Critical Incident Reporting System [CIRS]

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Critical Incident Reporting System CIRS
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Introduction

• Timeframes
• Categories and Incident Types
• Procedure
• Walkthrough
• Questions

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Timeframes
We need incidents of this nature reported within
24 hours of Incident.
Abuse Neglect Exploitation Fraud Unusual Death Restraint Seclusion Media involvement
In reality, given the seriousness of such
incidents, we would expect the reporting of these
incidents immediately after notification.
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Categories and Incident Types

• When selecting one of the 8 broad categories, The
  counselor should choose an incident type and list
  that event as the first words in the narrative.

Significant medical Event of Provider Customer
called today to inform me his P.A. was in a
terrible car accident and is presently in the ICU
at Northwestern. He indicates that the police
contacted him after the provider had a copy

• In cases where multiple events occur, such as
  both neglect and fraud, please simply choose the
  most appropriate category.

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Categories

• Abuse and Neglect
• Unusual Death
• Behavior Issues
• Illegal Activity by Customer
• Illegal Activity by Provider
• Medical/Psychiatric
• Sexual Misconduct
• Other

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Abuse and Neglect

• Physical abuse of customer
• Verbal/Emotional abuse of customer
• Sexual abuse of customer
• Exploitation of Customer
• Neglect of customer

UNUSUAL DEATH

• Death, HSP customer
• Death, Other parties

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Category Behavioral Issues

• Self-Neglect
• Customer is missing
• Problematic possession or use of a weapon by a
  customer.
• Customer displays physically aggressive behavior
• Property damage by customer of 50 or more
• Suicide attempt by customer
• Suicide ideation/ threat by customer
• Suspected alcohol or substance abuse by customer

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Illegal Activity by the Customer

• Customer arrested, charged with or convicted of a
  crime
• Fraudulent activities on the part of the customer

Illegal Activity by the Provider

• Provider arrested, charged with or convicted of a
  crime
• Fraudulent activities on the part of the Provider

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Category Medical/Psychiatric

• Significant Medical Event of Provider
• Significant Medical Event of Customer

Category Sexual Misconduct

• Sexual Harassment by provider
• Sexual Harassment by customer
• Sexually problematic behavior

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Other

• Seclusion of a customer
• Restraint of a customer
• Media involvement/media inquiry
• Threats made against DRS/HSP
• Staff Falsification of credentials or records
• Report against DHS/HSP employee
• Bribery or attempted bribery of a HSP Employee
• Fire / Natural Disaster
• Report these incidents as soon as possible

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Procedure

• Send an email to the following
• Dhs.HSPIncident_at_illinois.gov
• Your supervisor
• Once the report is sent, you will not have view
  or edit access.
• It will be saved and will be accessible in phase
  2.
• You will email the same two addresses each and
  every incident type until further notice.

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• We need 4 details in your email
• Name
• Category
• Incident Type
• Office

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Procedure

• With the portability and wireless connectivity of
  laptops, its feasible for staff to complete both
  the email and incident report while in the field.
• In lieu of this, please make every effort to
  report incidents as soon thereafter as possible.

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• Depending on the type of category you choose, a
  few sub-category questions may appear.
• In phase 2, this will be more significant.
• If you select A/N/E, you may need to identify
  perpetrator, relationship to victim, etc.

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Description of Incident or Event Names, and
relationships of involved parties Any end result
or outcome to the event.

• Narrative

Staff are responsible to make referrals to
appropriate source when necessary. (i.e. DHS OIG,
Elder Abuse Hotline, Police, etc.) If it is
deemed necessary to make a hotline or police
report, and you have not already done so, Central
Support staff may instruct you accordingly.
Immediate Action Taken
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• The reporter is the person that brings the
  incident to our attention.
• Customer
• Caregiver
• Provider
• Police
• yourself

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Referrals from the Community (customer, family,
provider, neighbor, other)
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1. DRS receives report of Neglect, Abuse and/or
Exploitation from the Community at-large
DRS Field Staff will alert local authorities
if necessary, and will refer immediately to APS
and HSP Central Support
DRS Field Staff will identify one of the
category types and will prepare/submit incident
report, including significant participants and
their relationships.
DRS Field Staff if provider is a PA, will
replace with Homemaker - pending results of
investigation.
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2. Referrals to DRS from Adult Protection
Services
APS Send referrals to DRS Central Support after
notification of potential abuse, neglect or
financial exploitation
APS Will provide DRS Central Support with
identifying information on individual.
DRS Central Support Notify DRS Field Staff
about the APS referral will include any
demographic information as well as any
recommendations from APS investigator.
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DRS Field Staff Will contact individual,
schedule an appointment to complete application,
assessment and if appropriate, develop service
plan will consider any APS recommendations.
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APS Assessment / DRS Follow Up
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1. Substantiated Report from APS
APS At the close of the APS assessment, a
report will be submitted to DRS Central Support
that indicates whether the allegations of A/N/E
are substantiated, unsubstantiated, or unable to
substantiate.
DRS Central Support contact local office
supervisor and advise of recommended plan of
action as stipulated by APS
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1. Substantiated Report from APS (continued)
DRS Central Support If involving PA, Central
Support will notify Local Office and HSP Fraud
Unit to prevent PA from working with customers in
the future if involving homemaker, Central
Support will ask Local Office to notify homemaker
agency that the worker will no longer be allowed
to work with HSP customers.
DRS Field Staff If involving PA, DRS Field
Staff will Inform customer of decision to
continue use of Homemaker service or to select
new PA if homemaker, DRS Field Staff will notify
homemaker agency that the worker will no longer
be able to work with HSP customers.
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2. DRS Follow Up
DRS Field Staff Local office staff will
implement recommended actions from APS.
DRS Field Staff Once follow up has been
completed by the Local Office, APS and DRS
Central Support will be notified with details of
the actions taken.
DRS Central Support will provide summary of
actions taken by DRS Field Staff to APS
investigator
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3. APS Unsubstantiated Report
DRS Central Support If Unsubstantiated finding,
Central Support will notify Local Office
Supervisor that provider may be considered again
if customer chooses.