The purpose of this letter is to inform Texas Home Living (TxHmL) program providers of changes to the critical incident reporting requirements. In accordance with Texas Administrative Code (TAC), Title 40, Chapter 9, §9.580(r), a program provider must enter critical incident data in the Client Assignment and Registration System (CARE) no later than 30 calendar days after the last day of each month for the month being reported in accordance with the TxHmL provider user guide. Providers must comply with the following changes in reporting requirements beginning with the July 2015 report of incidents that occur in June 2015. These changes will be incorporated into the TxHmL Provider User Guide by July 1, 2015.
The guide is found at http://www2.mhmr.state.tx.us/655/cis/training/WAIVER.html.
Revisions to Current Reporting Requirements
1. Program providers must report all calls to 911 and identify each call with one of the following categories: (1) medical, (2) behavioral/psychiatric, or (3) medical and behavioral/psychiatric. A program provider will no longer be required to report only those calls to 911 made by staff with the intent for law enforcement to respond. 2. Program providers must report the total number of restraints and identify each restraint with one of the following categories: (1) physical, (2) mechanical, or (3) chemical. The Department of Aging and Disability Services (DADS) is replacing the type of restraint currently labeled “PSYCH MEDS” with “CHEMICAL” and the type of restraint currently labeled “PERSONAL” with “PHYSICAL.” A program provider will no longer be required to report only restraints used during behavioral emergencies.
New Reporting Requirements
1. Program providers must report all calls to 911 made by staff and identify each call by the one of the following categories: (1) medical, (2) behavioral/psychiatric, or (3) both (medical and behavioral/psychiatric). 2. Program providers must report the total number of emergency room and hospital admissions and identify each admission with one of the following categories: (1) medical, (2) behavioral/psychiatric, or (3) both (medical and behavioral/psychiatric).
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