1. ”FIRST AND FINEST” INFORMATION BRIEF CANAREES Program Management: Mrs. Davies-Morris and Mrs. Peters Education and Training: LT Steele Data Collection and Analysis: LTJG Gibson Sponsors: CAPT Cole DQM Confidential and privileged quality assurance material under 10 USC 1102.

2. ”FIRST AND FINEST” 1. CANAREES Overview 2. CANAREES Statistics 3. Utilizing CANAREES Confidential and privileged quality assurance material under 10 USC 1102.

3. ”FIRST AND FINEST” CANAREES OVERVIEW CANAREES: Consolidated Abuse, Neglect, Assault Reporting Electronic Entry System. Purpose: A system where Health Care Professionals (HCPs’) electronically submit reports on all unrestricted cases of abuse and neglect (including child, elderly and vulnerable adult abuse) and cases of imminent threat. The Social Work department collects weekly CANAREES case audits to promote patient safety and collect pertinent data for further analysis. Composition: The CANAREES team is comprised of two civilian providers and two military officers who are responsible for auditing, data analysis, medical staff training and overall program management. Confidential and privileged quality assurance material under 10 USC 1102.

4. ”FIRST AND FINEST” CANAREES OVERVIEW In order to ensure HCPs’ are reporting mandatory child, elder and vulnerable adult abuse the following accountability measures have been authorized by the Legal Department at Naval Medical Center Portsmouth: If a HCP fails to report to Child Protective Services/Adult Protective Services and/or submit CANAREES to the Family Advocacy Program, a patient safety report (PSR) shall be completed. Failure to follow reporting protocol can result in fines per reference (g) NAVMED. Confidential and privileged quality assurance material under 10 USC 1102.

5. ”FIRST AND FINEST” CANAREES STATISTICS Confidential and privileged quality assurance material under 10 USC 1102.

6. ”FIRST AND FINEST” CANAREES STATISTICS Adult-Related Reports Confidential and privileged quality assurance material under 10 USC 1102.

7. ”FIRST AND FINEST” CANAREES STATISTICS Child-Related Reports Confidential and privileged quality assurance material under 10 USC 1102.

8. ”FIRST AND FINEST” CANAREES STATISTICS Reporting by Department Confidential and privileged quality assurance material under 10 USC 1102.

9. ”FIRST AND FINEST” CANAREES STATISTICS Summary 340 reports filed over the 2-year period 2010-2011. –2010: 177 reports, with 102 from January-June. –2011: 163 reports, with 88 from January-June. 159 reports were child-related. –2010: 83 reports, with 48 from January-June. –2011: 76 reports, with 37 from January-June. 142 reports were adult-related. –2010: 77 reports, with 42 from January-June. –2011: 65 reports, with 40 from January-June. Confidential and privileged quality assurance material under 10 USC 1102.

10. ”FIRST AND FINEST” CANAREES STATISTICS Summary CANAREES REPORTING BY DEPARTMENT Social Work Department: 153 reports –2010: 72 reports, with 44 from January-June. –2011: 81 reports, with 40 from January-June. Emergency Department: 123 reports –2010: 65 reports, with 36 from January-June. –2011: 58 reports, with 38 from January-June. Mental Health (Outpatient Psychology): 17 reports –12 reports in 2010, 5 reports in 2011. Branch Health Clinics: 15 reports –8 reports in 2010, 7 reports in 2011. Pediatrics (Inpatient/Outpatient): 14 reports –8 reports in 2010, 6 reports in 2011. Confidential and privileged quality assurance material under 10 USC 1102.

11. ”FIRST AND FINEST” UTILIZING CANAREES Confidential and privileged quality assurance material under 10 USC 1102.

12. ”FIRST AND FINEST” UTILIZING CANAREES Confidential and privileged quality assurance material under 10 USC 1102.

13. ”FIRST AND FINEST” UTILIZING CANAREES Confidential and privileged quality assurance material under 10 USC 1102.

14. ”FIRST AND FINEST” UTILIZING CANAREES Confidential and privileged quality assurance material under 10 USC 1102.

15. ”FIRST AND FINEST” UTILIZING CANAREES The CANAREES report should be encrypted and electronically submitted to the NMCP-CANAREES team which includes a representative from Portsmouth Family Advocacy Program. The CANAREES report should be encrypted and electronically submitted to the NMCP-CANAREES team which includes a representative from Portsmouth Family Advocacy Program. Confidential and privileged quality assurance material under 10 USC 1102.

16. ”FIRST AND FINEST” UTILIZING CANAREES You mustCANAREES is NOT a substitution for Child Protective Services reporting. You must CALL CPS to make your report. In Virginia, all HCP’s who suspect that a child has been abused or neglected shall report the matter immediately to the Child Protective Service agency where the child resides or where the abuse or neglect is believed to have occurred. The Virginia statute requiring HCP’s to report adult abuse, neglect or exploitation parallels the child abuse statute.In Virginia, all HCP’s who suspect that a child has been abused or neglected shall report the matter immediately to the Child Protective Service agency where the child resides or where the abuse or neglect is believed to have occurred. The Virginia statute requiring HCP’s to report adult abuse, neglect or exploitation parallels the child abuse statute. Confidential and privileged quality assurance material under 10 USC 1102.

17. ”FIRST AND FINEST” QUESTIONS? The HCP is responsible for determining imminent risk for domestic abuse cases and shall contact the FAP DAVA (Domestic Abuse Victim Advocate) for guidance if uncertain about determining imminent risk. The DAVA is considered the expert in cases of domestic abuse and has the ability to transport victims to court and shelters and to assist with legal proceedings. The DAVA is available during the work day at 444-2230 and after hours at 438-4180. *Please see DoD Instruction 6400.06 for additional information.* Confidential and privileged quality assurance material under 10 USC 1102.