Office of Facility Quality Improvement and Risk Management
As part of the DBHDS Division of Quality Management and Development, the Office of Facility Quality Improvement and Risk Management works closely with quality and safety professionals and program leaders to ensure the coordination and integration of activities to promote the delivery of safe, high-quality care in state facilities.
The Office of Facility Quality and Risk Management works collaboratively with facility quality and risk managers to maintain a systematic agency-wide approach to safety and performance improvement across three overlapping areas of focus:
- Accreditation and Regulatory Compliance Activities
The office provides leadership, guidance, and policy direction to facilities to ensure compliance with internal procedures, and state and federal regulations; quality measures reporting; and, patient safety reporting requirements.
- Incident Management and Risk Reduction
The Office of Facility Quality Improvement and Risk Management works closely with facility risk and program leaders to minimize the frequency and severity of serious incidents through effective reporting systems and risk mitigation strategies; defined processes for in-depth analyses of incidents; and, outcome measures and performance indicators to identify risks.
- Systematic and Sustainable Performance Improvement
The Office of Facility Quality Improvement and Risk Management promotes a proactive approach to designing and redesigning sustainable approaches to patient safety and quality improvement. This is achieved in two ways: by recommending proactive quality and patient safety methods that increase accountability, trust, and knowledge; and, through ongoing monitoring of system performance.
Who We Are
- Marion Greenfield, Director of the Office of Facility Quality Improvement and Risk Management
- Mary Clair O’Hara
- Renay Durham
- Annette Leeworthy
- Whitney Queen
FACILITY 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