Incident Reporting, Investigation of Alleged Violations and Reports to the Department
Sets out how staff report incidents, accidents and alleged violations (mistreatment, neglect, verbal, mental, sexual or physical abuse, injuries of unknown source and misappropriation of patient property), how the Administrator investigates at once and protects the patient while the investigation runs, what corrective action follows, and which reports go outside the Agency and when. Missouri sets no time frame for a hospice to self-report incidents to the Department; reports of suspected abuse and neglect go to the Department at once under Policy MO-HSP-ANE-01, and verified violations are reported within five working days.
- Policy number
- MO-HSP-QA-02
- Version
- 1.0
- Main rule
- 42 CFR §418.52(b)(4)
- Library
- Missouri hospice · 59 policies
- Category
- Quality
- Sections
- 19
In short
- If anyone is in danger, call 911 first.
- Tell the Administrator immediately about any claim of abuse, neglect, mistreatment, theft or an unexplained injury.
- If you suspect abuse or neglect, make your own report to the State hotline too. Do not wait for permission.
- Do not leave an accused worker alone with the patient. Keep any evidence.
- Write down what you saw and heard before the end of your shift.
- No one is punished for reporting in good faith.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.52(b)(4))
- 5. What to Report and Where
- 6. What the Person Who Finds It Does
- 7. Protecting the Patient During the Investigation
- 8. Investigation
- 9. Corrective Action
- 10. Reports Outside the Agency
- 11. No Retaliation
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me your last three incident or alleged violation investigations. When was the Administrator told, and what did you do to protect the patient while you investigated?
- How do your staff and contracted staff know to report an injury of unknown source to the Administrator immediately?
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