Incident Reporting, Investigation, and Adverse Events

Sets out how staff report, and how the Agency responds to, investigates, documents and learns from incidents and adverse patient events such as falls, injuries, injuries of unknown source, medication errors, equipment failures, exposures and property loss. Louisiana has no home health incident report to LDH, but an agency that has placed a patient at risk according to a documented incident may receive a provisional license (LAC 48:I §9105.B.2.c), and failing to notify an appropriate governmental agency of suspected neglect, criminal activity or abuse is a ground for immediate revocation (§9111.C.4). Abuse, neglect and exploitation are reported outside the Agency under Policy LA-HH-SG-01 within 24 hours (R.S. 40:2009.20). If the Agency is Medicare-certified, adverse patient events are tracked and analyzed under 42 CFR §484.65.