Best Practice Awards Enterprise Risk Assessment & Code of Conduct
About NHS Human Services, Inc. • Seven states • 50,000 served annually • 13,500 employees • Community-based behavioral non-profit • Children and adults • Intellectual/Developmental Disabilities, mental health, autism, juvenile justice • Hundreds of service models Confidential - NHS Human Services - Not for Reproduction
Risk Assessment Process • Purpose • Method • Data Collection ▫ Work group ▫ Research ▫ Identification of risks ▫ Mitigating factors ▫ Broad distribution
• Scoring Confidential - NHS Human Services - Not for Reproduction
Sample Risks Identified Risk
• Illegibility of documentation • Failure to adhere to medical necessity criteria • Unrealistic productivity standards increasing falsification of documentation of activities • Inadequate morbidity and mortality review process • Billing for services not rendered • Lack of individualized and unique service plan • Lack of sufficient and consistent process for crisis response and incident management of sentinel events • Lack of proximal supervisor in provision of community-based services
Confidential - NHS Human Services - Not for Reproduction
Utilization
Confidential - NHS Human Services - Not for Reproduction
Code of Conduct/Core Values
Confidential - NHS Human Services - Not for Reproduction