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Investigating Alleged Violations and Self-Reported Incidents to the Ohio Department of Health

Sets how the Agency receives, investigates and acts on every alleged violation involving mistreatment, neglect, verbal, mental, sexual or physical abuse, injuries of unknown source or misappropriation of patient property by anyone furnishing services on its behalf: immediate report to the Administrator, immediate investigation and protective action, corrective action, and the Ohio Department of Health Hospice Self-Reported Incident Form filed within five working days of becoming aware of the allegation, as 42 CFR §418.52(b)(4) and OAC 3701-19-06(C)(1)(b) require.

Preview: full text with a package
About this policy
Policy number
OH-HSP-ANE-02
Version
1.0
Main rule
42 CFR §418.52(b)(4)
Library
Ohio hospice · 60 policies
Category
Safeguarding
Sections
19

In short

  • Report any allegation that a staff member, volunteer or contractor mistreated, neglected, abused or took property from a patient to the Administrator immediately.
  • Also report any injury of unknown source.
  • The person involved is removed from patient contact while the Agency investigates.
  • The Agency files a self-report with the Ohio Department of Health within five working days.
  • Cooperate fully and keep the investigation confidential.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.52(b)(4); OAC 3701-19-06(C)(1)(b))
  • 5. How Allegations Are Reported to the Administrator
  • 6. Immediate Protective Action
  • 7. Investigation
  • 8. Reporting to the Ohio Department of Health
  • 8.1 Other bodies having jurisdiction
  • 9. Corrective Action
  • 10. Telling the Patient and Family
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me your investigation file for the last allegation of abuse or neglect by a staff member.
  • When did the Administrator learn of it, what was done to protect the patient that day, and when was the self-report filed with ODH?

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