Reportable Event Management

About Reportable Event Management (REM)

Reportable Event Management (REM) is an important component of an overall approach for ensuring the health, safety, individual freedom, and quality of life of people participating in home and community-based services (HCBS). REM in CHOICES, Employment and Community First (ECF) CHOICES, Katie Beckett and the 1915(c) waiver programs involves a partnership between TennCare, the Department of Intellectual and Developmental Disabilities (DIDD), Managed Care Organizations (MCOs), and HCBS providers who all have a role in making REM an effective tool for ensuring the highest possible quality of life by honoring the self-determination of people receiving HCBS.

This process aligns with the Dignity of Choice protocol which sets forth expectations for TennCare, MCOs, contracted providers, and DIDD regarding philosophies and practices specific to foreseeable risk identification, assessment, and mitigation in the home and community-based services. This protocol identifies a process for addressing dignity of choice through comprehensive assessment, the Person-Centered Support Plan (PCSP) process, and ongoing Support/Care Coordination/Case Management.

Dignity of choice is the right of a person to make an informed decision to engage in experiences of his or her own choosing, which are necessary for personal growth and development. Supporting dignity of choice means honoring a person’s right to make choices and engage in activities that may involve risk associated with these types of choices and activities, and committing to assist the person to identify, consider, and implement strategies to mitigate the identified potential negative consequences of these choices.

The aligned approach to REM ensures that people, involved family members, and/or natural supports, as appropriate, are informed about supporting dignity of choice, including informed decision making, tolerable risks, risk mitigation, and how to safely report an event that compromises the health, safety, individual freedom, and/or quality of life of a person supported.

People supported by home and community-based services (HCBS) such as CHOICES, Employment and Community First (ECF) CHOICES, Katie Beckett and the 1915(c) waiver programs are encouraged (with, whenever possible, the support and involvement of their families and natural supports) to pursue and achieve their goals, which inevitably involves taking informed, reasonable risks.

Within CHOICES, ECF CHOICES, Katie Beckett and the 1915(c) waivers, the REM system is designed to:

  1. Clarify non-reportable events that providers must address internally through their own quality assurance and event management processes;
  2. Define the reportable events that must be reported to DIDD, the MCO and the timeframes for reporting;
  3. Ensure that provider agencies, their staff, MCO Support Coordinators, the Fiscal Employer Agent (FEA), and others are well informed of their responsibilities to identify events that are reportable;
  4. Specify the types of reportable events that require investigation or review, by whom (DIDD or provider), the timeframes for such investigations or reviews, and how the person (and/or family and legal representative as appropriate), providers, and others are informed of the results of an investigation or review;
  5. Define the processes for requesting a file review of a completed class 1 investigation report, who may request a review, and timelines applicable to the review process; and
  6. Ensure a collaborative process between providers, MCOs, and DIDD that identifies and defines trends in order to evaluate the nature, frequency, and circumstances of all reportable events, in a manner that leads to actionable steps that are proactive in preventing or reducing similar occurrences.

DIDD Reportable Event Train the Trainer

This training is specifically for those providers who wish to establish a trainer on staff to teach Reportable Event Training. The Reportable Event Training explains what a reportable event is, the timeframe required to complete the reporting process, how to report, and the Reportable Event Form (REF). Reportable Event Training is required for all existing and new agency staff, including Direct Support Staff and support staff (executive, management, supervisory, administrative, and clinical) and new employees within the first 30 days of employment and prior to working alone with people supported.  Those who opt to take this Train the Trainer course can teach Reportable Event Training to agency staff.  The training lasts approximately 2.5 hours.

Providers who have identified the need for an internal Trainer for the Reportable Event Training, need to send the trainers name, title, and email address to DIDD.REMHelp@tn.gov 

Relias:

For those providers whose staff do not have access to Relias, a Provider Relias Administrator can be assigned. The provider can submit 1-2 names of staff to be trained as the Relias Administrator.  

This will require a two-hour WebEx training to learn how to:

  1. Create profiles for staff
  2. Assign the REM video for direct care staff, Reportable Event Form (REF) Instructions training, or the Event Management Coordinator/PRERT course
  3. Deactivate staff after course is completed
  4. Run compliance/completion reports

The names of the staff identified to be the Relias Administrator(s) should send the person’s name, title, and email address to DIDD.ISQA@tn.gov in order to register.  Accessing Relias through this process is free to the provider.


MCO Member ID Number for the Reportable Event Form

The MCO Member Number may be found on the person’s insurance card, the Individual Support Plan (ISP) or the Person-Centered Support Plan (PCSP). You can find examples of where to find the number on the MCO member cards here. 
If you are unable to locate the MCO Member ID Number, or there are questions about the number, please reach out to the person’s MCO for assistance, please reach out to the MCO helpdesk REM mailbox and request the number. The MCO email contacts are:


• Amerigroup: TN-REM@amerigroup.com
• BlueCare: reportableevents@bcbst.com
• United Healthcare: tn_quality_review@uhc.com

Provider Investigator Information

An updated Provider List has been posted pertaining to Provider Investigator Status. Please review the list on the REM webpage using the following link https://www.tn.gov/didd/providers/r-e-m.html. We ask the providers to let us know if there are errors or a change in status by emailing the information to the REM Help Desk at DIDD.REMHelp@tn.gov.


REM System Substantiated Investigations Records Inquiry (SIRI) Registration

As a reminder, the SIRI tool (for searching the Substantiated Investigations Records Inquiry system) is open for registration for all providers, including TEIS, ECF CHOCIES, CHOICES, ICF-IID, Katie Becket and 1915c. This tool broadens your information base when selecting applicants for hire, and for making retention decisions concerning existing staff. Although it was optional in the past, it is now a requirement. Provider Investigators can register separately from agency HR personnel using the same procedure:

To register, an email from the Executive Director or designee must be sent to dd.investigation@tn.gov, providing the names and position titles, business emails, and business phone numbers and addresses of up to three personnel, including the Executive Director. (For agencies operating in more than one of the grand regions, each office should sign up separately.)

Provider Investigators can send an email directly with the agency’s Executive Director included on the cc line of the email.

If you have any questions or run into any problems, please email the same mailbox, or reach SIRI Coordinator Norah Glickstein at 615-253-5024.


REM Training Reminder

  • For ECF Choices, 1915c, Katie Beckett, and ICF-IID providers the Reportable Event Training (RET) is the only required training for all staff and volunteers. 
  • For ECF Choices, 1915c, Katie Beckett, and ICF-IID providers the Provider Reportable Event Response Team training is only for the provider’s Event management Staff. 
  • For ECF Choices, 1915c, Katie Beckett, and ICF-IID providers the Provider Investigator training is only for the person designated by the provider to conduct Tier 2 investigations.
  • CHOICES ONLY Providers must have all staff trained Reportable Event Training (RET), Provider Reportable Event Response Team, and a REM certified Provider Investigator or business agreement. 

Provider Event Management EMC Training:

The Provider Event Management Training has been revised to include tracking and trending information, as well as updated definitions for reportable medical and reportable behavioral events.

Those who are currently enrolled in the original Relias training TNDIDD Provider Event Management Training, Course Code: TNDIDD_PRERT 

 

Reportable Event Training

The Reportable Event Training is located on the Relias platform. This training provides information related to reportable events, includes specific examples, and enlightens staff in recognizing what is reportable, the timeframes for reporting, and the state’s requirement in how the events are reported. All new hires should be enrolled in the new Reportable Event Training course.

Please contact the TNDIDD Relias Help desk for assistance with Relias functionality. DIDD.ISQA@tn.gov

Please contact the DIDD REM Help Desk with questions or concerns regarding requirements and timelines for this training. DIDD.REMHelp@tn.gov

Please note that this is still a one-time training, so users will NOT have to retake the training. However, the user will be able to return to Relias to review the material as needed. The REM training is posted to the webpage at www.tn.gov/didd/providers/r-e-m/rem-training.html. The webpage will always have the most current version of the training for you to download.