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Office of Mental Health

Office of Quality Improvement (OQI)

Clinical Risk Management

The purpose of the Clinical Risk Management (CRM) unit is to assure that all providers operated or licensed by the Office of Mental Health (OMH) establish and maintain an incident management program for identifying high risk processes and systems. The goal is to reduce variation in these processes that affect consumer safety and to develop strategies for risk reduction, error prevention and performance improvement. The health, safety and welfare of individuals in care is our primary concern.

External Review

The purpose of the External Review Unit is to provide technical assistance and survey readiness activities to the State operated Psychiatric Centers. OMH receives federal Medicaid and Medicare revenue which is directly contingent upon maintaining The Joint Commission (TJC) accreditation and CMS certification. For State operated psychiatric centers to remain certified and accredited, OMH must comply with hospital standards issued by the federal government called Conditions of Participation (CoP). The Federal Centers for Medicare and Medicaid Services (CMS) has assigned TJC to survey facilities on its behalf to assure compliance with all CoPs. The External Review unit provides readiness assessments and technical assistance to OMH operated facilities in interpreting and complying with over 1,200 TJC and CMS regulations.

New York State Incident Management and Reporting System (NIMRS)

NIMRS is a web-based computer application developed by the Office of Mental Health to facilitate incident management and reporting by state operated psychiatric centers and OMH licensed mental health programs and it serves as the required method of reporting incidents to both OMH and the CQC (Care for the Mentally Disabled) under New York Codes, Rules and Regulations (NYCRR) Part 524. NIMRS features a user-friendly interface for managing incident information as well as a comprehensive report menu for trending and benchmarking incident data, making it a valuable quality improvement and clinical risk management tool.

Comments or questions about the information on this page can be directed to the Division of Quality Management.