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1
Department of Human Resources
Office of Licensing and Monitoring
April 24, 2015
2
Critical Incident Reporting
• Providers overall reporting of critical incidents has greatly improved. State wide accuracy 83%.
• Examples of areas that were improved:– Knowing what to report– Discontinued identifying the foster care agency
(RCC, ILP, TFC) as the placing agency.– Documenting the who what when and why in the
narrative of the incident report.– Submitting incident report without errors.
3
Critical Incident Reporting
• The following are areas that continue to require improvement.– The Youth in Placement’s name should be listed as
first name, last initial only to ensure the child’s confidentiality as required by COMAR
– Attention to detail– Not checking the police involvement box– Missing zip codes on addresses– 48 Hour reporting– Incorrect agency type
4
Critical Incident Reporting
Why reporting critical incidents are so important?
5
Critical Incident Reporting
Program Type AWOL
2010 2011 2012 2013 2014 2015
ILP 48 48 77 54 65 16
RCC 617 482 675 693 803 188
TFC 845 733 1239 1093 1248 376
DDA 0 0 1 1 0 1
TGH 27 11 13 32 48 25
TOTAL 1537 1274 2005 1873 2164 606
6
Critical Incident Reporting
2010 2011 2012 2013 2014 2015AWOL
0
200
400
600
800
1000
1200
1400
AWOL (2010-15)
ILPRCCTFCDDA & TGH
7
Critical Incident Reporting
Program Site Emergency Hospitalization - Psychiatric
2010 2011 2012 2013 2014 2015
ILP 7 6 6 3 10 2
RCC 83 56 52 77 71 23
TFC 119 129 191 222 211 58
DDA 0 0 1 0 3 4
TGH 3 7 6 11 8 3
TOTAL 212 198 256 313 303 90
8
Critical Incident Reporting
2010 2011 2012 2013 2014 2015Emergency Hospitalization - Psychiatric
0
50
100
150
200
250
Emergency Hospitalization - Psychiatric (2010-15)
ILPRCCTFCDDA & TGH
9
Critical Incident Reporting
Program Site Arrest/Incarceration of Youth
2010 2011 2012 2013 2014 2015
ILP 9 7 10 13 23 7
RCC 52 35 68 64 54 11
TFC 89 60 102 113 111 38
DDA 0 0 0 0 0 0
TGH 4 0 1 1 3 0
TOTAL 154 102 181 191 191 56
10
Critical Incident Reporting
2010 2011 2012 2013 2014 2015Arrest/Incarceration of Youth
0
20
40
60
80
100
120
Arrest/Incarceration of Youth (2010-15)
ILPRCCTFCDDA & TGH
11
Critical Incident Reporting
Program Site Assault on Foster Parent/Staff
2010 2011 2012 2013 2014 2015
ILP 1 2 2 0 3 0
RCC 268 276 400 217 211 54
TFC 72 40 61 63 64 29
DDA 0 0 2 0 1 1
TGH 6 2 5 8 14 5
TOTAL 347 320 470 288 293 89
12
Critical Incident Reporting
2010 2011 2012 2013 2014 2015Assault on Foster Parent/Staff
0
50
100
150
200
250
300
350
400
450
Assault on Foster Parent/Staff (2010-15)
ILPRCCTFCDDA & TGH
13
Critical Incident Reporting
Program Site Assault Youth on Youth
2010 2011 2012 2013 2014 2015
ILP 8 4 8 11 7 6
RCC 197 225 302 197 203 83
TFC 128 98 83 122 119 64
DDA 0 0 1 0 2 0
TGH 12 3 6 16 16 5
TOTAL 345 330 400 346 347 158
14
Critical Incident Reporting
2010 2011 2012 2013 2014 2015Assault Youth on Youth
0
50
100
150
200
250
300
350
Assault Youth on Youth (2010-15)
ILPRCCTFCDDA & TGH
15
Thoughts for the Future