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FINGERTIP REPORT: E - ADVERSE EVENTS SUMMARY |
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PIHP |
Overall
Rate of Sentinel Events per 1,000 Persons Served |
Rate
Arrests & Convictions per 1,000 Persons Served |
Rate of
Unexpected Deaths per 1,000 Persons Served |
Total Fair Hearing Requests
for 10/1/05 - 9/30/06 |
Rate of Fair Hearing Requests
per 1,000 Persons Served |
Fair Hearing
Decisions in Favor of PIHP |
Fair
Hearings Decisions in Favor of Beneficiary |
Rate: Suicide |
Rate: Homicide |
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Access Alliance |
2.80 |
3.11 |
0.93 |
15 |
2.28 |
1 |
1 |
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CMH
Affiliation of Mid-Michigan |
0.00 |
4.69 |
0.00 |
23 |
3.00 |
4 |
1 |
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CMH for
Central Michigan |
0.00 |
0.00 |
0.00 |
12 |
2.42 |
1 |
1 |
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Detroit-Wayne |
3.21 |
1.04 |
0.19 |
23 |
0.72 |
3 |
1 |
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Genesee |
1.48 |
0.25 |
0.74 |
23 |
3.55 |
1 |
1 |
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Lakeshore
Affiliation |
0.00 |
6.48 |
0.00 |
17 |
3.46 |
5 |
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Lifeways |
3.83 |
0.00 |
2.19 |
19 |
6.89 |
6 |
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Macomb |
0.56 |
0.00 |
0.28 |
39 |
6.18 |
9 |
1 |
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network180 |
4.72 |
2.51 |
0.94 |
1 |
0.14 |
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North Care |
8.84 |
5.23 |
2.41 |
15 |
3.09 |
7 |
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North
Country |
0.93 |
12.09 |
0.00 |
7 |
1.38 |
2 |
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Northern
Lakes |
0.00 |
2.54 |
0.00 |
26 |
5.45 |
3 |
2 |
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Oakland |
0.16 |
0.00 |
0.16 |
18 |
1.91 |
4 |
1 |
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Saginaw |
0.00 |
8.48 |
0.00 |
4 |
1.34 |
2 |
1 |
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Southeast
Partnership |
1.39 |
24.63 |
0.40 |
11 |
1.76 |
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Southwest
Affiliation |
4.00 |
4.28 |
1.14 |
17 |
2.71 |
3 |
2 |
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Thumb
Alliance |
2.23 |
0.00 |
0.45 |
18 |
4.58 |
4 |
2 |
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Venture |
0.35 |
12.79 |
0.00 |
18 |
2.31 |
1 |
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State Total |
2.08 |
4.04 |
0.42 |
306 |
2.95 |
56 |
14 |
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Report produced by: |
MDCH, Quality Assurance Section |
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Source data: |
Submitted Sentinel Event data for the time
period 4/1/07 through 9/30/07 |
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File: |
G:\QMP\Fingertip
Reports\Fingertip Reports\Fingertip Report October 2007 Rev 3 26 08.xls |
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Data extract date: |
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Report date: |
3/26/2008 |
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Notes/Comments: |
Sentinel Events |
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A Sentinel Event is an
“unexpected occurrence involving death or serious physical or psychological
injury, or the risk thereof. Serious
injury specifically includes loss of limb or function. The phrase, ‘or the risk thereof’ includes
any process variation for which a recurrence would carry a significant chance
of a serious adverse outcome.” (JCAHO, 1998) |
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Population:
Reporting is required for Medicaid beneficiaries who, at the time of the
event, were the
responsibility of the PIHP and 1) living in 24-hour Specialized Residential
settings; 2) living in their own homes receiving Community Living Supports;
3) receiving Targeted Case Management, ACT, Home-Based, Wraparound or
Habilitation Supports Waiver Services; or 4) residing in a substance abuse
residential treatment program. |
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Reporting: The
Department requires PIHPs to submit data on the following types of sentinel
events: |
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·
death of recipient |
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·
serious illness requiring admission to hospital |
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·
alleged case of abuse or neglect |
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·
injury from accident or abuse to the recipient requiring emergency room visit
or admission to hospital |
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·
serious challenging behavior |
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·
arrest and/or conviction |
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·
medication error |
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Fair Hearing |
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Fair Hearing
Requests are only available for Medicaid Beneficiaries. Most Fair Hearing Requests are resolved,
dismissed, or withdrawn. Only a small
number of the Fair Hearing Requests result in a formal decision in favor of
the PIHP or the beneficiary. |
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