{"ref":"DC-HSP-GOV-04","title":"Reporting Adverse Events and Required Notices to DC Health, SHPDA and CMS","category":"Governance","summary":"Sets out how the Agency reports adverse events to DC Health within 60 days under D.C. Code §7-161 through the Serious Adverse Event Reporting System launched September 1, 2026, and lists in one table every other report or notice the Agency owes DC Health, SHPDA, DHCF and CMS, with the time frame and the policy that governs it.","inShort":["An adverse event is medical care that results in death or an unexpected injury to a patient.","If something goes wrong, make the patient safe, then tell the clinical manager and the Administrator at once.","Fill in an incident report before the end of your shift.","The Agency reports adverse events to DC Health within 60 days through its online system.","Abuse or neglect is reported to Adult Protective Services or CFSA right away, as well."],"primaryCitation":"D.C. Code §7-161(d)","citations":["D.C. Code §7-161","DC Health memorandum, Serious Adverse Event Reporting System (August 19, 2026)","22-B DCMR §4701.6","D.C. Code §44-406(c)","22-B DCMR §4008.1","29 DCMR §939.35","D.C. Code §7-1903","D.C. Code §4-1321.03","D.C. Code §28-3852"],"federalCitations":["42 CFR §418.52(b)(4)","42 CFR §418.58(a)(2), (c)(2)","42 CFR §418.110(p)","42 CFR §418.112(c)(8)","42 CFR §420.206(b)","42 CFR §424.516(e)","45 CFR §164.408"],"surveyorAsks":["Has any patient had an adverse event since September 1, 2026? Show me the report you made to DC Health and the date.","How do staff tell the Administrator about an event that may be reportable?"],"forms":[{"ref":"DC-HSP-GOV-04-A","title":"Serious Adverse Event and Regulatory Notice Worksheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (D.C. Code §7-161(d))","5. Events the Agency Screens For","6. Procedure for Adverse Events","7. Confidentiality of Reports","8. Other Reports and Notices","9. Responsibilities","10. Records and Compliance Monitoring","11. Staff Training","12. References","13. Related Policies and Forms","14. Approval","15. Revision History"],"version":"1.0","sample":false,"pack":"dc-hospice","state":"Washington, DC","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}