New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 524 - Incident Management Programs
Section 524.6 - Incident management program
Universal Citation: 14 NY Comp Codes Rules and Regs ยง 524.6
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Consistent with the requirements of this Part, all mental health providers shall develop, implement and monitor the effectiveness of an incident management program, with the intent of protecting the health and safety of patients and enhancing their quality of care.
(b) At a minimum, incident management programs shall consist of the following components:
(1)
Organization and
administration. Mental health providers shall identify staff
responsible for the overall operation of the incident management program, and
shall train staff regarding their related roles and responsibilities.
(2)
Incident management
plan. Mental health providers shall develop and implement a written
incident management plan, which shall include the following:
(i) the goals and objectives of the incident
management program; and
(ii) the
policies and procedures for the operation of the incident management program
which address, at a minimum, the following:
(a) identification, documentation, reporting
and investigation of incidents;
(b)
review of individual incidents to identify appropriate preventive or corrective
action;
(c) review of the facts,
circumstances, processes, systems, and areas of risk that contributed to an
incident, as well as opportunities for performance improvement;
(d) identification and review of incident
patterns and trends; and
(e)
monitoring of incident management practices and developing proactive strategies
for risk reduction, error prevention, and performance improvement.
(3)
Monitoring. Programs shall ensure that appropriate mechanisms
exist for monitoring the overall effectiveness of the incident management
program.
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