IncidentAccident Reporting CHATHAM TRADES INC CORE COMPETENCY TRAINING

Incident/Accident Reporting CHATHAM TRADES, INC. CORE COMPETENCY TRAINING

Purpose of reporting �We report to: 1. Ensure services are addressed quickly. 2. Analyze ways to prevent future incidents/accidents 3. Improve the service system

Who must report? �All providers of publicly funded services licensed and non-licensed under NC General Statues, except hospitals. �Failure to report may result in DHHS taking administrative action against the agency’s license or authorization to provide services.

Confidentiality �All incident reports are confidential, quality assurance documents. �Do not file incident reports in the consumer’s file.

What is an incident? �Any adverse event that is not consistent with the routine operation of a facility or service or the routine care of a consumer. �There are three levels of response to incidents: Level I (in-house, internal reports) Level II (online reporting) Level III (online reporting & phone call) In-house reports are always Level I only and are internal forms.

Level I incident �Events that, in isolated numbers, do not significantly threaten the health/safety of a person, but could indicate systemic problems if they occur frequently. �Level I in-house incidents do not have to be reported to Cardinal or DSS, but are counted in the quarterly reporting to Cardinal. In-house means it does not meet the severity standard required for an Cardinal filing but that we want the information available to us, as an agency.

Level II incident �Any incident that involves a threat to a consumers health/safety or a threat to health/safety of others due to consumer behavior. �All Level II incidents are reported through IRIS, the online reporting system, to Cardinal.

Level III incident �Any incident that results in: �a. A death or permanent physical or psychological impairment to a consumer �b. A death or permanent physical or psychological impairment caused by a consumer �c. A threat to public safety caused by a consumer. �All Level III incidents require a report through IRIS to Cardinal.

What needs to be reported? �Consumer behavior: Suicidal behavior � Verbal threat of new or different type Level I � Actual suicide attempt Level II � Any suicide attempt resulting in permanent, physical or psychological impairment Level III

Continued… �Sexual behavior: Inappropriate sexual behavior not requiring report to LME or oversight agency. Level I Sexual behavior requiring report to LME, oversight agency or is a potential serious threat of safety to self or others Level II Any sexual behavior resulting in death, permanent impairment, arrest of consumer or public scrutiny. Level III

Continued… �Consumer absence: � 0 -3 hours over time specified in PCP if police not contacted. LEVEL I � 3 hrs or more over time specified in PCP, or any absence that requires police contact LEVEL II (there is no Level III)

Continued… �Suspension or expulsion from services: Any provider withdrawal of services for one day or less due to consumer misconduct. Level I Any provider withdrawal of services for more than one day due to consumer misconduct. Level II (there is no Level III)

Continued �Consumer death: Terminal illness/natural cause/unknown cause Level II Suicide/violence/homicide/accident/occurs within 7 days of seclusion/restraint Level III

Restriction/Intervention �Any planned use of either, administered appropriately and without discomfort, complaint or injury. Level I �Any ER, unplanned, OR any planned use that exceeds authorized limits, is administered by unauthorized person, results in discomfort or complaint, or requires treatment by health professional. Level II �Any intervention that results in permanent physical or psychological impairment within 7 days. Level III

Consumer Injury �Any injury that requires first aid. Level I �Any injury that requires treatment by health professional beyond first aid. Level II �Any injury that results in permanent physical or psychological impairment. Level III

Abuse �Any allegation of abuse, neglect or exploitation of consumer by staff or other adult, including inappropriate touching or sexual behavior. Level II �Any allegation of abuse, neglect or exploitation of consumer that involves permanent physical or psychological impairment, or arrest. Level III

Medication Error �Any error in dose, medication, time, missed or refusal that does not threaten consumer health or safety. Level I �Any error that threatens the consumer’s health or safety. Level II �Any error that results in permanent psychological or physical impairment. Level III

Fire �Fire: Any fire with no threat to health/safety of consumers or others. Level I Any fire that threatens health/safety of consumers or others. Level II Any fire that results in permanent physical or psychogical impairment or public scrutiny. Level III

Other continued… �Search and seizure: �Confidentiality Breach: Any, at all. Level I.

Abuse, Neglect, Exploitation �VERBAL reports are required, followed by written reports, upon learning of the incident. It is not for the provider to decide whether or not the report is valid. �Even if you don’t have all of the information, make the report with any information you have. �You are protected from being sued if the report is false by reporting “in good faith”.

Information needed �Location �Other people involved �Name and Title of first person to learn of incident �Who was the person under the care of �Any treatment rendered �Hospitalization �Description of incident/accident 1. Who was involved 2. 3. 4. What happened Why it happened Other relevant information

Who else knows? �Some incidents also require a report to DSS, the police, or other agencies. �The supervisor makes these notifications. � The guardian is notified and the family, if appropriate.