HCSIS

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Home and Community Services Information System
HCSIS
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HCSIS Home and Community Services Information
System

• An integrated system that facilitates the
  management of information in key areas
• Affords consistency across the state
• Expedites communication and processes
• Increases overall service effectiveness

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HCSIS A Component of DMRIS

• Is a web based individual information system to
  be used by both DMR and providers of services
• Is geared to capture important events and health
  care information for individuals served by DMR

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MODULES COVERED IN HCSIS
Death Reporting
Event Management
Health Care Record
National Core Indicator Survey
Provider Sign-Up User Administration
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Event/ Incident Management
Medication occurrences
Incident reporting
Optional Reporting
Restraint reporting
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Incident Management Component of Quality
Management System

• Shift from incident reporting to incident
  management
• Procedures similar to current system
• Serves important functions
• Identifies adverse events
• Notifies key people
• Prompts action and response to protect and to
  minimize risk
• Analyzes trends and patterns leading to service
  improvements

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Incident Management Process
I-Report
DMR and Agency Provider
Closure
Review
Agreement
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Development of Incident Management Process

• Goal to integrate various existing processes
• Input from stakeholders including DMR and DMR-
  Provider Partnership Committee
• Most processes, including restraint reporting and
  medication occurrences remain the same
• Incident Reporting System enhanced into Incident
  Management System

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Incident reporting

• Today's training is on the newly written form for
  reporting incidents-- generally completed by the
  direct support staff.
• Is not a training on the technical use of HCSIS.
  

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Incident Management Business Process Training and
Support

• DMR Training Staff conducting actual training
• DMR Content Leaders are available resources for
  answering questions and providing additional
  information about the incident management system
• Reason for roll-out of Incident Management System
  as paper process first

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Incident Report Form
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Site-Based Incident Report Form
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Incident Type Categories Primary Categories

• Death (sudden or unanticipated)
• Suicide Attempt
• Unplanned Hospital Visit
• Near Drowning
• Assault
• Missing Person
• Medical Treatment Resulting From Injury
• Property Damage
• Suspected Mistreatment

• Unplanned Transportation Restraint
• Theft
• Fire
• Other Criminal Activity
• Transportation Accident
• Emergency Relocation
• Other an incident that does not easily fit into
  one of the incident types

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Secondary Incidents Type Category

• Helps the reporter by specifying the adverse
  event that has occurred, for example
• Unplanned Hospital Visit
• Medical Hospitalization
• Psychiatric Hospitalization
• E.R. Visit With Treatment Provided But No
  Admission
• E.R. Visit With No Treatment, No Admission

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Secondary Incidents Type Category

• Death
• Accidental
• Suicide
• Unusual Circumstances
• Suicide Attempt
• First Known Attempt
• Repeat Attempt

• Assault
• Sexual Assault Victim
• Sexual Assault Alleged Perpetrator
• Physical Assault Alleged Perpetrator
• Physical Assault Victim

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Cause of Injury

• Inflicted by self, by staff, by peer, by other
• Environmental
• Restraint-Related

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Type of Injury

• Abrasion/Cut
• Fracture
• Poison

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Affected Body Part

• Ankle
• Eye
• Shoulder

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Initial Treatment Provider

• Self/Family
• LPN, RN, NP
• MDs Office
• EMT

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Location of Incident

• DMR Residence
• Individuals Family Home
• Day Service
• Community Activity

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Incident Location Detail

• Bedroom
• Yard
• Vehicle

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Relation to Individual

• Reporting Provider Staff
• Individual/Consumer
• Relative

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Hospital Occurrence

• Death
• Admission to ICU/CCU
• Surgical Procedure
• Psychiatric Admission

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Discharge Instructions

• Increase in medication (compared to medications
  before admission)
• Instructions on when to contact the health care
  practitioner
• Wound care
• Transferred to rehabilitation or nursing facility

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Current Status

• Change in daily living capabilities lower than
  before hospitalization
• New Health status-temporary condition that will
  get better
• New Health status permanent condition, not
  changing
• New health status terminal condition

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Follow-Up Appointments

• Primary Care Physician (PCP)
• Specialist
• Outpatient/ Admitting psychiatrist

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HCSIS Deployment

• March, 2006, pilot of electronic HCSIS scheduled
  for roll-out in the Northeast Region
• July, 2006, full implementation of electronic
  HCSIS scheduled.

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DMR Web Page
Under Publications you will find all the handouts
and HCSIS Alerts
www.Mass.gov/ DMR