{"ref":"MO-HC-INC-01","title":"Incidents, Unusual Occurrences, and Reports to DSDS","category":"Quality","summary":"The Agency's system for reporting, reviewing and learning from incidents and unusual occurrences: what counts as an incident, what the worker does at once, supervisor and nurse review, the written notices to DSDS that the in-home services rules require (case-closure circumstances, threats or abuse toward staff, changes in condition, care plan noncompliance, nondelivery and the need for more DSDS involvement), physician contact, other notices, follow-up and trend review.","inShort":["Make the participant and yourself safe first. Call 911 in an emergency.","Call the office, or the after-hours line (573) 555-0199, before you leave the home.","Report falls, injuries, health changes, missed care, threats, damage and anything else that worries you.","Fill in Form MO-HC-INC-01-A before the end of your shift. Write only the facts.","Suspected abuse, neglect or theft: report to DHSS first, then complete the incident report."],"primaryCitation":"19 CSR 15-7.021(20)(D)","citations":["19 CSR 15-7.021(16)(B), (C)","19 CSR 15-7.021(18)(L), (18)(Q)","19 CSR 15-7.021(20)(D)","19 CSR 15-7.021(21)(C)","19 CSR 15-7.010(16)(C)","13 CSR 70-91.010(3)(D)","13 CSR 70-3.320(2)(I)","MO HealthNet Personal Care Provider Manual §§2.2, 2.3"],"federalCitations":[],"surveyorAsks":["What incidents must your workers report, and how fast?","A participant fell during a visit last month. Show me the incident report and what you sent to DSDS."],"forms":[{"ref":"MO-HC-INC-01-A","title":"Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(20)(D))","5. What Must Be Reported as an Incident","6. What the Worker Does","7. Review by the Supervisor and the Registered Nurse","8. Reports to DSDS Required by the Rules","9. Other Notices","10. Follow-Up and Closing an Incident","11. Trends","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}