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Designation of a qualified individual to implement and oversee the risk management process. The facility may have a contracted risk manager with a risk manager designee in the facility. The Risk Management and Quality Assurance Committee must meet at least monthly and include the facility risk manager, administrator, DON, medical director and at least three other facility staff. Participation may be by phone and attendance must be documented.

Assessment of resident care practices; review of facility quality indicators; and deficiencies cited by the Agency for Health Care Administration with the development of Plans of Correction.

Investigation and analysis of frequency and causes of general categories and specific types of adverse incidents to residents, and communicating this data.

Analysis of grievances that relate to resident care and the quality of services.

Abuse, neglect and exploitation prevention protocol.

Development of appropriate measures to minimize the risk of adverse incidents to residents.

Evaluation of the response of risk prevention/loss control techniques and their effect on the identified risks.

Establish a procedure for preservation of evidence when an injury or accident occurs.

Development of plans of action to correct and respond quickly to identified quality deficiencies.

Encourage the implementation of innovative approaches to reduce the frequency and severity of adverse incidents to residents and violations of resident rights.