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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.

REM System Alignment WebEx Presentation

In an effort to assist providers who have questions related to REM, DIDD is holding a WebEx on Thursday, May 6th, 2021, from 1:00 pm – 2:30 pm Central. This presentation will be an open forum to address pre-submitted questions to DIDD.REMHelp@tn.gov. Please note in the subject line if it is a Choices or ICF question.

Please be sure to join the meeting on time! DIDD Commissioner Brad Turner will be opening the meeting and discussing the importance of the One Aligned System.

Meeting link: https://bit.ly/3tL1JMt
Meeting number (access code): 185 166 2707
Meeting password: DIDD

To receive a callback, 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: 185 166 2707

Please sent questions regarding REM Alignment to DIDD.REMHelp@tn.gov.

REM System Announcements

REM Alignment Training for Direct Care Staff

After feedback from the recent Office Hours with Commissioner Turner, DIDD is pleased to announce that the Alignment Training for Direct Care Staff is also available now on Relias, as well as on the DIDD REM Training webpage: https://tn.gov/didd/rem/training. DIDD, TennCare, and MCOs are committed to ensuring that this training is easily accessible to all providers and their staff. Having the training in Relias, as well as on the DIDD REM webpage, will allow providers that are currently a part of Relias to access the required training before completing the REF training. The Alignment Training for Direct Care Staff is currently available as of April 1, 2021 and can be accessed DIDD REM webpage.

The TNDIDD Direct Care Alignment Training (YouTube Video) is a prerequisite for the DIDD Reportable Event Form (REF) Instructions module. For Relias Learners, Agency Administrators will need to enroll staff into the “TNDIDD Direct Care Alignment Training (YouTube Video)” module in Relias for all learners.

Global Administrators will assign to agencies who do not have a Relias Administrator). Global Administrators can assist with marking the “TNDIDD Direct Care Alignment Training (YouTube Video)” module in Relias complete for leaners who completed the video over the weekend. The training will take approximately 45 minutes to complete and must be completed by May 20, 2021.

Reportable Event Form Training

On April 1, 2021, the Reportable Event Form (REF) training is available in Relias. This rollout date will allow additional time for pilot feedback. This training is for the Provider’s Event Management Coordinator (EMC) [formerly known as Incident Management Coordinator] and Direct Care and Support Staff. This is a one-time training. However, the user will be able to return to Relias to review the material as needed. This is an important feature for those smaller providers or providers that have few reportable events as there may be substantial time between reporting events. Exempt providers are Persons Supported that are the employers through self-direction or consumer direction and do not utilize a provider agency to provide services or Fiscal Employment Agent (FEA), ancillary providers such as Home Improvement/Home Modification contractors, Pharmacy, Pest Control, Behavioral Service, Nutritionist, Physical Therapist, Assistive Technology or single person employers. There is no cost to the Provider to utilize the DIDD Relias training system. If you are not currently registered in Relias, there is a Reportable Event Form Training Spreadsheet for Relias Enrollment form on the webpage https://tn.gov/didd/rem/training. This form should be submitted to DIDD.REMHelp@tn.gov. The required completion date is August 20th, 2021. It is also required to be completed by newly hired staff within the first 30 calendar days of employment and prior to working alone with a person supported.

REM Provider Event Management Training/Event Management Coordinator (EMC) Training

The Event Management Training has been developed and is available for Provider Event Management Coordinators (previously referred to as Incident Management Coordinators) in Relias effective April 15, 2021. The training will also address the responsibilities of the Provider Reportable Event Response Team who is responsible for reviewing and evaluating the provider’s reportable events, investigations, and trends to develop internal prevention strategies. This training is mandatory for all Event Management staff. An attestation of completion will be available at the conclusion of the training. The training will take approximately 1.5 hours to complete and must be completed by August 20, 2021.

The title of the course in Relias is: Provider Event Management Training EMC Training

Course Code: TNDIDD_PEM-EMC_Training_2021

Please note that the due dates are for current employees. New employees will be expected to complete this training within the first 30 days of employment and prior to working alone with a person supported. The Reportable Event management trainings have replaced the previous training under th4e Protection from harm system. As always, if you have any questions related to the Alignment Trainings, please visit the DIDD REM webpage, or submit your questions to DIDD.REMHelp@tn.gov.

DIDD is holding a WebEx on Thursday, May 20th, 2021, from 1:00 pm – 2:30 pm Central. This presentation will be specific to Intermediate Care Facilities (ICF-IID). Please submit questions specific to ICF-IID to DIDD.REMHelp@tn.gov. Please be sure to join the meeting on time! Assistant Commissioner for Quality Management Pat Nichols and ICF/IID Administrator Quality Management Mary Tweed will be special panelist for this event.

Meeting link: https://tn.webex.com/tn/onstage/g.php?MTID=e8c33d12b0657bd9fb5de884084100ba1
Meeting number (access code): 160 745 2194
Meeting password: DIDD

Video Address: 1607452194@tn.webex.com

You can also dial 173.243.2.68 and enter your meeting number. To receive a callback, provide your phone number when you join the event, or call the number below and enter the access code. US TOLL +1-415-655-0001 Access code: 160 745 2194 For REM training information, FAQs, and other resources, please visit https://tn.gov/didd/rem.

Thursday June 3rd, 2021 will be an open forum session.

Thursday, June 17th, 2021 will be the second Choice’s specific forum. Please include “Choices” in the subject line of the email so that we can ensure that your questions are addressed at this presentation.

 

RELIAS Administrator Training for Providers

DIDD Relias Global Administrators are currently hosting Relias Administrator Training. The designated Provider Administrator will be responsible for administering/assigning train to all the provider’s staff within the Relias system. This will be for Reportable Event Management trainings and any additional training developed or available within Relias. DIDD Training Staff cannot perform this task for providers in bulk uploads as the deadline for submission has passed. Please contact the DIDD Relias Help Desk for more information on Becoming A DIDD Relias Administrator submit correspondence to DIDD.ISQA@tn.gov.