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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, February 25th, 2021, from 1:00 pm – 2:30 pm Central. This presentation will be dedicated to the REM Protocol and Definitions.

The panelist will include:
TennCare: Shannon Nehus, Intellectual & Developmental Disabilities Program Director of Long Term Services and Supports
Amerigroup: Skylyn Owens, Business Change Advisor, LTSS Quality Monitoring and Reportable Events
UnitedHealthcare: Jamie L. Adams-Westerhoff, Quality Manager BlueCare Tennessee: Shauna Page, , Supervisor, Quality of Care Oversight
BlueCare Tennessee: Misty Frizzell, Supervisor, Quality of Care Oversight
Jordan Allen, DIDD Deputy Commissioner, Program Operations
Andy T. Kidd, DIDD Deputy Commissioner, Fiscal & Administrative Services
Bruce E. Davis, DIDD Deputy Commissioner, Health Services
Theresa Sloan, DIDD Assistant Commissioner and General Counsel
Vicki Loveday, DIDD Director of Reportable Event Management
Donna Nichols, DIDD Assistant Director of Reportable Events
Jason Allen, Director of Investigations

The information to join is below.

Type: REM Alignment

Meeting link:

Date and time: Thursday, February 25, 2021, 1:00 pm Central Standard Time (Chicago, GMT-06:00)

Duration: 1 hour 30 minutes

Description: This presentation will be dedicated to the REM Protocol and Definitions.

Event number: 185 267 2368

Event password: DIDD

The documents pertaining to this presentation can be found under "Resources".