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P008: Division of Health Improvement/Health Certification Licensing and Oversight

P008: Re-Abuse rate (within 12 months- same person) for Developmental Disability Waiver and Mi Via Waiver clients

Current Value

6.1

2017

Definition

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Story Behind the Curve

  • It is important to measure repeat abuse, neglect, and exploitation (ANE) because many individuals are unable to recognize danger, understand their rights, and protect themselves. 
  • Repeat ANE of individuals with Intellectual/Developmental Disabilities I/DD has a direct impact on their quality of life resulting in increased emergency room visits, additional medications, and related medical treatment. Neglect is the most common allegation. Lack of adequate supervision, failure to follow health care plans, and staff training are the most common reasons for substantiated neglect.
  • In 2016 the re-abuse rate was 18.5%, in 2017 the re-abuse rate was 6.1%. Re-abuse is counted as an individual with more than one substantiated case in a 12-month period.
  • Incidents are tracked through the Incident Management Bureau (IMB) incident management data system. By tracking the Re-Abuse rate, (which includes ANE), IMB can determine the effectiveness of Corrective and Preventive Action Plans and strategies intended to reduce the rate of abuse. IMB continues to make improvements to its database functionality to improve the quality of the data. Data prior to 2016 has limitations and does not represent the current level of detail for comparison.
  • IMB has implemented the new statewide ANE training focusing on recognizing and reporting ANE, which uses a competency-based train-the-trainer model focusing on adult learning styles.

Partners

  • NMDOH Developmental Disabilities Supports Division (DDSD)
  • New Mexico Human Services Department (HSD)
  • Community-based providers
  • Community-based waiver provider professional organizations such as the Association of Developmental Disabilities Community Providers (ADDCP)
  • NMDOH Learning Center

What Works

  • Having clear, simple, and accessible processes for reporting suspected abuse.
  • Adequate Immediate Safety and Action Plans.
  • Rapid Response to Serious Allegations of Abuse (priority levels).
  • Meeting statutory 45-day ANE Investigation timelines.
  • Meeting with community based provider organizations to review trends, issues, and concerns.
  • New required ANE training utilizing the ANE Train-the-Trainer project.
  • Updating the Division of Health Improvement website to simplify reporting information and resources for the public.
  • Monthly regional meetings with DDSD to analyze data, review and address patterns, trends, and other concerns (including case reviews), and trending of the top five potential causes of premature death.

Strategy

  • Implementing the Recognizing and Reporting ANE Training for all community-based waiver providers.
  • Providing resources on the IMB website on recognizing and reporting ANE.
  • Partnering with community-based waiver provider organizations to share annual incident data trends, discuss issues and concerns, and identify strategies to reduce abuse in New Mexico.

Action Plan

  • Q1:
    • Ongoing implementation of FY16 action items to complete investigations within 45 days. Completed
    • Ongoing implementation of the new "Recognizing and Reporting ANE" for community based providers training. Completed
    • Identify patterns, trends of abuse, and other areas of concern from IMB data and report issues to DDSD at regional monthly meetings. Completed
  • Q2:
    • Ongoing implementation of FY16 action items to complete investigations within 45 days.  
    • Identify patterns, trends of abuse, and other areas of concern from IMB data and report issues to DDSD at regional monthly meetings. 
    • Complete the FY18 Annual Report.
    • Complete the FY19 ANE Reporting Guide.
  • Q3:
    • Ongoing implementation of the new "Recognizing and Reporting ANE" for community based providers training. 
    • Identify patterns, trends of abuse, and other areas of concern from IMB data and report issues to DDSD at regional monthly meetings. 
    • On-going quarterly training for IMB Investigators. 
  • Q4:
    • The Q4 action plan will be updated in Q2 to reflect analysis of current trends and needs.  

FY18 Annual Progress Summary

  • During FY18 the NMDOH Division of Health Improvement, Incident Management Bureau (IMB) continued to see improvement (decrease) in the re-abuse rate for individuals in community-based programs.  
  • All community-based providers are now required to comply with providing the new course on recognizing and reporting abuse, neglect, and exploitation to their staff. The annual required refresher course is now available online for all staff to complete.
  • During the fourth quarter IMB posted a headline banner on the NMDOH website to increase awareness on recognizing and reporting ANE.
  • During FY18 there was a small decrease in the re-abuse rate, it should be noted, that due to the small sample size of this measure there can be greater variability in the data.

FY19 Annual Progress Summary

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