Major Unusual Incidents Definitions

Major Unusual Incidents: Classification and Definitions

Timely reporting of MUI’s help improve the quality of services for those we support and help keep them safe.  Our MUI team is here to help you understand what to report and when.  All roles and responsibilities of County Board staff and providers can be found in the MUI Rule.  Also, check out the Department of Developmental Disabilities Health and Safety Toolkit for resources tailored for families, county board, and providers.  If you still have questions please contact us.

Category A

Step 1: Report immediately but no later than 4 hours after discovery

How to Report

During business hours ( 8 am to 4 pm, M-F): 330-634-8MUI (8684)

After hours:  877-271-6733

If there are difficulties in reporting to Summit DD you may reach the Ohio Department of Developmental Disabilities hotline at 866-313-6733

Please be prepared with as much information as possible when making this initial notification, including where the incident happened, who was present, as many details as possible about the incident (who, what, when, where, why), the immediate action taken to ensure health and safety, and what notifications were made.

Step 2:  Submit written incident report by 3 p.m. the next working day

How to Report

MUIReports@summitdd.org

MUI Fax #: 330-634-8553

  1. Accidental or suspicious death:  means the death of an individual resulting from an accident or suspicious circumstances
  2. Exploitation: unlawful or improper act of using an individual or an individual’s resources for monetary or personal benefit, profit, or gain.
  3. Failure to report: Developmental Disabilities employee knew or should have known  that an individual has suffered or faces substantial risk to suffer any wound, injury, disability, or condition that reasonably indicates abuse, misappropriate, or exploitation and unreasonably failed to report.
  4. Misappropriation: depriving, defrauding, or otherwise obtaining the real or personal property of an individual by any means prohibited by the Revised Code Chapters 2911 and 2913.
  5. Neglect: When there is a duty to do so, failing to provide an individual with any treatment, care, goods, supervision, or services necessary to maintain the health or welfare of the individual.
  6. Peer-to-Peer acts: One of the following incidents involving two individuals eligible for services: physical act, sexual act without consent, verbal act, theft, or exploitation.
  7. Physical abuse: physical force that can reasonably be expected to result in physical harm or serious physical harm. Such force may include, but is not limited to, hitting, slapping, pushing, or throwing objects at an individual.
  8. Prohibited sexual relations: developmental disabilities employee engaging in consensual sexual conduct or contact with an individual who is not the employee’s spouse, and for whom the developmental disabilities employee was employed or under contract to provide care or supervise the provision of care at the time of the incident.
  9. Rights Code Violation: means any violation of the rights enumerated in section 5123.62 of the Revised Code that creates a likely risk of harm to the health or welfare of an individual.
  10. Sexual abuse: unlawful sexual conduct or sexual contact (e.g., public indecency, importuning, and voyeurism).
  11. Verbal abuse: the use of words, gestures, or other communicative means to purposefully threaten, coerce, intimidate, harass, or humiliate an individual.
  12.  Media Inquiry:  When the provider has received an inquiry from the media regarding a major unusual incident.

Category B: Submit written incident report by 3 p.m. the next working day

How to Report

MUIReports@summitdd.org

MUI Fax #: 330-634-8553

  1. Attempted suicide:a physical attempt by an individual that results in emergency room treatment, in-patient observation, or hospital admission.
  2. Death other than accidental or suspicious death: the death of an individual by natural cause without suspicious circumstances.
  3. Medical emergency: an incident where emergency medical intervention is required to save an individual’s life (e.g., choking relief techniques such as back blows or cardiopulmonary resuscitation, epinephrine auto injector usage, or intravenous for dehydration).
  4. Missing individual: an incident that is not considered neglect and an individual’s whereabouts, after immediate measures taken, are unknown and the individual is believed to be at or pose an imminent risk of harm to self or others. An incident when an individual’s whereabouts are unknown for longer than the period of time specified in the individual service plan that does not result in imminent risk of harm to self or others shall be investigated as an unusual incident.
  5. Significant injury: an injury of known or unknown cause that is not considered abuse or neglect and that results in concussion, broken bone, dislocation, second or third degree burns or that requires immobilization, casting, or five or more sutures.

Category C: Does not require reporting within 4 hours

How to Report

MUIReports@summitdd.org

MUI Fax #: 330-634-8553

  1. Law enforcement: any incident that results in the individual served being arrested, charged, tazed, or incarcerated.
  2. Unapproved behavior support: the use of an aversive strategy or intervention prohibited by paragraph (J) of rule 5123:2-1-02 of the Administrative Code or an aversive strategy implemented without approval by the human rights committee or behavior support committee or without informed consent, that results in a likely risk to the individual’s health and welfare. An aversive strategy or intervention prohibited by paragraph (J) of rule 5123:2-1-02 of the Administrative Code that does not pose a likely risk to health and welfare shall be investigated as an unusual incident.
  3. Unscheduled hospitalization: any hospital admission that is not scheduled unless the hospital admission is due to a pre-existing condition that is specified in the individual service plan indicating the specific symptoms and criteria that require hospitalization.

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