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Clinical Quality and Risk Management

The Mission of the DBHDS Clinical Quality and Risk Management Office is to ensure that activities to standardize, improve, and monitor the quality of care in state facilities and community programs are coordinated and integrated into primary functions of the organization.

The function of the DBHDS Clinical Quality and Risk Management Office encompasses the three dimensions presented below. Each dimension interacts with the others to create a systematic, organization-wide approach to performance improvement.

  • Regulatory, Certification, and Accreditation Requirements 
This dimension addresses compliance with state and national standards of quality, as established by HCFA, JCAHO, CORE, Licensing and other statutory, regulatory, and accreditation agencies.

  • Ongoing Assessment of Treatment, Training, and Care 
The second dimension focuses on the design of performance expectations and measures, ongoing data collection, targeted studies, and intense analysis of the organization’s clinical processes and outcomes.

  • Systematic and Organization-wide Performance Improvement 
The final dimension focuses on the improvement, design, and redesign of clinical processes; and sustaining improvements through staff education, training, and technical assistance.

Risk Management Plan Templates

Risk Management Plan

Attachment A Incident Reporting Form 

Attachment B Organizational Risk Assessment Tool

Attachment C Risk Reduction Plan

Attachment D Status Report 

Attachment E Root Cause Analysis Directions

Attachment E Root Cause 

Attachment F Mortality Review

RISK AND QUALITY TOOLS AND TEMPLATES

Risk and Quality Management Program Self-Assessment

TRAININGS

September 8, 2015
Monitor Risk Using Triggers and Thresholds
Part 1 Webinar and PowerPoint Presentation

June 23, 2015
Root Cause Analysis:
Part 1 Webinar and PowerPoint Presentation
Part 2 Webinar and PowerPoint Presentation

RISK AND QUALITY PRESENTATIONS

An Introduction to Root Cause Analysis

A Simple Approach to Risk Assessment

GENERAL INFORMATION ABOUT RISK AND QUALITY MANAGEMENT

High Risk Areas for Provider Focus

Best Practices for Risk Management

Marion Greenfield, MA, MHA. Director
(804) 786-4516

Mary Clair O’Hara, Clinical Training Manager
(804) 786-8271