Facility Quality 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

FACILITY QUALITY AND RISK TOOLS AND TEMPLATES

Risk and Quality Management Program Self-Assessment

TRAININGS: FACILITY QRM

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

FACILITY QUALITY AND RISK PRESENTATIONS

An Introduction to Root Cause Analysis
A Simple Approach to Risk Assessment

GENERAL INFORMATION ABOUT QUALITY IMPROVEMENT AND RISK MANAGEMENT

High Risk Areas for Provider Focus
Best Practices for Risk Management