Each licensed Community Mental Health Center must adopt and maintain a written risk management program that identifies and analyzes incidents posing harm to consumers, staff, or the public, and determines actions to reduce those risks. Covered incidents include consumer suicides, homicides, unexpected deaths, significant property destruction, acts below the standard of care, and allegations of abuse, neglect, or exploitation. Staff must have a confidential reporting mechanism, and all responses to incidents must comply with statutory mandatory reporting requirements for child and adult abuse. Records demonstrating compliance must be centrally maintained for at least five years.
View official sourceKansas Administrative Regulations Kansas Department for Children and Families Article 60.—Licensing of Community Mental Health Centers 30-60-56. Risk management program; records. (a) Each center shall adopt and adhere to written policies and procedures that provide for a comprehensive risk management program designed to review and evaluate clinical and administrative activities for the following purposes: (1) Identifying and analyzing incidents that present a risk of harm to consumers, staff, and other individuals, including the public at large, or a risk of financial loss to the center or to any affiliated center or other provider with which the center has an affiliation agreement; and (2) determining actions that might reduce the risks specified in paragraph (a)(1). (b) Incidents that the risk management program specified in subsection (a) shall review shall include the following, at a minimum: (1) Any suicide or homicide, attempted suicide or homicide, or other unexpected death involving a consumer who is currently receiving or has recently received any services from the center, the affiliated center, or any other provider with which the center has an affiliation agreement; (2) any act or series of acts resulting in significant destruction of property belonging to the center, or to the affiliated center or other provider with which the center has an affiliation agreement, committed by any consumer who is currently receiving or has recently received any services from the center or the affiliated center or other affiliate; (3) any act or omission that falls or might fall below the applicable standard of care or professional obligation; and (4) any allegation of abuse, neglect, or exploitation of a consumer who is currently receiving or has recently received any services from the center, the affiliated center, or any other provider with which the center has an affiliation agreement, committed by a member of the staff of the center, any contractor, the affiliated center, or other affiliate. (c) These policies and procedures shall include the following requirements: (1) Staff members shall be afforded the opportunity to confidentially report any incident that a staff member believes is appropriate for review by the risk management program. (2) Each action that the center, affiliated center, or any other provider with which the center has an affiliation agreement takes in response to any incident that comes to the attention of the risk management program shall conform to all statutory requirements for the reporting of suspected incidents of either child abuse, neglect, or exploitation, or the abuse, neglect, or exploitation of an adult. (d) Records demonstrating the center's compliance with this regulation shall be centrally maintained for at least five years. (Authorized by K.S.A. 39-1603 (r) and 75-3307b ; implementing K.S.A. 39-1603 (r), 75-3307b , and 75-3304a ; effective July 7, 2003.) ***** Authenticated Kansas Administrative Regulation *****