{"ref":"OH-HH-QA-02","title":"Incident Reporting, Investigation, and Ohio Medicaid Waiver Incident Management","category":"Quality","summary":"Requires every incident, adverse event and near miss to be reported inside the Agency the same day on Form OH-HH-QA-02-A, investigated, and analyzed through QAPI. Lists the outside reports that may be required, and for patients on an Ohio Medicaid waiver or in a Medicaid managed care plan sets out the incident management rule: immediate action, and a report to the case management agency or plan immediately and no later than one business day after discovery.","inShort":["If something goes wrong, make the patient safe first and call 911 in an emergency.","Call the clinical manager or on-call nurse at once, and complete the incident report before the end of your shift.","Suspected abuse, neglect or exploitation must be reported outside the Agency immediately. Do not wait for a supervisor.","For Medicaid waiver and managed care patients, the incident must reach the case manager or plan no later than one business day after it is discovered.","Write only the facts in the patient’s record, and keep any evidence."],"primaryCitation":"42 CFR §484.65(c)(2)","citations":["OAC 5160-44-05","OAC 5160-44-05(B)","OAC 5160-44-05(C)","OAC 5160-44-05(D)(1)","OAC 5160-44-05(E)","OAC 173-39-02(B)(3)","ORC 5101.63","ORC 5123.61","ORC 2151.421","ORC 4723.34","OAC 5160-1-17.2(D)"],"federalCitations":["42 CFR §484.65(c)(2)","42 CFR §484.65(a)(2)","42 CFR §484.50(e)"],"surveyorAsks":["Show me your incident reports for the last quarter and what you learned from them.","A waiver patient falls and is taken to the emergency room. Who do you report to, and how fast?"],"forms":[{"ref":"OH-HH-QA-02-A","title":"Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.65(c)(2))","5. What Staff Report","6. Immediate Response","7. Internal Reporting Time Frames","8. Outside Reports","9. Waiver and Managed Care Patients","10. Investigation","11. Analysis and QAPI","12. Documentation","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"oh-hha","state":"Ohio","service":"Home health","guides":[{"path":"/guides/home-health-qapi/","h1":"What is QAPI in home health, and what does §484.65 require?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}