Critical Incident Reporting. 2 Provider shall send immediate notification to North Sound BH-ASO and, when 3 indicated, to the applicable MCO of any Critical Incident involving an individual. 4 Notification shall be made during the business day on which Provider becomes 5 aware of the Critical Incident. If Provider becomes aware of a Critical Incident 6 involving an individual after business hours, Provider shall provide notice to North 7 Sound BH-ASO and, when indicated, to the applicable MCO as soon as possible the 8 next business day. Provider shall provide to North Sound BH-ASO and, when 9 indicated, to the applicable MCO all available information related to a Critical 10 Incident at the time of notification, including: a description of the event, the date 11 and time of the incident, the incident location, incident type, information about the 12 individuals involved in the incident and the nature of their involvement; the 13 individual’s or other involved individuals’ service history with Provider; steps taken 14 by Provider to minimize potential or actual harm; and any legally required 15 notification made by Provider. Upon North Sound BH-ASO’s request, and as 16 additional information becomes available, Provider shall update the information 17 provided regarding the Critical Incident and, if requested by MCO, shall prepare a 18 written report regarding the Critical Incident, including any actions taken in response 19 to the incident, the purpose for which such actions were taken, any implications to 20 Provider’s delivery system and efforts designed to prevent or lessen the possibility of 21 future similar incidents. Reporting shall comport with North Sound BH-ASO 22 Supplemental Provider Service Guide and applicable P&Ps.
Critical Incident Reporting. 4 Provider shall send immediate notification to North Sound BH-ASO and, when indicated, to 5 the applicable MCO of any Critical Incident involving an individual. Notification shall be 6 made during the business day on which Provider becomes aware of the Critical Incident. If
Critical Incident Reporting. 2.9.6.11.1 The Contractor shall have processes and procedures in place to receive reports of critical incidents. Critical events and incidents must be reported and issues that are identified must be routed to the appropriate department within the Contractor and, when required or otherwise appropriate, to the investigating authority.
2.9.6.11.2 The Contractor shall maintain an internal reporting system for tracking the reporting and responding to critical incidents, and for analyzing the event to determine whether individual or systemic changes are needed.
2.9.6.11.3 The Contractor shall have systems in place to report, monitor, track, and resolve critical incidents concerning restraints and restrictive interventions.
2.9.6.11.3.1 The Contractor shall make reasonable efforts to detect unauthorized use of restraint or seclusion. The Contractor shall require that events involving the use of restraint or seclusion are reported to the Contractor as a reportable incident, and reported to the investigating authority as indicated if it rises to the level of suspected Abuse, Neglect, or exploitation.
2.9.6.11.3.2 The Contractor shall make reasonable efforts to detect unauthorized use of restrictive interventions. The Contractor shall require that events involving the use of restrictive interventions are reported to the Contractor as a reportable incident, and reported to the investigating authority if it rises to the level of Abuse, Neglect or exploitation.
Critical Incident Reporting. The Contractor’s system shall capture, track and maintain critical incident data per the requirements of Article 9.10.3
Critical Incident Reporting. The AAA agrees to comply with the Major Incident Reporting requirement outlined in the Policy & Procedures Manual for AAA Operations, Chapter 1, Section XI.
Critical Incident Reporting. Consistent with the reporting and tracking system established by Company, Provider shall report adverse or Critical Incidents to Company, the OHCA Behavioral Health Unit, OHS, and the Enrollee's parent or legal guardian, in accordance with OAC 317:30-5-95.39(c). Provider shall avail itself of training and take corrective action as needed to ensure compliance with Critical Incident requirements, in the manner and format required in the Reporting Manual. Provider shall ensure that any serious incident that xxxxx or potentially xxxxx a Enrollee's health, safety, or well-being, including incidents of seclusion and restraint, are immediately identified, reported, reviewed, investigated and corrected, in a manner that ensures Company's compliance with State and federal law, including, but not limited to, 42 C.F.R. §§ 482.13(e) through (g); 483.350-.376; and OAC 317:30-5-95.39. Provider shall report abuse, neglect and/or Exploitation to Company within less than one Business Day. Provider shall immediately, but not to exceed 24 hours, take steps to prevent further harm to any and all Enrollees and respond to any emergency needs of Enrollees. Provider shall conduct an internal Critical Incident investigation and submit a report on the investigation as soon as possible, based on the severity of the Critical Incident, to Company, the OHCA Behavioral Health Unit, OHS, and the Enrollee's parent or legal guardian, in accordance with the timeframes established by OAC 317:30-5-95.39(c). Provider will cooperate with any investigations and implement any corrective actions as directed by Company and/or OHCA within applicable timeframes. (State Contract § 1.11.9.3)
Critical Incident Reporting. For providers under contract with the Department of Children and Families, the State of Florida operating procedures for incident reporting and client risk protection (CF Operating Procedure No. 215-6, November 1, 1998) establishes departmental procedures and guidelines for reporting information related to the incidents specified in this section. The reporting requirements in this section do not replace the abuse, neglect and exploitation reporting system established by the state. Allegations of abuse, neglect or exploitation must always be reported immediately to the Florida Abuse Hotline and appropriate district human rights advocacy committee as required by law. Additionally, the plan must report to the Agency in accordance with the draft format in Table H, Critical Incidents Summary, and Table H-1, Critical Incident Individual, both attached hereto and made a part of the contract. The following definitions of reportable incidents apply specifically to the provider, providers, and any subcontractors providing services to recipients under the plan.
A. The provider must report immediately to the Agency, in accordance with the draft format in Table H-1, Critical Incident Individual, the following events if such occur:
1. Death of a recipient due to one of the following: • Suicide; • Homicide; • Abuse or neglect; or • An accident or other incident that occurs while the recipient is in a facility operated or contracted by the plan or in an acute care facility.
Critical Incident Reporting. Provider shall send immediate notification to GRBH-ASO and, when indicated, to the applicable MCO of any Critical Incident involving a client. Notification shall be made during the business day on which Provider becomes aware of the Critical Incident. If Provider becomes aware of a Critical Incident involving a client after business hours, Provider shall provide notice to GRBH-ASO and, when indicated, to the applicable MCO as soon as possible the next business day. Provider shall provide to GRBH-ASO and, when indicated, to the applicable MCO all available information related to a Critical Incident at the time of notification, including: a description of the event, including the date and time of the incident, the incident location, incident type, information about the individuals involved in the incident and the nature of their involvement; the client’s or other involved individuals’ service history with Provider; steps taken by Provider to minimize potential or actual harm; and any legally required notification made by Provider. Upon MCO’s request, and as additional information becomes available, Provider shall update the information provided regarding the Critical Incident and, if requested by MCO, shall prepare a written report regarding the Critical Incident, including any actions taken in response to the incident, the purpose for which such actions were taken, any implications to Provider’s delivery system, and efforts designed to prevent or lessen the possibility of future similar incidents. Reporting shall comport with GRBH-ASO P&Ps.
Critical Incident Reporting. For Providers and providers under contract with DCF, the State’s operating procedures for incident reporting and client risk protection establishes departmental procedures and guidelines for reporting information related to the incidents specified in this Section. See CF Operating Procedure No. 215-6, November 1, 1998.
Critical Incident Reporting. The Contractor shall communicate with the appropriate MCO when the Contractor becomes aware of an incident for a Medicaid Enrollee. The Contractor shall establish a Critical Incident Management System consistent with all applicable laws and shall include policies and procedures for identification of incidents, reporting protocols and oversight responsibilities. The Contractor shall designate a Critical Incident Manager responsible for administering the Incident Management System and ensuring compliance with the requirements of this Section. Individual Critical Incident Reporting The Contractor shall submit an Individual Critical Incident report for the following incidents that occur: To an Individual receiving BH-ASO funded services, and occurred within a contracted behavioral health facility (inpatient psychiatric, behavioral health agencies), FQHC, or by independent behavioral health provider. Abuse, neglect, or sexual/financial exploitation; and
