NIMRS Reference Guide for Abuse and Neglect Corrective Action PDF

corrige_cap_pse_2016.pdf

CAP. PRÉVENTION SANTÉ

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NIMRS Reference Guide for Abuse and Neglect Corrective Action

Reminder: CAP Due Dates are based on 90 Days from develop Corrective Action Plans ... Issued: March 1 2016. CAPS Process Flow: Closing a CAP Step By ...

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Reminder:

Providers should

submit investigation materials in WSIRProviderCompletes

Findings &

Investigation /

Reminder: CAP Due Dates

are based on 90 Days from the date the NYS JC issues the Determination Letter 1. Attaches the NYS

JC Determination

Letter Note

2. Documents if Any

Offense was

Substantiated (AOS)

by the NYS JC

3. Records the date

the Determination

Letter was IssuedCentral Office

Reminder: Corrective

Actions are REQUIRED for

any event substantiated by the NYS JC, OMH Central

When Are CAPS Required?

Providers are always able to

develop Corrective Action Plans in NIMRS for all incidents.

However, CAPS are REQUIRED:

1. For all Allegations of

Abuse and Neglect Investigations

Substantiated by the

AND / OR

2. For all Allegations of

Abuse and Neglect Investigations containing

Any Offense Substantiated (AOS) by the NYS Justice Center.

Such substantiations are documented

in the JC Determination LetterProceeds with

Implementation of

established

Corrective Actions

pending receipt of the NYS Justice

Center

Determination

Letter

Reminder: Corrective

Actions must be at least

for the CAP to be submitted for review.ProviderAfter CAP is approved by Central

Office:

1. Provider ensures

implementation of all

Corrective Actions

listed

2. Records the final

3. Closes the

Incident In NIMRSProvider

Note: Closure of

incident will ultimately mark CAP as

Reminder: NYS Justice

Center Determination Letters

are required for Approval -

CAPS submitted prior to

letter reception will be listed

Develops and

documents initial

Corrective

Actions on the

in NIMRSProviderNYS OFFICE of MENTAL HEALTH:

NIMRS Reference Guide for Abuse and Neglect

Corrective Action Plans (CAPS)

Issued: March 1, 2016CAPS Process Flow: Closing a CAP Step By StepNote: CAPS that are deemed inappropriate, inadequate or incomplete will be returned to need to be corrected and resubmitted by the providerReview the

Submitted CAP for

Quality,

Applicability, and

ComplianceCentral Office

CAP Status DefinitionsReviews Letter,

makes any necessary changes to the CAP, and submits for Central

Office ReviewProvider

1. PENDING CAP: This is the default CAP status

for any incident, regardless of incident type, in which a CAP has not yet been created.

2. CREATED: This status indicates that

Corrective Actions have been entered in the

Corrective Actions Table on the CAP Tab.

3. PENDING JC DETERMINATION: This status

indicates that the provider is ready to submit the

CAP for review, but is waiting for the NYS JC

Determination Letter.4. SUBMITTED TO CO: This status indicates that the provider successfully submitted to CAP for OMH Central Office review. The CAP may be returned if corrections are required.

5. PROVIDER REVISION REQUIRED: This status

indicates that a CAP was reviewed by OMH

Central Office and returned to the provider for

correction as it was inadequate or incomplete. 6. APPROVED: This indicates that a CAP was reviewed by OMH Central Office and approved for implementation. 7 . IMPLEMENTED: This is the final status prior to incident closure, and it marks that all Corrective Actions documented and approved in the CAP have been successfully implemented by the provider.For Assistance or Questions Regarding the CAPS Process, Please Contact The Office of Quality Management at (518)-474-3619quotesdbs_dbs50.pdfusesText_50

[PDF] NIMRS Reference Guide for Abuse and Neglect Corrective Action

Reminder:

Providers should

Findings &

Investigation /

Reminder: CAP Due Dates

JC Determination

Letter Note

2. Documents if Any

Offense was

Substantiated (AOS)

3. Records the date

Letter was IssuedCentral Office

Reminder: Corrective

Actions are REQUIRED for

When Are CAPS Required?

Providers are always able to

However, CAPS are REQUIRED:

1. For all Allegations of

Abuse and Neglect Investigations

Substantiated by the

2. For all Allegations of

Abuse and Neglect Investigations containing

Such substantiations are documented

Implementation of

Corrective Actions

Center

Determination

Letter

Reminder: Corrective

Actions must be at least

Office:

1. Provider ensures

Corrective Actions

2. Records the final

3. Closes the

Incident In NIMRSProvider

Note: Closure of

Reminder: NYS Justice

Center Determination Letters

CAPS submitted prior to

Develops and

Corrective

Actions on the

NIMRS Reference Guide for Abuse and Neglect

Corrective Action Plans (CAPS)

Submitted CAP for

Quality,

Applicability, and

ComplianceCentral Office

CAP Status DefinitionsReviews Letter,

Office ReviewProvider

1. PENDING CAP: This is the default CAP status

2. CREATED: This status indicates that

Corrective Actions have been entered in the

Corrective Actions Table on the CAP Tab.

3. PENDING JC DETERMINATION: This status

CAP for review, but is waiting for the NYS JC

5. PROVIDER REVISION REQUIRED: This status

Central Office and returned to the provider for