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File Downloads / Links

Meeting Summary <a href="/sites/default/files/hcbs/files/103/5148/Meeting_Summary,_June_23,_2006.doc" target="_blank">Word</a>
Form: Initial Report <a href="/sites/default/files/hcbs/files/103/5149/1_Initial_Incident_Report.doc" target="_blank">Word</a>
Form: Hosptial Visit <a href="/sites/default/files/hcbs/files/104/5150/2_Hospital_Incident_Report.doc" target="_blank">Word</a>
Form: Final Report <a href="/sites/default/files/hcbs/files/104/5151/3_Final_Incident_Report.doc" target="_blank">Word</a>
Form: Initial Report <a href="/sites/default/files/hcbs/files/106/5297/Initial.pdf" target="_blank">PDF</a>
Form: Hosptial Visit <a href="/sites/default/files/hcbs/files/106/5298/hospital.pdf" target="_blank">PDF</a>
Form: Final Report <a href="/sites/default/files/hcbs/files/106/5299/final.pdf" target="_blank">PDF</a>

Critical Incident Reports: Massachusetts

Article Publication Date
Summary
As part of the Massachusetts Independence Plus grant, the workgroup recognized there was a certain amount of risk associated with individualized budgeting. They devised a “Incident Reporting” System that would document any incidents (such as fall, funding problems, injuries) that would compromise the health of an individual with disabilities being served under the program. The forms were created to assist a future Massachusetts IP waiver and have not yet been adopted
Massachusetts
Programs/Initiatives
States
incidence report; incident management; incident form; CIM and Grievances

Contact

Nirvana
Huhtala Petlick
npetlick@ifh.rutgers.edu