CoastalCare IRIS Training. Insider’s Guide to IRIS. Purpose of Incident Reporting: Ensure incidents are addressed in a thorough and timely manner Track and trend information to identify patterns of concern Analyze ways to prevent future incidents Identify ways to improve the service system
Insider’s Guide to IRIS
* “Under Your Care” 90 day rule
* Saving an incident report Submitting one
* An IRIS incident number DOES NOT necessarily mean the incident report has been successfully completed
Submitted Report =
* The Supervisors Action tab MUST be completed in order for the incident report to be fully submitted
* Information should be completed within 2 business days *
(example: x-rays show a broken bone and cast is applied)
54 year old female (Mary Tarheel DOB:9/15/1959)
Diagnosis: Major Depressive Disorder, COPD
Medications: Symbicort, Celexa, Elavil
Location of Death: Consumer’s Home
What we know:
*Found by family member unresponsive.
*Consumer was linked with provider, but was only seen 2 times in the past 90 days.
Received: Medication Management and Individual Therapy
Resided in New Hanover County
▪ Verbal Notification is required for all Level 3 incidents, including Deaths within 24 hours of learning of incident. If on the weekend, provider’s should still leave a message.
▪Internal death forms and timeframes
▪Know how/where to request death certificate
▪Death incidents will remain open until a death certificate/ME report is received. Documents should be attached to the IRIS incident and Manner of Death tab should be adjusted based on findings.
▪DHHS pays close attention to last date of discharge from a state facility/hospital.
▪All deaths are sent to CoastalCare’s Chief Medical Officer for review.
Additional questions may come from this review.
▪Deaths are presented to CoastalCare’s Human Right’s Committee
8 year old male (John Smith DOB: 1/25/2006)
Diagnosis: ADHD, ODD
Medications: Melatonin, Intuniv
Location: Service Facility
Receives: Day Treatment Services
Lives: New Hanover
Consumer did not want to participate in group activity, but rather talk to his mother. Staff told consumer he wasn’t allowed to use the phone at this time. Consumer became agitated and started throwing chairs. Staff provided redirection and prompting. After numerous attempts, consumer had to be put in a Standing Restraint for 1 minute and Isolation Time/Out for 5 minutes.
No behavior plan
▪If ‘yes’ is checked to the Restrictive Intervention being part of the consumer’s behavior plan, the
plan must be attached to the IRIS report for confirmation.
▪Make sure all the tabs are completed under Restrictive Intervention tab.
IMPORTANT: Time, type and duration.
▪Restrictive Interventions are presented to Human Right’s Committee and additional information
may be requested.
▪CoastalCare tracks and trends Restrictive Interventions in order to identify patterns of concern.
▪Face down is not an option. Situation will have to be assessed and report will need to be amended if this is selected.
22 year old female (Kimmy Nelson DOB 6/15/1991)
Diagnosis: Cannabis Abuse, Alcohol Dependence, Depression, Opioid Dependence
Medications: Prozac, Suboxone
Lives: New Hanover
Consumer became intoxicated. She took a moped, and crashed into the side of the providers office. No other people involved in accident, and consumer only required first aid for minor injuries. When police arrived on the scene, they found there was a warrant out for her arrest. Consumer was taken into custody. Incident was reported in the Media.
▪ If the Consumer Behavior (as shown in previous scenario) results in permanent physical or psychological impairment or is in the media, then the incident will be classified as a Level 3.
▪ If an incident involves the media, then the provider will need to attach the media source to the IRIS report.
▪ DHHS pays close attention to the last date of discharge from a state facility/hospital when the media is involved.
Providers are required to submit incident reports within 72 hours of learning of the incident.
*Even if all the information is not readily available, it is better to get the report in and go back and amend it, then submit it late!*
If an incident report is submitted late, providers will receive the following correspondence:
1st offense email = notification incident report is late, incident reporting manual attached and offer for technical assistance
2nd offense email = notification incident report is late, Network liaison is included in communication and notice that with a 3rd offense a plan of correction (POC) is possible
3rd offense email = notification incident report is late, liaison will contact provider regarding plan of correction (POC) steps.
*Please refer to “The Criteria for Determining the Level of Response to Incidents” on pages 20-25 for guidance in determining the level of response to Level I, Level II and Level III incidents
Please feel free to Contact:
Tricia Pike: 910-550-2577
Chrissy Gonthier: 910-550-2748