about our systems as a whole
Each of the 88 County Boards contract for
services or employ an Investigative Agent (IA). The IA is required to
investigate all reported MUIs. These investigations include the identification
of causes and contributing factors as well as prevention plans to help reduce
the likelihood of re-occurrence. IAs are
certified through the Ohio Department of Developmental Disabilities (DODD) and
are required to attend Civil and Criminal Investigatory Practices training and
obtain credit hours to maintain their certification.
Providers and County Boards work diligently to
ensure that incidents are reported accurately and timely. Working in
partnership, providers and County Boards develop immediate actions to ensure
the health and welfare of any at-risk individual(s). The County Board conducts
a thorough investigation for all MUIs entered into the Incident Tracking System
(ITS) which includes prevention planning.
DODD is responsible for overseeing statewide
systems of supports and services for people with developmental disabilities and
their families. The Major Unusual Incident (MUI) Unit plays a critical role by
providing oversight to County Boards and Providers to help assure the health
and welfare of individuals receiving services in Ohio.
The MUI Unit employs fifteen staff and is
comprised of three primary entities: Intake, Regional Managers and Registry
The Intake Managers assure that all MUIs are
entered correctly into the ITS system and include effective immediate actions,
meet MUI criteria and are classified accurately according to rule. They also review each and every incident
entered into the online Incident Tracking System. Regional Managers conduct
quality assurance reviews of Incident management through the online Incident
Tracking System (ITS), conduct site visits to Ohio’s counties and providers of
service as required and provide training and technical assistance throughout
The Unit Registry Investigators manage the DODD Abuser
Registry. In addition, they conduct department directed investigations and site
visits to Ohio’s counties as required to monitor the quality of MUI
investigations. Registry Investigators provide training and technical
assistance to the Investigative Agents (IA).
Other statewide functions include: providing
informational notices to stakeholders, issuing Health and Welfare Alerts,
managing a centralized complaint hotline, conducting statewide Mortality Review
Meetings, steering statewide Pattern and Trends meetings, and providing ongoing
training to the field.
All DD employees are required to be trained, annually,
on identification and reporting of MUIs and UIs prior to direct contact with
people served. Training includes the review of any Health and Welfare Alerts
released since the previous calendar year’s training.