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Reportable Event Management

About Reportable Event Management (REM)

Reportable Event Management (REM) is an important component of an overall approach for ensuring the health, safety, individual freedom, and quality of life of people participating in home and community-based services (HCBS). REM in CHOICES, Employment and Community First (ECF) CHOICES, Katie Beckett and the 1915(c) waiver programs involves a partnership between TennCare, the Department of Intellectual and Developmental Disabilities (DIDD), Managed Care Organizations (MCOs), and HCBS providers who all have a role in making REM an effective tool for ensuring the highest possible quality of life by honoring the self-determination of people receiving HCBS.

This process aligns with the Dignity of Choice protocol which sets forth expectations for TennCare, MCOs, contracted providers, and DIDD regarding philosophies and practices specific to foreseeable risk identification, assessment, and mitigation in the home and community-based services. This protocol identifies a process for addressing dignity of choice through comprehensive assessment, the Person-Centered Support Plan (PCSP) process, and ongoing Support/Care Coordination/Case Management.

Dignity of choice is the right of a person to make an informed decision to engage in experiences of his or her own choosing, which are necessary for personal growth and development. Supporting dignity of choice means honoring a person’s right to make choices and engage in activities that may involve risk associated with these types of choices and activities, and committing to assist the person to identify, consider, and implement strategies to mitigate the identified potential negative consequences of these choices.

The aligned approach to REM ensures that people, involved family members, and/or natural supports, as appropriate, are informed about supporting dignity of choice, including informed decision making, tolerable risks, risk mitigation, and how to safely report an event that compromises the health, safety, individual freedom, and/or quality of life of a person supported.

People supported by home and community-based services (HCBS) such as CHOICES, Employment and Community First (ECF) CHOICES, Katie Beckett and the 1915(c) waiver programs are encouraged (with, whenever possible, the support and involvement of their families and natural supports) to pursue and achieve their goals, which inevitably involves taking informed, reasonable risks.

Within CHOICES, ECF CHOICES, Katie Beckett and the 1915(c) waivers, the REM system is designed to:

  1. Clarify non-reportable events that providers must address internally through their own quality assurance and event management processes;
  2. Define the reportable events that must be reported to DIDD, the MCO and the timeframes for reporting;
  3. Ensure that provider agencies, their staff, MCO Support Coordinators, the Fiscal Employer Agent (FEA), and others are well informed of their responsibilities to identify events that are reportable;
  4. Specify the types of reportable events that require investigation or review, by whom (DIDD or provider), the timeframes for such investigations or reviews, and how the person (and/or family and legal representative as appropriate), providers, and others are informed of the results of an investigation or review;
  5. Define the processes for requesting a file review of a completed class 1 investigation report, who may request a review, and timelines applicable to the review process; and
  6. Ensure a collaborative process between providers, MCOs, and DIDD that identifies and defines trends in order to evaluate the nature, frequency, and circumstances of all reportable events, in a manner that leads to actionable steps that are proactive in preventing or reducing similar occurrences.

Upcoming Presentations

In an effort to assist providers who have questions related to REM, DIDD is holding a WebEx on Thursday, March 11th, 2021, from 1:00 pm – 3:00 pm Central.

The first hour will be an open forum to address questions submitted prior to the meeting and general REM process. The second hour will be dedicated to answering questions specifically related to CHOICES providers.

The panelist will include:

TennCare:
Jamie O’Neal | Assistant Deputy Chief of Policy, Programs, Contracts, and Compliance
Division of TennCare, Long Term Services and Supports
James Adam Morgan | Assistant Director of CHOICES Long Term Services and Supports

DIDD:
Theresa Sloan, Assistant Commissioner and General Counsel
Pat Nichols, Assistant Commissioner, Quality Assurance
Courtney T. Kelly, Assistant Commissioner, Accreditation and Person Centered Practice
Daven N. Harrell, Director, Office of Risk Management and Licensure
Vicki Loveday, Director of Reportable Event Management
Elizabeth DuHack, Director of Reportable Events
Jason Allen, Director of Investigations

Managed Care organizations:
Amerigroup : Skylyn Owens, Business Change Advisor, LTSS Quality Monitoring and Reportable Events
UnitedHealthcare: Jamie L. Adams-Westerhoff, Quality Manager
BlueCare Tennessee: Tracey Foster, RN, BSN Manager, Quality of Care Oversight


The information to join is below:

Date and time: Thursday, March 11, 2021 1:00 pm Central Standard Time (Chicago, GMT-06:00)
Duration: 2 hours

Meeting link: https://tngov.webex.com/tngov/onstage/g.php?MTID=ecd56d07e694923b8bf8171a06849348e
Event number: 185 171 1533
Event password: DIDD

Video Address: 1851711533@tngov.webex.com
You can also dial 173.243.2.68 and enter your meeting number.
Audio conference: To receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.
US TOLL +1-415-655-0003
Access code: 185 171 1533

Please submit any questions related to the REM Process to DIDD.REMHelp@tn.gov. If you are submitting a CHOICES specific question, please include the word “CHOICES” in the subject line.