1. Department of Human Resources Office of Licensing and Monitoring April 24, 2015 1

2. Critical Incident Reporting Providers overall reporting of critical incidents has greatly improved. State wide accuracy 83%. Examples of areas that were improved: – Knowing what to report – Discontinued identifying the foster care agency (RCC, ILP, TFC) as the placing agency. – Documenting the who what when and why in the narrative of the incident report. – Submitting incident report without errors. 2

3. Critical Incident Reporting The following are areas that continue to require improvement. – The Youth in Placement’s name should be listed as first name, last initial only to ensure the child’s confidentiality as required by COMAR – Attention to detail – Not checking the police involvement box – Missing zip codes on addresses – 48 Hour reporting – Incorrect agency type 3

4. Critical Incident Reporting Why reporting critical incidents are so important? 4

5. Critical Incident Reporting Program TypeAWOL 201020112012201320142015 ILP 48 77546516 RCC 617482675693803188 TFC 845733123910931248376 DDA 001101 TGH 271113324825 TOTAL 15371274200518732164606 5

6. Critical Incident Reporting 6

7. Program Site Emergency Hospitalization - Psychiatric 201020112012201320142015 ILP 7663102 RCC 835652777123 TFC 11912919122221158 DDA 001034 TGH 3761183 TOTAL 21219825631330390 7

8. Critical Incident Reporting 8

9. Program SiteArrest/Incarceration of Youth 201020112012201320142015 ILP 971013237 RCC 523568645411 TFC 896010211311138 DDA 000000 TGH 401130 TOTAL 154102181191 56 9

10. Critical Incident Reporting 10

11. Critical Incident Reporting Program SiteAssault on Foster Parent/Staff 201020112012201320142015 ILP 122030 RCC 26827640021721154 TFC 724061636429 DDA 002011 TGH 6258145 TOTAL 34732047028829389 11

12. Critical Incident Reporting 12

13. Critical Incident Reporting Program SiteAssault Youth on Youth 201020112012201320142015 ILP 8481176 RCC 19722530219720383 TFC 128988312211964 DDA 001020 TGH 123616 5 TOTAL 345330400346347158 13

14. Critical Incident Reporting 14

15. Thoughts for the Future 15