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Office of Mental Health

Clinical Risk Management | Incident Management | Special Investigation | Sentinel Events | Resources

Clinical Risk Management

Office of Mental Health (OMH) operated and licensed providers need to develop, implement and monitor an incident management system that is designed to protect the health and safety of consumers and enhance the quality of care provided. Clinical Risk Management (CRM) works collaboratively with providers towards this goal. The primary risk reduction functions of the Clinical Risk Management unit are as follows:

Incident Management

A major component of CRM is the identification and management of adverse events (incidents). CRM reviews and follows up on thousands of serious incidents occurring in State operated and licensed programs each year. Follow up can include: phone or e-mail inquiries, technical assistance, investigation reviews, on-site investigations and site visits.

Training and OMH Correspondence to the Field

CRM conducts Special Investigator Training sessions in each region of the state for both State operated and State licensed programs on an annual basis.

Sentinel Events

CRM provides oversight and technical assistance through the process for reviewing sentinel events (unexpected occurrences involving death or serious physical injury, or risk thereof). CRM staff review and track root cause analyses and associated corrective action plans. The goal is to assure completion of a thorough and credible process which results in the implementation and monitoring of adequate and appropriate risk reduction strategies.

Investigations

Special Investigations are conducted by CRM in response to exceptionally serious incidents in order to determine and mitigate the underlying systemic causal factors associated with the adverse event.

Resources

Alerts, Guidelines, Regulations, Incident Prevention and other Resources

Comments or questions about the information on this page can be directed to the Division of Quality Management.