Whose Job Is It, Anyway?
Critical or not critical? That is the question!
Who Ya Gonna Call?
The Incident Reporting Playbook
100

This role is responsible for submitting incident reports if the event didn’t occur at a provider site.

Who is the case manager?

100

A participant scratches their arm on a cabinet and requires only a bandage.

What is a non-critical incident?

100

A participant fell and banged her knee. Is this an incident that needs to be reported?

What is no?

100

This is the system where incident reports and investigation materials must be completed and submitted.

What is MWMA (Medicaid Waiver Management Application)?

200

If an incident happens during the day at or with North Star staff this is the best choice for the person who must report it in MWMA.

Who is the person who witnessed it?

200

A participant refuses their medication twice this month with no noticeable impact.

What is a non-critical incident?

200

You find out about a non-critical fall on Saturday afternoon. When must you submit the incident report in MWMA?

What is the next business day (Monday)?

200

This type of incident must be reported the same day if witnessed during business hours, or the next business day if discovered after hours.


What is a critical incident?

300

When a critical incident is reported by a provider, this person must complete a sign-off or request an RMIR if they disagree with the findings.

Who is the case manager?

300

A staff discovers that a participant received the wrong dose of medication for four days in a row.

What is a critical medication incident?

300

You discover a med error that the person has been receiving the wrong dose of insulin.  How long do you have to report this?  

What is 8 hours?

300

If an incident involves multiple waiver participants, this must be done regarding incident reports.


What is complete a separate incident report for each waiver participant involved?

400

This entity is responsible for investigating suspected adult abuse and coordinating with law enforcement when necessary.

What is Adult Protective Services (APS)?

400

A seizure occurs and the staff all follow the correct protocol in the person’s crisis plan.

What is not a reportable incident?

400

A critical incident occurs at 6:30 PM on a Thursday. When do you notify the regulating agency?

What is the next business day (Friday)?

400

Who is responsible for completing the incident report?  

The person witnessing the incident or someone who is designated (although ultimately the witness is always the responsible party for the information).

500

Name one of the state entities are responsible for reviewing reports, issuing corrective actions, and coordinating with law enforcement if needed.

What are DAIL, DBHDID, and DMS (the regulating agencies)?

500

A participant reports that another staff member hit them. The claim is unverified at this stage.

What is a suspected abuse incident (critical)?

500

If you witness suspected abuse, neglect, or exploitation, you must call this agency within 8 hours — even if the person involved doesn’t want you to.

What is DCBS (APS or CPS)?

500

When is a Risk Mitigation and Investigation Report (RMIR) required and who is responsible for completing it?

With a critical incident especially when the case manager wants more information. The Executive Director or another administrator may submit the RMIR..