Incident Reporting and Agency Investigations
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.
About this policy
- Policy number
- TX-HH-QA-02
- Version
- 1.0
- Main rule
- 26 TAC §558.250
- Library
- Texas home health · 56 policies
- Category
- Quality
- Sections
- 15
In short
- 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.
What's inside
15 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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