{"ref":"TX-HH-QA-02","title":"Incident Reporting and Agency Investigations","category":"Quality","summary":"Requires every incident, adverse event, complaint, and allegation to be reported on an incident report, logged, and investigated, and sets the time frames: an abuse, neglect, or exploitation investigation starts immediately and HHSC Form 3613 is sent within 10 days of the report; a complaint investigation starts within 10 days of receipt; every investigation is completed within 30 days unless a documented reasonable cause justifies a delay.","inShort":["Make the patient safe first. Call 911 if needed.","Call the office right away, and fill out an Incident Report the same day with facts only.","If you suspect abuse, neglect, or exploitation, report it to the state yourself immediately.","Do not write in the clinical record that you completed an incident report.","Help with the investigation honestly. No one is punished for reporting in good faith."],"primaryCitation":"26 TAC §558.250","citations":["26 TAC §558.250","26 TAC §558.249","26 TAC §558.287","26 TAC §558.246","26 TAC §558.301","Tex. Health & Safety Code §142.0093","Tex. Occ. Code §301.405"],"federalCitations":["42 CFR §484.65(a)(2)","42 CFR §484.65(c)(2)","42 CFR §484.50(e)"],"surveyorAsks":["Show me your incident log for the last quarter and the investigation file for this fall.","When did you report this allegation to HHSC, when did you start investigating, and when did you send Form 3613?"],"forms":[{"ref":"TX-HH-QA-02-A","title":"Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.250)","5. Reporting an Incident","6. Investigation Procedure","7. Fairness to Staff","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","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 Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}