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IncidentManagement |
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The investigation of
accidents or incidents in the fields of Mental Retardation or Mental
Health is not an easy task. In the best of circumstances the
investigation faces damaged prides and in the worst cast there can
be significant loss of life and program integrity and federal
financial participation. Because of the paucity of trained executive level investigators in the country, state agency heads have in the past resorted to using various consultants, who operate out of their homes in many cases, to investigate major events that can shake the foundation state government. The mere fact that an individual has obtained a degree in an area such as nursing or has "worked" administratively in the field of human services does not qualify that consultant to provide high profile incident investigations. May court rooms have echoed the silence of those consultants when asked if they have had any formal training in the investigation sciences. Even more surprisingly there are cases where consulting contracts to review deaths in high profile institutional care systems are given to individuals who have never done an incident investigation or undergone any training in the field. Rather than complicating the incident by utilizing a "street cart" consultant and possibly expanding the potential incident liability to the agency (not to mention press coverage) this website provides department heads the resources to match the expertise of the investigator with the level of concern. Our executive staff have decades of experience dealing with high profile and high risk incidents. Depending on the particular aspects of the incident we are able to extend our central capabilities with national expert staff who have provided such case specific services to benefit the agency.
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Here to help you today! |
"If your facilities are in the headlines... you have come to the right place."
Welcome
Thank you for visiting our website. This site is designed to be a resource to solve the high profile "incidents" that arise in Mental Retardation, Mental Health and Developmental Disabilities service delivery systems nationwide and soon internationally.
The task of incident investigation is a grueling and demanding activity in the field of Human Services. Often high profile cases in Mental Retardation and Mental Health are closely monitored by state executives but up until now there have not been any available materials outlining best practice in incident investigations in these fields.
Risk Management and Incident Investigations, LLC was forged by several seasoned executive in the field of Developmental Disabilities to provide the highest level of defense to the highest profile incidents. I personally welcome you to explore this site and contact us with any projects that we can help you with. High profile emergency consultation is our specialty.
Mr. Chris Adams, CEO
Best Practices in Incident Investigations
Current Challenges to Effective Incident Review Management
Internal review teams seldom provide safe outcomes since they have many traditional problems to deal with such as:
 | Practical realities of administrative and clinical care issues; |
| Distinguishing between individual responsibility and systemic problems; |
| Existing facility cultural history; |
| Unclear or inadequate documentation; and |
| Having no ability to contribute assessment and intervention strategies that had not been formerly accessible in the past. |
How you will benefit by working with our organization?
We provide the professionalism, credibility and best practices of the investigative sciences in the MR/DD/MN field and make them available for you so that your agency can:
| Develop effective controls with our incident review program; |
| Have the ability to decide the risks of recurrence; |
| eliminate the blame fixing and finger pointing; |
| Identify emerging trends; and |
| improved employee relations |
Risks must be well understood, and risk management approaches developed, before decision authorities can authorize a program to proceed into the next phase of service.
Often in house reviews fail to provide comprehensive information to decision authorities for a number of reasons including:
| Obtaining limited information during high profile incident investigations; |
| Not performing a Root Cause Analysis; |
| Using a limited variety of search strategies; |
| Inexperience in "how to write an investigation report"; and |
| Having enough credentialed staff to create the appropriate constitution of the incident team |
Types of Incidents Investigated
Our staff provide all kinds of emergent and on-going incident reviews as required. Some of the more common investigations include but are not limited to:
| Deaths due to a variety of causes, including forensic investigations; |
| A suicide attempt by an individual; |
| An outbreak of a serious communicable disease; |
| An incident requiring the services of a fire department or law enforcement agency; and |
| Injury, trauma or illness requiring inpatient hospitalization, that occurs while the individual is at the facility or under the supervision of the facility |
Email us today:
Please feel free to contact us by phone:
Risk Management and Incident Investigations, LLC
Suite 250, 300 N. Pottstown Pike
Exton, PA 19341
Tel 6190524-2400 ext 15
Fax 610-524-0952