Statewide Risk Management Committee Practice Guidelines
Introduction
The purpose of the Statewide Risk Management Committee (SRMC) is to support Local Risk Management Committees by reviewing cases referred by Local Risk Management Committees and offering advice and recommendations regarding the Plan of Person Centered Risk Manageability (RMP). The SRMC shall thoroughly review all information provided and offer the Local Risk Management Committee thoughtful advice, suggestions and recommendations in areas such as: 
•	Whether the risk management plan provides appropriate services, supports and supervision for the individual, 
•	The sufficiency of treatment to be provided for the individual to address the clinical issues associated with the individual’s high risk behaviors
•	The appropriateness of any proposed restrictions or environmental modifications. 
•	The SRMC will also review and make recommendations regarding the strength of the person centered aspects of the RMP. 
The recommendations of the Statewide Risk Management Committee will be considered by the Area Agency who will provide final approval of the Risk Management Plan and facilitate implementation of the plan in cooperation with the individual's primary service team. The SRMC advice, opinions and recommendations are advisory to the Area Agency and all authority for approval of the RMP will reside with the Area Agency. 
The Statewide Risk Management Committee may also provide, guidance, insight and recommendations regarding statewide or local issues associated with assessment, treatment and risk manageability for individuals with developmental disabilities who have histories of high risk behaviors.
Definition
An individual may be presented to the Statewide Risk Management Committee when the Local Risk Management Committee determines, in accordance with state and local guidelines, that the individual would benefit from inclusion in the Person Centered Process of Dynamic Risk Manageability. 
Plans of Person Centered Dynamic Risk Manageability should be completed in accordance with local and statewide guidelines and should be reviewed by the Area Agency local risk management committee, and the Area Agency Executive Director, or designee, before being submitted for review by the Statewide Risk Management Committee.
All submissions to the SRMC will be coordinated through the SRMC Central Coordinator. Submissions shall include:
•	Current Comprehensive Risk Assessment by Qualified Assessment Provider in accordance with the Template for the Assessment of Risk Management Needs of Individuals with ID/DD who have histories of High Risk Behaviors,
•	The Plan of Person Centered Dynamic Risk Manageability in its entirety, including any supporting documents,
•	If the RMP contains any elements that are considered rights restrictions under federal or state regulations or policies, these elements must be included in a behavior management plan which must be reviewed and approved pursuant to the agency’s human rights review and approval process.  Care should be taken to assure full alignment between the RMP, the Service Agreement and the behavior management plan, if applicable.
•	Any other information that the Local Risk Management Committee believes to be relevant and/or upon which the Local Risk Management Committee wishes SRMC review and comment.
•	For individuals involved in the criminal justice system or any individuals who are subject to court ordered commitments, or who have conditions of disposition, release or adjudication imposed by the court or probation or parole, copies of all relevant documents must be provided, including arrest reports, indictment descriptions, conditions of the court, probation of parole as well as all court ordered assessments or commitments and all associated documents.
All Plans of Person Centered Dynamic Risk Manageability must be signed by the person completing the RMP as well as the members of the Local Risk Management Committee who reviewed the plan. Electronic signatures are sufficient for this purpose. Risk Assessments must be dated and signed by the clinician completing the assessment.
Organization and Operation of the Committee
The SRMC shall be comprised of individuals who have knowledge and experience in the assessment, treatment and support of individuals with histories of high risk behaviors as well as senior management representatives of Area Agencies, and a representative of the Bureau of Developmental Services.  All members of SRMC as well as any representatives from any Area Agency attending an SRMC meeting must sign a valid Confidentiality Agreement and must fully abide by the conditions of the agreement as well as the requirements of HIPPA.
Committee meetings will be coordinated by the central coordinator and shall occur at least once per month, or more frequently if needed.

A representative of the Area Agency submitting the referral shall present the case including:
•	a brief description of the individual’s clinical, social and offense history, 
•	a description of the current residential, day and clinical services being provided for the individual
•	a description of the individuals current high risk behaviors
•	the individual’s current static, and dynamic risk factors
•	the type and intensity of treatment being provided to address the individual’s high risk needs
•	the individual’s perspective on preferred living arrangement, work situation, recreational preferences, significant relationships and  the individual vision of a preferred future.
The Committee will have carefully reviewed the full RMP and all assessments and other documents provided prior to the meeting. The Committee may ask questions of the Area Agency Representative, inquire regarding issues or concerns and discuss the salient points of the referral. Full and open discussion is encouraged and shall, in all cases, be directed at providing the Area Agency with the best possible advice, opinions and recommendations of the SRMC members. 
In addition to the risk mitigation strategies described in the RMP, the Committee may also offer comments and suggestions regarding the implementation and monitoring of the RMP including how people will be trained regarding the plan, how the plan will be monitored and when the plan will be updated.
After fully reviewing and discussing the case and all of the material provided, the SRMC shall decide, based on a consensus of the members whether they:
•	Endorse the RMP submitted by the Area Agency, either with or without suggestions, recommendations and considerations or
•	Do not endorse the RMP as submitted by the Area Agency. In all cases where the RMP is not endorsed by the SRMC, specific reason shall be provided and suggestions and recommendations shall be provided to the Area Agency for their consideration.
  The central coordinator will summarize the results of the Committee meeting including any suggestions, recommendations or consideration offered by the SRMC to the Area Agency in writing within 3 business days.
Although the Area Agency shall carefully consider the input of the SRMC and make whatever modifications, if any, they believe are appropriate to the risk management plan, full responsibility and authority for developing, implementing and monitoring the RMP resides exclusively with the Are Agency.  Additional submissions for further consideration by SRMC may be made by the Area Agency as they deem appropriate.
Logistical Guidelines for RMP Submissions 
Risk Management Plan submissions will be sent by the Area Agency seeking SRMC review, directly to the SRMC central coordinator no later than two weeks prior to the SRMC meeting at which the plan is to be reviewed. Documents should be sent in Word format rather than PDF format, if possible. SRMC meetings are scheduled for the first Thursday of each month at 12PM. 
The SRMC central coordinator will distribute all Risk Management Plans and supporting documents that are received in a timely manner to all SRMC members via e-mail. All documents must come to the central coordinator in ONE e-mail to share with all SRMC members. At times, SRMC committee members may request additional supporting documents for review. In such circumstances, the central coordinator will forward the request to the appropriate party and distribute any additional materials that are received to all SRMC members.
The central coordinator will distribute an agenda for the upcoming SRMC meeting in advance of the scheduled date of the meeting. All committee members should verify that they have received all RMPs and associated materials that are on the agenda. 
In the event that an Area Agency has a need for an emergency review of a case, after the submission deadline, the central coordinator will distribute the RMP and associated materials to all SRMC members and request that they provide an emergency review. If an Area Agency requires input from the SRMC before the next scheduled SRMC meeting, the central coordinator will facilitate a telephone conference or e-mail review in as timely a manner as possible. If fewer than 5 SRMC members are able to participate in an emergency telephone or e-mail review, the referral will be added to the agenda for the next scheduled SRMC meeting.   
If a representative of an Area Agency is unable to be present for an SRMC meeting, s/he may participate via video conference by contacting the SRMC central coordinator. 
In the event that a member of SRMC is also a provider of services to an individual being reviewed by SRMC, that committee member shall recuse themselves from discussions regarding the specific provisions of the RMP in order to avoid a possible conflict of interest. They may, however, provide comments and information regarding the individual in other regards.
A possible conflict of interest should also be avoided by not having the same clinician conduct the comprehensive risk assessment and write the RMP. 
If a region is submitting an RMP that contains changes made based on feedback from the SRMC, the changes should be highlighted to facilitate review. The central coordinator will send the SRMC Response with the revised RMP so committee members are able to compare the documents. 
Adopted June 9, 2011 Revision 3/17/17, 4/19/17. Final 5/4/17