department of human resources office of licensing and monitoring april 24, 2015 1

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Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Page 1: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Department of Human Resources

Office of Licensing and Monitoring

April 24, 2015

Page 2: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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.

Page 3: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 4: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Critical Incident Reporting

Why reporting critical incidents are so important?

Page 5: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 6: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Critical Incident Reporting

2010 2011 2012 2013 2014 2015AWOL

0

200

400

600

800

1000

1200

1400

AWOL (2010-15)

ILPRCCTFCDDA & TGH

Page 7: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 8: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Critical Incident Reporting

2010 2011 2012 2013 2014 2015Emergency Hospitalization - Psychiatric

0

50

100

150

200

250

Emergency Hospitalization - Psychiatric (2010-15)

ILPRCCTFCDDA & TGH

Page 9: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 10: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 11: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 12: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 13: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 14: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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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

Page 15: Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

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Thoughts for the Future