Risk, Rates, and Resolution of Events for Individuals with Complex Needs

An analysis of health and behavior risks, adverse events, and resolution activity is a component of health and safety oversight and is part of DBHDD’s quality management and improvement system. It is important to understand the level of risk for certain key conditions in the population of individuals with intellectual or developmental disabilities (IDD), to consider how frequently a negative health or negative behavioral outcome occurs for those at risk of such events, and how, when they do occur, the system responds to resolve them.

The purpose of this report is to examine what DBHDD has learned about health and behavioral risks and adverse events that rose to the level of statewide clinical oversight (SCO), and when adverse events did occur, to understand both how the system responded to those events and how they were resolved.