Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement

QualityTool

Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement

Description

This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants. Administrators from 11 State operating agencies, representing a range of waiver types and geographic areas, were interviewed for this report. These agencies served at least one of four waiver populations (the elderly, people with physical disabilities, people with mental retardation, and/or people with developmental disabilities or brain injuries).

This tool addresses the following topics:

  • Purpose and methodology
  • The relationship between risk management and quality management
  • Identifying and planning to mitigate risk at the individual level
  • Monitoring and remediating risk at the individual level
  • Training and resources for staff to support individuals
  • Addressing risk system-wide
  • Conclusions

Developer:

Centers for Medicare and Medicaid Services; The Medstat Group, Inc.

Funding Sources:

Centers for Medicare and Medicaid Services

History

Release Date: 2005
Original Summary: May 2005
Last Updated: 05/07/14

QualityTool Classification

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