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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

DIDD is holding a WebEx on Thursday, July 15st, 2021, from 1:00 pm – 2:30 pm Central. This presentation will be will focus on Reportable Behavior Events and Provider Event Management Coordinator tracking and trending.  There will be a special panelist, Carmel Beatty, Director of Operations in East Tennessee.  She is a subject matter expert and assisted in the development of the Provider Reportable Event Response team and Event management Coordinator training.  Please submit questions related to this presentation to .

Meeting link:
Meeting number (access code): 172 854 7668
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 +1-415-655-0001
Access code: 172 854 7668

Upcoming Presentations:

  • August 12, 2021 - Presentation on Dignity of Choice lead by Shannon Nehus, TennCare’s Intellectual & Developmental Disabilities Program Director Long Term Services and Supports

For REM training information, FAQs, and other resources, please visit


Provider Event Management EMC Training:

The Provider Event Management Training has been revised to include tracking and trending information, as well as updated definitions for reportable medical and reportable behavioral events.

Those who are currently enrolled in the original Relias training TNDIDD Provider Event Management Training, Course Code: TNDIDD_PEM-EMC_Training_2021must be completed by 7/15/21.

After which time, the revised Relias course TNDIDD Provider Event Management Training Course Code: TNDIDD_PRERT will be available for enrollment on 7/19/21.

For those who have completed the original course, the revised training will also be available on the REM Webpage to view for the supplemental information pertaining to the changes.

Reportable Event Training

As previously announced in the 6.25.21 Open Line article, the Reportable Event Form (REF) training is being renamed to Reportable Event Training.  This is to reflect the nature of the training as it is not limited to training on form completion.  The new training has expanded on the explanations for reportable medical and behavioral events, includes Choices specific examples, and enlightens staff in recognizing what is reportable, the timeframes for reporting, and the state’s requirement in how the events are reported.  The previously required Direct Support professional video is now optional for staff and at the discretion of the provider.  It will remain available on the webpage.

To allow those who are already in progress a chance to complete the course, we will be leaving the Reportable Event Form (REF) Training course in the current training plans until 7/14/21. Learners currently enrolled in the Reportable Event Form (REF) Training course will need to complete the course by 7/15/21, or they will need to be un-enrolled from the Reportable Event Form (REF) Training course and enrolled in the new Reportable Event Training course. All new hires should be enrolled in the new Reportable Event Training course. On 7/15/21, all incomplete enrollments in the Reportable Event Form (REF) Training course, will be unenrolled and the course will not be accessible. Once the Reportable Event Training course is accessible again, an announcement will appear in Open Line. It is anticipated that the transition to the new training and Training Plan will be completed by 7/19/21.

To allow agencies to easily unenroll learners who already completed the Reportable Event Form (REF) Training course and have satisfied the requirement, once the new Reportable Event Training course is uploaded to Relias, the DIDD Global Administrators will create a new Training Plan that will only contain the new Reportable Event training course. DIDD Global Administrators can assist with setting up Auto Enrollment upon request.

Please contact the TNDIDD Relias Help desk for assistance with Relias functionality.

Please contact the DIDD REM Help Desk with questions or concerns regarding requirements and timelines for this training.

Please note that this is still a one-time training, so users will NOT have to retake the training. However, the user will be able to return to Relias to review the material as needed. The REM training is posted to the webpage at The webpage will always have the most current version of the training for you to download.