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Agency Investigations and Provider Investigation Reports

Sets out how the Agency investigates allegations of abuse, neglect and exploitation and other alleged violations: starting immediately, protecting patients, completing and sending the HHSC Provider Investigation Report (Form 3613) no later than the 10th day after the report, finishing within 30 days unless a documented reasonable cause exists, reporting verified violations, and taking corrective action.

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About this policy
Policy number
TX-HSP-ANE-02
Version
1.0
Main rule
26 TAC §558.250
Library
Texas hospice · 59 policies
Category
Safeguarding
Sections
17

In short

  • When a patient may have been harmed by our staff, the investigation starts the same day.
  • A staff member who is accused is taken off patient visits until the investigation is finished. This is not a finding of guilt.
  • Tell the truth, keep what you know private, and do not talk to others about the case.
  • Do not throw away or change any notes, logs or evidence.

What's inside

17 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 (26 TAC §558.250)
  • 5. Immediate Actions (day 0)
  • 6. Investigation
  • 7. HHSC Provider Investigation Report (Form 3613)
  • 8. Completion, Outcome and Corrective Action
  • 9. Deaths in an Inpatient Unit Associated with Restraint or Seclusion
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me your last self-reported incident: the date you reported it, the date Form 3613 was sent, and the date the investigation closed.
  • What did you do with the employee while the investigation was open?

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