • These include pest infestations, loss of utilities (power, water), natural disasters, structural damages, and other causes.

    Unauthorized Use of Restraint

    • Unauthorized use of restraints occurs when restraints aren't used according to ODP policies and guidelines.
    • This includes various examples such as physical and chemical restraints causing pain, or using mechanical restraints like geriatric chairs, bed rails, or helmets.

    Medication Errors

    • Errors include administering the wrong medication, wrong dose, or not administering at the prescribed time.
    • Medication errors must be reported within 72 hours and documented.

    Fire

    • Any situation requiring fire/safety personnel is considered reportable.
    • This includes fires that cause or don't cause property damage.

    Law Enforcement

    • Any incident involving law enforcement should be reported, either as investigation details or as crimes, like vandalism, break-ins, threats, or acts causing harm in facilities
    • Any crime/misbehavior that happens within a JFC location should be recorded as separate from police involvement.

    Missing Person

    • A missing person requires a report within the timeframe described in the policy.

    Emergency Events and Declarations

    • ODP provides specific guidance and direction on reporting procedures related to emergencies (declared emergency, public health emergency, outbreak, epidemic, pandemic, natural disasters, and bio-terrorism attacks).

    Quiz Time

    • A quiz will follow the training.

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    Description

    Test your knowledge on incident management and reporting protocols under Pennsylvania's regulations. This quiz covers responsibilities, timelines for investigations, and the roles of various committees. Ensure you understand the key processes essential for compliance and effective incident management.

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